4,4'-Methylenediphenyl diisocyanate (MDI) is the most important of the isoc
yanates used as intermediates in the chemical industry. Among the main type
s of damage after exposure to low levels of MDI are lung sensitization and
asthma. Protein adducts of MDI might be involved in the etiology of sensiti
zation reactions. It is therefore necessary to have sensitive and specific
methods for monitoring the isocyanate exposure of workers. To date, urine m
etabolites or protein adducts have been used as biomarkers in workers expos
ed to MDI. However, with these methods it is not possible to determine if t
he biomarkers result from exposure to MDI or to the parent aromatic amine 4
,4'-methylenedianiline (MDA). This work presents a procedure for quantitati
ng isocyanate-specific hemoglobin adducts. Blood proteins are used as marke
rs of exposure and possibly as markers of dose size for the modifications o
f macromolecules in the target organs where the disease develops. For the q
uantitation of hemoglobin adducts, N-1- [4-(4-isocyanatobenzyl)phenyl] acet
amide (AcMDI) was reacted with the tripeptide valyl-glycyl-glycine and with
valine yielding N-[4-(4-acetylaminobenzyl)phenyl] carbamoyl]valyl-glycyl-g
lycine and N-[4-[4-(acetylaminobenzyl)phenyl] carbamoyl] valine, respective
ly. N- [4- [4(Acetylamino-3,5-dideuteriobenzyl)-2,6-dideuteriophenyl]carbam
oyl]valine was synthesized from valine, as was N-1-[4-(4-isocyanato-3, 5-di
deuteriobenzyl)-2,6-dideuteriophenyl] acetamide, for use as an internal sta
ndard. These adducts were cleaved in 2 M HCl to yield the corresponding hyd
antoins, 3-[4-(4-aminobenzyl)phenyl]-5-isopropyl-1,3-imidazoline-2,4-dione
(MDA-Val-Hyd) and 3-[4-(4-amino-3,5-dideuteriobenzyl)-2,6dideuteriophenyl]-
5-isopropyl-1,3-imidazoline-2,4-dione, respectively. In globin of rats expo
sed to MDI, MDA-Val-Hyd could be found in a dose-dependent manner. The addu
ct was identified by HPLC/MS/MS and quantified by GC/MS after derivatizatio
n with heptafluorobutyric anhydride. The amount of MDA-Val-Hyd found after
acid hydrolysis of globin at 100 degrees C is about 12 times larger than th
e sum of N-acetyl-4,4'-methylenedianiline (AcMDA) and MDA obtained from mil
d base hydrolysis of hemoglobin. The MDA-Val-Hyd is an isocyanate-specific
adduct. MDA and AcMDA released after mild base hydrolyses result most likel
y from a sulfinamide adduct which is a typical adduct of arylamines. Accord
ing to these results, higher amounts of isocyanate adducts than arylamine a
dducts should be expected in workers exposed to isocyanates.