Quantitative estimation of catechol/methylcatechol pathways in human phenytoin metabolism

Epilepsia. 1988 Nov-Dec;29(6):753-9. doi: 10.1111/j.1528-1157.1988.tb04231.x.

Abstract

A gas-liquid chromatographic (GLC) assay utilizing an on-column methylation technique has been developed to assay urinary concentration of a phenytoin (5,5-diphenylhydantoin, PHT) metabolite, 5-(4-hydroxy-3-methoxyphenyl)-5-phenylhydantoin (MCAT). Assay of MCAT in 35 24-h urine samples from patients receiving chronic phenytoin (PHT) therapy indicated that 0.3-4.0% of the daily dose could be accounted for as MCAT. The GLC assay was specific for MCAT, and provided a minimal estimate of the fraction of the PHT dose being metabolized via the catechol/MCAT route. Multiple regression analyses indicated that the amount of urinary MCAT was dependent on the quantities of both dihydrodiol (DHD) and p-phenolic (p-HPPH) metabolites. Oxidative pathways involving both DHD and p-HPPH as substrates appear to be responsible for catechol/MCAT production.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Catechols / metabolism
  • Catechols / urine*
  • Epilepsy / drug therapy
  • Epilepsy / urine
  • Humans
  • Phenytoin / analogs & derivatives*
  • Phenytoin / metabolism*
  • Phenytoin / therapeutic use
  • Phenytoin / urine

Substances

  • Catechols
  • hydroxyphenytoin
  • 5-(3,4-dihydroxyphenyl)-5-phenylhydantoin
  • 5-(4-hydroxy-3-methoxyphenyl)-5-phenylhydantoin
  • Phenytoin