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Vol. 29, Issue 7, 1029-1034, July 2001
Department of Basic Pharmaceutical Sciences, School of Pharmacy,
West Virginia University, Morgantown, West Virginia (J.M.H., T.S.T.);
and Pharmacia, Inc. Global Metabolism and Investigative Sciences,
Kalamazoo, Michigan (M.J.H.)
Dapsone activates CYP2C9-mediated metabolism in various expression
systems and is itself metabolized by CYP2C9 to its hydroxylamine metabolite. Studies were conducted with expressed CYP2C9 to
characterize the kinetic effects of dapsone (0-100 µM) on
(S)-flurbiprofen (2-300 µM),
(S)-naproxen (10-1800 µM), and piroxicam (5-900
µM) metabolism in 6 × 6 matrix design experiments. The
influence of (S)-flurbiprofen on dapsone hydroxylamine
formation was also studied. Dapsone increased the
Michaelis-Menten-derived Vmax of
flurbiprofen 4'-hydroxylation from 12.6 to 20.6 pmol/min/pmol P450, and
lowered its Km from 28.9 to 10.0 µM,
suggesting that dapsone activates CYP2C9-mediated flurbiprofen
metabolism without displacing flurbiprofen from the active site,
supporting a two-site model describing activation. Similar results were
observed with piroxicam 5'-hydroxylation, as
Vmax was increased from 0.08 to 0.20 pmol/min/pmol P450 and Km was decreased from
183 to 50 µM in the presence of dapsone. In addition, the kinetic
profile for naproxen was converted from biphasic to hyperbolic in the
presence of dapsone, while exhibiting similar decreases in
Km and increases in
Vmax. Kinetic parameters were also estimated
using the two-site binding equation, with
values <1 and
values
>1, indicative of activation. Additionally, dapsone hydroxylamine
formation was measured from incubations containing flurbiprofen,
exhibiting a kinetic profile that was minimally affected by the
presence of flurbiprofen. Overall, these results suggest that dapsone
activates the metabolism of multiple substrates of CYP2C9 by binding
within the active site and causing positive cooperativity, thus lending
further support to a two-site binding model of P450-mediated metabolism.
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