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Vol. 29, Issue 6, 897-902, June 2001
Departments of Pharmacology (W.Z., T.K., R.F.T., E.M.S.),
Medicine (E.M.S.), and Psychiatry (E.M.S.), University of Toronto,
Toronto, Canada; and Center for Addiction and Mental Health (R.F.T.,
E.M.S.), and Sunnybrook and Women's College Health Sciences Centre
(E.M.S.), Toronto, Canada
CYP2A6 is the principle enzyme metabolizing nicotine to its
inactive metabolite cotinine. In this study, the selective probe reactions for each major cytochrome P450 (P450) were used to
evaluate the specificity and selectivity of the CYP2A6 inhibitors
methoxsalen, tranylcypromine, and tryptamine in cDNA-expressing and
human liver microsomes. Phenacetin O-deethylation
(CYP1A2), coumarin 7-hydroxylation (CYP2A6), diclofenac
4'-hydroxylation (CYP2C9), omeprazole 5-hydroxylation (CYP2C19),
dextromethorphan O-demethylation (CYP2D6),
7-ethoxy-4-trifluoromethylcoumarin deethylation (CYP2B6),
p-nitrophenol hydroxylation (CYP2E1), and omeprazole
sulfonation (CYP3A4) were used as index reactions. Apparent
Ki values for inhibition of P450s' (1A2,
2A6, 2B6, 2C9, 2C19, 2D6, 2E1, and 3A4) activities showed that
tranylcypromine, methoxsalen, and tryptamine have high specificity and
relative selectivity for CYP2A6. In cDNA-expressing microsomes,
tranylcypromine inhibited CYP2A6 (Ki = 0.08 µM) with about 60- to 5000-fold greater potency relative to
other P450s. Methoxsalen inhibited CYP2A6 (Ki = 0.8 µM) with about 3.5- 94-fold
greater potency than other P450s, except for CYP1A2
(Ki = 0.2 µM). Tryptamine inhibited
CYP2A6 (Ki = 1.7 µM) with about 6.5- 213-fold greater potency relative to other P450s, except for CYP1A2
(Ki = 1.7 µM). Similar results were
also obtained with methoxsalen and tranylcypromine in human liver
microsomes. R-(+)-Tranylcypromine, (±)-tranylcypromine, and S-(
)-tranylcypromine competitively inhibited
CYP2A6-mediated metabolism of nicotine with apparent
Ki values of 0.05, 0.08, and 2.0 µM,
respectively. Tranylcypromine [particularly R-(+) isomer], tryptamine, and methoxsalen are specific and relatively selective for CYP2A6 and may be useful in vivo to decrease smoking by
inhibiting nicotine metabolism with a low risk of metabolic drug interactions.
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