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Vol. 30, Issue 5, 525-530, May 2002
Division of Clinical Pharmacology, Departments of Medicine and
Pharmacology, Georgetown University Medical Center, Washington, DC
Cytochrome P450 2B6 is a genetically polymorphic enzyme that is
important in the metabolism of a number of clinically used drugs. This
enzyme is not as well studied as other cytochrome P450 (P450)
isoforms because of the lack of specific antibodies, probe drugs, and
inhibitors. Although recent progress has been made toward specific
antibodies and probe drugs, a specific enzyme inhibitor is still
lacking. Studies suggest that CYP2B6 plays an important role in the
4-hydroxylation of cyclophosphamide and that this reaction can be
inhibited by triethylenethiophosphoramide (thioTEPA). We therefore
wished to test the hypothesis that thioTEPA is an inhibitor of CYP2B6.
Using human liver microsomes (HLMs) and recombinant P450 enzymes, we
demonstrated that thioTEPA is a potent and specific inhibitor of
CYP2B6. Enzyme activity was reduced 78.1 ± 0.2% by 50 µM
thioTEPA when CYP2B6 activity was measured by following the metabolism
of 200 µM S-mephenytoin to nirvanol. thioTEPA did not
significantly inhibit (<20% at 100 µM) the other isoforms tested
(CYP1A2, CYP2C8, CYP2C9, CYP2C19, CYP2D6, CYP2E1, and CYP3A4). thioTEPA
seems to be a potent noncompetitive inhibitor of CYP2B6, with
Ki values of 4.8 ± 0.3 and 6.2 ± 0.7 µM for HLMs and recombinant CYP2B6, respectively, values that are
within the plasma concentration range of thioTEPA at therapeutic doses
(1.1-18.6 µM). We conclude that thioTEPA is a potent and specific
inhibitor of CYP2B6 and that this is the likely mechanism by which
thioTEPA inhibits the activation of cyclophosphamide. Furthermore,
thioTEPA may prove to be a valuable new tool for the study of this
important drug-metabolizing enzyme.
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