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        Measurement of Isoketal Protein Adducts by Liquid Chromatography-Electrospray Ionization/Tandem Mass Spectrometry

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        Oxidative stress has been increasingly implicated in the pathogenesis of a wide variety of diverse human diseases. Free radical damage to lipids, proteins, and DNA may all contribute to the pathogenesis of disease. We have recently discovered a series of highly reactive γ-ketoaldehydes that are formed by rearrangement of bicyclic endperoxide intermediates in the isoprostane (IsoP) pathway of free radical-mediated peroxidation of arachidonic acid ( 1 ), which we now term isoketals (IsoKs) ( 2 ) (Fig. 1 ). IsoKs rapidly react with the ε-amine of lysyl residues on proteins to form Schiff base, lactam, and hydroxylactam adducts ( 1 , 3 , 4 ) (Fig. 2 ). The rapidity with which IsoKs adduct to proteins exceeds that of other known reactive products of lipid peroxidation, e.g., 4-hydroxynonenal, by orders of magnitude ( 1 ). Adduction of proteins frequently leads to altered protein function ( 58 ). This in turn can lead to cellular dysfunction, which may be causally linked to the pathogenesis of disease processes.
         
        Fig. 1.  Formation of isoketals. Oxidation of arachidonic acid generates a series of bicyclic endoperoxide intermediates that undergo rearrangement to form a series of γ-ketoaldehyde stereo- and regio-isomers termed isoketals.

         
        Fig. 2.  Formation of lysyl-isoketal adducts. Isoketals rapidly react with the ε-amine of lysine and lysyl residues on proteins to form Schiff base adducts, lactam adducts, and crosslinks.

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