Conc n of A OAs present (um) Conc n of B OAs present (um)

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Materials and Instrumentation: Acquity UPLC BEH C18 2.1 x 100 mm, 1.7 µm column, Waters Corporation, Cat. No. 186002352 O-Benzylhydroxylamine, Sigma-Aldrich Cat. No. B22984 N-(3-Dimethylaminopropyl)-N -ethylcarbodiimide hydrochloride, Sigma-Aldrich Cat. No. E1769 Organic acid standards and heavy isotope-labeled internal standards Dionex UltiMate 3000 HPLC coupled to a Thermo Quantiva triple quadrupole mass spectrometer o Software: Xcalibur (v. 3.0), Dionex (v. 2.14), TraceFinder (v. 3.2), Quantiva (v. 1.1) Sample Preparation: 1. Retrieve study samples (-80 C freezer) and calibrator/internal standard solutions (-20 C freezer) and allow them to thaw on ice. - If not done previously, aliquot bulk study samples at 50 μl into fresh tubes 2. Obtain ten 1.7-mL Eppendorf tubes and place in a plastic tube rack on ice; label them for the calibration samples, C 1 -C 10 ; note that C 10 will be your high calibrator. Transfer 40 μl of either 50% ACN/0.3% Formic Acid (if assaying tissue) or dh 2 O (if assaying fluid) to each tube. - If tissue was homogenized in a different solvent, use that solvent 3. Once thawed, vortex the calibrator and IS solutions retrieved from the freezer. Stock calibrator solutions are labeled as Cals from Cal 1 to Cal 10, with each Cal corresponding to a single calibration sample (See table below). Transfer 10 μl of a Cal solution to the corresponding calibration tube, and tap lightly to mix. The stock calibrator Cals are concentrated combinations of all organic acids in water. Once diluted as prescribed below, organic acids are present at the following concentrations: Cal Volume Spiked into Cal Tubes (ul) Calibrator Conc n of A Conc n of B Conc n of C Conc n of D 10 10 C 10 5000 1000 250 100 9 10 C 9 2000 400 100 40 8 10 C 8 1000 200 50 20 7 10 C 7 500 100 25 10 6 10 C 6 200 40 10 4 5 10 C 5 50 10 2.5 1 4 10 C 4 10 2 0.5 0.2 pg. 1 of 6

3 10 C 3 5 1 0.25 0.1 2 10 C 2 2 0.4 0.1 0.04 1 10 C 1 1 0.2 0.05 0.02 A Organic Acid: Lactate B Organic Acids: 2-hydrxoybutyrate, 3-hydroxybutyrate C Organic Acids: Pyruvate, Succinate, Fumarate, Malate, Citrate D Organic Acid: α-ketoglutarate 4. All tubes (both calibrator and study sample) should now contain 50 μl. Vortex the thawed internal standard solution (labeled IS Mix #2) and transfer 10 μl of IS Mix #2 to all tubes. The stock Internal Standard Mix #2 (IS Mix #2) solution is a concentrated mix of all heavy organic acids in water. Once diluted as prescribed below, organic acid ISs are present at the following concentrations: Solution Volume Spiked into All Tubes (ul) Conc n of A Conc n of B Conc n of C Conc n of D Conc n of E IS Mix #2 10 12.5 62.5 12.5 0.5 25 A Internal Standard: Lactate B Internal Standards: Succinate, Fumarate, Malate, Citrate C Internal Standard: 3-hydroxybutyrate* D Internal Standard: Pyruvate E Internal Standard: α-ketoglutarate *The 3-hydroxybutyrate internal standard will govern the calibrator curve for 2-hydroxybutyrate 5. To all tubes, add 50 μl of 0.4M OBA, followed by 10 μl of 2M EDC. Close the tubes, vortex, and allow the mixture to incubate at room temperature for 10 minutes. - OBA = o-benzylhydroxylamine hydrochloride (Sigma Cat. No. B22984). Prepare the OBA solution in 50/50 MeOH/200 mm Ammonium formate, ph 5. The solution must be prepared daily. - EDC = N-(3-Dimethylaminopropyl)-N -ethylcarbodiimide hydrochloride (Sigma Cat. No. E1769). Prepare the solution in dh 2 O. The solution must be prepared daily. pg. 2 of 6

6. After incubation, add 100 μl of dh 2 O to all tubes, followed by 600 μl of ethyl acetate. Close the tubes and vortex thoroughly (at least 5 seconds). Centrifuge all tubes at 18,000 x g/5 min/10 C. A bilayer will form. 7. To a 96-well plate (Corning 1-mL), transfer 100 μl of each the ethyl acetate extract (top layer) according to the following scheme: 1 2 3 4 5 6 7 8 9 10 11 12 A B C D E F G H C 1 C 2 C 3 C 4 C 5 C 6 C 7 C 8 C 9 C 10 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 *Note: Calibrators should progress from C 1 (low cal) to C 10 (high cal) 8. Dry the extract under N 2. Once dry, reconstitute each well in 1 ml of 50/50 MeOH/dH 2 O. Seal the plate with a 96-well plate seal and place in the autosampler. Sample Preparation: Below is a list of organic acid standards used for the construction of the calibration curve, as well as the initial stock concentrations prepared: Organic Acid Carrier Cat. No. Stock Conc n (mm) Diluent Lactate Sigma 71720 250 Water Pyruvate Sigma P2256 50 Water 3-hydroxybutyrate Sigma 54965 50 Water Succinate Sigma S3674 25 Water Fumarate Sigma 204745 50 Water Malate Sigma 204176 50 Water pg. 3 of 6

α-ketoglutarate Sigma 75890 50 Water Citrate Sigma 251275 50 Water Individual stock solutions are then combined to prepare the highest calibrator standard stock solution. The millimolar concentration of each amino acid in the combined mixture is given below: Organic Acid Initial Individual Stock Conc n Final Combined Stock Conc n (mm) (mm) Lactate 250 25 Pyruvate 50 1.25 3-hydroxybutyrate 50 5 Succinate 25 1.25 Fumarate 50 1.25 Malate 50 1.25 α-ketoglutarate 50 0.5 Citrate 50 1.25 This is the stock solution for the highest calibrator, C 10. Serial dilution of C 10 yields the stock solutions for all ten calibrator samples, C 1 -C 10. For simplicity, the table below only shows the serial dilution scheme in terms of Lactate s concentration: Calibrator Stock Sol n Conc n of Lac in Solution (mm) C 10 25 C 9 10 C 8 5 C 7 2.5 C 6 1 C 5 0.25 C 4 0.05 C 3 0.025 C 2 0.01 C 1 0.005 Based on the protocol above, the calibrator curve ultimately generated during prep will have the following range. Note that there are four groups of organic acids, each with its own range in the curve: Conc n of A Conc n of B Conc n of C Conc n of D pg. 4 of 6

Calibrator C 10 5000 1000 250 100 C 9 2000 400 100 40 C 8 1000 200 50 20 C 7 500 100 25 10 C 6 200 40 10 4 C 5 50 10 2.5 1 C 4 10 2 0.5 0.2 C 3 5 1 0.25 0.1 C 2 2 0.4 0.1 0.04 C 1 1 0.2 0.05 0.02 A Organic Acid: Lactate B Organic Acid: 3-hydroxybutyrate C Organic Acids: Pyruvate, Succinate, Fumarate, Malate, Citrate D Organic Acids: α-ketoglutarate Below is a list of heavy-isotope-labeled amino acid internal standards used for the construction of the calibration curve, as well as the initial stock concentrations prepared: Organic Acid- Int. Std. Carrier Cat. No. Stock Conc n (mm) Diluent Lactate-d3 CDN Isotopes D-2646 50 Water Pyruvate-13C3 Aldrich 490717 25 Water 3-hydroxybutyrate-13C4 Aldrich 606030 50 Water Succinate-13C4 Isotec 491985 25 Water Fumarate-13C4 Cambridge Isotopes CLM-1529 25 Water Malate-13C4 Aldrich 750484 25 Water α-ketoglutarate-13c4 Cambridge isotopes CLM-4442 50 Water Citrate-d4 Aldrich 485438 25 Water Below is a list of heavy-isotope-labeled amino acid internal standards used for the construction of the calibration curve, as well as the initial stock concentrations prepared: pg. 5 of 6

Organic Acid- Int. Std. Initial Individual Final Combined Stock Conc n (mm) Stock Conc n (mm) Lactate-d3 50 0.5 Pyruvate-13C3 25 0.02 3-hydroxybutyrate-13C4 50 0.5 Succinate-13C4 25 2.5 Fumarate-13C4 25 2.5 Malate-13C4 25 2.5 α-ketoglutarate-13c4 50 1 Citrate-d4 25 2.5 The above combined mix is then diluted 4-fold in water to generate the working internal standard solution. Our limits of quantitation are set by the high and low points of our calibrator curves. Some calibrator curves display quadratic character under our instrument conditions. Assay Conditions: Autosampler o Temperature: 10 C o Injection Volume: 5 μl o Needle Wash Solution: 80/20 Methanol/Water Column o Temperature: 45 C o Maximum Pressure: 900 bar Binary Pump o Flow Rate: 0.3 ml/min o Solvent A: 0.1% Formic acid in water o Solvent B: 0.1% Formic acid in acetonitrile o Gradient Conditions: Segment Time (min) % B Flow Rate (ml/min) 0 (Start) 0.00 5.0 0.3 1 3.00 20.0 0.3 2 5.00 60.0 0.3 3 7.50 85.0 0.3 4 7.60 95.0 0.6 5 9.00 95.0 0.6 6 9.10 5.0 0.6 7 10.50 5.0 0.6 pg. 6 of 6

8 10.60 5.0 0.3 Mass Spectrometer o Positive Ion Spray Voltage: 3500 V o Sheath Gas: 40 o Aux Gas: 10 o Sweep Gas: 1 o Ion Transfer Tube: 350 C o Vaporizer: 300 C o Q1 Resolution: 0.7 o Q3 Resolution: 0.7 o CID Gas: 1.5 mtorr MRM Transitions Organic Acid Precursor Ion (m/z) Product Ion (m/z) Collision Energy (V) RF Lens (V) Lactate 196.1 91.062 13 30 Lactate-d3 199.1 91.062 13 30 3-hydroxybutyrate 210.1 91.153 16 41 3-hydroxybutyrate-13C4 214.1 91.153 16 41 Pyruvate 299.1 91.186 15 51 Pyruvate-d3 302.1 91.186 15 51 Fumarate 327.1 91.192 15 48 Succinate 329.1 206.233 9 44 Fumarate-13C4 331.1 91.192 15 48 Succinate-13C4 333.1 210.233 9 44 Malate 345.1 91.18 20 50 Malate-13C4 349.1 91.18 20 50 α-ketoglutarate 462.2 91.2 23 70 α-ketoglutarate-13c4 466.2 91.2 23 70 Citrate 508.25 385.0 9 51 Citrate-d4 512.2 389.0 9 51 pg. 7 of 6

Created By: Jeffrey A. Culver Date: August 14, 2014 Reviewed By: Christopher Petucci Date: August 14, 2014 Approved By: Christopher Petucci Date: August 14, 2014 Revision Number Name Reason for Revision Effective Date 01 02 pg. 8 of 6