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Vol. 28, Issue 5, 497-502, May 2000
Laboratory of Molecular Endocrinology (O.B., D.T., C.G., D.W.H.)
and MRC Group in Molecular Endocrinology (A.B.), CHUL Research Center,
Laval University, Quebec, Canada; and Department of Pharmacology,
University of Iowa, Iowa City, Iowa (M.D.G., T.R.T.)
3'-Azido-3'-deoxythymidine (AZT) is frequently prescribed to
patients infected with the human immunodeficiency virus. After absorption, AZT is rapidly metabolized into
3'-azido-3'-deoxy-5'-glucuronylthymidine by UDP-glucuronosyltransferase
(UGT) enzymes. Using labeled [14C]UDP-glucuronic acid and
microsomal preparations from human kidney 293 cells stably
expressing the different human UGT2B isoenzymes, it was demonstrated
that AZT glucuronidation is catalyzed specifically by human UGT2B7. The
identity of the metabolite formed was confirmed as AZT-G by liquid
chromatography coupled with mass spectrometry. UGT2B7 is encoded by a
polymorphic gene and kinetic analysis of AZT glucuronidation by the two
allelic variants UGT2B7(H268) and UGT2B7(Y268),
yielded apparent Km values of 91.0 and 80.1 µM, respectively. Normalization to protein levels yielded
glucuronidation efficiency ratios
(Vmax/Km) of 21.3 and 11.0 µl · min
1 · mg protein
1
for UGT2B7(H268) and UGT2B7(Y268),
respectively. It remains possible that other UGT enzymes are also
involved in AZT conjugation; however, the glucuronidation of AZT by
UGT2B7, which is a UGT2B protein expressed in the liver, is consistent
with previous findings and supports the physiological relevance of this
enzyme in AZT conjugation.
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