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Department of Biochemistry, Molecular Biology, and Biophysics and the Cancer Center, University of Minnesota, Minneapolis, Minnesota
(Received March 1, 2005; accepted April 21, 2005)
| Abstract |
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5'(1')-iminium ion product of this reaction is further metabolized to cotinine by aldehyde oxidase. Previous investigators have reported kinetic parameters for cotinine formation using human liver cytosol as a source of aldehyde oxidase. Using [5-3H]nicotine and radioflow high-performance liquid chromatography analysis, we determined kinetic parameters for nicotine 5'-oxidation by P450 2A6 and the closely related human extrahepatic P450 2A13 as well as the rodent P450s 2A3, 2A4, and 2A5. The formation of both cotinine and nicotine
5'(1')-iminium ion was monitored. The Km and Vmax values for P450 2A6 were 144 ± 15 µM and 1.30 ± 0.05 pmol/min/pmol, respectively. Previously reported Km values for cotinine formation by P450 2A6 in the presence of cytosol were much lower, ranging from 11 to 45 µM. P450 2A13 was a somewhat better catalyst of nicotine
5'(1')-iminium formation, with 2-fold lower Km and 2-fold higher Vmax values than P450 2A6. The rat P450 2A3 and the mouse P450 2A5, which are 85 and 84% identical to P450 2A6, were much more efficient catalysts of nicotine 5'-oxidation. P450 2A4 was not an efficient catalyst of nicotine metabolism. Whereas 5'-oxidation was the major pathway of nicotine metabolism for all five P450 2A enzymes, these enzymes also catalyzed methyl oxidation. Nornicotine, the product of this reaction was detected as 5 to 15% of the total nicotine metabolites. Nornicotine is the amine precursor to the esophageal carcinogen N'-nitrosonornicotine. Therefore, methyl oxidation of nicotine by P450 2A6 or P450 2A13 followed by nitrosation of nornicotine are possible endogenous pathways of N'-nitrosonornicotine formation.
5'(1')-iminium ion (Fig. 1). The formation of cotinine from the iminium ion is catalyzed by a cytosolic enzyme, aldehyde oxidase (Brandänge and Lindblom, 1979
5'(1')-iminium ion or any other nicotine metabolites.
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2'(1')-iminium ion (Fig. 1). Nicotine may also be oxidized at the methyl carbon to form N'-(hydroxymethyl)nornicotine that exists in equilibrium with the methylene-iminium ion (Fig. 1). It is unknown whether N'-(hydroxymethyl)-nornicotine is a product of either P450 2A6 or human liver microsomal metabolism. However, nornicotine, a nonenzymatic decomposition product of N'-(hydroxymethyl)nornicotine is a metabolite of nicotine in smokers (Benowitz et al., 1994
Rats and mice are routinely used to characterize the addictive effects of nicotine; however, there is minimal data on what P450s catalyze nicotine 5'-oxidation in these animals. There are data supporting a role for P450 2B1 as the catalyst of nicotine metabolism in the rat liver (Hammond et al., 1991
; Nakayama et al., 1993
). Nicotine metabolism by mouse P450s has not been reported previously. However, in both the lung and the liver of mice, there are two enzymes, P450 2A4 and 2A5, that are closely related to the human P450s 2A6 and 2A13, which are possible catalysts of nicotine 5'-oxidation in the mouse (Honkakoski and Negishi, 1997
). The rat liver does not contain a P450 2A6 homologous enzyme; however, a closely related enzyme, P450 2A3, is present in rat lung (Gopalakrishnan et al., 1999
). P450 2A3 is an extrahepatic enzyme analogous to the extrahepatic human P450 2A13. These five P450 2A enzymes are 84 to 96% identical and have a number of common substrates (Honkakoski and Negishi, 1997
; von Weymarn et al., 1999
; von Weymarn and Murphy, 2003
; Wong et al., 2005
). Of particular note is that all five P450 2A enzymes catalyze the oxidation of the tobacco-specific nitrosamine N'-nitrosonornicotine (NNN) (Wong et al., 2005
). NNN is structurally similar to nicotine, differing by only the replacement of the methyl group with a nitroso group. Therefore, we expected that P450 2A13 and the rodent P450 2A enzymes would, like P450 2A6, catalyze nicotine metabolism. In the work presented here, we determined the rate of nicotine 5'-oxidation by P450s 2A3, 2A4, and 2A5 compared with P450 2A13 and P450 2A6 both in the presence and absence of aldehyde oxidase. Kinetic parameters were determined for the 5'-oxidation of nicotine by these five enzymes.
| Materials and Methods |
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[5-3H]Nicotine Metabolism by P450s. The P450 enzymes were briefly preincubated with OR, in a 1:2 molar ratio. The final incubation mixtures contained 50 mM Tris buffer, pH 7.5, an NADPH generating system (0.4 mM NADP+, 10 mM glucose 6-phosphate, and 0.4 unit/ml glucose phosphate dehydrogenase), cytochrome P450 (2A3, 11 pmol; 2A4, 67.8 pmol; 2A5, 22.4 pmol; 2A6, 14.7 pmol; and 2A13, 21 pmol), OR, and [5-3H]nicotine (specific activity 0.0250.91 Ci/mmol, 1750 µM). The final incubation volume was 200 µl. The samples were incubated for 10 min at 37°C, either with or without human liver cytosol (0.5 mg protein/ml, unless otherwise noted). Reactions were terminated by the addition of 20 µl of 10% TFA and then centrifuged at 1500g (10 min), and the supernatant was removed and filtered through a 0.2-µm nylon membrane and analyzed by HPLC the same day. Linearity with time and enzyme concentration was determined for each enzyme before determining kinetic parameters.
Kinetic parameters for nicotine 5'-oxidation were calculated from the sum of cotinine and
5'(1')-iminium ion. Rates determined from reactions that contained cytosol. For each of the five enzymes the rate of 5'-oxidation was also determined in the absence of cytosol at several different concentrations of nicotine and shown not to be significantly different from that in the presence of cytosol. Michaelis-Menten constants for the total 5'-oxidation rate for each enzyme were calculated using the EZ-Fit 5 software (Perrella Scientific, Amherst, NH).
For P450s 2A3, 2A5, and 2A13, the rate of formation of nornicotine was determined at the same nicotine concentrations used for determination of the kinetic parameters (Table 2). However, lower rates of metabolism and higher Km values for P450 2A4 and P450 2A6 did not allow quantification of nornicotine at all concentrations due to the limit of detection for the conditions used. Therefore, the extent of nornicotine formation by P450s 2A4 and 2A6 was determined in separate experiments carried out in duplicate with 100 µM [5-3H]nicotine and 100 pmol of P450 enzyme. The reaction time was 45 min, and cytosol was not added. Reactions were terminated and analyzed as described above.
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Quantification of P450 2A13 metabolites for the determination of kinetic parameters was carried out twice, once using the above-mentioned method of analysis and a second time as follows. The P450 2A13 reactions were terminated after 30 min by the addition of 20 µl of 1 N NaOH, followed by the addition of 5 nmol of cotinine as an internal standard. Nicotine and its metabolites were extracted into 1 ml of chloroform, and after phase separation back-extracted into 200 µl of a 5% TFA solution and analyzed by HPLC.
Radioflow HPLC Analysis of the Metabolites. A Waters system equipped with a UV detector and a ß-RAM radioflow detector (IN/US Systems, Tampa, FL) was used. The filtered samples (100 µl or less) were injected onto a Luna C18 reverse phase HPLC column (0.46 x 25 cm, 5 µm; Phenomenex, Torrance, CA), and nicotine and metabolites were eluted isocratically (0.2% TFA in water) over 30 min at a flow rate of 0.7 ml/min as described previously (Hecht et al., 2000
). The scintillant (Monoflow X; National Diagnostics, Atlanta, GA) flow rate was 2.1 ml/min. [5-3H]Nicotine and [5-3H]nicotine metabolites were monitored and quantified by radioflow detection, and nicotine and added metabolite standards were monitored by UV detection at 254 nm.
Characterization of the "8-min Peak". For each P450 2A enzyme reaction with 50 µM [5-3H]nicotine in the absence of cytosol, the 8-min peak was collected by HPLC. The TFA present in the HPLC solvent was neutralized with 0.1 N NaOH so that the sample pH was 7.0 to 8.0. The samples were split in half, and Tris buffer (100 mM; pH 7.5) was added to bring the total volume to 950 µl. Human liver cytosol (50 µl; 22 mg of protein/ml) was added to one half of the sample, and water (control) was added to the other. Samples were incubated at 37°C for 1 h before terminating the reactions with the addition of 50 µl of 10% TFA. Samples were centrifuged at 1500g (10 min), and the supernatant was removed and filtered through a 0.2-µm nylon filter and analyzed by HPLC with radioflow detection and coinjection with cotinine. MS analysis on a Finnigan LCQ Deca instrument (Thermo Electron Corporation, Waltham, MA) of the 8-min peak was carried out for P450s 2A5, 2A6, and 2A13. The metabolite was collected from reactions with 100 µM [5-3H]nicotine in the absence of cytosol. After reanalysis of a fraction of the collected peak by radioflow HPLC to quantify the product, 0.5 N NaOH was added to the collected fraction (100 µl), and the metabolite was extracted into 200 µl of chloroform. After phase separation, the metabolite was back-extracted into 50 µl of 5% hydrochloric acid solution in water, and a 10-µl aliquot (containing 10 pmol of metabolite) was directly infused into the LCQ Deca operating in the positive ion mode with electrospray ionization. The MS settings were as follows: capillary temperature, 275°C; source voltage, 5 kV; source current, 3.5 µA; and sheath gas, 70 arbitrary units. The MS apparatus was operated in the positive ion mode. Full scan of m/z in the ranges of 50 to 500 was monitored.
LC/MS/MS Analysis of P450 2A5-, 2A6-, and 2A13-Generated Nicotine Metabolites. Reactions were carried out for each enzyme with 100 µM nicotine as described above, with no cytosol added. After filtration, terminated reactions samples (5 µl) were analyzed by liquid chromatography-electrospray ionization MS on a Finnigan TSQ Ultra AM instrument. A Luna 3 µm C18 (150 x 0.50 mm; Phenomenex) capillary column was used. The mobile phase was isocratic (8% formic acid and 0.025% TFA in water). MS settings were as follows: capillary temperature, 300°C; spray voltage, 5000 V; collision energy, 20 V; collision pressure, 1.5 mTorr; source collision-induced dissociation, -12 V; and scan time, 0.2 s. The MS apparatus was operated in the positive ion mode. Before the analysis of the nicotine metabolite mixtures, nicotine, cotinine, nornicotine, and amino ketone standards were analyzed by LC/MS/MS. Product ion spectra for nicotine m/z 163 (M + H), cotinine m/z 177 (M + H), nornicotine m/z 148 (M+), and amino ketone m/z 179 (M + H)+ were obtained in the m/z range 50 to 180. Retention times were 5.5 min for nornicotine, 5.8 min for nicotine, 8.3 min for aminoketone, and 8.9 min for cotinine. In addition, LC/MS/MS analysis of the collected 8-min peak, tentatively identified as nicotine
5'(1')-iminium ion, was carried out. A product ion spectrum was obtained at m/z 161 scanning from m/z 50 to 165. The retention time of this metabolite was 5.2 min. Selective reaction monitoring (SRM) for amino ketone detection in P450 2A6 nicotine reactions was performed based on amino ketone standard MS/MS product spectrum, monitoring m/z 78, 106, and 148.
| Results |
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When the 8-min peak was collected and treated with cytosol, it was quantitatively converted to cotinine, confirming this metabolite was a precursor to cotinine, either the
5'(1')-iminium ion and/or 5'-hydroxynicotine (Fig. 1). To further investigate the identity of this metabolite, it was analyzed by liquid chromatography/mass spectrometry and LC/MS/MS. A single ion of m/z 161 was detected upon MS analysis of the collected 8-min peak. Tandem mass spectrometric analysis of m/z 161 (nicotine
5'(1')-iminium ion, M+), resulted in a single daughter ion of m/z 130. In addition, when the mixture of P450 2A-generated nicotine metabolites was analyzed directly by capillary LC/MS/MS for m/z 161, a metabolite was detected eluting 0.6 min before nicotine (Fig. 4A). The major daughter ion of this metabolite was m/z 130 (Fig. 4A, inset). These data are consistent with the identification of this peak as nicotine
5'(1')-iminium ion.
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None of the P450 2A enzymes generated detectable levels of [3H]aminoketone (Figs. 2 and 3). The formation of this product of nicotine 2'-oxidation by P450 2A6 was further investigated by LC/MS/MS analysis using SRM for the three ions present in the product ion spectra of aminoketone standard (Fig. 4C). The SRM transitions monitored were m/z (179
148) [M + HNH2CH3], m/z (179
106) [C5NH4CO+], and m/z (179
78) [C5NH4+]. These three fragments were detected upon LC/MS/MS analysis of the products of P450 2A6-catalyzed nicotine metabolism in the correct abundance at 8.3 min the retention time of amino ketone (Fig. 4D). The rate of aminoketone formation was not quantified by LC/MS/MS. However, based on the limit of detection for the [5-3H]nicotine experiments the amount of aminoketone formed by P450 2A6 would be less than 2% of the products of 5'-oxidation.
Aminoketone is in equilibrium with 2'-hydroxynicotine and the
2'(1')-iminium (Fig. 1). Therefore, we investigated the P450 2A6-catalyzed formation of these compounds by LC/MS/MS. When analyzing for the 5'-iminium ion, a second m/z 161 peak was detected eluting just past nicotine (Fig. 4A). As with the 5'-iminium ion, the only product ion detected was m/z 130 (Fig. 4A, inset). This peak was not present when the collected 5'-iminium ion was analyzed, suggesting this is a metabolite peak, possible the 2'-iminium ion. Consistent with the identity of this peak as a metabolite is that with both P450 2A6 and P450 2A5, two small radioactive peaks eluting between 15 and 16 min were detected (Fig. 2). However, due to the large amount of radioactivity nicotine in the sample, it was not possible to confirm whether either of these radioactive peak were products of the reaction.
Previous investigators have analyzed P450 2A6-catalyzed nicotine 5'-oxidation by measuring the formation of cotinine in the presence of cytosol. To determine the kinetic parameters of (S)-nicotine 5'-oxidation, we initially did the same; however, we monitored both the formation of cotinine and the 5'-iminium ion. At the higher concentrations of nicotine, the amount of cytosol added was often not sufficient to completely convert the iminium ion to cotinine. The data in Table 1 for P450s 2A13, 2A3, and 2A5 clearly illustrate this point. Under the conditions of this experiment, the rate of cotinine formation by P450 2A13 did not increase significantly above a concentration of 25 µM. However, the rate of iminium ion formation continued to increase. Significant amounts of the 5'-iminium ion were detected at all nicotine concentrations for both P450 2A3 and P450 2A5 (Table 1). Nicotine
5'(1')-iminium ion was not detected in the kinetic analyses of either P450 2A6 or P450 2A4 (data not shown) under the conditions of these experiments.
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The kinetic parameters for 5'-oxidation of nicotine were determined for the five P450 2A enzymes and are presented in Table 2. Both cotinine and the 5'-iminium ion were quantified. P450s 2A3 and P450 2A5 were the most efficient catalysts of this reaction, and their Km and the Vmax values were very similar. For P450 2A3 the Km was 8.5 ± 0.07 µM and the Vmax 1.68 ± 0.04 pmol/min/pmol and for P450 2A5 Km was 7.7 ± 0.8 µM and Vmax 1.53 ± 0.04 pmol/min/pmol. The Km values for the human enzymes P450 2A6 and P450 2A13 were 10- and 20-fold higher than for P450s 2A3 and 2A5. The Vmax for P450 2A6 was similar to P450s 2A3 and 2A5, and the Vmax value for P450 2A13 was about 2-fold greater. P450 2A4 was by far the least efficient catalyst. The Vmax/Km value was 0.001 compared with 0.199 for P450 2A5. The lower efficiency of P450 2A4-catalyzed nicotine 5'-oxidation is primarily due to its low Vmax, 0.14 pmol/min/pmol. The next least efficient catalyst was P450 2A6, Vmax/Km = 0.009.
| Discussion |
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5'(1')-iminium ion. However, we cannot exclude the possibility that this metabolite was 5'-hydroxynicotine that was converted to the iminium ion in the mass spectrometer. However, this is unlikely since our analysis was carried out under acidic conditions at which the iminium ion predominates (Brandänge and Lindblom, 1979
5'(1')-iminium ion was quantified previously as the major product of both rabbit lung P450 2B4 and rat liver P450 2B1-catalyzed nicotine metabolism (Williams et al., 1990b
It is interesting to compare the kinetic parameters for nicotine 5'-oxidation by these P450 2A enzymes to the parameters determined previously by us for the nicotine-derived carcinogens (S)-NNN and NNK (Jalas et al., 2005
; Wong et al., 2005
). As was true for NNN 5'-oxidation and NNK
-hydroxylation, rat P450 2A3 and mouse P450 2A5 were excellent catalysts of nicotine 5'-oxidation. The Km values for the 5'-oxidation of nicotine for both P450 2A3 and P450 2A5 were similar to those for NNK
-hydroxylation and 2.5- to 10-fold higher than those for the 5'-oxidation of (S)-NNN (Wong et al., 2005
). The 5'-oxidation of both (S)-nicotine and (S)-NNN by the mouse P450 2A4, which is 98% identical to P450 2A5, was much less efficient. Likewise P450 2A4 is not an efficient catalyst of NNK
-hydroxylation. The relative efficiencies of the human P450s 2A6 and 2A13 for these three substrates are much more variable than the rodent enzymes. P450 2A6 is an excellent catalyst of (S)-NNN 5'-oxidation, with a Km value of <3 µM, significantly lower than the 144 µM we report here for nicotine 5'-oxidation. P450 2A6 is a poor catalyst of NNK
-hydroxylation, but P450 2A13 is an outstanding catalyst, whereas P450 2A6 and 2A13 only differ modestly in their relative catalytic activity for the 5'-oxidation of (S)-nicotine and (S)-NNN.
Kinetic parameters have been determined previously for cotinine formation by P450 2A6. Reported Km values ranged from 11 to 45 µM (Nakajima et al., 1996
; Messina et al., 1997
; Yamazaki et al., 1999
). The lowest value of 11 µM was reported using microsomes from Sf21 cells expressing P450 2A6, similar to the Sf9 baculovirus expression system used in the present study. We report here a significantly higher Km value of 144 µM. One explanation for the much higher Km value reported here for P450 2A6 is that in the previous studies, the rate of cotinine formation was not a measure of total nicotine 5'-oxidation.
In Table 1, we present data for nicotine metabolism by P450 2A enzymes in the presence of human liver cytosol. Detectable amounts of the 5'-iminium ion were present in reactions with P450s 2A3, 2A4, and 2A13. Under the conditions of our experiment, the rate of cotinine formation for P450 2A13 reached a maximum at about one-fourth the nicotine concentration at which the rate of total nicotine 5'-oxidation was the greatest. In P450 2A3 and 2A4, the rate of cotinine formation and total 5'-oxidation reached a maximum at similar nicotine concentrations; however, nicotine
5'(1')-iminium ion was detected at all concentrations.
The nicotine concentration at which cotinine formation will be saturated is dependent not only on the ratio of aldehyde oxidase to P450 enzyme but on the rate of the reaction and the relative Km value of the P450 enzyme and aldehyde oxidase. The Km value for the formation of cotinine from nicotine
5'(1')-iminium ion by human liver aldehyde oxidase was reported to be 0.85 µM (Obach, 2004
), very low compared with the Km value for nicotine 5'-oxidation for P450 2A enzymes.
The conditions of our kinetic experiments with P450 2A6 in the presence of cytosol were such that we did not detect the nicotine
5'(1')-iminium ion. However, we monitored this metabolite and therefore are confident that all products of 5'-oxidation were included in our determination of kinetic parameters. This was not the case in the previous reports (Nakajima et al., 1996
; Messina et al., 1997
; Yamazaki et al., 1999
). Both Nakijima et al. (1996) and Messina et al. (1997
) report adding enough cytosol in human liver microsome reactions to maximize cotinine formation; however, it is not clear whether this was done for the expressed P450s or whether it was done at various nicotine concentrations. The lymphoblastoid system used by these investigators expresses very little enzyme, and the analyses were carried out close to the limit of detection for the HPLC UV assay used. The amount of cotinine generated by lymphoblastoid expressing P450 2A6 at Vmax was less than twice the reported limit of detection, 300 pmol of cotinine per milliliter of reaction (Messina et al., 1997
). The limit of detection for the radioflow HPLC assay used in the present study was less than 1 pmol metabolite per milliliter of reaction, depending on the specific activity of the [5-3H]nicotine used. These differences in the sensitivity of quantitation may contribute to the different kinetic parameters reported in the previous studies.
The recently reported Km value of 20 µM for cotinine formation by P450 2A13 may also not represent the Km for nicotine 5'-oxidation since the iminium ion was not quantified, and based on our results it is likely to be present (Bao et al., 2005
). We report here a Km value of 75 µM for P450 2A13-catalyzed 5'-oxidation; this is about half the value for P450 2A6. In addition, the Vmax value for P450 2A13 is 2.4 times higher than that for P450 2A6. Therefore, the data in the present study characterize P450 2A13 as a more efficient catalyst of nicotine 5'-oxidation than is P450 2A6.
In addition to nicotine 5'-oxidation, all five P450 2A enzymes catalyzed the formation of nornicotine. P450s 2A3, 2A4, 2A5, and 2A13 catalyzed nornicotine formation to similar extents (1114.8% of total metabolism). However, P450 2A6-catalyzed nornicotine metabolism was only about 5% of total metabolism. Nornicotine formation accounts for about 0.4% of the nicotine metabolites excreted by smokers, snuff users, and individuals on the nicotine patch (Benowitz et al., 1994
; Davis and Curvall, 1999
). Nornicotine is formed by loss of formaldehyde from N'-(hydroxymethyl)nornicotine (Fig. 1), the likely product of the P450-catalyzed reaction. It was reported previously that the rabbit P450 2A9/10 (isolated as a mixture) was an excellent catalyst of both nicotine 5'-oxidation and methyl oxidation (Williams et al., 1990a
). Nornicotine formation accounted for 24% of the total metabolites generated by these rabbit 2A enzymes, which are 84 to 85% identical to the five P450 2A enzymes in the present study (Peng et al., 1993
).
In a previous study, we reported that P450 2A6 catalyzed the formation of amino ketone (a product of 2'-oxidation) at about 11% the rate of cotinine formation (Hecht et al., 2000
). In the present study, no amino ketone was detected by radioflow HPLC analysis, and only a small amount was detected by LC/MS/MS analysis on P450 2A6-catalyzed nicotine metabolism. The limit of detection for a radioactive metabolite was about 2% of the nicotine
5'(1')-iminium ion. There are a number of differences between the two studies. In the previous study, cytosol was included in the reaction, and cotinine was quantified by HPLC with UV detection. The formation of amino ketone was independently quantified by gas chromatography/MS analysis after derivatization with benzoyl chloride. We did not monitor the formation of nicotine
5'(1')-iminium; therefore, the rate of amino ketone formation relative to total 5'-oxidation might have been significantly less than the 11% reported relative to cotinine formation. Another difference in the analysis between the two studies that may have resulted in detection of a greater amount of amino ketone is the treatment of the sample before GC/MS analysis. In the previous study, reactions were terminated with base, and then nicotine and metabolites were extracted into methylene chloride and back-extracted into acid. This manipulation of the sample may have resulted in an increased recovery of amino ketone from the reaction mixture and also may have shifted the equilibrium from the 2'-iminium ion and 2'-hydroxynicotine toward amino ketone. Experiments to accurately quantify the rate of nicotine 2'-oxidation are ongoing.
In summary, we report here that both rat P450 2A3 and mouse P450 2A5 are more efficient catalysts of nicotine 5'-oxidation than are P450 2A6 and P450 2A13. All four enzymes also catalyze methyl oxidation. The product of this reaction, nornicotine, is the amine precursor of the tobacco carcinogen NNN (Hecht, 1998
). If endogenous nitrosation occurred in smokers, this would be a second source of NNN in these individuals.
| Footnotes |
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Article, publication date, and citation information can be found at http://dmd.aspetjournals.org.
ABBREVIATIONS: NNK, 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanone; NNN, N'-nitrosonornicotine; HPLC, high-performance liquid chromatography; TFA, trifluoroacetic acid; OR, oxidoreductase; MS, mass spectrometry; LC/MS/MS, liquid chromatography/tandem mass spectrometry; SRM, selective reaction monitoring.
Address correspondence to: Dr. Sharon E. Murphy, The Cancer Center, University of Minnesota, Mayo Mail Code 806, 420 Delaware St. SE, Minneapolis, MN 55455. E-mail: murph062{at}umn.edu
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-hydroxylation and coumarin 7-hydroxylation by rat esophageal microsomes and cytochrome P450 2A3 and 2A6 enzymes. Chem Res Toxicol 12: 1254-1261.[CrossRef][Medline]
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