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Vol. 27, Issue 11, 1248-1253, November 1999
School of Pharmacy, Tokyo University of Pharmacy and Life Science, Tokyo, Japan
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Abstract |
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Antipyrine is a useful probe to evaluate variation of in vivo activities of oxidative hepatic drug-metabolizing enzymes. Here we describe a new approach using 13C labeling and NMR spectroscopy for the direct and simultaneous detection of all phase I and phase II metabolites of antipyrine in rat urine. [C-methyl-13C]Antipyrine was synthesized and administered orally to rats (100 mg/kg), and the 0- to 24-h postdose urine was analyzed by 100-MHz 13C NMR spectroscopy under the conditions of distortionless enhancement by polarization transfer without any pretreatments such as deconjugation, chromatographic separation, and solvent extraction. Consequently, all the major metabolites in urine were successfully detected with favorable signal-to-noise ratios in the limited acquisition time (30 min). The assignments of the resonances were performed by enzymic modification and spiking authentic samples. The reproducibility of the NMR detection was sufficient for the quantitative evaluation of the metabolic profile. Effects of 3-methylcholanthrene on antipyrine metabolism were examined by this approach to evaluate variation of in vivo phase I and phase II metabolism of antipyrine in rats. The present approach is useful and practical to evaluate variation of in vivo activities of conjugation enzymes as well as oxidation enzymes responsible for the formation of antipyrine metabolites in rats. This direct approach would enhance the value of the antipyrine test because of the simplicity and convenience.
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Introduction |
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Antipyrine, one of the antipyretic and analgesic
drugs, has been extensively used as a probe to study the influence of
age, diseases, drugs, heredity, and environmental factors on oxidative hepatic drug-metabolizing capacity (St Peter and Awni, 1991
; Hartleb, 1991
). Antipyrine is metabolized by several forms of cytochrome P-450
(Sharer and Wrighton, 1996
), and the resulting oxidative metabolites
are extensively conjugated and excreted in urine of both humans
(Bassmann et al., 1985
; Palette et al., 1991
; Moreau et al., 1992
) and
rats (Velic et al., 1995
). The main oxidative metabolites in humans are
3-hydroxymethylantipyrine
(HMA)1,
4-hydroxyantipyrine (OHA), and norantipyrine (NORA)
(Fig. 1). The main oxidative metabolites
in rats are these three metabolites and 4,4'-dihydroxyantipyrine
(DOHA). Whereas glucuronide conjugation is the major phase II pathway
in humans, sulfoconjugation is prominent in rats (Bottcher et al.,
1982b
).
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The quantitation of antipyrine and its metabolites excreted in urine
has been used to understand the variation of the oxidative hepatic
drug-metabolizing capacity (Buters and Reichen, 1990
; Groen et al.,
1992
; Anadon et al., 1995
; Ali et al., 1995
; Yang et al., 1996
). A
number of methods using HPLC have been reported for the
determination of antipyrine and its metabolites (Danhof et al., 1979a
;
Eichelbaum et al., 1981
; Teunissen et al., 1983a
; Bassmann et al.,
1985
; Mikati et al., 1988
; Palette et al., 1991
; Velic et al., 1995
).
However, the direct and simultaneous determination of all phase I and
phase II metabolites in biological materials has not been reported,
except a radio-HPLC method (Velic et al., 1995
) that is troublesome to
use and unsuitable for the application to humans because of the
radiation hazard. Enzymic or chemical deconjugation followed by HPLC
analysis is still the standard approach; this causes analytical
problems due to the lability of NORA, OHA, and DOHA liberated after the
deconjugation (Danhof et al., 1979a
; Bottcher et al., 1982a
, 1984
;
Teunissen et al., 1983a
; Palette et al., 1991
), variable susceptibility
of individual metabolites to deconjugation (Bottcher et al., 1982a
,b
,
1984
; Teunissen et al., 1983a
; Moreau et al., 1992
), and the volatility of NORA during desiccation (Teunissen et al., 1983a
). Thus
studies of antipyrine metabolism are still hampered by the lack of a
convenient determination method.
The usefulness of the stable isotope tracer technique using
13C labeling of substrates followed by NMR
spectroscopy of biofluids has become accepted in metabolic
investigations (London 1988
; Simpson 1991
; Malet-Martino and Martino,
1992
). Owing to the high specificity of detection, the application of
the tracer technique enables analysis of biological fluids without
resorting to extraction and chromatographic separations. Therefore, the
technique saves much time and analytical effort, and the decomposition
and loss of compounds can be minimized. We have demonstrated the
usefulness of the NMR approach with 13C labeling
(approximately 100% enrichment) for pharmacokinetic research in terms
of sensitivity and specificity (Baba et al., 1990
, 1995
; Akira et al.,
1993
, 1997a
, 1998
; Akira and Shinohara, 1996
). In the present study,
the NMR approach with 13C labeling has been
presented for the direct detection of all phase I and phase II
metabolites that occur in rat urine after oral dosing with
[13C]antipyrine.
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Materials and Methods |
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Chemicals and Reagents.
[4-13C]Ethyl acetoacetate (99 atom % 13C) was purchased from Nippon Sanso (Tokyo,
Japan). Ethyl acetoacetate was purchased from Tokyo Kasei Kogyo (Tokyo,
Japan). OHA was purchased from Aldrich (Tokyo, Japan). Chlorosulfonic
acid, N-bromosuccinimide, and silica gel (Wakogel C-300)
were purchased from Wako Pure Chemical Industries (Osaka, Japan). HMA
was synthesized according to the method reported by Buijs et al.
(1986)
.
-Glucuronidase (bovine liver, 114 U/g) was purchased from
Funakoshi (Tokyo, Japan). Antipyrine, NORA, and other reagents were
purchased from Kanto Chemical (Tokyo, Japan).
Instrumentation.
1H NMR and 1H-decoupled
13C
(13C{1H}) NMR spectra
of compounds synthesized or isolated from urine were measured in
chloroform-d1 or
methanol-d4 on Varian (Tokyo, Japan)
GEMINI300 or Bruker (Tsukuba, Japan) DPX400 spectrometers, and chemical
shifts were referenced to those of chloroform
(
1H 7.26 and
13C
77.0) and methanol (
1H 3.35 and
13C 49.0). Mass spectra (MS) were recorded on
a ThermoQuest (San Jose, CA) TSQ7000 spectrometer. Melting points were
determined on a Yanako (Kyoto, Japan) MP-S3 apparatus and were
uncorrected. The isotopic purity of 13C-labeled
compounds was estimated on the basis of the ion intensities in the
region of the molecular ion on MS.
pulse was set at 45° in the DEPT
experiments unless otherwise stated. The total accumulation time was 30 min in all experiments. The 13C chemical shifts
were referenced to that of sodium
3-trimethylsilyl[2,2,3,3-2H4]propionate
(
13C 0).
Synthesis of 13C-Labeled Compounds.
The following synthetic steps were investigated using unlabeled
compounds, and the structures were confirmed by the
1H NMR spectroscopy before the syntheses of
labeled compounds. [C-methyl-13C]NORA was prepared by
refluxing a solution of [4-13C]ethyl
acetoacetate (2.0 g) and phenylhydrazine (1.65 ml) in 20 ml of
H2O/ethanol (1:1, v/v). The compound was obtained
as a yellow solid after purification by flash column chromatography over 60 g of silica gel with chloroform/methanol (400:1, v/v) as
the eluent (2.59 g; 97% based on ethyl acetoacetate; >99 atom % 13C); m.p. 126.4-127.2°C;
1H NMR
(chloroform-d1)
1H
2.19 (3H, d, J = 129.0 Hz, C-methyl),
3.43 (2H, s, methylene), 7.16 to 7.86 (5H, aromatic protons);
13C{1H}NMR
(chloroform-d1)
13C 17.0 (C-methyl); MS (EI):
m/z 175 (M+, 100%), 105 (23%), 91 (47%), 77 (51%). Anal Calcd. for
C913C1H10N2O:
C, 68.56; H, 5.75; N, 15.99. Found: C, 68.46; H, 5.84; N, 15.94.
1H
2.23 (3H, dd, J = 129.2 and 0.85 Hz,
C-methyl), 3.06 (3H, s, N-methyl), 5.40 (1H, m,
methine), 7.26 to 7.45 (5H, aromatic protons); 13C{1H}NMR
(chloroform-d1)
13C 13.2 (C-methyl); MS (EI):
m/z 189 (M+, 60%), 97 (88%), 77 (100%), 57 (83%). Anal Calcd. for
C1013C1H12N2O:
C, 69.82; H, 6.39; N, 14.80. Found: C, 70.03; H, 6.54; N, 14.81.
[C-methyl-13C]OHA was synthesized
according to the method reported by Pschorr (1896)
1H
2.25 (3H, d, J = 129.3 Hz, C-methyl), 2.95 (3H, s, N-methyl), 4.61 (1H, s, OH), 7.37 to 7.56 (5H,
aromatic protons);
13C{1H}NMR
(methanol-d4)
13C
9.20 (C-methyl); MS (EI): m/z 205 (M+, 8%), 77(12%), 57 (100%). Anal Calcd. for
C1013C1H12N2O2 · 1/5H2O:
C, 63.27; H, 5.98; N, 13.41. Found: C, 63.16 H, 6.19 N, 13.16.
Synthesis of OHA Sulfate (OHA-S).
To a solution of OHA (0.31 g) in 21 ml of dehydrated pyridine was added
dropwise chlorosulfonic acid (200 µl), keeping the temperature below
10°C by an ice-water bath followed by stirring for 50 h at room
temperature. The reaction mixture was neutralized with 3.2% sodium
hydroxide in methanol (about 9 ml), and evaporated to dryness. The oily
residue was washed with 100 ml of diethyl ether, dissolved in 20 ml of
ethanol, and the undissolved material was filtered off. The filtrate
was mixed with 120 ml of diethyl ether, and the resulting precipitate
was collected by filtration and dried in vacuo to give sodium salt of
the title compound as a pale yellow crystalline powder (90 mg;
17%); m.p. 138.3-139.3°C; MS (FAB
):
m/z 283 ([M-Na]
,
100%), 203 (28%). Anal Calcd. for
C11H11N2NaO5S · 2H2O:
C, 38.60; H, 4.42; N, 8.18. Found: C, 38.87; H, 4.39; N, 7.97. 1H NMR (methanol-d4)
1H 2.39 (3H, s, C-methyl), 3.15 (3H, s, N-methyl), 7.41 to 7.57 (5H, aromatic protons).
Animal Experiments and Sample Treatments.
Male Wistar rats (185-220 g) were used. Five rats were orally
administered with [13C]antipyrine (100 mg/kg)
dissolved in saline (10 mg/ml), and two rats were administered with
[13C]NORA (100 mg/kg) suspended in olive oil
(10 mg/ml) after an overnight fast (for 18 h). In addition, four
rats were treated for three consecutive days with 3-methylcholanthrene
(3-MC) suspended in olive oil, 30 mg/kg i.p., and then administered
with [13C]antipyrine in the same manner as
shown above. Rats were placed in individual metabolic cages. Urine that
was collected before administration of antipyrine and at 0- to 24- and
24- to 48-h postdose was held below 5°C by an ice-water bath. The
metabolic cage was washed with distilled water to completely recover
the antipyrine metabolites. Urine (5-15 ml) and the cage wash
collected from each rat were combined, and the solution was diluted to
15 to 30 ml with distilled water after filtration, and then stored at
20°C until analyzed. During the experiments the animals had free
access to tap water. They were allowed free access to food at 3 h
after the administration. The urine sample was subjected to the
following analysis without concentration or after concentrated by a
factor of 3 using freeze-drying. An aliquot (0.5 ml) of the urine
sample was mixed with 50 µl of a solution of
[2-13C]sodium acetate internal standard
(I.S.) in deuterium oxide (4.036 mg/ml). Deuterium oxide was
used for field-frequency lock. The mixture was centrifuged (2500 rpm, 5 min), and the supernatant was analyzed by 13C NMR
spectroscopy. The ratios of resonance integral intensities of the
metabolites to that of the I.S. were calculated, and then corrected by
the degree of concentration (1 or 3) and the total volume of the urine
sample: integral intensity ratio × 1/degree of concentration × urine volume/0.5.
Isolation of [C-methyl-13C]DOHA-S
from Urine.
Male Wistar rats were orally administered with
[13C]antipyrine as described above. Urine
samples collected over a 0- to 24-h interval from four rats (~40 ml)
were incubated with
-glucuronidase (30 mg protein) at 37°C for
3 h to eliminate glucuronidated metabolites of antipyrine. The
treated urine was washed with chloroform (100 ml × 2) to
eliminate less polar phase I metabolites, and the aqueous fraction was
applied as 8-ml aliquots to five pretreated Sep-Pak C18 cartridges (Waters Associates, Milford, MA).
The cartridges were washed with 5 ml of 0.5% acetic acid in water
followed by elution with 20 ml of methanol/0.5% acetic acid in
H2O (20:80, v/v). All the eluates were combined
and concentrated by a rotary evaporator below 30°C, and then freeze
dried. The residue was reconstituted in methanol (0.5 ml), and 20- to
50-µl portions of the solution were injected onto the HPLC column.
Three major peaks due to sulfated metabolites of antipyrine were
observed at 13, 16 (OHA-S), and 20 min after injection. The peak at 13 min was presumed to be due to DOHA-S, judging from the elution order of
antipyrine metabolites reported by Velic et al. (1995)
. The eluates
corresponding to the peak at 13 min were collected, evaporated by a
rotary evaporator, and then subjected to freeze drying to give DOHA-S
as a yellow oil (3 mg); 1H NMR
(methanol-d4)
1H
2.27 (3H, d, J = 129.7 Hz, C-methyl), 3.05 (3H, s, N-methyl), 6.96 (2H, d, J = 8.75 Hz,
aromatic protons), 7.23 (2H, d, J = 8.75 Hz, aromatic
protons); 13C{1H}NMR
(methanol-d4)
13C
9.91 (C-methyl); MS (FAB-):
m/z 300 (M
, 100%), 220 (26%).
Enzymic Modification of Urine Samples.
To identify conjugated metabolites of antipyrine, 0.5 ml of the 0- to
24-h postdose urine was transferred to an NMR tube after being mixed
with 50 µl of deuterium oxide, incubated at 37°C with or without
-glucuronidase (5 mg-protein), and then analyzed by 13C NMR spectroscopy without additional treatment.
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Results and Discussion |
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When the NMR approach with 13C labeling is
applied to drug metabolism studies, the labeled position has to be
selected to get sufficient spectral resolution and sensitivity. As
antipyrine is metabolized as shown in Fig. 1, the C3, C4, and C-methyl
positions are favorable for labeling in terms of spectral resolution.
In the proton-decoupling conditions, the intensities of
13C resonances from protonated carbons are
significantly increased due to the nuclear Overhauser enhancement (NOE,
maximum 1.99). Also the resonances of protonated carbons are usually
more intense than those of nonprotonated carbons due to the short
spin-lattice relaxation time (T1), which
allows the accumulation of more scans within a limited acquisition
time. Therefore, protonated carbons (C-methyl and C4) are generally
preferable for labeling (Akira et al., 1993
; Baba et al., 1995
). The
C-methyl of the carbon of the parent drug retains at least two protons
in all metabolite species, whereas the C4 is a quaternary carbon in OHA
and DOHA. Thus the C-methyl was considered most suitable for
labeling in terms of both spectral resolution and sensitivity. Thus,
[C-methyl-13C]antipyrine with high
incorporation level (>99%) was synthesized from
[4-13C]ethyl acetoacetate in two steps.
The labeled antipyrine was orally administered to rats and the excreted
urine was analyzed by 13C NMR. The
signal-to-noise ratios of the DEPT spectra were enhanced by a factor of
2- to 3-fold, compared with those of the
13C{1H}-NMR spectra in
the same accumulation time (Morris, 1984
). All of the resonances
observed in the
13C{1H}-NMR spectra,
except that of ~1% natural abundance of urea, were also observed in
the DEPT spectra. Thus, the following NMR spectra were all obtained by
the DEPT experiments. In the 0- to 24-h postdose urine, six resonances
due to the major metabolites of antipyrine were observed at
13C 64.4, 57.8, 16.1, 12.0, 11.9, and 11.8 with an antipyrine resonance at
13C 14.3, as
shown in Fig. 2B. Three resonances due to
the minor metabolites of antipyrine were also observed at
13C 60.6, 16.0, and 11.7. The 24- to 48-h
postdose urine gave no significant 13C resonance
due to antipyrine and its metabolites, which showed the 0- to 24-h
urine collection was sufficient to obtain the total metabolic pattern
of antipyrine. In rats, antipyrine is mainly biotransformed to HMA, HMA
glucuronide (HMA-G), NORA sulfate (NORA-S), OHA-S, DOHA-S, and OHA
glucuronide (OHA-G), and these metabolites are excreted in urine with a
small amount of antipyrine (Velic et al., 1995
). Thus, the major
resonances in the methylene region (
13C 64.4, and 57.8) were considered to be due to HMA and its glucuronide, whereas
the major resonances in the methyl region (
13C
16.1, 12.0, 11.9, and 11.8) due to NORA-S, OHA-S, DOHA-S, and OHA-G.
This presumption was found to be correct by the DEPT experiments (
pulse, 135°) of the urine sample. The resonances at
13C 57.8, 12.0, and 11.9 were assigned to HMA,
OHA-S, and DOHA-S, respectively, by spiking those authentic samples.
Thus, the other major resonance (
13C 64.4) in
the methylene region was assigned to HMA-G.
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The postdose urine was incubated with
-glucuronidase to assign the
remaining major resonances at
13C 16.1 and
11.8. Consequently, the resonances at 64.4 (HMA-G), 16.0, 11.8, and
11.7 disappeared with concurrent increase of the resonances at
13C 57.8 (HMA), 11.2, and 11.1, as shown in
Fig. 2C. In the control experiments, the NMR spectrum showed no
apparent change, showing the resonances at
13C
64.4, 16.0, 11.8, and 11.7 to be all glucuronide conjugates. The
resonance at
13C 11.2 was assigned to OHA by
spiking the labeled authentic compound. Thus the major resonance at
13C 11.8 was assigned to OHA-G, and the
remaining major resonance at
13C 16.1 in the
methyl region, that was unaffected by
-glucuronidase, was assigned
to NORA-S from the metabolic pattern of antipyrine described above.
To confirm the assignment of NORA-S, [13C]NORA
was orally administered to rats, and the postdose urine was analyzed by
13C NMR. As shown in Fig.
3, two major resonances due to
metabolites of NORA were observed at
13C 16.1 and 16.0. Bottcher et al. (1985)
have reported that NORA is completely
conjugated to form NORA-S and NORA glucuronide (NORA-G) in rats. The
resonances at
13C 16.1 and 16.0 were assigned
to NORA-S and NORA-G, respectively, because only the resonance at
13C 16.0 disappeared by the
-glucuronidase
treatment. These resonances were greatly shifted downfield compared
with those due to C-methyl groups of other antipyrine
metabolites, probably due to the characteristic ring structure (Palette
et al., 1994
). From these experimental results, the above-mentioned
assignment of NORA-S was confirmed. Also, the minor glucuronidated
metabolite (
13C 16.0) in Fig. 2B was
identified to be NORA-G. The NMR spectrum showed a resonance at
13C 60.6 due to a minor metabolite of NORA,
which was also observed in Fig. 2B. The resonance was found to be due
to a methylene group by the DEPT experiments (
pulse, 135°). Thus,
this resonance was tentatively assigned to
3-hydroxymethyl-norantipyrine (HM-NORA, see Fig. 1), recently reported
as a minor urinary metabolite of antipyrine in rats (Velic et al.,
1995
).
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All the antipyrine metabolites reported to occur in rat urine were identified on the 13C NMR spectra by the above experiments. The minor metabolite, NORA-G, was also shown to occur in rats, which has been previously unreported. The results showed that all of the major antipyrine metabolites in rats could be directly detected in one operation without any pretreatments such as extraction, chromatography, and deconjugation by the combined use of 13C NMR and 13C labeling of the C-methyl carbon.
The signal-to-noise ratios of the major metabolites, obtained using the
limited acquisition time (30 min), were considered sufficient for the
quantitative evaluation of the metabolic profile. The analysis of the
postdose urine in Fig. 2B was repeated 6 times to examine the
reproducibility of the NMR detection. Consequently, the coefficients of
variation (%) of the integral intensity ratios between the metabolites
and the I.S. were as follows: HMA-G, 6.9; HMA, 1.8; NORA-S, 1.1; AP,
7.3; OHA-S, 2.0; DOHA-S, 3.0; OHA-G, 2.0. In the HPLC analyses of
antipyrine metabolites, attention has to be paid to the lability of
OHA, DOHA, and NORA liberated after the deconjugation (Danhof et al.,
1979a
; Bottcher et al., 1982a
, 1984
; Teunissen et al., 1983a
; Palette
et al., 1991
). However, the NMR approach directly detects their
chemically stable conjugates (Teunissen et al., 1983a
; Bottcher et al.,
1984
; Palette et al., 1993
) in urine, so that accurate and reliable
results are obtained. To compare the urinary excreted amounts in the
individual rats, the ratios of resonance integral intensities between
the metabolites and the I.S. were calculated and corrected as shown in
the experimental section (Table 1). These
integral ratios reflect the metabolic profile of antipyrine. It should
be noted that relative integrations do not represent molar ratios
between the metabolites because the NMR sensitivity for the individual
metabolites, which is influenced by the different NOE and
T1 of detected nucleus, differs from one to
another (Akira et al., 1993
).
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The application of 13C NMR to investigating
alterations in the metabolism of antipyrine was examined in the case of
3-MC induction. The spectra of the 0- to 24-h postdose urine from
3-MC-treated rats were markedly different from those from normal rats,
as shown in Fig. 4. The excretion of
NORA-G, OHA-G, and OHA-S increased by the induction, whereas that of
HMA and HMA-G decreased, as shown in Table 1. The excretion of NORA-S
and DOHA-S did not change. The increase in OHA (sulfated + glucuronidated) excretion and the decrease in HMA (free + conjugated)
excretion have been reported in 3-MC-treated rats (Danhof et al.,
1979b
; Nakagawa et al., 1983
; Teunissen et al., 1983b
), which are
consistent with our results.
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The effects of 3-MC pretreatment on the metabolic formation of NORA is
inconsistent across the literature. Teunissen et al. (1983b)
have
reported a decrease in NORA (sulfated) excretion by the induction,
whereas Danhof et al. (1979b)
and Nakagawa et al. (1983)
reported no
change in the excretion. The lability of NORA, liberated after the
deconjugation procedures for the HPLC analysis in these reports, may be
responsible for this discrepancy. In addition, Bottcher et al. (1984)
have directly measured urinary NORA conjugates by thin-layer
chromatography coupled with radioisotope tracer techniques, where urine
is treated with urease and extracted with methanol. They reported that
NORA-S excretion is significantly enhanced by 3-MC induction, and
NORA-G is not excreted in urine of both control and 3-MC-treated rats.
On the contrary, our results showed no change in NORA-S excretion, and
a significant increase in NORA-G excretion and in the total excretion
of NORA-S and NORA-G, which are in conflict with the above-mentioned
results by other researchers. It should be noted that the 3-MC
induction of glucuronidation in antipyrine metabolism was first shown
by the detection of significant NORA-G excretion. This contradiction
may be due to the difference of strain, age, and body weight of the
rats, administration route, and induction method. Our experimental
results are, in any event, considered to be most reliable because the
NMR approach involves no pretreatments such as deconjugation and
solvent extraction.
In conclusion, the 13C NMR approach using
13C-labeling has been demonstrated to be useful
and practical for the direct and simultaneous detection of all phase I
and phase II metabolites in rat urine. The approach saves time and
effort in data acquisition because of the need for little pretreatment
of samples and the ability to accommodate relatively short accumulation
times. The present approach is useful to evaluate variation of in vivo
activities of conjugation enzymes as well as oxidation enzymes
responsible for the formation of antipyrine metabolites in the rat. As
the metabolic pattern of antipyrine in humans is similar to that in rats, the NMR approach would be also applicable to humans. It is hoped
that the introduction of this direct assay may enhance the value of
antipyrine test (Hartleb, 1991
) in biochemical and clinical
pharmacological research because of the simplicity and convenience.
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Footnotes |
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Received January 25, 1999; accepted July 15, 1999.
Send reprint requests to: Kazuki Akira Ph.D., School of Pharmacy, Tokyo University of Pharmacy and Life Science, 1432-1 Horinouchi, Hachioji, Tokyo 192-0392, Japan.
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Abbreviations |
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Abbreviations used are: HMA, 3-hydroxymethylantipyrine; DEPT, distortionless enhancement by polarization transfer; MS, mass spectra; 3-MC, 3-methylcholanthrene; HMA-G, 3-hydroxymethylantipyrine glucuronide; NORA, norantipyrine; NORA-S, norantipyrine sulfate; NORA-G, norantipyrine glucuronide; OHA, 4-hydroxyantipyrine; OHA-S, 4-hydroxyantipyrine sulfate; OHA-G, 4-hydroxyantipyrine glucuronide; DOHA, 4,4'-dihydroxyantipyrine; DOHA-S, 4,4'-dihydroxyantipyrine sulfate; HM-NORA, 3-hydroxymethyl-norantipyrine; I.S., internal standard.
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References |
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