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