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Vol. 30, Issue 7, 831-837, July 2002
Pharmacokinetics, Pharmacodynamics, and Drug Metabolism, Pfizer
Global Research and Development, Groton, Connecticut
The Michaelis constant (KM) for
cytochrome P450-mediated drug biotransformation reactions can be an
important parameter in understanding the potential for a drug to
exhibit saturable metabolism in vivo and nonlinear dose-exposure
relationships. KM values were measured for
several drug biotransformation reactions using recombinant heterologously expressed human enzymes. These determinations were made
using an approach of monitoring substrate loss ("in vitro t1/2" method) at multiple substrate
concentrations, with the objective of comparing
KM values determined by this approach with
KM values determined using the conventional
approach of measuring product formation rates at several substrate
concentrations. The reactions examined were CYP2C9-catalyzed diclofenac
4'-hydroxylation, CYP2D6-catalyzed dextromethorphan
O-demethylation and thioridazine
S-oxidation, CYP2C19-catalyzed imipramine
N-demethylation, CYP3A4-catalyzed midazolam
1'-hydroxylation, and CYP1A2-catalyzed tacrine 1-hydroxylation. KM values spanned an 80-fold range from 0.12 µM (CYP2D6-catalyzed thioridazine S-oxidation) to 9.8 µM (CYP2C19-catalyzed imipramine N-demethylation). On
average, KM values determined by the
substrate depletion approach were within 1.54-fold of those determined
by measuring product formation. Thus, KM
values can be determined for drug metabolism reactions without
requiring knowledge of metabolite structures or requiring authentic
standards of metabolites for use in construction of standard curves for
quantitative bioanalysis. The in vitro t1/2
approach of determining KM values should be useful in early drug discovery efforts to identify those compounds with
low KM values and, hence, a greater
probability of exhibiting supraproportional dose-exposure relationships.
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