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Vol. 30, Issue 6, 648-654, June 2002

Effect of Albumin on Phenytoin and Tolbutamide Metabolism in Human Liver Microsomes: An Impact More Than Protein Binding

Cuyue Tang, Yuh Lin, A. David Rodrigues, and Jiunn H. Lin

Department of Drug Metabolism, Merck Research Laboratories, West Point, PA

The cytochrome P450 (P450)-dependent conversion of phenytoin (PHT) to p-hydroxy phenytoin (pHPPH), and tolbutamide (TLB) to 4-hydroxy tolbutamide (hydroxy-TLB), in human liver microsomes was studied in the presence of increasing concentrations (0-4%) of bovine serum albumin (BSA). Therefore, the free fraction (fu) of PHT and TLB varied. Whereas the fu of PHT (5 µM) decreased, an increase (3-fold), rather than a decrease in the pHPPH formation rate was observed when BSA (<1%) was present. The stimulation was attributed to a significant decrease in apparent Km. The change, however, was diminished as the BSA concentration reached 4% (PHT fu = 0.2), in which the reaction velocity remained the same as that measured in the absence of BSA. Therefore, unchanged Km (16.2 ± 0.7 µM) and Vmax (9.4 ± 0.2 pmol/min/mg of protein) values were determined based on total PHT concentrations, whereas correction for fu led to an unbound Km (Kmu) of ~3.2 µM. Similarly, the metabolism of TLB (50 µM) was enhanced (~2-fold) in the presence of 0.25% BSA but remained only 35% of the control activity (no BSA) at 1% BSA. However, the remaining activity was higher (3-fold) than that determined with an equivalent free concentration of TLB (4 µM) calculated according to its fu (0.08). The difference became less significant when BSA concentration was 4% (fu < 0.02). Collectively, the results suggest a 2-fold effect of BSA on PHT and TLB hydroxylation: first, facilitation of the reactions via a decrease in Km; second, a decrease in fu leading to a drop in reaction rate. For a given P450 reaction, therefore, the effect of BSA may depend upon enzyme affinity, catalytic capacity, and the extent of protein binding.


Copyright © 2002 by The American Society for Pharmacology and Experimental Therapeutics



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