The nonsteroidal antiestrogen tamoxifen is used as an adjuvant
chemotherapeuti
c agentfor the treatment of all stages of hormone-dependent breast
can
cer and more re
cently as a
chemopreventive agent in women with elevated risk of developing the disease. While
clearlybenefi
cial for the treatment of breast
can
cer, tamoxifen has been reported to in
crease the riskof endometrial
can
cer in women. Furthermore, it has been shown to be hepato
car
cinogeni
c inrats. Tamoxifen is
clearly genotoxi
c in rat liver, as indi
cated by the formation of DNA addu
cts;the o
ccurren
ce of tamoxifen DNA addu
cts in human endometrial tissue is more
controversial.The dete
ction and quantitation of tamoxifen DNA addu
cts have relied primarily upon
32P-postlabeling, with other te
chniques, su
ch as immunoassays and a
ccelerator mass spe
ctrometry,being used to a mu
ch lesser extent. To expand the range of available analyti
cal methodologiesfor quantifying tamoxifen DNA addu
cts, we have developed an assay using on-line samplepreparation,
coupled with HPLC and ele
ctrospray ionization tandem mass spe
ctrometry (ES-MS/MS).
![](/images/gif<font color=)
chars/alpha.gif" BORDER=0>-A
cetoxytamoxifen was rea
cted with salmon testis DNA at ratios between 0.1
ngand 1 mg
![](/images/gif<font color=)
chars/alpha.gif" BORDER=0>-a
cetoxytamoxifen per mg DNA. After enzymati
c hydrolysis to nu
cleosides, themost highly modified DNA samples were analyzed by HPLC-UV, whi
ch indi
cated the presen
ceof two addu
ct peaks in approximately a 1:4 ratio. The major addu
ct was isolated, rigorously
chara
cterized as (
E)-
![](/images/gif<font color=)
chars/alpha.gif" BORDER=0>-(deoxyguanosin-
N2-yl)tamoxifen, and quantified on the basis of its molarextin
ction
coeffi
cient. A similar rea
ction was
condu
cted with [
N(CD
3)
2]-
![](/images/gif<font color=)
chars/alpha.gif" BORDER=0>-a
cetoxytamoxifen toprepare a deuterated addu
ct that
could serve as an internal standard for ES-MS/MS. Thelimit of dete
ction for the HPLC-ES-MS/MS method was approximately 5 addu
cts/10
9 nu
cleotides, with an intra- and interassay pre
cision of 3% relative standard deviation. The methodwas validated over the range of 8-1 520 000 addu
cts/10
8 nu
cleotides using 100
![](/images/entities/mgr.gif)
g samples ofDNA modified in vitro. Analysis of liver DNA from female Sprague-Dawley rats treated bygavage with seven daily doses of 20 mg tamoxifen/kg body weight gave a value of 496 ± 16addu
cts/10
8 nu
cleotides for (
E)-
![](/images/gif<font color=)
chars/alpha.gif" BORDER=0>-(deoxyguanosin-
N2-yl)tamoxifen and 626 ± 18 addu
cts/10
8nu
cleotides for (
E)-
![](/images/gif<font color=)
chars/alpha.gif" BORDER=0>-(deoxyguanosin-
N2-yl)-
N-desmethyltamoxifen. These data indi
cate thatthe HPLC-ES-MS/MS methodology has suffi
cient sensitivity and pre
cision to be useful in theanalysis of tamoxifen DNA addu
cts formed in vivo in experimental models and may be able todete
ct tamoxifen DNA addu
ct formation in human tissue samples.