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Organophosphorus agents(OPs)like sarin,VX,or soman could inhibit acetylcholinesterase activity and cause poisoning.OPs could bind many proteins,such as butyrylcholinesterase and albumin,and the adducts formed could identify the exposure.In this paper,we studied human transferrin,which was one of the proteins that could be labeled by OPs.Pure human transferrin was incubated with an overdose of organophosphorus agents,including sarin,soman,VX,tabun,cyclosarin,ethyl tabun,and propyl tabun,and then additional OPs was removed thro ugh dialysis.Trypsin was used to cleave the OP-treated proteins and Q Exactive liquid chromatography randem mass spectrometry(Q Exactive LC-MS/MS)was used to identify them.The present study set out to accomplish two goals.The first goal was to find a good method for identifying multiple binding sites on a given protein through Q Exactive LC-MS/MS.The second goal was to investigate the labeled peptides when transferrin was incubated with a numerous molar excess of OPs.Results showed that tyrosine,lysine,and serine formed covalent bonds with OPs.Twenty OP-labeled sites were found: ten tyrosine sites(including two reported sites),seven lysine sites,and three serine sites.Characteristic fragments for labeled-tyrosine and labeled-lysine adducts were summarized in detail.In conclusion,the method by Q Exactive LC-MS/MS using in this present work is a good way to diagnose exposure to OPs accurately when the binding sites of OPs are uncertain.Novel modified peptides and the characteristic ions found in this work could help investigators assess exposure to OPs.