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First published on August 24, 2004; DOI: 10.1124/dmd.104.001180


0090-9556/04/3211-1213-1217$20.00
DMD 32:1213-1217, 2004

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SHORT COMMUNICATION

MECHANISM-BASED INACTIVATION OF CYP2D6 BY METHYLENEDIOXYMETHAMPHETAMINE

A. Heydari, K. Rowland Yeo, M. S. Lennard, S. W. Ellis, G. T. Tucker, and A. Rostami-Hodjegan

Academic Unit of Clinical Pharmacology, Pharmacokinetics & Pharmacogenetics Group, Division of Clinical Sciences (South), University of Sheffield, United Kingdom (A.H., M.S.L., S.W.E., G.T.T., A.R.-H); and Simcyp Limited, Blades Enterprise Centre, Sheffield, United Kingdom (K.R.Y., G.T.T., A.R.-H.)

The potency of methylenedioxymethamphetamine (MDMA) as a mechanism-based inhibitor of CYP2D6 has been defined using microsomes prepared from yeast expressing the enzyme and from three human livers. The inhibitory effect was increased by preincubation through formation of a metabolic intermediate complex. Inactivation parameters (kinact and KI), defined with respect to the O-demethylation of dextromethorphan, were 0.29 ± 0.03 (S.E.) min-1 and 12.9 ± 3.6 (S.E.) µM for yeast-expressed CYP2D6, and 0.26 ± 0.02 min-1 and 14.4 ± 2.5 µM, 0.15 ± 0.01 min-1 and 8.8 ± 2.6 µM, and 0.12 ± 0.05 min-1 and 45.3 ± 32.1 µM for the liver microsomal preparations. The rate of inactivation of CYP2D6 by MDMA decreased when quinidine, a competitive inhibitor of CYP2D6, was added to the primary incubation mixture. However, inactivation was unaffected by the addition of glutathione. The results indicate that MDMA is a potent mechanism-based inhibitor of CYP2D6, with implications for understanding its in vivo disposition and drug interaction potential.


Address correspondence to: Dr. A. Rostami-Hodjegan, Clinical Pharmacology, Floor L, Royal Hallamshire Hospital, Sheffield S10 2JF, UK. E-mail: A.rostami{at}sheffield.ac.uk




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