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In silico and in vitro pharmacogenetics: aldehyde oxidase rapidly metabolizes a p38 kinase inhibitor
1Department of Genetics and Genomics, Roche Palo Alto, Palo Alto, CA, USA.
Abstract:
The clinical development of a candidate p38 kinase inhibitor was terminated because of its unexpectedly rapid clearance in human subjects. Its short half-life and metabolic profile in human beings were vastly different from that in rats, dogs, and monkeys characterized during routine pre-clinical studies. Mice generated the predominant drug (4-hydroxylated) metabolite produced in human beings, which was not found in other species. The data from a murine in vitro drug biotransformation assay that used liver extracts from 14 inbred mouse strains were analyzed by haplotype-based computational genetic analysis. This led to the identification of aldehyde oxidase-1 (AOX1) as the enzyme responsible for the rapid metabolism of this drug. Specific enzyme inhibitors and expressed recombinant enzymes were used to confirm that AOX catalyzed the formation of the 4-hydroxylated drug metabolite in mouse and man. Genetic variation within Aox1 regulated the level of hepatic Aox1 mRNA, AOX1 protein, and enzyme activity among the inbred strains. Thus, computational murine pharmacogenetic analysis can facilitate the identification and characterization of drug metabolism pathways that are differentially utilized by humans and other species.
Insights
Drug metabolism differs between species. Computational analysis in mice identified aldehyde oxidase-1 (AOX1) as key to rapid drug clearance in humans, aiding future drug development.
Area of Science:
- Pharmacology
- Genetics
- Drug Metabolism
Background:
- Clinical development of a p38 kinase inhibitor halted due to rapid human clearance.
- Human metabolic profile differed significantly from pre-clinical animal models (rats, dogs, monkeys).
- Mice produced a unique 4-hydroxylated metabolite not seen in other species.
Purpose of the Study:
- Identify the enzyme responsible for rapid drug metabolism in humans.
- Investigate species-specific drug biotransformation pathways.
- Utilize computational pharmacogenetics for drug metabolism research.
Main Methods:
- Analyzed murine in vitro drug biotransformation data using haplotype-based computational genetic analysis.
- Utilized specific enzyme inhibitors and expressed recombinant enzymes for confirmation.
- Examined genetic variation within Aox1 in 14 inbred mouse strains.
Main Results:
- Identified aldehyde oxidase-1 (AOX1) as the enzyme responsible for rapid drug metabolism.
- Confirmed AOX1 catalyzes the formation of the 4-hydroxylated metabolite in mouse and human.
- Demonstrated genetic variation in Aox1 correlates with hepatic AOX1 mRNA, protein, and enzyme activity.
Conclusions:
- Computational murine pharmacogenetics can identify species-specific drug metabolism pathways.
- AOX1 plays a crucial role in the rapid metabolism of this p38 kinase inhibitor.
- Findings facilitate understanding of interspecies differences in drug metabolism for improved drug development.
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