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Modulation of trichloroethylene in vitro metabolism by different drugs in rats
Mouna Cheikh Rouhou1, Isabelle Rheault, Sami Haddad
1TOXEN, Département des Sciences Biologiques, Université du Québec à Montréal, CP 8888 Succ Centre-ville, Montreal, Canada H3C 3P8.
Abstract:
Trichloroethylene (TCE) is a widely used chemical to which humans are frequently exposed. Toxicological interactions with drugs are among factors having the potential to modulate the toxicity of TCE. The aim of this study was to identify metabolic interactions between TCE and 14 widely used drugs in rat suspended hepatocytes and characterize the strongest using microsomal assays (oxidation and/or glucuronidation). The concentrations of TCE and its metabolites, trichloroethanol (TCOH) and trichloroacetate (TCA), were measured by gas chromatography with injection headspace coupled to mass spectrometry (GC-MS). Results in hepatocyte incubations show that selected drugs can be segregated into four groups: group 1: drugs causing no significant interactions (five drugs: amoxicillin, carbamazepine, ibuprofen, mefenamic acid and ranitidine); group 2: increasing both TCE metabolites (two drugs: naproxen and salicylic acid); group 3: decreasing both TCE metabolites (five drugs: acetaminophen, gliclazide, valproic acid, cimetidine and diclofenac) and group 4: affecting only one (two drugs: erythromycin and sulphasalazine). Naproxen and salicylic acid (group 2) and acetaminophen, gliclazide and valproic acid (from group 3) presented the strongest interactions (i.e. drugs changing metabolite levels by 50% or more). For group 2 drugs, characterization in rat microsomes confirmed interaction with naproxen only, which was found to partially competitively inhibit TCOH glucuronidation (K(i) = 211.6 μM). For group 3 selected drugs, confirmation was positive only for gliclazide (K(i) = 58 μM for TCOH formation) and valproic acid (K(i) = 1215.8 μM for TCA formation and K(i) = 932.8 μM for TCOH formation). The inhibition was found to be partial non competitive for both drugs. Our results confirm the existence of interactions between TCE and a variety of widely used drugs. Further efforts are undertaken to determine if these interactions are plausible in humans and if they can impact the risk of toxicity of TCE in medicated population.
Insights
This study investigated how common drugs interact with trichloroethylene (TCE) metabolism. Some drugs significantly alter TCE metabolites, suggesting potential impacts on toxicity in medicated individuals.
Area of Science:
- Environmental Toxicology
- Pharmacology
- Drug Metabolism
Background:
- Trichloroethylene (TCE) is a prevalent industrial solvent with significant human exposure.
- Drug interactions can potentially alter the toxicity profile of TCE.
- Understanding these interactions is crucial for assessing risks in co-exposed populations.
Purpose of the Study:
- To identify and characterize metabolic interactions between TCE and 14 common drugs.
- To investigate the impact of these interactions on TCE metabolite formation (trichloroethanol and trichloroacetate).
- To determine the mechanisms of interaction using in vitro assays.
Main Methods:
- Incubation of TCE with rat suspended hepatocytes in the presence of various drugs.
- Quantification of TCE and its metabolites (TCOH, TCA) using gas chromatography-mass spectrometry (GC-MS).
- Microsomal assays (oxidation, glucuronidation) to characterize strong interactions.
Main Results:
- Drugs were categorized into four groups based on their effect on TCE metabolites.
- Naproxen, salicylic acid, acetaminophen, gliclazide, and valproic acid showed the strongest interactions, altering metabolite levels by ≥50%.
- Naproxen, gliclazide, and valproic acid confirmed interactions in microsomes, with specific inhibition patterns and constants (Ki).
Conclusions:
- Significant metabolic interactions exist between TCE and several widely used drugs.
- Specific drugs like naproxen, gliclazide, and valproic acid demonstrably modulate TCE metabolism.
- Further research is needed to ascertain the clinical relevance of these findings in humans.
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