
Identification and characterization of oxidized human
serum albumin
A slight structural change impairs its ligand-binding and antioxidant
functions
Asami Kawakami
1,
*, Kazuyuki Kubota
2,
*, Naoyuki Yamada
2
, Uno Tagami
2
, Kenji Takehana
1
,
Ichiro Sonaka
1
, Eiichiro Suzuki
2
and Kazuo Hirayama
2
1 Pharmaceutical Research Laboratories, Ajinomoto Co. Inc., Kawasaki, Japan
2 Institute of Life Science, Ajinomoto Co. Inc., Kawasaki, Japan
Human serum albumin (HSA) is the most abundant
protein in plasma (40 mgÆmL
)1
or 0.6 mm), and
accounts for 50–60% of total plasma protein (75–
80 mgÆmL
)1
) [1]. HSA (66 kDa) is a single-chain
polypeptide of 585 residues, which has heterogeneity
as a result of post-translational nonenzymatic modifi-
cations such as oxidation and glycation. Plasma HSA
is divided into two types depending on its redox
state: reduced HSA (HMA; human mercaptoalbumin)
and oxidized HSA (HNA; human nonmercaptoalbu-
min). Reduced HSA contains 17 disulfide bonds and
one free thiol group at Cys34 [2]. Oxidized HSA is a
generic name for those proteins that have various
modifications at Cys34. HSA is a mixture of reversi-
bly and irreversibly oxidized HSA. Reversibly oxid-
ized HSA has mixed disulfide bonds with a thiol
compound such as cysteine, homocysteine [3,4] or
glutathione. In irreversibly oxidized HSA, Cys34 is
more highly oxidized to sulfenic acid (-SOH), sulfinic
acid (-SO
2
H), sulfonic acid (-SO
3
H), or S-nitroso
thiol (-SNO) [5,6]. As the major oxidized form is
reversibly oxidized HSA, the proportion of reduced
HSA [HSA(red)%] changes according to surrounding
conditions:
Keywords
human serum albumin; mercaptoalbumin;
nonmercaptoalbumin; ESI-TOFMS; oxidation
Correspondence
K. Takehana, Pharmaceutical Research
Laboratories, Ajinomoto Co. Inc., 1–1
Suzuki-cho, Kawasaki-ku, Kawasaki,
210–8681, Japan
Fax: +81 44 2105871
Tel: +81 44 2105822
E-mail: kenji_takehana@ajinomoto.com
*These authors contributed equally to this
work
(Received 26 April 2006, accepted 25 May
2006)
doi:10.1111/j.1742-4658.2006.05341.x
Human serum albumin (HSA) exists in both reduced and oxidized forms,
and the percentage of oxidized albumin increases in several diseases. How-
ever, little is known regarding the pathophysiological significance of oxida-
tion due to poor characterization of the precise structural and functional
properties of oxidized HSA. Here, we characterize both the structural and
functional differences between reduced and oxidized HSA. Using LC-ESI-
TOFMS and FTMS analysis, we determined that the major structural
change in oxidized HSA in healthy human plasma is a disulfide-bonded
cysteine at the thiol of Cys34 of reduced HSA. Based on this structural
information, we prepared standard samples of purified HSA, e.g. nonoxi-
dized (intact purified HSA which mainly exists in reduced form), mildly
oxidized and highly oxidized HSA. Using these standards, we demonstrated
several differences in functional properties of HSA including protease
susceptibility, ligand-binding affinity and antioxidant activity. From these
observations, we conclude that an increased level of oxidized HSA may
impair HSA function in a number of pathological conditions.
Abbreviations
HNA, nonmercarptoalbumin; HMA, mercarptoalbumin; HSA, human serum albumin; LC-ESI-TOFMS, liquid chromatography-electron spray
ionization-time of flight.
3346 FEBS Journal 273 (2006) 3346–3357 ª2006 The Authors Journal compilation ª2006 FEBS

fHSA(red)% ¼½reduced HSA=ðreduced HSA
þreversibly oxidized HSAÞ 100g
HSA(red)% tends to be lower in patients with various
diseases or conditions such as hepatic disease [7], dia-
betes [8], renal disease [9], temporomandibular joint
disorders [10], aging [11], and tiredness or fatigue [12].
Although a large number of clinical studies have
reported changes of HSA(red)% in various clinical
conditions, little is known regarding its pathophysio-
logical significance.
HSA has various functions, such as: (a) maintenance
of colloid osmotic pressure; (b) binding and transport
of a wide variety of metabolites including steroids,
fatty acids, bilirubin, tryptophan and hemin; (c) sup-
plying an amino acid source during times of malnutri-
tion; and (iv) acting as an antioxidant by radical
scavenging [13–19].
The goal of this study is to clarify the structure–
function relationship between reduced and oxidized
HSA in healthy human plasma, and to assess the path-
ophysiological significance of change in HSA(red)%.
In this report, we determined an exact adduct bound
to Cys34 residue of oxidized HSA using mass spectro-
metry in order to prepare both reduced and oxidized
HSA as standard samples for functional studies. Using
these, we evaluated several functional differences
between purified HSA samples with various states of
oxidation.
Results
Analysis of the structure of oxidized albumin
purified from human plasma using
LC-ESI-TOFMS
Structural heterogeneity exists in plasma HSA, which
is a mixture of reduced, oxidized and glycated albu-
min. We analyzed the purified HSA from healthy
human plasma by LC-ESI-TOFMS in order to deter-
mine structure based on mass information.
The positive ionized albumin was observed with ions
distributed from [M + 66H]
66+
to [M + 36H]
36+
.
Figure 1A shows the ESI mass spectrum of albumin
purified by affinity chromatography. Here, the eluted
fraction by affinity chromatography was defined as
purified albumin. In the mass range (m⁄z1290–1320),
all observed peaks were [M + 51H]
51+
ions. These
peaks were named from lower mass in alphabetical
order: m⁄z1300.09 (peak a), 1301.55 (peak b), 1303.75
(peak c), 1306.10 (peak d) and 1306.94 (peak e),
respectively. Because all observed peaks were
[M + 51H]
51+
ions, the deconvoluted molecular
weights were 66 253.6 Da (peak a), 66 328.1 Da (peak b),
66 440.3 Da (peak c), 66 560.1 Da (peak d), and
66 603.2 Da (peak e), respectively. In particular, peak
c was closest to the theoretical mass (66 437.2) calcula-
ted from the known primary amino acid sequence of
HSA after subtracting 34 Da due to 17 pairs of disul-
fide bonds. Therefore, we regarded peak c as reduced
HSA, and the others were due to post-translational
modification resulting in mass differences compared
with peak c. When plasma was incubated at 37 C
to promote aerobic oxidation, we observed gradual
increase in the intensity of peak d, while the intensity
of peak c was reciprocally decreased. Thus, we regar-
ded peak d as oxidized HSA. From peak heights, we
estimated that HSA(red)% of healthy human plasma
pool is 78.5. Peak d was 119.8 Da heavier than
reduced HSA (peak c), corresponding to being the
Cys-adduct of HSA via an S–S bond. We speculated
peak a to be the N-terminal Asp-Ala truncated form.
We also suggested peak b to be the C-terminal Leu
truncated form and peak e to be glycated HSA.
Subsequently, we prepared highly oxidized HSA
with Cys (HSA-Cys) as a standard. Figure 1B shows
the ESI mass spectrum of HSA-Cys. Under the reac-
tion conditions, excess Cys ⁄cystine solution was added
to purified HSA of healthy human plasma pool, whose
Intensity
ab
c
de
d’
fg
h
ij
1290 1295 1300 1305 1310 13201315
m/
z
A
B
C
Fig. 1. [M + 51H]
51+
ion from ESI-TOFMS spectra of HSA. (A)
Spectrum of HSA from fresh plasma, purified using a HiTrap Blue
HP column. (B) Spectrum of excess Cys ⁄cystine solution added to
purified HSA. (C) Spectrum of excess Hcy ⁄homocystine solution
added to purified HSA. The ions correspond to the following: (a)
Asp-Ala truncation from N-terminal of HSA, (b) Leu truncation from
C-terminal of HSA, (c) HMA, (d) HSA-Cys, (d¢) the identical mass to
peak d, (e) glycated HMA, (f) sulfonation after the cleavage of a
disulfide bond in HSA-Cys, (g) glycated HSA-Cys, (h) HSA-Hcy, (i)
sulfonation after the cleavage of a disulfide bond in HSA-Hcy, and
(j) glycated HSA-Hcy.
A. Kawakami et al. Characterization of oxidized human serum albumin
FEBS Journal 273 (2006) 3346–3357 ª2006 The Authors Journal compilation ª2006 FEBS 3347

HSA(red)% value was originally 78.5. After removing
excess Cys ⁄cystine with a low molecular weight cut-off
ultrafilter membrane, the sample was applied to
LC-ESI-TOFMS in order to determine the structure
and purity of the HSA-Cys. In this mass spectrum,
although the molecular-related ion of reduced HSA
was hardly observed, peak d¢showed the most signifi-
cant intensity in the range of m⁄z1290–1320. The m⁄z-
value of peak d¢(Fig. 1B) was identical to peak d
(Fig. 1A). The HSA(red)% of HSA-Cys was only 5%,
therefore HSA-Cys accounted for 95% with the excep-
tion of the other peaks in the cysteinylated HSA sam-
ple solution. The difference of relative molecular mass
of the peak d and the peak g (162.2 Da) and that of
peak c and peak e (162.9 Da) was consistent within
experimental error. Therefore, peak g was probably
glycated HSA-Cys.
Although the structure of peak f was unknown, it
could be due to a partially cleaved and irreversibly
oxidized S–S bond resulting in sulfenic acid (-SO
3
H).
This is supported by the mass difference between peak
d¢and peak f (98.0 Da) corresponding to the mass of
six oxygen atoms.
Figure 1C shows the ESI mass spectrum of the pre-
pared highly oxidized HSA with Hcy (HSA-Hcy), where
excess Hcy ⁄homocystine had been added to purified
HSA from healthy human plasma pool (HSA(red)% ¼
78.5). After removing excess Hcy ⁄homocystine, the sam-
ple was analyzed by LC-ESI-TOFMS, as noted above.
In this mass spectrum, the molecular-related ion of
reduced HSA was again hardly observed, and peak h
showed the most significant intensity in the range of m⁄z
1290–1320. The molecular weight difference of peaks c
and h was 132.3 Da, corresponding to Hcy being incor-
porated by an S–S bond. The HSA(red)% was only 9%,
therefore HSA-Hcy accounted for 91% with the excep-
tion of the other peaks in the homocysteinylated HSA
sample solution.
The difference of relative molecular masses of peaks
h and j (161.7 Da) and those of peaks c and e
(162.9 Da) was again within experimental error, sug-
gesting that peak j was glycated HSA-Hcy. Peak i cor-
responded to peak f, possibly due to sulfenic acid
formation, as described above. If the thiol group at
Cys34 of reduced HSA was sulfenized (-SO
3
H), the
difference in relative molecular mass against reduced
HSA will be 49.0 Da due to the addition of three oxy-
gen atoms. However, peaks with a relative molecular
mass difference of 49 Da were hardly observed on the
baseline level. Calculated molecular weight and the
predicted structure of HSA corresponding to each
peak observed in the LC-ESI-TOFMS measurements
were listed in Table 1.
The results of our ESI-TOFMS measurements
showed that oxidized HSA in healthy human plasma
showed mainly cysteine, and not homocysteine,
adducts.
The comparative FTMS measurement of peptide
mixture derived from highly oxidized HSA
standard (HSA-Cys) and purified HSA of healthy
human plasma
From the result of ESI-TOFMS, we deduced that the
main form of oxidized albumin in healthy human
plasma is a cysteine adduct on reduced HSA. In order
to prove exactly where cysteine bonds to reduced
HSA, we digested the standard highly oxidized HSA
[HSA-Cys; HSA(red)% ¼5% and HSA-Hcy;
HSA(red)% ¼9%] and the purified nonoxidized HSA
[HSA(red)% ¼78.5] from healthy plasma with Lys-C.
The digested peptides were analyzed using FTMS.
FTMS has high performance in high mass resolution
and accuracy. If the precise mass is known, the exact
composition formula of a low molecular weight com-
pound can be determined.
The peptide containing Cys34 generated by Lys-C
enzyme reaction is from Ala21 to Lys40 (ALVLIA-
FAQYLQQCPFEDHVK). When the peptide was
cysteinylated through a S–S bond binding at Cys34,
the mono-isotopic mass of the multiply-protonated
Table 1. Estimation of the various HSA structure based on LC-
ESI-TOFMS information. All observed masses between m⁄z1290
and 1320 were [M + 51H]
51+
ions in LC-ESI-TOFMS spectrum.
Peak
Observed
mass
[M + 51H]
51+
Molecular
weight
Difference in
mass from
peak c
Estimated
structure
of HSA
a 1300.09 66253.6 )186.7 Deficient form
(N-terminal Asp-Ala)
b 1301.55 66328.1 )112.2 Deficient form
(C-terminal Leu)
c 1303.75 66440.3 0 Reduced HSA
d 1306.10 66560.1 119.8 HSA-Cys
e 1306.95 66603.2 162.9 Glycated HSA
f 1308.02 66658.1 217.8 A disulfide bond
cleavage of
HSA-Cys fi-SO
3
H
+HO
3
S-
g 1309.28 66722.3 282.0 Glycated HSA-Cys
h 1306.34 66572.3 132.0 HSA-Hcy
i 1308.26 66670.3 230.0 A disulfide bond
cleavage of
HSA-Hcy fi-SO
3
H
+HO
3
S-
j 1309.51 66734.0 293.7 Glycated HSA-Hcy
Characterization of oxidized human serum albumin A. Kawakami et al.
3348 FEBS Journal 273 (2006) 3346–3357 ª2006 The Authors Journal compilation ª2006 FEBS

molecule [M + nH]
n+
was theoretically calculated to
be 2552.2682 (1+), 1286.6380 (2+) and 851.4279
(3+), respectively, from peptide sequence information.
For the homocysteinylated peptide, these masses were
calculated to be 2566.2838 (1+), 1283.6458 (2+) and
856.0998 (3+).
Figure 2A,B shows FTMS spectra in the mass range
m⁄z851–858, which includes the peptides following
Lys-C digestion of the HSA-Hcy and HSA-Cys stand-
ards, respectively. Both of the multiply-charged ions
were 3+. The mono-isotopic ions were observed at
m⁄z856.1109 (Fig. 2A) and 851.4382 (Fig. 2B),
respectively. These values were within experimental
error of the theoretical mono-isotopic values (m⁄z
856.0998, 851.4279). Accordingly, both HSA-Cys and
HSA-Hcy standards would be derived from a Cys and
a Hcy being incorporated into reduced HSA at Cys34
via an S–S bond, respectively.
Figure 2C shows the FTMS mass spectrum (m⁄z
851–858) of purified nonoxidized HSA using affinity
chromatography from healthy human plasma. A 3+-
charged mono-isotopic ion was observed at m⁄z
851.4365. This is consistent with that of the digested
peptide from HSA-Cys standard. Therefore, HSA-Cys
with cysteine incorporated at Cys34 via a disulfide
bond is the main form of purified HSA in healthy
human plasma.
S-Cysteinylation affects susceptibility of albumin
to trypsin digestion
After we had determined the modification on Cys34
residue of oxidized albumin, we next examined
whether this affects its susceptibility to proteolysis. We
compared the proteolytic sensitivity of purified healthy
plasma HSA [nonoxidized HSA, HSA(red)% ¼
73.0%] and highly oxidized HSA [HSA-Cys,
HSA(red)% ¼8%]. As shown in Fig. 3A, both nonox-
idized HSA and highly oxidized HSA (HSA-Cys)
degraded in a time-dependent manner, but showed dif-
ferent susceptibility to digestion by trypsin, with highly
oxidized HSA being degraded far faster than nonoxi-
dized HSA. Figure 3B is the quantified results of each
HSA band shown in Fig. 3A. After 8-h digestion, the
remaining highly oxidized HSA was approximately
one-half that of nonoxodized HSA. As proteolysis pro-
ceeded, new peptide bands appeared with smaller
molecular weights below HSA (indicated by an open
arrow in Fig. 3A). This suggests that HSA is degraded
specifically into certain large fragments.
To identify the specific enzymatic cleavage site in
HSA, we analyzed the N-terminal sequence of the
ALVLIAFQYLQQ
34
CPFEGHFEDVK
Hcy
ALVLIAFQYLQQ
34
CPFEGHFEDVK
Cys
A
856 . 4452
856 . 1109 856 . 7793
857 . 1134
856 . 4443 856 . 7782
856 . 1099
856 . 1083 856 . 4427
857 . 1117
851 . 7714
852 . 1052
851 . 4365
852 . 4404
852 . 1066
851 . 7724
851 . 4382
B
C
Intensity
854852 856 858 m/
z
Fig. 2. ESI-FTMS spectrum, identification of binding site of adduct
to albumin. Mass range displayed from m⁄z850.5–858.5. (A) Spec-
trum of the Lys-C digested peptide containing Cys34 from
HSA-Hcy conjugate. (B) Spectrum of the Lys-C digested peptide
contains Cys34 from HSA-Cys conjugate. (C) Spectrum of the
Lys-C digested peptides from purified HSA.
A
N H N H N H N H N H
01248
(h)
64
(kDa)
B
Non-oxidized HSA
Highly oxidized HSA
Undigested HSA (%)
0
20
40
60
80
100
120
02468
Non-oxidized HSA
Highly oxidized HSA
Trypsin treated time (h)
Fig. 3. Susceptibility of reduced HSA and S-cysteinylated HSA to
tryptic proteolysis. (A) SDS ⁄PAGE of HSA after tryptic digestion.
HSA samples were treated as described in Experimental proce-
dures for the indicated times. Twelve micrograms of each protein
were loaded into each well and electrophoresis was performed
using a 12.5% polyacrylamide gel. The filled arrow indicates the un-
digested HSA and the open arrow indicates the major tryptic frag-
ment of HSA. N, nonoxidized HSA; H, highly oxidized HSA. (B)
Densitometric analysis of intensities of undigested HSA. Changes
in intensities of HSA bands relative to the band of starting point of
digestion are shown.
A. Kawakami et al. Characterization of oxidized human serum albumin
FEBS Journal 273 (2006) 3346–3357 ª2006 The Authors Journal compilation ª2006 FEBS 3349

digested peptide by Edman degradation. The N-ter-
minal sequence read Glu-Thr-Tyr-Gly, and concluded
that one of the target sites of tryptic digestion was
located between Arg81 and Glu82 (data not shown).
The binding properties of reduced HSA and
oxidized HSA are different
One significant functional role of serum albumin is lig-
and binding. HSA binds many endogenous and exo-
genous small molecular compounds, including l-trp,
fatty acids, bilirubin, and drugs; HSA also plays an
important role in delivering these compounds to target
tissues. Several specific binding sites of these ligands
on HSA have been identified, and the two major bind-
ing sites are designated as sites I and II [20]. The bind-
ing properties of these sites are strongly correlated to
the structure of HSA. As the structural change caused
by S-cysteinylation affected proteolytic susceptibility,
there is a possibility that the binding properties of
reduced and oxidized HSA may also be different.
Therefore, we investigated the relative binding proper-
ties of these two types of HSA. We investigated the
binding of L(small)-Trp as an endogenous ligand
which binds to site II, and of cefazolin (site I-ligand)
and verapamil (site I and II-ligand) as exogenous lig-
ands. All these ligands are known for their high bind-
ing efficiencies to HSA.
The binding affinity of each compound to purified
HSA was evaluated by ultrafiltration. The results are
expressed as unbound fraction (%) in Table 2. All the
values tended to be relatively high in our experiments
compared with their binding capacities to human
plasma in the literature for unknown reasons. When
we compared the unbound fractions of nonoxodized
HSA [HSA(red)% ¼73.0] with mildly oxidized HSA
[HSA(red)% ¼55.4], l-Trp bound less strongly to
mildly oxidized HSA. The same result was obtained
when cefazolin was used as a ligand. While l-Trp and
cefazolin showed decreased affinity to mildly oxidized
HSA, verapamil binding to mildly oxidized HSA was
found to be slightly increased. These results suggest
that reduced HSA and oxidized HSA have different
ligand-binding properties.
The antioxidant property of albumin is impaired
in oxidized HSA
HSA is the major antioxidant in blood due to its free
thiol at Cys34. In this study, we investigated the poten-
tial effect of oxidation on the antioxidant capacity of
HSA by comparing the radical scavenging activities of
HSA in various states of oxidation. The hydroxyl
radical scavenging activity of nonoxidized HSA and
highly oxidized HSA-Cys (10 mgÆmL
)1
) was studied
using ESR. The typical 1 : 2 : 2 : 1 four-peak ESR
spectrum of the hydroxyl radical was observed and is
shown in Fig. 4A. Addition of HSA caused a decrease
in the ESR signal intensities. While nonoxidized HSA
[HSA(red)% ¼73.0%] quenched up to 68.7% of the
hydroxyl radical signal, HSA-Cys [HSA(red)% ¼8%]
reduced it by only 54.4% compared with the control.
This suggests that the radical scavenging activity of
reduced HSA is greater than that of HSA-Cys. When
we used mildly oxidized HSA [HSA(red)% ¼54.4%],
the signal decreased by 62.3%. As shown in Fig. 4B,
the HSA(red)% and hydroxyl radical scavenging activ-
ities for each sample show a high positive correlation.
To eliminate the possibility that varying iron binding
affinity of HSA decreased radical generation, we gener-
ated the hydroxyl radical by a different reaction, UV
photolysis of H
2
O
2
. The same results were obtained,
showing that oxidized HSA had a decreased radical
scavenging activity (Fig. 4C). Therefore, we concluded
that oxidation of HSA reduced its radical scavenging
activity.
Discussion
Oxidation of HSA has been reported in numerous dis-
eases. Although oxidation has been suggested to be of
particular pathophysiological relevance for various
conditions, there is no direct proof that oxidation of
HSA leads to aberrant alterations in its structural con-
formation and its functional properties.
In this study, in order to clarify the pathological
consequences of oxidation, we identified an exact
adduct and position of the modification of oxidized
HSA from human plasma and characterized its speci-
fic functional properties by comparing among the
purified HSA samples which had distinct HSA(red)%
values.
To distinguish the different functional properties of
oxidized HSA, it was first necessary to prepare clearly
Table 2. Binding of L-Trp, cefazolin and verapamil to purified HSA
and oxidized HSA. Values are expressed in unbound fraction (%).
All experiments were performed in duplicate and each CV% was
less than 1%.
HSA sample
HSA
(red)%
Unbound fraction (%)
L-Trp Cefazolin Verapamil
Purified non-oxidized HSA 78.5 50.4 17.9 63.3
Mildly oxidized HSA 54.4 65.9 62.3 51.1
Characterization of oxidized human serum albumin A. Kawakami et al.
3350 FEBS Journal 273 (2006) 3346–3357 ª2006 The Authors Journal compilation ª2006 FEBS

