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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.
Abstract:
Troglitazone (TGZ) is an orally active antihyperglycemic agent used in the treatment of noninsulin-dependent diabetes mellitus. Several cases of liver failure following TGZ administration led to its withdrawal from the market. The mechanism of toxicity is still not understood. The formation of toxic metabolites is believed to play an important role. Herein, we report the biotransformation of TGZ in human hepatocytes. TGZ at 50 microM concentration was incubated with cryopreserved human hepatocytes. Four metabolites were found-glucuronide, sulfate, and two glutathione (GSH) conjugates of TGZ. The two GSH metabolites could be conjugation at the 6-hydroxychromane nucleus and the thiazolidinedione ring. Alternatively, the conjugation could be one of the two rings, with the two GSH metabolites are diastereomers. The sulfate conjugate was the major metabolite found. The cytochrome P450 (CYP) inhibitors furafylline (CYP1A1/2), omeprazole (CYP2C19), ketoconazole (CYP3A4), and sulfaphenazole (CYP2C9) had no inhibitory effect on the TGZ metabolism suggesting that several P450s may play a role in the TGZ metabolic pathway. Previous studies in our laboratory have shown a large interindividual variation between different donors in cytotoxicity after dosing with TGZ. Based on EC(50) values, donors were classified as sensitive or resistant. The sensitive human donors were found to form significantly less troglitazone GSH conjugates and glucuronides than the resistant donors.
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- Troglitazone (TGZ) is an antihyperglycemic agent withdrawn due to liver failure.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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