TY - JOUR T1 - Glucuronidation of 7-Ethyl-10-hydroxycamptothecin (SN-38), an Active Metabolite of Irinotecan (CPT-11), by Human UGT1A1 Variants, G71R, P229Q, and Y486D JF - Drug Metabolism and Disposition JO - Drug Metab Dispos SP - 108 LP - 113 DO - 10.1124/dmd.31.1.108 VL - 31 IS - 1 AU - Hideto Jinno AU - Toshiko Tanaka-Kagawa AU - Nobumitsu Hanioka AU - Mayumi Saeki AU - Seiichi Ishida AU - Tetsuji Nishimura AU - Masanori Ando AU - Yoshiro Saito AU - Shogo Ozawa AU - Jun-ichi Sawada Y1 - 2003/01/01 UR - http://dmd.aspetjournals.org/content/31/1/108.abstract N2 - 7-Ethyl-10-hydroxycamptothecin (SN-38), an active metabolite of antitumor agent irinotecan (CPT-11), is conjugated and detoxified to SN-38-glucuronide by UDP-glucuronosyltransferase (UGT) 1A1. Genetic polymorphisms in UGT1A1 are thought to contribute to severe diarrhea and/or leukopenia caused by CPT-11. In this regard, it has been reported that polymorphisms in the promoter region could affect the CPT-11 pharmacokinetics and interindividual variation of toxicity. However, little information is available on the influence ofUGT1A1 polymorphisms in the coding region on the SN-38 glucuronidation activity. In the present study, wild-type (WT) and three variant (G71R, P229Q, and Y486D) cDNAs of human UGT1A1s were transiently expressed in COS-1 cells, and the kinetic parameters of these UGT1A1s were determined for SN-38 glucuronidation. A partially reduced UGT1A1 protein expression was observed in COS-1 cells for G71R and Y486D. WT UGT1A1 catalyzed SN-38 glucuronidation with an apparentKm value of 11.5 μM, whereas those of G71R, P229Q, and Y486D were 14.0, 18.0, and 63.5 μM, respectively. The SN-38 glucuronidation efficiency ratio (Vmax/Km) normalized for the level of expression was 1.4, 0.66 (47% of WT), 0.73 (52%), and 0.07 (5%) μl/min/mg of protein for WT, G71R, P229Q, and Y486D, respectively. Thus, the SN-38 glucuronidation activity of Y486D was drastically reduced, whereas the reduction in the G71R and P229Q activities was fractional. The decreased SN-38 glucuronidation efficiency ratio of G71R and P229Q could be critical in combination with other polymorphisms in the UGT1A1 gene. The American Society for Pharmacology and Experimental Therapeutics ER -