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Vol. 30, Issue 12, 1497-1503, December 2002
Department of Physical and Metabolic Science, AstraZeneca R&D Charnwood, Loughborough, United Kingdom
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Abstract |
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The apparent intrinsic clearance of 13 drugs has been determined using rat liver microsomes at three different concentrations of microsomal protein. The kinetics was studied using the in vitro half-life method. The nonspecific binding of these drugs to the microsomes was also studied under the same conditions, except for cofactor removal, using equilibrium dialysis. The intrinsic clearances are shown to be dependent on the microsomal concentration, but are approximately constant when corrected for the extent of nonspecific binding to the microsomes. The large difference between observed intrinsic clearance and unbound intrinsic clearance that exists for some compounds, particularly lipophilic bases, is highlighted. A simple model has been developed for understanding the binding of compounds to microsomes and is demonstrated to accurately predict the extent of microsomal binding at one concentration of microsomes from measurement at another. The binding of a further 25 drugs to rat liver microsomes at a microsomal concentration of 1 mg/ml was also studied, along with measurements of lipophilicity using octanol-water partition coefficients. It is shown that the extent of microsomal binding is correlated with lipophilicity, but that basic compounds show a different behavior to acidic and neutral compounds. Microsomal binding is shown to be best predicted using a model where logP is used for basic compounds, and logD7.4 is used for acidic and neutral compounds. This model has been developed further so that the extent of binding to microsomes of any given concentration can be estimated purely from a knowledge of lipophilicity and ionization.
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Introduction |
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In recent years, kinetic measurements using liver
microsomes have been increasingly used as a measure of the rate of
metabolic drug oxidation in drug discovery. The results from these in
vitro assays are then frequently processed, through a variety of
methods, to produce predictions of the in vivo metabolic clearance of
compounds in humans (Iwatsubu et al., 1997
; Obach et al., 1997
; Lave et al., 1999
). Methods that are often used for scaling such in vitro data
to in vivo predictions are the well stirred model and the parallel tube
model, and these models contain plasma free fraction terms that account
for the effect of plasma binding on the clearance of compounds (Pang
and Rowland, 1977
). However, it is frequently found that inclusion of
the plasma binding correction can lead to underprediction of the in
vivo clearance, particularly for nonacidic compounds, and better
performance can often be obtained by ignoring the correction altogether
(Obach 1997
, 1999
; Obach et al., 1997
). It has been recognized that
nonspecific microsomal binding in the in vitro metabolic assays can
significantly affect the observed kinetics of metabolism and hamper the
accurate prediction of clearance, and there are now several examples
where knowledge of the extent of microsomal binding can lead to a
better understanding of the relationship between in vitro metabolism
and in vivo pharmacokinetics (Lin et al., 1978
, 1980
;
Bäärnhielm et al., 1986
; St-Pierre and Pang, 1995
; Obach,
1996
, 1997
, 1999
; Carlile et al., 1999
). It has been reinforced by
several studies (Houston, 1994
; Obach, 1996
; Iwatsubu et al., 1997
)
that unbound intrinsic clearance (CLint,U) is for
many compounds not the same as the experimentally observed intrinsic
clearance (CLint) and that the two are related by
eq. 1:
|
(1) |
|
(2) |
Knowledge of fuinc has also been shown to be
important for the prediction of in vivo drug-drug interactions, where
inhibition constants (Ki) have been
converted to unbound Ki values
followed by plasma binding corrections, leading to improved predictions of changes in area under the curve upon coadministration of
drugs (Ishigam et al., 2001
).
If eq. 2 is to be more widely used for clearance predictions and if
unbound Ki values are going to be more
commonly used then it would be advantageous to be able to predict the
fuinc term from readily available physicochemical
properties of compounds such as lipophilicity. Several studies have
examined the extent of nonspecific microsomal binding of various
compounds, and how this binding affects the observed kinetics of
turnover of these compounds by the microsomes, and the quality of in
vivo prediction (Obach, 1997
, 1999
; Carlile et al., 1999
; Mclure et
al., 2000
; Venkatakrishnan et al., 2000
; Kalvass et al., 2001
).
However, these studies have used a variety of microsomal protein
concentrations, and the resulting data are consequently unsuitable for
finding predictive quantitative relationships between the
physicochemical properties of the compounds and the extent of
microsomal binding. To find such relationships, data are required on a
set of compounds with a variety of physicochemical properties, and
where the binding is measured under identical conditions of microsomal
protein concentration, which is the main purpose of this work.
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Materials and Methods |
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Materials.
Frozen hepatic microsomes from male Sprague-Dawley rats at a protein
concentration of 20 mg/ml were obtained from In Vitro Technologies
(Baltimore, MD). The same batch of microsomes was used for all of the
studies and was stored at
80°C. 1-Octanol was obtained from Fisher
Scientific (Loughborough, UK).
-NADPH, 2-ethoxybenzamide,
albendazole, alprazolam, amiodarone, astemizole, bumetanide,
carbamazepine, cinoxacin, clomipramine, clozapine, colchicine,
desipramine, glipizide, glyburide, ibuprofen, indapamide, indomethacin,
ketoprofen, mebendazole, methocarbamol, methoxsalen, metyrapone,
pimozide, piroxicam, prednisone, promethazine, propafenone, propranolol, quinidine, sulindac, tamoxifen, thioridazine, tolbutamide, tolmetin, triazolam, trimeprazine, trioxsalen, verapamil, and warfarin
were obtained from Sigma Chemical (Poole, Dorset, UK). Oxaprozin was
obtained from Maybridge Chemicals (Trevillet, UK). Betaxolol,
cerivastatin, chlorpromazine, diazepam, dichloralphenazone, diclofenac,
diltiazem, diphenhydramine, imipramine, isradipine, losartan,
phensuximide, and sulfadoxine were obtained from the AstraZeneca
compound collection.
Instrumentation. All sample handling was performed using a Genesis RSP 100 liquid handling robot (Tecan, Durham, NC) fitted with disposable tips and controlled by Gemini software. Centrifugations were carried out using an Allegra R6 (Beckman Coulter, Inc., Fullerton, CA). A Dianorm (Munich, Germany) system with cells of 1-ml volume was used for equilibrium dialysis experiments, along with cellulose membranes (Diachema AG, Zurich, Switzerland) with molecular weight cut off of 5 kDa. All HPLC1analyses were carried out using a 2700 autosampler, a 2690 separations module (both from Waters, Milford, MA) and a ZMD mass spectrometer (Micromass, UK Ltd., Manchester, UK) using a selected ion recording quantitation method. Symmetry C8 (5 µm × 3.9 mm × 20-mm columns; Waters) were used along with a gradient of 1% actonitrile/99% 0.05% aqueous ammonium acetate to 99% actonitrile/1% 0.05% aqueous ammonium acetate at a flow rate of 2 ml/min over 3.5 min.
Microsomal Incubations.
Five microliters of 100 µM compound solutions in DMSO was transferred
to glass vials held in a thermostatically controlled metal incubation
block heated at 37°C. To these same vials was also added 395 µl of
microsomes of the appropriate concentration suspended in 0.1 M
phosphate buffer, pH 7.4. The drug and microsome mixtures were then
mixed thoroughly and left to equilibrate for approximately 3 min. After
this equilibration period, the metabolic reactions were initiated by
the addition of 100 µl of
-NADPH solution at a concentration of 50 mM in 0.1 M phosphate buffer, pH 7.4. At eight time points, covering a
range of 3 min for the most rapid reactions, and up to 90 min for the
slowest reactions, 50-µl aliquots of this mixture were then removed
and quenched by addition to 300 µl of methanol that contained an
appropriate internal quantification standard compound (indomethacin or
2-ethoxybenzamide) at a concentration of about 0.25 µM. The plate of
quenched samples was then centrifuged at 300g and 5°C for
20 min to sediment the precipitated proteins before quantitation using
HPLC/MS. The kinetic data were analyzed using a linear fit of the
natural logarithm of the ratio of the compound peak area to the
internal standard peak area against time. Using the assumption that the
substrate concentration of 1 µM is well below the apparent
Km, CLint values were then calculated from the negative slope of the linear fit divided
by the microsomal concentration (Obach et al., 1997
).
Measurement of Microsomal Binding. The extent of binding of compounds to microsomes was determined using equilibrium dialysis of five compounds (each at a concentration of 1 µM) simultaneously in each dialysis cell. The mixtures of compounds were chosen such that all compound masses were at least 5 Da apart, allowing resolution of the compounds during MS quantification.
To one side of each of the dialysis cells was added 1 ml of microsomes of the appropriate concentration, suspended in 0.1 M phosphate buffer, pH 7.4, along with 10 µl of a DMSO solution of five compounds each at a concentration of 100 µM. The other half of each dialysis cell was filled with 1 ml of 0.1 M phosphate buffer, pH 7.4. The cells were then sealed, clamped to the Dianorm unit, and rotated in a water bath at 37°C for 18 h. To a further volume of microsomes was added 1% (v/v) DMSO, and this solution was stored in a sealed tube at 37°C for 18 h, for later use as control microsomes in sample preparation prior to HPLS/MS analysis. The dialysis cells were then emptied and the solutions were treated in the following way such that the final samples and standards for HPLC/MS analysis were all present in an identical matrix. To 380 µl of sample from the microsomal side of each dialysis cell was added 380 µl of phosphate buffer, pH 7.4, and 1140 µl of methanol. To 380 µl of sample from the buffer side of each dialysis cell was added 380 µl of the control microsome solution and 1140 µl of methanol. A solution for dilution of HPLC standards was also prepared from buffer, control microsome solution, and methanol in the same ratios as the other samples. All of these samples were then centrifuged at 300g for 10 min. Six standards of unknown absolute concentration, but known relative concentration (covering a 200-fold range of concentration) were then prepared from dilutions of the samples originating from the microsome side of the dialysis cells using the dilution solution. All of these samples were then quantified using HPLC/MS, and the free fraction of each compound was determined from the ratio of the buffer to microsome concentrations, each interpolated from the six point calibration line. To validate this method of measuring binding in mixtures of five compounds simultaneously, measurements were carried out on 10 compounds singly, and also on the same 10 compounds as two mixtures of five compounds. The 10 measured free fractions from the singly measured group were compared with those from the mixtures group using a two-tailed paired t test and shown not to be significantly different (p = 0.31).Measurement of LogD7.4.
Partitioning of compounds (40-400 µM) between 1-octanol and 0.02 M
phosphate buffer, pH 7.4, at 20°C was determined using a standard
shake flask method (Leo et al., 1971
). Samples were analyzed by
HPLC with MS quantitation of both layers of the partition mixture.
Model for Microsomal Binding.
The most simple model for describing the binding of drugs to microsomes
is to treat the system as a phase equilibrium, in the same way that
drug binding to liposomes is normally described (Austin et al., 1995
).
The drug is assumed to be in equilibrium between an aqueous phase and a
microsomal phase, and the equilibrium is described by a partition
coefficient Kmics given by eq. 3:
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(3) |
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(4) |
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(5) |
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(6) |
Vmics at typical microsomal
concentrations, eq. 6 can be simplified to give eq. 7:
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(7) |
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(8) |
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(9) |
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Results |
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A set of 13 compounds was selected that covers a range of
lipophilicity (logD7.4 ranges from 0.3 to >5)
and ionization class (five neutral, four acidic, and four basic). Acids
are defined as compounds with a pKa
for the formation of an anion of <7.4, and bases are defined as
compounds with a pKa for the formation of a cation of >7.4. The kinetics of metabolism of these compounds was
determined using the in vitro half-life approach (Obach et al., 1997
)
with rat liver microsomal protein concentrations of 0.25, 1, and 4 mg/ml. The extent of binding of compounds, fuinc, was determined at these same microsomal protein concentrations using
equilibrium dialysis. In the dialysis experiments,
-NADPH was
omitted such that metabolism of the compounds did not occur. The
results of these experiments are listed in Table
1.
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Of the 13 compounds in Table 1 it was found that some of them had an approximately constant CLint at the three different microsomal concentrations. An example of this type of behavior is given by bumetanide where CLint = 157 ± 6 (microliters per minute per milligram of protein) at 0.25 mg/ml, 122 ± 7 at 1 mg/ml, and 121 ± 21 at 4 mg/ml. The other extreme of observed behavior is exemplified by compounds such as astemizole, where the CLint values decrease with increasing microsomal concentration. These different types of behavior correspond to differing propensity for microsomal binding. According to eq. 1 the correctly defined intrinsic clearance, which is equal to the observed intrinsic clearance divided by the free fraction of compound in the incubation medium, should be constant. The data in Table 1 shows that such values of CLint,U are much closer to being constant than the values of CLint. Figure 1A shows a plot of logCLint at 1 mg/ml microsomal protein against logCLint at 0.25 mg/ml, where the error bars indicate 95% confidence intervals calculated from the four replicate data points. If logCLint were constant then the points would lie along the indicated line of unity, but clearly several of the compounds deviate away from the line of unity, often very strongly. In contrast, Fig. 1B is a plot of logCLint,U at 1 mg/ml microsomal protein against logCLint,U at 0.25 mg/ml, where the error bars indicate 95% confidence intervals propagated from the 95% confidence intervals calculated from the four replicate CLint values and the four replicate fuinc values. Most of the compounds lie on the indicated line of unity within experimental error, whereas the remaining compounds only show small deviations.
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The microsomal binding data in Table 1 can be used to develop a better understanding of how the extent of microsomal binding depends on microsomal protein concentration. A simple model for microsomal binding has been developed that treats the system as a microsome/buffer phase equilibrium (under Materials and Methods, eqs. 3-9). From this model of binding, it is possible to estimate the extent of microsomal binding at one microsomal concentration from the observed extent of binding at a different microsomal concentration using eq. 9. From the data in Table 1, eq. 9 was used to estimate fuinc at one microsomal concentration from that observed at a different concentration, and Fig. 2 shows a plot of the resulting predictions. The data points scatter fairly evenly about the indicated line of unity, and the average deviation in the predicted fuinc values is only 15%. The simple phase equilibrium model therefore seems be a good model for microsome binding.
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The binding data at 1 mg/ml microsomal protein concentration in Table 1
was augmented with binding measurements on a further set of 25 compounds, and with logD7.4 measurements on the
full set of 38 compounds. Microsomal binding data for the full set of
compounds is shown in Table 2 along with
logP, logD7.4, and pKa data. Table 2 also contains
microsome binding data from Obach (1997
, 1999
). Most of the additional
data from Obach is from human liver microsomes, whereas the current
study has used rat liver microsomes. However, it has been shown that
the extent of microsome binding shows very little difference between
human, rat, dog, and monkey (Obach, 1997
). The Obach data were
determined using a variety of microsomal protein concentrations between
0.3 and 10 mg/ml, and any data not determined at 1 mg/ml have been
converted to an estimated extent of binding at 1 mg/ml using eq. 9. The combination of our data with Obach's produces a microsomal binding data set on 56 compounds of diverse structure where all of the data are
either measured at 1 mg/ml microsomal protein or have been converted to
1 mg/ml using a method that has been shown to work reliably.
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The extent of nonspecific binding to microsomes is expected to be
dominated by lipophilicity. Figure 3
shows a plot of log((1
fuinc)/fuinc) against
logD7.4. The microsomal binding data are plotted
in this way because (1
fuinc)/fuinc is similar to
an equilibrium constant (eq. 8), which is the appropriate property to
use when searching for linear free energy relationships. Figure 3 shows
a strong relationship between microsomal binding and
logD7.4. The extent of microsomal binding
generally increases with increasing lipophilicity, but basic compounds
clearly show enhanced binding over neutral or acidic compounds of
similar lipophilicity. This is expected because it has been shown that
basic compounds exhibit enhanced affinity for phospholipid membranes,
compared with octanol, as demonstrated by liposome binding studies
(Austin et al., 1995
; Krämer et al., 1998
). To account for the
pattern shown in Fig. 3, a modified lipophilicity descriptor has been
introduced that accounts for the enhanced microsomal binding of basic
compounds. This descriptor will be called logP/D and corresponds to
logP for basic compounds and logD7.4 for acidic
and neutral compounds (note, logD7.4 = logP for
neutral compounds). Figure 4 shows a plot
of log((1
fuinc)/fuinc) against
logP/D, where only those compounds with fuinc < 0.9 have been included. This is because it is very difficult to
discriminate between compounds with free fractions between 0.9 and 1.0 using equilibrium dialysis, and it is not important to model this range
of binding because all of these compounds are close to 100% free.
Using the logP/D descriptor, Fig. 4 shows a much better correlation
than that in Fig. 3. The logP/D descriptor has collapsed the separate
acid/base/neutral behavior shown in Fig. 3 into a single trend of high
statistical significance. The equation of the least-squares regression
line in Fig. 4 is given by eq. 10:
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Discussion |
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When one wishes to scale in vitro metabolic kinetic data to in
vivo clearances, the issue of nonspecific microsomal binding needs to
be addressed in addition to the plasma or blood binding that is more
frequently incorporated into the scaling method. It has been
demonstrated that eq. 2 could be of more general utility in the
prediction of clearance than either the well stirred model containing
no free fraction corrections, or only the fup
correction (Obach, 1999
). Cancellation of the
fup/fuinc ratios cannot be relied upon, particularly because fuinc can
depend strongly on the microsomal protein concentration that one
chooses to use as shown in Table 1 and by other studies (Obach, 1996
,
1997
; Mclure et al., 2000
; Venkatakrishnan at. al., 2000
). If eq. 2 is
to become more widely used for in vivo clearance prediction, a better
understanding of how nonspecific microsomal binding depends on
microsomal protein concentration and on chemical structure is required.
The ultimate goal would be to predict the extent of microsomal binding
at any microsomal concentration purely from properties calculated from chemical structure, but the ability to estimate microsomal binding using commonly measured properties such as octanol-water partition coefficients would be very useful. The fact that equilibrium dialysis experiments have not nearly reached the high capacity and highly automated efficiency of microsomal intrinsic clearance assays is also a
strong driving force for the generation of an alternative method for
the estimation of fuinc.
The important role that microsomal binding has in influencing the
observed rate of in vitro metabolism has been clearly illustrated by
the results in Table 1 and Fig. 1, A and B. For some compounds CLint can differ from
CLint,U by a very large amount. For example, at 4 mg/ml microsomal protein amiodarone seems to be metabolically rather
stable with CLint = 3 µl
min
1 mg protein
1,
whereas CLint,U was ~16,000 µl
min
1 mg protein
1, a
greater than 5000-fold deviation. Amiodarone is therefore intrinsically
very metabolically labile, presumably a consequence of its high
lipophilicity, leading to high affinity for the binding sites of
metabolizing enzymes. However, the high lipophilicity also leads to a
very large amount of nonspecific binding to the microsomes, which leads
to a huge reduction in the observed rate of metabolism. The importance
and validity of eq. 1 have previously been demonstrated using full
determinations of Vmax and apparent Km (Obach, 1997
; Venkatakrishnan et
al., 2000
; Kalvass et al., 2001
) on limited numbers of compounds. This
study has used the in vitro t1/2
method, the most frequently used method for metabolic screening in drug
discovery research, to further highlight the importance of eq. 1 using
a wider set of compounds.
In addition to the well established dependence of
fuinc on microsomal protein concentration, it is
also possible that fuinc depends on the compound
concentration, and also that the binding is saturable. It has been
shown that the microsomal binding of phenytoin and tolbutamide (Carlile
et al., 1999
), amitriptyline (Venkatakrishnan et al., 2000
), and
imipramine and propranolol (Obach, 1997
) is independent of compound
concentration over the range of concentration studied (up to 1000 µM). Evidence for concentration dependence has been shown for
nortriptyline (Mclure et al., 2000
) and for warfarin (Obach, 1997
).
However, the observed concentration dependence is weak in both cases.
It therefore seems that nonspecific microsomal binding is normally
independent of compound concentration and that saturation of the
binding does not occur at the low micromolar concentration levels used
in modern metabolic assays, which use sensitive MS detection. If strong
concentration dependence were frequently observed then the commonly
used description of the process as nonspecific microsomal binding would
clearly be inappropriate. The type of model involving defined binding
sites (Romer and Bickel, 1979
) that has been suggested as appropriate
for modeling microsomal binding of drugs (Mclure et al., 2000
; Kalvass
et al., 2001
) seems to be unnecessarily complicated. Binding that is
independent of compound concentration is indicative of a phase
equilibrium-type process, where clearly defined individual binding
sites do not exist, much like organic/aqueous partitioning systems. The
success of this model of microsomal binding (eq. 9) is shown by the
quality of the predictions in Fig. 2. It therefore seems that eq. 9
represents a suitable general model for the description of microsomal
binding, particularly when the drug concentration is low, and should be of general use for converting microsomal binding data between different
microsomal protein concentrations.
Equation 9 has been used to augment our own microsomal binding data set
of 38 compounds all measured at 1 mg/ml microsomal protein with
literature data on 18 further compounds, leading to a fairly large data
set suitable for finding a structure-binding relationship. The enhanced
binding shown by basic compounds in Fig. 3 led us to search for a more
suitable lipophilicity-related descriptor. The enhanced phospholipid
binding of compounds containing protonated basic groups is thought to
be due to a favorable electrostatic interaction between the protonated
base and phosphate groups on the phospholipid (Austin et al., 1995
;
Krämer et al., 1998
). A result of this is that phospholipid
membrane affinity at pH 7.4 for basic compounds is much closer to the
octanol-water logP of the molecule than to
logD7.4, whereas for acidic molecules (where only
the neutral form of the molecule has significant membrane affinity) the
membrane affinity at pH 7.4 is much closer to the octanol-water
logD7.4 than logP (Austin et al., 1995
).
Therefore, because the affinity of compounds for microsomes is likely
to be dominated by the affinity for the phospholipid membrane content of the microsomes, this should be best modeled by octanol-water logP
for bases and by logD7.4 for acidic and neutral
(note, logD7.4 = logP for neutral compounds)
compounds. This descriptor will be called logP/D and does indeed lead
to a much better correlation with extent of microsomal binding (Fig. 4;
eq. 10).
The correlation shown in Fig. 4 seems to be of higher quality where logP/D > 2, and this may be due the equilibrium dialysis method not being able to accurately distinguish between the low levels of binding (50-100% free) of hydrophilic compounds. For predicting the binding of more lipophilic molecules it might be better to only fit the data in Fig. 4 where logP/D > 2, and simply state that for less lipophilic molecules fuinc > 0.5. This approach should lead to better predictions for more lipophilic molecules where fuinc can be very small (hence corrections to CLint would be large). Accurate prediction of microsomal binding of hydrophilic molecules is not so important because the resulting corrections to CLint would be less than a factor of 2 (of the 56 compounds in Table 2, 28 have logP/D < 2 and none of these has fuinc < 0.5). The correlation in Fig. 4 also seems to be better for basic compounds than for neutral or acidic compounds. Again this is likely to be due to the fact that most of the basic compounds exhibit higher binding than the neutral or acidic compounds (a large proportion of the bases have logP/D > 2), which is more easily discriminated by the equilibrium dialysis method. Equation 10 shows that microsomal binding is only significant for rather lipophilic neutral and acidic compounds (logD7.4 > 3), but will be significant for many more basic compounds. For example, a basic compound with logD7.4 of only 1 and pKa of 10 will have logP = 3.6 and from eq 10 will have fuinc of about 0.2.
The fact that the literature microsomal binding data and the data from
the current study both fit well in the correlation in Fig. 4 adds
validation to two important facts about microsomal binding that are
emerging. First, it is consistent with the observation that microsome
binding is independent of species (Obach, 1997
); and second, it gives
further evidence of the general utility of eq. 9 for converting data
between different microsomal concentrations. Equation 10 can only
predict the extent of binding to microsomes with a concentration of 1 mg/ml. However, the good correlations shown in Figs. 2 and 4 suggest
that eqs. 9 and 10 can be combined to give a reliable prediction of
fuinc at any microsomal concentration from
lipophilicity using eq. 11
|
(11) |
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Footnotes |
|---|
Received May 28, 2002; accepted September 3, 2002.
Address correspondence to: Rupert P. Austin, Department of Physical and Metabolic Science, AstraZeneca R&D Charnwood, Bakewell Rd., Loughborough, LE11 5RH, UK. E-mail: rupert.austin{at}astrazeneca.com
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Abbreviations |
|---|
Abbreviations used are: HPLC, high-performance liquid chromatography; DMSO, dimethyl sulfoxide; MS, mass spectrometry.
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References |
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Y. Mano, T. Usui, and H. Kamimura Comparison of Inhibition Potentials of Drugs against Zidovudine Glucuronidation in Rat Hepatocytes and Liver Microsomes Drug Metab. Dispos., April 1, 2007; 35(4): 602 - 606. [Abstract] [Full Text] [PDF] |
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A. Mannila, E. Kumpulainen, M. Lehtonen, M. Heikkinen, M. Laisalmi, T. Salo, J. Rautio, J. Savolainen, and H. Kokki Plasma and Cerebrospinal Fluid Concentrations of Indomethacin in Children After Intravenous Administration J. Clin. Pharmacol., January 1, 2007; 47(1): 94 - 100. [Abstract] [Full Text] [PDF] |
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D. F. McGinnity, A. J. Berry, J. R. Kenny, K. Grime, and R. J. Riley EVALUATION OF TIME-DEPENDENT CYTOCHROME P450 INHIBITION USING CULTURED HUMAN HEPATOCYTES Drug Metab. Dispos., August 1, 2006; 34(8): 1291 - 1300. [Abstract] [Full Text] [PDF] |
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D. Hallifax and J. B. Houston BINDING OF DRUGS TO HEPATIC MICROSOMES: COMMENT AND ASSESSMENT OF CURRENT PREDICTION METHODOLOGY WITH RECOMMENDATION FOR IMPROVEMENT Drug Metab. Dispos., April 1, 2006; 34(4): 724 - 726. [Full Text] [PDF] |
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V. Uchaipichat, P. I. Mackenzie, D. J. Elliot, and J. O. Miners SELECTIVITY OF SUBSTRATE (TRIFLUOPERAZINE) AND INHIBITOR (AMITRIPTYLINE, ANDROSTERONE, CANRENOIC ACID, HECOGENIN, PHENYLBUTAZONE, QUINIDINE, QUININE, AND SULFINPYRAZONE) "PROBES" FOR HUMAN UDP-GLUCURONOSYLTRANSFERASES Drug Metab. Dispos., March 1, 2006; 34(3): 449 - 456. [Abstract] [Full Text] [PDF] |
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A. Galetin, H. Burt, L. Gibbons, and J. B. Houston PREDICTION OF TIME-DEPENDENT CYP3A4 DRUG-DRUG INTERACTIONS: IMPACT OF ENZYME DEGRADATION, PARALLEL ELIMINATION PATHWAYS, AN |