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Vol. 28, Issue 1, 58-64, January 2000
AstraZeneca R&D, Mölndal (A.A., T.B.A., U.B., L.W.), and
Södertälje (I.S.), Sweden
H 259/31 is a substituted benzimidazole developed as a structural
analog of omeprazole. Metabolites of H 259/31 formed in human liver
microsomes were identified by using the synthetic reference compounds
and liquid chromatography/mass spectrometry. The predominant metabolic
pathways found include oxidation of the sulfoxide to sulfone, oxidative
O-dealkylation of the cyclopropylmethoxy group to the
corresponding pyridone and aromatic hydroxylation to give the phenolic
derivative. Stereoselectivity in the metabolism of the enantiomers of H
259/31 was demonstrated in human liver microsomes. The sum of the
formation intrinsic clearances of all three metabolites was higher for
the S-enantiomer than that of the R-form,
indicating that the S-enantiomer is eliminated more rapidly. It was also shown in the present study that the sulfone metabolite is subject to additional metabolism, which should be taken
into account when determining the intrinsic clearance for formation of
metabolites and when the relative importance of metabolic pathways is
determined. Expressed enzymes indicate major involvement of cytochrome
P-450 (CYP) 2C19 in the formation of the hydroxy derivative as
well as in pyridone formation from the enantiomers of H 259/31. CYP3A4
and CYP2C9 seem to contribute as low-affinity enzymes in both
reactions. The sulfone metabolite was formed mainly from CYP3A4.
Stereoselectivity in CYP3A4-, CYP2C19-, and CYP2C9-mediated metabolic
pathways was demonstrated.
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