Diazepam metabolism by rat and human liver in vitro: inhibition by mephenytoin

Xenobiotica. 1992 May;22(5):559-67. doi: 10.3109/00498259209053119.

Abstract

1. Diazepam metabolism and its association with mephenytoin hydroxylase were studied in vitro using human and rat livers. 2. Enzyme kinetic parameters were obtained for the formation of p-hydroxydiazepam (p-hydroxy-DZP), N-desmethyldiazepam (NDZ), and temazepam (TMZ) from diazepam (DZP) in rat liver fractions. The Km values for formation in rat of p-hydroxy-DZP, NDZ and TMZ were 14 +/- 3 (SEM) microM, 44 +/- 4 and 63 +/- 8, respectively; clearance values calculated from Vmax/Km were 5.7, 3.2 and 4.9 ml/g per min, respectively. 3. Mephenytoin (MP) competitively inhibited, in rat liver, the formation of NDZ, but not the formation of p-hydroxy-DZP or TMZ; in human liver neither NDZ nor TMZ formation was inhibited by MP. 4. In seven different human livers the formation of p-hydroxy-DZP represented a minor pathway compared to the formation of NDZ and TMZ.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Chromatography, Gas
  • Diazepam / metabolism*
  • Humans
  • Hydroxylation
  • In Vitro Techniques
  • Kinetics
  • Liver / drug effects
  • Liver / metabolism*
  • Male
  • Mephenytoin / pharmacology*
  • Methylation
  • Nordazepam / metabolism
  • Nordazepam / pharmacokinetics
  • Polymorphism, Genetic / physiology
  • Rats
  • Temazepam / metabolism
  • Temazepam / pharmacokinetics

Substances

  • Nordazepam
  • Temazepam
  • Diazepam
  • Mephenytoin