Identification of glutathione conjugates of troglitazone in human hepatocytes

Saileta Prabhu1, Andrew Fackett, Scott Lloyd

  • 1In Vitro Technologies, Inc., 1450 South Rolling Road, Baltimore, MD 21202, USA.

Insights

Troglitazone (TGZ) metabolism in human hepatocytes produced glucuronide, sulfate, and glutathione conjugates. Sensitive individuals formed fewer TGZ glutathione conjugates, suggesting a role in toxicity.

Area of Science:

  • Pharmacology
  • Hepatology
  • Drug Metabolism

Background:

  • Troglitazone (TGZ) is an antihyperglycemic agent withdrawn due to liver failure.
  • The precise mechanism of TGZ-induced toxicity remains unclear.
  • Metabolite formation is a suspected contributor to TGZ toxicity.

Purpose of the Study:

  • To investigate the biotransformation of Troglitazone (TGZ) in human hepatocytes.
  • To identify and characterize TGZ metabolites.
  • To explore the role of cytochrome P450 enzymes in TGZ metabolism.

Main Methods:

  • Incubation of TGZ with cryopreserved human hepatocytes at 50 microM.
  • Analysis of TGZ metabolites using chromatographic and spectroscopic techniques.
  • Assessment of TGZ metabolism in the presence of cytochrome P450 inhibitors.

Main Results:

  • Four TGZ metabolites were identified: glucuronide, sulfate, and two glutathione (GSH) conjugates.
  • Sulfate conjugate was the predominant metabolite.
  • Cytochrome P450 inhibitors did not significantly affect TGZ metabolism.
  • Sensitive individuals produced lower levels of TGZ GSH and glucuronide conjugates compared to resistant individuals.

Conclusions:

  • Human hepatocytes metabolize TGZ into sulfate, glucuronide, and GSH conjugates.
  • The lack of inhibition by CYP inhibitors suggests a complex metabolic pathway.
  • Reduced GSH and glucuronide conjugate formation in sensitive individuals may be linked to TGZ toxicity.

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