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Vol. 30, Issue 2, 155-160, February 2002
Faculty of Pharmaceutical Sciences, Kanazawa University, Kanazawa,
Japan (Y.Y., H.Y., M.N., T.Y.); and Drug Metabolism and
Pharmacokinetics Research Laboratories, Sankyo Company Limited, Tokyo,
Japan (T.I., T.W., H.I.)
Troglitazone, an oral antidiabetic drug, was reported to cause
adverse hepatic effects in certain individuals, leading to its
withdrawal from the market. After incubation of troglitazone (100 µM)
with the human hepatoma cell line, HepG2 cells, and human primary
hepatocytes for 48 to 72 h, an unknown peak was detected in the
cell culture. The formation of this peak from troglitazone (100 µM)
was also catalyzed by expressed CYP3A4, and further HPLC analysis
revealed that there were three metabolites (metabolite A, B, and C) in
the peak. The major metabolite, metabolite C (M-C) was identified as an
epoxide of a quinone metabolite of troglitazone by comparison with a
synthetic authentic standard using tandem mass spectrometry,
1H NMR, and 13C NMR analyses. The other two
metabolites (M-A and M-B) were stereoisomers with the same molecular
weight as M-C, probably produced from M-C by intramolecular
rearrangement at the epoxide moiety. M-C showed a weak cytotoxicity in
HepG2 cells at low concentrations, as assessed by the crystal
violet-staining assay. Since epoxides are generally regarded as the
chemically reactive species, M-C may play a role in idiosyncrasy of
troglitazone hepatotoxicity via individual differences either in the
formation or degradation of this metabolite.
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