Advances in high‐resolution mass spectrometry applied to pharmaceuticals in 2020: A whole new age of information

Abstract Continuous improvements in mass spectrometry (MS) have resulted in the widespread availability and adoption of high‐resolution mass spectrometry (HRMS) across laboratories worldwide. The capabilities and the associated advantages of HRMS make it an invaluable analytical tool for analyte characterization, screening, and quantification methodologies for a wide scope of applications across pharmaceutical development. These applications include drug discovery, product characterizations of both small molecules and novel drug modalities, in vitro and in vivo metabolism studies, post‐approval quality control, and pharmacovigilance. This review gives an overview of the current capabilities of HRMS and its pharmaceutical applications in 2020, and provides a perspective on the future of HRMS within the pharmaceutical industry.


INTRODUCTION
Mass spectrometry (MS) is an analytical technique that creates gasphase ions from atoms or molecules and measures their mass-tocharge ratios (m/z). 1 Mass spectrometers discriminate between ions of different m/z by subjecting them to constant, pulsed, or periodically time-varying electric and/or magnetic fields. 2 Nowadays, mass spectrometers have become a staple in analytical laboratories across the world, becoming one of the most powerful and versatile techniques, capable of (but not limited to): (i) molecular mass, elemental and isotopic composition determinations, (ii) structural elucidation, and (iii) quantification.
The invention of mass spectrometry dates back to 1897 when Sir Joseph John Thomson and his co-workers discovered the electron and determined its m/z, which awarded him the Nobel Prize for Physics in 1906. 1,3,4The first mass spectrometer, originally called a "parabola spectrograph", was constructed in 1912. 5,6It was not until the 1940- (TOF; 1946 1,3 ) and quadrupole (Q; 1953 1,3 ) instrumentation, and the coupling to gas chromatography (GC; 1956 6,7 ). 1,3The coupling to liquid chromatography (LC) was first performed in the 1970s and would further revolutionize MS use. 6,8With the continued development and technological advances of MS spanning more than a century, many instruments are currently available that offer different performance characteristics, such as spectral acquisition rates, sensitivities, mass accuracies, resolving powers, and thereby resolutions.The definitions for mass accuracy, resolving power, and resolution are given below as they are key to understanding mass spectrometers and the data generated from them.
Resolution 9 : R = m∕z Δ (m∕z) The observed m/z value divided by the smallest difference Δ(m/z) for two ions that can be separated.The m/z is of the ion of interest and the Δ(m/z) is either the peak width at half maximum (peak width definition; FWHM) or TA B L E 1 Comparison of typical performance characteristics of commonly used mass spectrometers.Table generated using data from 1,[11][12][13] Mass analyzer type a the spacing between two equal intensity peaks with a valley between them no more than 10% of their height (10% valley definition).The latter definition is almost exclusively reserved for sector mass spectrometers and seldomly used.

Resolving power (FWHM) [x10
Resolving power 9 : The measure of the ability of a mass spectrometer to provide a specified value of resolution.
Using an instrument with a high resolving power improves the ability to record a given ion without interference.Therefore, when centring the data, 10 the resultant signal is more likely to accurately represent just that one analyte, and with good calibration, it will give an accurate m/z, with mass accuracy defined as: Mass accuracy 1 : The error limit within which a mass spectrometer can measure an ion's m/z value relative to its theoretical (exact mass) value.
The terms resolving power and resolution are often used interchangeably despite portraying different pieces of information, where resolving power defines an instrument's capability and resolution defines the output data quality.
Mass spectrometers can be broadly classified as either lowresolution or high-resolution based on their resolving powers, where one commonly used definition is that high-resolution mass spectrometers are capable of resolving powers ≥ 10 000 FWHM.For the purposes of this review, papers using mass spectrometers operating at resolving powers ≥ 10 000 FWHM will be considered.
Low-resolution mass spectrometers (LRMS), such as quadrupoles and ion traps, generally measure the m/z value to the nearest integer, or nominal mass; whereas, high-resolution mass spectrometers (HRMS), such as the TOF and Fourier transform (FT)-based mass spectrometers, provide information on the fractional mass with up to 4-5 decimals.
[13] HRMS instrumentation is relatively expensive, but it comes with considerable advantages for analytical methodologies in comparison to LRMS, such as (i) the possibility of unequivocal determination of elemental compositions via accurate mass measurements, (ii) improvement in signal-to-background ratios as interferences can be removed from the target analyte's signal, and (iii) wide mass ranges that allow the analysis of large, complex molecules.With these advantages, it is Number of peer-reviewed papers published annually between 2000 and 2020 using HRMS (Data generated using Scopus, search term "high resolution mass spec * ") of no surprise that the applications of HRMS have rapidly grown since 2000, reflected by the number of papers published (Figure 1).
For pharmaceutical analyses, HRMS combined with a chromatographic separation is an incredibly powerful tool for the monitoring, identification, and characterisation of many molecules including impurities, degradation products, and metabolites.This supports a variety of pharmaceutical applications, extending across drug discovery, development, and quality control. 14,15This review discusses selected work published in 2020 using HRMS for pharmaceutical applications to identify current key trends and offer a perspective on the future of HRMS.

DRUG DISCOVERY AND DEVELOPMENT
The process of discovering and developing a new medicine for market approval typically takes over 12 years with an estimated cost of $2.6 billion. 16,17This is a resource-intensive and time-consuming process with an incredibly high attrition rate, such that the overall failure rate in drug development is over 96%. 18The high development costs often lead to inflated prices of the few successful medicines, 18 which Review doi.org/10.1002/ansa.202000149makes them less accessible to patients and healthcare systems.Development failures can lead to site closures and job losses.This shows the critical need to drive efficiency through tackling the challenges facing pharmaceutical drug development.
The main reason for drug development failure is lack of efficacy, followed by poor pharmacokinetics and toxicity. 18These can be attributed to a drug development system flaw, whereby preclinical studies using in vitro systems and in vivo animal models are unable to accurately predict drug behaviour in human studies. 17,18These simpler experimental designs neglect the complexities of biological systems.The difficulties of this transition and getting them approved is well known by the Food and Drug Administration (FDA) and appropriately called the "Valley of Death". 16,19Potential improvements to this area include the implementation of less complex biological systems rather than isolated cell lines or cells for the drug screening, better phenotyping of patients, and the application of genomics. 16,18They offer invaluable information with regards to a drug's pharmacokinetics, pharmacodynamics, and metabolism.
The advances in MS technology directly impact drug discovery and development as the technique is already qualitatively and quantitatively used to study the parent drug, drug metabolites, and biomarkers in various systems. 14,20The advantages of HRMS vida supra make it more amenable to where drug development is headed, i.e. the shift from isolated analysis to whole systems analysis.This approach and the use of HRMS should produce more complex, yet meaningful data that should enable the deeper and more comprehensive understanding of the biological systems impacted by a drug; therefore, a more complete picture of a drug's efficacy and toxicity.With this information, the detection of drug failures should occur earlier in the drug development process, potentially lowering the overall drug development costs, and further decreasing the post-approval prices of future medicines and the attrition rate.

NEW DRUG MODALITIES AND HRMS CHARACTERIZATION
With our ever-growing understanding of biological and cellular systems, a range of new biological drug targets, such as protein-protein and protein-nucleic acid interactions, are of interest to tackle many diseases that were previously thought to be intractable. 21Generally, small molecules cannot target these and therefore, the pharmaceutical industry is looking beyond small molecules for new "modalities" (a term being increasingly used within the pharmaceutical industry). 21,22ese include biologics and synthetic molecules of different shapes and sizes, such as peptides, proteins, oligonucleotides, hybrids, molecular conjugates, and macrocycles.These modalities have been steadily progressed and developed over several decades, where some have reached clinical development and obtained regulatory approvals 22 ; however, they present novel analytical challenges that both academia and industry are rapidly tackling.HRMS greatly complements the analytical toolbox to study these new modalities, especially in terms of their characterisation and structural elucidation.
At Janssen pharmaceutical laboratories, an automated open-access ultra-high performance liquid chromatography (UHPLC)-Q-TOF-MS instrument has been in use for the past three years for a large diversity of compound classes. 23There is the potential that HRMS instrumentation will gradually replace the LRMS open-access systems currently used, providing more information-rich MS spectra in the same short timeframe.Fontana et al. developed several methods using different electrospray ionization (ESI) conditions and different collision energies to enable the analysis of most medicinal chemistry compounds.Their "universal MS ESI+ method" produces high quality spectra with good S/N and mass accuracies within 1 mDa, enabling the automatic identifications and reporting of 98% of the ionised compounds.This methodology is being used by chemist end-users, working unattended, enabling them to perform HRMS characterisations of synthetic compounds in 95% of the cases with no assistance from the analytical team. 23nerally, MS characterizes molecules in two ways: (i) as intact masses and (ii) as dissociated structure-specific fragments.Prior to HRMS, LRMS data had to be relied on for species identification, where using the unit mass values often resulted in ambiguous assignments and relied heavily on fragment interpretation.HRMS, on the other hand, has the ability to enable high confidence species' identification through accurate mass measurements and relative isotopic abundances, detect larger m/z values due to its wider mass range, and the ability to resolve isotopes and related impurities better.An example of the differences in information between LRMS and HRMS analyses is shown in Figure 2.This figure depicts how the high resolving power significantly separated the components and removed interferences, and further the accurate mass measurement (shown here to three decimal places) will allow confident identifications for most of the ions of interest. 24Notably, the low-resolution spectrum was unable to achieve isotopic resolution and therefore has changed reporting from monoisotopic to average mass.
For the analysis of large molecules (i.e.≥1 kDa), which is becoming more frequent for the new modalities, HRMS offers significant advantages, particularly concerning the measurement of isotope patterns.
Firstly, using ESI, molecules can adopt multiple charges.Using the resolution equation above, it can be seen that as the charge (z) increases and Δ(m/z) remains the same, the gap between neighboring isotopic peaks halves and therefore would need twice the resolving power to maintain the same resolution. 1 In this case, LRMS might not have sufficient resolving power to show this isotopic data.
Secondly, with increasing molecular mass, the number of possible elemental formulae increases for a given accurate mass measurement. 1 Mass spectrometers capable of high mass accuracies will significantly decrease the number of overall possible elemental compositions compared to low mass accuracy data; however, for large molecules with higher m/z values, many formulae will still be possible regardless of mass accuracy such that an analyst will not be able to assign the elemental composition using this alone. 25,26 this case, the use of isotopic fine structure (IFS) is an invaluable, complementary approach for data interpretation that instead relies on the mass spectrometer's resolving power.A mass spectrometer with a resolving power ≥ 300 000 FWHM (termed "ultra-high-resolution F I G U R E 2 Experimental data of a mixture of peptides analysed at (A) low-resolution and (B) high-resolution.Expanded spectra are shown on the sides for individual peptides, where the right inset shows an unmodified Lys-C peptide that is 30 residues long.The differences seen between these resolutions are clear where at high-resolution, the natural 13 C isotopes are resolved due to the high resolving power, accurate mass measurements to three decimal places are generated that will aid analyte identification and characterisation, and the mass spectrum is visually 'cleaner' due to the removal of interferences.On the other hand, the low-resolution data shows a broad 2 Da peak with an inaccurate experimental average mass, limited isotope information, and a noisy baseline, which will provide low confidence analyte identification.Reprinted with a permission from 24 Copyright (2008) National Academy of Sciences, U.S.A. mass spectrometry"; typically FT-MS instrumentation) is required for routine IFSs. 25 IFS is the mass spectrometric fingerprint arising from the naturally occurring isotopes within a molecule being measured to high-resolution. 26,27An example of this is shown in Figure 3, where a single unresolved peak 1 m/z unit greater than the monoisotopic peak has been resolved into the separate 13 C, 15 N, and 33 S isotopologues.6][27] This is an emerging area that has seen limited application due to the high costs of ultra-high-resolution mass spectrometers, but provides a powerful new approach to elemental composition determination when sufficient mass resolution is achievable.

HRMS SCREENING
The advances in HRMS has enabled analysts to capture data that was previously unattainable, where (i) the high accurate mass , where the DDA collected and captured the MS/MS data for the defined precursor ion only and the DIA has collected data for all the ions in the m/z window, which has resulted in 'busier' but more comprehensive mass spectra.Reprinted with a permission from 28 measurements allow high confidence analyte identification, (ii) the high ion selectivity increases sensitivity and detectability of analytes in complex matrices, and (iii) the wide mass ranges allow a greater molecular weight range of analytes to be detected.This means that using HRMS, real unbiased wide-scope multi-residue screening methods, capable of simultaneously analyzing thousands of compounds at once, can be developed, which makes the technique ideal for both targeted and non-targeted screening methods.This allows scientists to readily capture data or 'snapshots' of complex samples that was not possible previously using LRMS.
The acquisition modes generally used for screening methods to generate tandem mass spectrometry (MS/MS) data are called datadependent or data-independent acquisition (DDA and DIA, respectively).In the DDA workflow, precursor ions are either automatically selected typically based on intensity by the instrument or predefined by the analyst in MS 1 , followed by the fragments of the ions being analyzed in MS 2 .In contrast, in the DIA workflow, either wide, consecutive m/z isolation windows (typically between 10-50 m/z) are created to cover the entire m/z range or the whole m/z range is analyzed at once in MS 1 , systematically collecting MS/MS data for every ion detected in MS 2 . 28,29The differences in resulting MS/MS spectra for these acquisition modes can be seen in Figure 4.The DDA and DIA modes generate different data sets with their own specific strengths, but also drawbacks, that are important to know before analysis.DDA incorporates significant data bias as the precursor ion selection intentionally dismisses other ions, therefore generating mass spectra that are not representative of the whole sample composition.
This makes DDA less sensitive overall (as precursor ion selection is typically intensity-based), but the resulting MS/MS spectra tend to be 'cleaner' and easier to interpret. 28,29Further, precursor ion selection is stochastic, so repeatability of data is impacted.On the other hand, DIA does not introduce bias as it detects and fragments all ions in a sample.DIA offers a more comprehensive and repeatable analysis of a sample by collecting data for a wide range of known and unknown ions, which generally generates more complex spectra that can be harder to interpret, but will be more suited for semi-targeted and non-targeted screenings.
Non-targeted HRMS screenings present multiple challenges, such as complex data mining and analyte quantification without authentic standards.This quantification approach could lead to higher work throughput, cost savings, and potentially wider usage as the limitation of previously needing standards, which could have been a financial barrier, is removed.It will be interesting to see how this area develops in the coming years and whether it is applicable for the quantification of pharmaceuticals.

Proteins and peptides
Protein characterization was once dominated by classical techniques, such as optical spectroscopy, light scattering, ultracentrifugation, calorimetry, SDS-PAGE, and size exclusion chromatography, due to the limitations imposed by the analytes' large molecular weights that offered little structural information. 31,32The application of MS to protein characterization heralded the large-scale analysis of many proteins in a single analysis, termed "proteomics".Initially performed by LRMS using ion trap mass spectrometers, the growth in HRMS has enabled new insights for characterization, peptide sequence deter-mination, post-translational modifications, and higher order structure (particularly through the use of native MS). 31,32tive MS is a particular ESI approach where the biological analytes are sprayed from a non-denaturing solvent in order to conserve noncovalent interactions in the gas phase for analysis, i.e. protein assemblies remain in their tertiary and quaternary states. 33Native MS is typically performed using nano-ESI due to its low sample consumption, more uniform response factors, and higher tolerances to salts and buffers. 33These analyses offer insight on subunit stoichiometry, binding partners, protein complex topology, protein dynamics, and binding affinities.Native MS was coined back in 2004 33 and its applications have grown since for the analyses of protein assemblies, DNA-protein and RNA-protein assemblies with the aim to define structure-function relationships.This information is important for our understanding of protein interactions, structural biology, drug design, and disease diagnostics. 31kker-Jensen and co-workers aimed to tackle the time-consuming nature of deep proteome profiling of human cells, which typically takes days of MS measurement time, by developing a rapid method for highthroughput, large-scale analyses.For this, the group used a high-field asymmetric waveform ion mobility (FAIMS) UHPLC-Q-Orbitrap-MS DIA method, such that the quantification of > 5000 proteins with short LC gradients for up to 60 samples per day was achievable.FAIMS is an atmospheric pressure ion mobility technique that can separate or select gas-phase ions based on a combination of factors, such as charge state, shape, conformation, and size, using strong and weak electric fields. 34The application of FAIMS in the work of Bekker-Jensen and co-workers removed the majority of singly-charged peptides and background ions, thereby favoring transmission of multiply-charged peptide species into the mass analyser.This simplified the resulting mass spectra, prevented filling the Orbitrap's C-trap with ions for which no useful information would be obtained, and increased the efficiency of MS/MS through the analysis of multiply-charged peptides.Through the use of FAIMS, the group acquired higher sensitivity and greater proteome coverage, allowing the identification of >1000 proteins using a 5 ng sample of HeLa digest.To demonstrate instrument versatility, the group recorded an organ-wide map of proteome expression across 12 rat tissues quantified by tandem mass tags and label-free quantification using DIA-FAIMS to depths of >10 000 proteins.The group further compiled a general rodent spectral library consisting of 213 000 unique peptides covering 12 909 protein-coding genes for the larger proteomics community. 35This methodology has the potential to expand the use of chemoproteomics 36  the software for both post-hydrolysis and in vitro samples. 38Accurate software is key to maximize work throughput to get medicines to market faster, and therefore this evaluation will prove useful across drug development.

Small molecules
Protein degraders, commonly known as proteolysis targeting chimeras (PROTACs), are small molecule inhibitors that block the activities of intracellular target proteins and interfere with signaling pathways. 39,40is is an emerging modality that has seen limited growth due to the complexities of the PROTAC-mediated protein interactions that involve binary and ternary interactions between the components. 39,40veridge Monomethyl auristatin E (MMAE) is an antimitotic agent used as a payload of an antibody-drug conjugate, which shows potent activity in clinical studies against various lymphomas, leukemia, and solid tumors.Lee et al. developed and validated a UHPLC-Q-TOF-MS method for the quantification of MMAE and its preclinical pharmacokinetics to study its short-term and long-term stability profiles and to evaluate the results from a pharmacokinetic study in rats as a preclinical animal model.The HRMS approach for this study helped generate a comprehensive understanding of the pharmacokinetic characteristic of this specific payload and could be applied generally to the development of other antibody-drug conjugates. 41clofen is a GABA B receptor agonist and the only small molecule drug currently approved for the treatment of spasticity in multiple sclerosis.A therapeutic alternative to direct GABA B agonism would be positive allosteric modulation of the GABA B receptor of which a molecule COR659 was identified to be a potential candidate.Ferlenghi's group studied COR659's phase I in vitro and in vivo metabolism in liver microsomes and rat models, respectively, and pharmacokinet-ics aided by UHPLC-Q-Orbitrap-MS instrumentation.Following this, novel COR659 analogues were synthesized to improve metabolic stability and in vivo potency.This allowed an in-depth study of the differences seen between in vivo and in vitro samples as well as attribute pharmacokinetic behaviors to specific chemical functionalities, identify molecular soft spots, and their predicted interactions. 42milarly, Yu et al. developed and validated a high-throughput and selective UHPLC-IT-TOF-MS method for the quantification of T0901317, a synthetic liver X receptor (LXR) agonist, in mouse serum, liver, and brain samples.This is the first time the pharmacokinetics of this drug has been reported across biological samples.The findings will help develop novel, efficacious experimental strategies for tissuespecific LXRs function studies by providing accurate dosing and sampling protocols, 43 but also demonstrates the strength of HRMS for analyzing complex sample matrices.

COVID-19
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is a positive-sense RNA virus that triggered the worldwide COVID-19 pandemic in 2019-2020 with more than 35 million people infected and more than 1 million deaths as recorded by the World Health Organization (as of Oct 12, 2020). 44It is characterized by acute respiratory distress and excessive inflammation capable of inducing respiratory failure, multiple organ failure, and death. 45,46Due to the asymptomatic nature of SARS-CoV-2 infection and its high incident rate, public health strategies are struggling to contain it; therefore, there is an urgent need to develop vaccines and drug therapies to protect against and treat COVID-19.For this purpose, several groups have used HRMS to identify potential drug candidates for COVID-19.Transcriptomic analysis of MXDGD effects in a rat model of pneumonia suggested that MXSGD regulated the coagulation system in the inflammatory state, which benefits QFPD to intervene with the inflammatory or cytokine storm caused by COVID-19. 49

Herbal medicines
Herbal medicines and extracts, including traditional Chinese medicines, have been in medical use for thousands of years. 50,51ese medicines are composed of a complex mixture of organic, plant materials that could stem from the leaves, stems, flowers, roots, or seeds, for therapeutic activity through the synergistic effects of numerous active components with individual mechanisms for many drug targets.Understandably, the quality and safety controls for these medicines significantly diverge from those of typical pharmaceutical drug development, and therefore, with the steadily growing interest in herbal medicines due the global popularization of natural and holistic treatments, 48,49 there are key concerns regarding efficacy, safety and legality. 51These concerns limit the international applications and distribution of herbal medicines worldwide. 50In recent years, LC-HRMS has been increasingly used for the rapid chemical profiling of these complicated herbal medicines due to its strength in characterisation and screening methodologies.These analytical methodologies could be important for regulatory quality assessments of these medicines.
Walnut leaf is a hypoglycemic Chinese herbal medicine used for the treatment of diabetes mellitus (DM). 52The active components and mechanisms are not clear, and therefore Liu et al. studied them using UHPLC-Q-Orbitrap-MS and identified 130 components through accurate mass measurements, MS/MS data, and literature mining.Through network pharmacology analysis, 38 of these components were considered bioactive with 8 key active components sharing high similarities and common targets with FDA-approved drugs for DM.The compound-target interactions were further validated through molecular docking analysis. 52 a similar fashion, Gao and co-workers studied Dingkun Dan, a Chinese herbal medicine for the treatment of many gynecological diseases. 53Using UHPLC-Q-Orbitrap-MS in DDA mode, 121 components were characterized by accurate mass measurements, MS/MS data, and literature mining.Through network pharmacology, 76 compounds were considered bioactive and further investigated using molecular docking analysis. 53nebiae Radix is a Chinese herbal ointment that has been used for several hundred years for the treatment of infection, inflammation, obesity, and bleeding disease. 54Feng et al. used UHPLC-Q-Orbitrap-MS together with an integrated data filtering and identification strat-egy to efficiently identify the chemical constituents of Arnebiae Radix.
A total of 96 compounds were characterized from 20 sources.Nine of these compounds were detected for the first time. 54 an alternative form of drug discovery, several groups analyzed known medicinal herbal extracts to identify lead compounds that then can be isolated for drug development.Peeters et al. studied Herniaria hirusta L., which is an herbal extract known to treat urinary stones and act as a diuretic, to identify the active compounds responsible for the pharmaceutical effects and the mechanism of action.In this study, a sample of well-characterized H. hirusta extract was investigated in an in vitro gastrointestinal model followed by hepatic biotransformation to screen and tentatively identify metabolites formed after in vitro biotransformation.The team was able to work backwards from identifying the phase I and II metabolites to determine potential lead compounds to treat urinary stones. 55ntone's group developed a data processing workflow specifically dedicated to the untargeted identifications of phytocannabinoids using Compound Discoverer software, where the group has made a database of 533 phytocannabinoid derivatives for ease of identification and greater work efficiency.Of interest, isomers were able to be distinguished through MS/MS interpretation for these compounds by using negative ESI rather than positive ESI.This workflow was trialed on extracts of medicinal cannabis such that 121 phytocannabinoids were readily identified in a single analysis. 56This workflow can be used to identify novel bioactive compounds of Cannabis sativa and perform comparative studies of medicinal cannabis in circulation.

POST-APPROVAL ANALYSES & HRMS QUANTIFICATION
Research on a new medicine does not terminate when it gets market approval.Pharmaceutical companies are required by the FDA to monitor approved medicines for as long as they are on the market and submit periodic reports on safety, efficacy, and tolerability.Companies may also perform additional research to assess the drug against other indications, improve formulations and dosage, and possibly optimize manufacturing routes.HRMS has been applied to many post-approval drugs in 2020, either to address gaps in drug understanding or to create simpler and/or more comprehensive methods for quality control and monitoring purposes.
For many decades, triple quadrupole systems (QqQ) have been the gold standard for the quantification of drugs and metabolites due to the sensitivity and selectivity offered by selected reaction monitoring (SRM) mode. 57,58[59] On top of this, HRMS quantification using targeted approaches has additional advantages over QqQ quantification.One advantage stems from the greater selectivity of HRMS, where with a better separation of ions from interferences, there is a decreased chance of detecting false positives or generating artefactually greater measurements.8][59][60] This large, global data set allows retrospective analysis and different kinds of post hoc targeted or untargeted data treatments. 59To be selective and sensitive, QqQ mass spectrometry is limited to measuring SRM transitions for quantification that require a priori knowledge of the precursor and product m/z ions to be recorded and MS/MS conditions necessary. 57-60

Further drug understanding
Yue et al. identified the gap that for the active pharmaceutical ingredient (API) Cefteram pivoxil, there was no impurity profiling report available.Impurity profiling is an important quality control activity as an understanding of a drug's impurities can significantly affect its efficacy and safety, even in small amounts.The group used HPLC-FT-ICR-MS to identify and characterize the impurities of Cefteram pivoxil by analyzing forced degradation samples.Twenty impurities were found through peak picking, where 6 were process-related impurities and 14 degradation products, and subsequently identified through using accurate mass measurements for elemental compositions, MS/MS fragmentation interpretation, and IFSs (as shown in Figure 3).Thirteen of these impurities were discovered and reported for the first time in this study.
IFSs were required to discriminate between elemental compositions as the accurate mass measurements allowed for many possible formulae for the analytes. 61oxipide is a therapeutic agent for gastritis and gastric ulcer. 62tailed studies concerning metabolites, pharmacokinetics, and mechanism are missing thereby limiting the clinical use of the drug.Guo et al. identified the 45 phase I and II metabolites of troxipide by using UHPLC-Q-TOF-MS through accurate mass measurements and MS/MS fragmentation interpretation by analyzing plasma, fecal, and urine samples to understand the metabolic pathways of the drug.This is the first time these 45 metabolites have been reported for troxipide thereby filling an information gap. 62lanotan II is a cyclic heptapeptide drug that has been shown to increase insulin sensitivity, increase skin pigmentation, and treat sexual dysfunction in various preclinical and clinical studies. 63 together with network protein analysis to identify and quantify the proteome's changes.Overall, 2328 proteins were identified of which 39 altered significantly in 0.125% LWM-HA, 149 in 0.25% LWM-HA, and 496 in 0.50% LWM-HA. 65This work has filled a gap in drug understanding and can be useful for the improvement of existing formulations and personalized treatments.

Quality control and surveillance
Joye's group developed and validated a targeted screening method utilizing UHPLC-Q-Orbitrap-MS for the sensitive and selective quantification of the main 37 drugs present in the context of driving under the influence of drugs using 100 μL of whole blood, as a means to replace the current QqQ methods in use. 59This new method is quicker, more efficient, and additionally benefits from low sample consumption.From the same group, another application of UHPLC-Q-Orbitrap-MS has been reported for the quantification of cannabinoids in whole blood. 66milarly, Zhang et al. developed and validated a targeted screening method using UHPLC-Q-Orbitrap-MS to detect veterinary drugs and pesticides in infant formula for safety and quality control purposes.
This method incorporated 49 compounds belonging to 11 different compound classes. 67r the profiling and authentication of Ginseng in traditional Chinese medicine, Zhang et al. used ion mobility spectrometry (IMS) for the development of a UHPLC-IMS-Q-TOF-MS method for the added orthogonal separation of ginsenosides to more confidently distinguish the peaks of interest.For method optimization, the group investigated the effects of changing the tolerance (low/high) of both the CCS filtering for the ion mobility cell and m/z filtering for the quadrupole to effectively identify and avoid interfering substances (such as isomers) in the final method conditions.This dual filtering shows a potential for aiding the deconvolution of complex matrices and increasing method selectivity.The method conditions were validated and characteristic spectral profiles of the seven Ginseng drugs were generated through analyzing 60 batches of Ginseng.This method allows the simultaneous identification and differentiation of seven Ginseng drugs, which could have a direct impact on Chinese medicine quality standards and counterfeits. 68ng et al. developed a comprehensive UHPLC-Q-Orbitrap-MS method to separate and identify the related substances in polysorbates, which are commonly used pharmaceutical excipients.Through analyzing ten species in polysorbate-80 such that 211 components were identified, the group used mathematical modeling to predict all components possible in polysorbates-80, -60, -40, and -20 to create a database of 853 compounds for collective use. 69The database will prove useful for pharmaceutical product development and quality assessments of polysorbate materials.
Wu et al. developed a new UHPLC-Q-IT-Orbitrap-MS method for the identification and quantification of the structurally related impurities of calcitonin salmon (sCT), which is a pharmaceutical peptide drug approved in 2005 primarily used for the treatment of osteoporosis and hypercalcemia.With this method, the USP and EP reference standard impurities were accurately quantified, but several unreported major impurities were observed in the same reference standards above the > 1 mg/g reporting limit.Other minor impurities were also discovered due to the high sensitivity of HRMS.Some of these new impurities had been created during synthesis due to side-chain reactions, replacement errors, and diastereoisomerization.This work shows the importance of using new technologies on legacy drug projects as the advances in HRMS allow a better understanding of drugs and their impurities that was not available before.Being able to detect the lowlevel impurities helps ensure patient safety. 70Similarly, this group performed the same type of experiments for arginine vasopressin, which is a cyclic peptide drug to treat diabetes insipidus and esophageal varices bleeding. 71inkman et al. used GC-TOF-MS and UHPLC-Q-TOF-MS to compare the excreted levels of asthma medication in exhaled breath and urine samples, respectively, in severe asthma patients.The study showed a link between systemic biomarkers of drug uptake in the urine and exhaled breath that could be replicated and validated.As both samples were shown to be useful to monitor recent drug intake and effect, this study demonstrated breathomics as a viable quick and non-invasive point-of-care tool. 72This work shows how instrument advancements allow new means of testing, which could have a wider impact on how clinical trials are performed and could bring medicines to market faster.

Nitrosamines
Since 2018, there has been a lot of focus on nitrosamines, chiefly Nnitroso-dimethylamine (NDMA), N-nitroso-diethylamine (NDEA), and N-nitroso-N-methyl-4-aminobutyric acid (NMBA), 73 as impurities in medicines due to their acute carcinogenicity.The acceptable intake is currently set at less than 100 ng/day 73 and due to this low limit, several drug products, including angiotensin receptor blockers, histamine blocker ranitidine, and metformin, have had to be recalled from the market, resulting in large losses for the companies involved.
In collaboration with pharmaceutical companies, the FDA developed, validated, and made publicly available a UHPLC-HRMS method for the detection and quantitation of NDMA in metformin drug products. 74Recently, high levels of NDMA above the acceptable limits were reported for 16 of 38 metformin products using this method by a private laboratory in a Citizen Petition file. 75To confirm these findings, the FDA tested the 38 lots using three orthogonal methods with one being the same method used as the private laboratory, however, only 8 were found to be above the limit.Generally, for all the same samples, the FDA analysis measured significantly lower levels of NDMA than the private laboratory.Yang et al. described the findings of the laboratory investigation, where it was found that the UHPLC-Q-TOF mass spectrometer used in the private laboratory had insufficient mass resolution or accuracy or inappropriate mass tolerance settings in data processing to separate the interfering DMF 15 N-isotope from NDMA, leading to an overestimation of NDMA (Figure 5).The added resolving power of the UHPLC-Q-Orbitrap mass spectrometer used by the FDA avoided this error.This work highlights the importance of adequate HRMS performance for its analytical purposes to avoid false positives, especially in this case where the product recalls would have incurred huge losses and reputational damage for the pharmaceutical companies and denied patients their medicines. 75

Environmental monitoring
Unfortunately, with the increased production and consumption of pharmaceuticals, the presence of drugs in the environment has grown.
These are included in the umbrella term "emerging pollutants" (EPs), which are synthetic or naturally occurring compounds released into the environment that are not monitored.These substances enter the aquatic environment mainly through wastewater treatment plant (WWTP) discharges due to either partial or nonexistent removal during wastewater treatment. 76There is a concern that these compounds could negatively impact ecology due to adverse effects and/or persistency 77 ; therefore, there is a demand for analytical methodologies that can control and monitor a large number of compounds as a means to evaluate water quality.Environmental samples constitute complex matrices that make analytical method development and validation a challenging task.In 2020, many HRMS screening methodolo- well understood despite having large implications on human health across the world (and by extension the economic costs via healthcare).Nine million deaths per year (16% of all death worldwide) were attributed to air, water, and soil pollution alone. 80This number is likely to be grossly underestimated due to the lack of understanding and testing of EPs in the environment. 81Due to recent technological advancements, it is now possible to perform the systematic mapping of both endogenous and exogenous species in the environment required to study the exposome, especially with HRMS and its advantages for screening methods.The paper further explores how the use of unbiased HRMS screening and potential high-throughput identification of compounds through literature mining offers the ability to perform large-scale exposomic data analyses and further understand the impact of our environments on our bodies. 81This insight will prove invaluable to define the future environmental and social responsibilities required from pharmaceutical companies regarding their products.

CONCLUSION
The advances in MS technology, in particular HRMS, combined with the wider accessibility of instrumentation across the scientific community, has manifested itself in the greater adoption of the technique across pharmaceutical drug development for both qualitative and quantitative purposes.The strengths of HRMS make it a game-changer for routine MS characterization and global screening applications, where the performance characteristics of HRMS allow (i) more confident compound identifications through accurate mass measurements and isotope patterns, (ii) better overall ion separation and detection, (iii) quantification on par with QqQ using SRM acquisition, and (iv) the ability to create rapid, comprehensive screening methodologies that can be applied to complex samples.HRMS instrumentation directly challenges the traditional LRMS setups and it will be likely to replace these for many laboratories in the coming years.
In recent years, the approaches taken within pharmaceutical development have evolved to include novel drug modalities and whole biological system analyses, which often require large HRMS data sets and 'big data' .Manual processing of these data sets would be timeconsuming and laborious, which means automated data processing via software becomes necessary to enable high-throughput workflows.
Several groups have focused on evaluating currently available software and compiling databases for various applications, and this reflects the current status in this area, namely that these software and their associated workflows are constantly being conceived, developed, and improved.This is an exciting area of development, where laboratories worldwide are leading collaborative efforts for collective use, and new innovative approaches, such as the use of artificial intelligence and machine learning, are being explored.These initiatives offer great potential to maximize the knowledge gained from HRMS data, which will contribute significantly to the discovery and development of more efficacious medicines in shorter timeframes, which benefits patients worldwide.

ORCID
Stephen W. Holman https://orcid.org/0000-0003-4370-1088 1950s that MS started to spread into industry due to the general This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.© 2021 The Authors.Analytical Science Advances published by Wiley-VCH GmbH commercial availability of instruments, the conception of time-of-flight Orbitrap and ICR include common hybrid configurations with Q or LIT as the first mass analyzer.b Values quoted for reflectron-TOF instruments.Linear TOFs capable of greater m/z ranges (up to 500 000 in practice, and theoretically limitless) with lower resolving powers.

F I G U R E 3 F I G U R E 4
Elemental composition determination through the comparison of experimental and theoretical IFSs: (A) the experimental IFS of the m/z 610.14921 ion, (B) the expanded IFS spectrum of (A), and five theoretical IFSs of (C) [C 4 H 8 N 35 O 4 ] + , (D) [C 12 H 12 N 29 OS] + , (E) [C 14 H 24 N 15 O 11 S] + , (F) [C 16 H 36 NO 21 S] + , and (G) [C 22 H 28 N 9 O 8 S 2 ] + .From this visual comparison that is only possible using ultra-high-resolution MS, the formula of the m/z 610.14921 ion was assigned to (G) [C 22 H 28 N 9 O 8 S 2 ] + .Reprinted with a permission from 61 Data of glycocholic acid generated using three different MS and MS/MS acquisition modes: full scan, DDA, and DIA.Full scan mode can be seen to provide limited analyte information due to the lack of fragmentation MS/MS data in MS 2 .Comparison of DDA and DIA spectra shows the clear difference in the number of analysed ions in both MS 1 and MS 2 (the investigation of the effect of small molecule on the proteome of biological systems) as the higherthroughput of large-scale proteome measurements is more compatible with the time-scales of pharmaceutical drug discovery.Al Matari et al. developed the first nano-LC-Q-Orbitrap-MS methodfor the identification and semi-relative quantification of intact αsubunit glycoforms of the targeted proteins of human chorionic gonadotropin (hCG) and follicle-stimulating hormone (FSH).This method allowed the detection of both major and minor isoforms (>30 hCGα and 30 FSHα glycoforms) with high mass accuracy, minimal sample preparation, and good repeatability.37This work highlights the potential of nano-LC-HRMS for fast glycoprofiling methods, which would prove useful for the pharmaceutical development of glycoprotein-based drugs.Cyclic peptide MS characterization is not as well understood as linear peptides and therefore, as a result, there are fewer in silico tools available.MetabolitePilot Software 2.0 uses automated LC-HRMS processing of both targeted and non-targeted screening data sets to detect and structurally characterize therapeutic peptides, including non-linear, cross-linked, and cyclic peptides, and any associated metabolites.Yao et al. evaluated this software by studying insulin and atrial natriuretic peptide (ANP) using UHPLC-Q-TOF-MS instrumentation.The results from the study demonstrate the accurate prediction and rapid identifications of cyclic peptide metabolite profiling by et al. used native nano-ESI-Q-TOF-MS to effectively study PROTAC-mediated protein complexes in a label-free manner.The use of native MS was demonstrated to be capable of the characterization of PROTAC-protein complexes, semi-quantification of their equilibria, insight into PROTAC specificities for substrate proteins and PROTAC cooperativity, and competitive experiments. 40This work highlights the potential of native-HRMS for high-throughput methods in PROTACs development.

Bouhaddou
et al. performed a non-targeted quantitative phosphoproteomics screen using UHPLC-Q-Orbitrap-MS on Vero E6 cells to study how cellular pathways and processes are hijacked by SARS-CoV-2 infection over time by monitoring the changes in phosphorylation and protein abundance.This allowed the study of virus-host protein-protein interactions, where altered kinase activity was observed.Kinases are ideal drug targets and with this in-depth understanding of SARS-CoV-2 infection, the group identified 87 compounds, some of which are FDA-approved or in clinical trials for other indications, to potentially treat SARS-CoV-2 infection. 47Similarly, Gordon et al. used UHPLC-Q-Orbitrap-MS to identify with high confidence 332 SARS-CoV-2 virus-host protein-protein interactions that are linked to multiple biological processes, such as protein trafficking, translation, transcription, and ubiquitination regulation.With the understanding of the elaborate virus-host interaction networks, the team identified 69 ligands, which again included FDA-approved drugs, clinical, and preclinical compounds that already target these interactions, and therefore have a potential to combat SARS-CoV-2 infection. 48Both works present an alternative, innovative approach to drug discovery on a cellular level, which has enabled the speedy identifications through literature mining of potential therapeutic drugs that allows the rapid prioritization and repurposing of drugs.Qingfei Paidu Decoction (QFPD) is a Chinese medicine clinically used to treat COVID-19 patients in China; however, the chemical composition and its pharmacological mechanism are not understood.Yang et al. used a UHPLC-Q-TOF-MS to identify a total of 129 compounds in QFPD.Through in silico molecular and therapeutic target networking of the MS data, it was found that Ma Xing Shi Gan Decoction (MXDGD), a core component of QFPD, may target the toll-like signaling pathway.
Of particular interest, Chen et al. used both matrix-assisted laser desorption/ionization (MALDI)-FT-ICR-mass spectrometry imaging (MSI) to study the spatial distribution of the drug and its metabolites in resected organs and whole-body tissue, and droplet-based liquid micro-junction surface sampling-HPLC-Q-Orbitrap-MS to provide a chromatographic separation, molecular profiling, structural elucidation, and quantification of tissue analytes at the expense of spatial resolution.This work highlights the capabilities of using these label-free MS techniques, either together or independently, to qualitatively study the pharmacokinetics and pharmacodynamics of a drug to evaluate in vivo stability and biodistribution.63However, the lack of chromatographic separation and the influence of matrix effects makes it unlikely that MSI will become a widely used quantitative technique for small molecules in biological matrices.Demelenne et al. studied chemically modified and unmodified oligonucleotides using UHPLC-drift tube ion-mobility (DTIMS)-Q-TOF-MS and capillary zone electrophoresis (CZE)-DTIMS-Q-TOF-MS,where through successful method development, both separation techniques showed strengths in their selectivity for both shortmers and longmers, while the DTIMS provided information about ion conformations and the Q-TOF-MS generated accurate mass measurements.DTIMS could determine with good accuracy the number of nucleotides in a given oligonucleotide, while the HRMS data provided the identity of the nucleotides.64This work could prove useful for medicinal oligonucleotide development and quality control.Radrezza et al. studied the intra-and extra-cellular effects induced by low-molecular-weight hyaluronic acid (LWM-HA), an unbranched glycosaminoglycan, in normal human dermal fibroblasts after 24 h treatment at 3 different concentrations of LWM-HA of 20-50 kDa.This was achieved through a DDA screening using nano LC-Q-Orbitrap-MS gies have been developed to detect pollutants in water that are 'fit for purpose' , i.e. sensitive, selective, and comprehensive.For instance, Gago-Ferrero et al. have developed and validated a UHPLC-Q-TOF-MS method capable of screening 2316 EPs in water.78Tian et al. used   HRMS to detect and quantify 87 EPs in the marine environment of Puget Sound.79Vermeulen et al. discuss the advances of the "exposome" concept, which was conceived in 2005 to represent the environmental factors and influences on the human phenotype.This area of research is not F I G U R E 5 Mass spectrum of metformin drug product spiked with NDMA (20 ng/mL) that also contained DMF, where the protonated NDMA ion is observed at m/z 75.0552 and the DMF15 N-isotopic peak is at m/z 75.0570.Reconstructed ion current chromatograms demonstrate the overestimation of NDMA (by including the DMF isotopic interference) through using a wide mass tolerance setting: (left; blue) ± 15 ppm, (right; black) ± 30 ppm.Reprinted with a permission from75