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Vol. 30, Issue 9, 957-961, September 2002
Department of Drug Disposition, Lilly Research Laboratories, Eli
Lilly and Co., Indianapolis, Indiana
Studies were performed to determine the cytochromes P450
(P450) responsible for the biotransformation of
(S)-13[(dimethylamino)methyl]-10,11,14,15-tetrahydro-4,9:16,21-dimetheno-1H, 13H-dibenzo[e,k]pyrrolo[3,4-h][1,4,13]oxadiazacyclohexadecene-1,3(2H)-dione (LY333531) to its equipotent metabolite, N-desmethyl
LY333531, and to examine the ability of these two compounds to inhibit
P450-mediated metabolism. Kinetic studies indicated that a single
enzyme in human liver microsomes was able to form
N-desmethyl LY333531 with an apparent
KM value of approximately 1 µM. The
formation rate of N-desmethyl LY333531 was correlated
with markers of nine P450s in a bank of 20 human liver microsomes. The
only significant correlation observed was with the form-selective
activity for CYP3A. Of the nine cDNA-expressed P450s examined, only
CYP3A4 and CYP2D6 formed N-desmethyl LY333531. However,
CYP3A4 formed N-desmethyl LY333531 at a rate 57-fold
greater than that observed with CYP2D6. In incubations with human liver
microsomes, quinidine, an inhibitor of CYP2D6, demonstrated little
inhibition of metabolite formation while ketoconazole, an inhibitor of
CYP3A, demonstrated almost complete inhibition. Thus, CYP3A is
responsible for the formation of N-desmethyl LY333531. LY333531 and N-desmethyl LY333531 were also examined for
their ability to inhibit metabolism mediated by CYP2D6, CYP2C9, CYP3A, and CYP1A2. LY333531 and N-desmethyl LY333531 were found
to competitively inhibit CYP2D6 with calculated
Ki values of 0.17 and 1.0 µM,
respectively. Less potent inhibition by these compounds of metabolism
mediated by the other three P450s examined was observed. In conclusion, CYP3A is primarily responsible for forming N-desmethyl
LY333531. Therefore, alterations in the activity of this enzyme have
the potential to affect LY333531 clearance. In addition, LY333531 and
its metabolite are predicted to be potential inhibitors of CYP2D6-mediated reactions in vivo.
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