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Received for publication November 5, 2004.
Revised December 6, 2004.
Accepted for publication December 10, 2004.
A rapid and sensitive radiometric assay for assessing the potential of drugs to inhibit cytochrome P-450 (CYP) 3A4/5 in human liver microsomes is described. In contrast to the conventional testosterone 6
-hydroxylation assay, the new method does not require HPLC separation and mass spectrometry. The assay is based on the release of tritium as tritiated water that occurs upon CYP3A4/5-mediated 6
-hydroxylation of testosterone labelled with tritium in the 6
position. The radiolabelled product is separated from the substrate using 96-well solid phase extraction plates. Using commercially available [1,2,6,7-3H]testosterone as substrate, we demonstrated that the reaction is NADPH-dependent, sensitive to CYP3A4/5 inhibitors and a CYP3A4/5-specific inhibitory monoclonal antibody, but not to inhibitors of or antibodies against other CYP enzymes. The method was further improved by synthesis of testosterone specifically tritiated in the 6
position, which displayed greatly improved conversion rate with an ensuing increase in assay sensitivity. Competition experiments using tritiated and unlabelled testosterone indicated that CYP3A4-mediated 6
-hydroxylation exhibits positive cooperativity and a modest kinetic isotope effect. IC50 values for more than 40 structurally diverse chemical inhibitors were not significantly different from those determined in the testosterone 6
-hydroxylation assay, using HPLC-MS/MS analysis. All the steps of the new assay, namely incubation, product separation, and radioactivity counting, are performed in 96-well format, and can be automated. This assay thus represents a high throughput version of the classical testosterone 6
-hydroxylation assay, which is the most widely used method to assess the potential for CYP3A4/5 inhibition of new chemical entities.
Key words:
CYP inhibition, CYP3A, cytochrome P450, high throughput screening, inhibition, microsomes
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