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Drug Metabolism and Disposition Fast Forward
First published on July 30, 2007; DOI: 10.1124/dmd.107.017145


0090-9556/07/3511-2006-2014$20.00
DMD 35:2006-2014, 2007

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Glucuronidation of Active Tamoxifen Metabolites by the Human UDP Glucuronosyltransferases

Dongxiao Sun, Arun K. Sharma, Ryan W. Dellinger, Andrea S. Blevins-Primeau, Renee M. Balliet, Gang Chen, Telih Boyiri, Shantu Amin, and Philip Lazarus

Cancer Prevention and Control (D.S., R.W.D., A.S.B.-P., R.M.B., G.C., P.L.) and Chemical Carcinogenesis and Chemoprevention (A.K.S., T.B., S.A.) Programs, Penn State Cancer Institute, and Departments of Pharmacology (D.S., A.K.S., R.D., A.S.B.-P., R.M.B., S.A., P.L.), Biochemistry and Molecular Biology (T.B.), and Public Health Sciences (G.C., P.L.), Penn State University College of Medicine, Hershey, Pennsylvania

Tamoxifen (TAM) is an antiestrogen that has been widely used in the treatment and prevention of breast cancer in women. One of the major mechanisms of metabolism and elimination of TAM and its major active metabolites 4-hydroxytamoxifen (4-OH-TAM) and 4-OH-N-desmethyl-TAM (endoxifen; 4-hydroxy-N-desmethyl-tamoxifen) is via glucuronidation. Although limited studies have been performed characterizing the glucuronidation of 4-OH-TAM, no studies have been performed on endoxifen. In the present study, characterization of the glucuronidating activities of human UDP glucuronosyltransferases (UGTs) against isomers of 4-OH-TAM and endoxifen was performed. Using homogenates of individual UGT-overexpressing cell lines, UGTs 2B7 ~ 1A8 > UGT1A10 exhibited the highest overall O-glucuronidating activity against trans-4-OH-TAM as determined by Vmax/KM, with the hepatic enzyme UGT2B7 exhibiting the highest binding affinity and lowest KM (3.7 µM). As determined by Vmax/KM, UGT1A10 exhibited the highest overall O-glucuronidating activity against cis-4-OH-TAM, 10-fold higher than the next-most active UGTs 1A1 and 2B7, but with UGT1A7 exhibiting the lowest KM. Although both N- and O-glucuronidation occurred for 4-OH-TAM in human liver microsomes, only O-glucuronidating activity was observed for endoxifen; no endoxifen-N-glucuronidation was observed for any UGT tested. UGTs 1A10 ~ 1A8 > UGT2B7 exhibited the highest overall glucuronidating activities as determined by Vmax/KM for trans-endoxifen, with the extrahepatic enzyme UGT1A10 exhibiting the highest binding affinity and lowest KM (39.9 µM). Similar to that observed for cis-4-OH-TAM, UGT1A10 also exhibited the highest activity for cis-endoxifen. These data suggest that several UGTs, including UGTs 1A10, 2B7, and 1A8 play an important role in the metabolism of 4-OH-TAM and endoxifen.


Address correspondence to: Dr. Philip Lazarus, Penn State Cancer Institute, Penn State University College of Medicine, Rm. C3739D, MC-H069, 500 University Dr., Hershey, PA 17033. E-mail: plazarus{at}psu.edu




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