In vitro ocular metabolism and bioactivation of ketoconazole in rat, rabbit and human

Amanda L Cirello1, Jennifer L Dumouchel1, Mithat Gunduz1

  • 1Novartis Institutes for BioMedical Research, Analytical Sciences and Imaging, Cambridge, MA 02139, USA.

Insights

This study investigated ketoconazole metabolism in ocular tissues. Researchers identified eight human ocular metabolites, revealing new insights into ocular drug metabolism and bioactivation pathways.

Area of Science:

  • Ophthalmology
  • Pharmacology
  • Drug Metabolism

Background:

  • Oral ketoconazole treats severe fungal keratitis.
  • Ocular metabolism of ketoconazole is poorly understood.
  • Understanding ocular metabolism is vital for drug development and risk assessment.

Purpose of the Study:

  • Investigate ketoconazole metabolism in rat, rabbit, and human ocular S9 fractions.
  • Compare ocular metabolism with liver metabolism.
  • Identify ocular metabolites and metabolic pathways.

Main Methods:

  • In vitro incubation of ketoconazole with ocular and liver S9 fractions from rats, rabbits, and humans.
  • Identification of metabolites using analytical techniques.
  • Trapping studies to confirm reactive intermediates.

Main Results:

  • Eleven putative ketoconazole metabolites were identified in vitro.
  • Six metabolites were found in rat ocular S9 fractions.
  • Eight metabolites were identified in rabbit and human ocular S9 fractions.
  • Metabolic pathways suggested reactive intermediate formation in rabbit and human ocular and liver S9 fractions.
  • Eight human ocular metabolites of ketoconazole were identified for the first time.

Conclusions:

  • This study provides the first report on ocular metabolic pathways and bioactivation of ketoconazole in preclinical species and humans.
  • Identified human ocular metabolites and pathways are crucial for future ocular therapeutic development.
  • Findings contribute to risk assessment for ketoconazole and related drugs in ocular treatments.

Related Concept Videos

Methods for Studying Drug Absorption: In vitro01:16

Methods for Studying Drug Absorption: In vitro

In vitro experiments are crucial for understanding the transport and absorption of drugs through biological materials. These studies employ varied methods such as the diffusion cell method, the everted sac technique, and the everted ring technique.
The diffusion cell method uses a two-compartment cell, including a donor compartment with the drug solution, which simulates the environment where the drug is applied, and a receptor compartment with a buffer solution, which simulates the environment...
682
Drug Metabolism: Phase I Reactions01:17

Drug Metabolism: Phase I Reactions

A phase I reaction is a biochemical process that introduces a functionally reactive polar group to a substance. This transformation predominantly occurs in the liver, facilitated by the cytochrome P450 system of hemoproteins situated in the lipophilic endoplasmic reticulum of cells. The metabolite generated through this process can have varying polarities. If it is sufficiently polar, it can be easily excreted in the urine due to its water compatibility. However, if the metabolite is nonpolar,...
5.4K
Bioactivation and Tissue Toxicity01:25

Bioactivation and Tissue Toxicity

Bioactivation is a metabolic process that transforms less reactive substances into highly reactive metabolites, initiating tissue toxicity. This transformation can lead to various toxic effects, including carcinogenesis and teratogenesis. Reactive metabolites are classified into two main types: electrophiles and free radicals.Electrophiles are electron-deficient species and are produced primarily by the enzyme cytochrome P-450 during the metabolism of compounds containing carbon, nitrogen, or...
69
Pharmacokinetics in Geriatric Patients: Effect of Age on Drug Metabolism01:18

Pharmacokinetics in Geriatric Patients: Effect of Age on Drug Metabolism

Geriatric patients show significant variation in how their bodies process medications, which can change how effective and safe treatments are. The liver is the primary organ where drug metabolism occurs, involving two main types of chemical reactions: phase I and II. Phase I metabolism is driven by the cytochrome P450 enzyme system, which includes key types such as CYP3A, CYP2D6, and CYP2C9. Research indicates that while aging doesn't notably alter the levels or activity of these enzymes, it...
285
Ophthalmic Drug Delivery Systems01:23

Ophthalmic Drug Delivery Systems

Ophthalmic drug delivery faces major limitations due to poor absorption across the corneal membrane. This process is primarily driven by diffusion and is influenced by two main factors: the physicochemical properties of the drug and tear drainage. Most ophthalmic drugs, such as pilocarpine, epinephrine, atropine, and local anesthetics, are weak bases. They are typically formulated at an acidic pH to enhance chemical stability. However, this leads to high ionization, reducing their ability to...
126
Drug Biotransformation: Overview01:16

Drug Biotransformation: Overview

Pharmaceutical substances known as xenobiotics are predominantly lipophilic and nonionized. This enables them to permeate lipid bilayers, such as cell membranes, and interact with intracellular target receptors. Lipophilic drugs have an advantage in crossing biological barriers and reaching their intended sites of action. However, lipophilic drugs often have a restricted capacity for renal expulsion or elimination from the body. When these drugs enter the kidneys and undergo glomerular...
4.0K