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Mechanism for isaxonine hepatitis. I. Metabolic activation by mouse and human cytochrome P-450

Insights

Isaxonine is metabolized by cytochrome P-450 enzymes in mice and humans, forming reactive metabolites that bind irreversibly to liver and kidney proteins. This metabolic activation is crucial for understanding isaxonine

Area of Science:

  • Biochemistry
  • Pharmacology
  • Toxicology

Background:

  • Isaxonine metabolism and its potential for covalent binding to proteins were not well understood.
  • Cytochrome P-450 enzymes are known to metabolize xenobiotics and can produce reactive intermediates.
  • Understanding drug metabolism is critical for assessing safety and efficacy.

Purpose of the Study:

  • To investigate the in vitro and in vivo metabolism of isaxonine in mice.
  • To determine if isaxonine is activated into reactive metabolites that bind covalently to proteins.
  • To compare the metabolic activation of isaxonine in mouse and human liver microsomes.

Main Methods:

  • Incubation of [2-14C] isaxonine with mouse liver microsomes and NADPH-generating system.
  • Assessment of covalent binding to microsomal proteins under various conditions (e.g., inhibitors, atmosphere).
  • In vivo administration of [2-14C] isaxonine to mice and analysis of protein binding in liver and kidney.

Main Results:

  • Isaxonine undergoes metabolic activation by NADPH-dependent enzymes, likely cytochromes P-450, leading to irreversible binding to liver and kidney proteins in mice.
  • This binding is inhibited by piperonyl butoxide and CO, suggesting a role for cytochrome P-450.
  • Phenobarbital and 3-methylcholanthrene pretreatments altered the Vmax and binding, indicating induction of P-450 enzymes.
  • Similar in vitro metabolic activation and covalent binding were observed with human liver microsomes.
  • Piperonyl butoxide and phenobarbital had different effects on kidney versus liver binding.

Conclusions:

  • Isaxonine is activated by mouse and human cytochromes P-450 into a reactive metabolite.
  • In vivo covalent binding to mouse liver and kidney proteins results from the in situ formation of this metabolite.
  • The findings highlight the potential for isaxonine-induced protein adducts and warrant further toxicological evaluation.

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