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Research ArticleArticle

Sequential Metabolism Is Responsible for Diltiazem-Induced Time-Dependent Loss of CYP3A

Ping Zhao, Caroline A. Lee and Kent L. Kunze
Drug Metabolism and Disposition May 2007, 35 (5) 704-712; DOI: https://doi.org/10.1124/dmd.106.013847
Ping Zhao
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Caroline A. Lee
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Kent L. Kunze
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Abstract

Kinetic parameters (kinact and KI) obtained in microsomes are often used to predict time-dependent inactivation. We previously reported that microsomal inactivation kinetic parameters of diltiazem underpredicted CYP3A inactivation in hepatocytes. In this study, we evaluated the contributions of inactivation and reversible inhibition of CYP3A by diltiazem and its N-desmethyl (MA) and N,N-didesmethyl (MD) metabolites. In human liver microsomes, MA was a more potent time-dependent inactivator of CYP3A than its parent drug, with apparent kinact approximately 4-fold higher than that of diltiazem at a microsomal protein concentration of 0.2 mg/ml. MD did not inactivate CYP3A. Inactivation of CYP3A by diltiazem was dependent on microsomal protein concentration (25, 36, and 41% decrease in CYP3A activity at 0.2, 0.4, and 0.8 mg/ml microsomal protein, respectively, incubated with 10 μM diltiazem over 20 min), whereas inactivation by MA did not seem to be protein concentration-dependent. MA and MD were reversible inhibitors of CYP3A with competitive Ki values of 2.7 and 0.2 μM, respectively. In cryopreserved hepatocytes incubated with diltiazem, time-dependent loss of CYP3A was accompanied by increased formation of MA and MD, with the MA level similar to its KI at higher diltiazem concentrations. In addition, the metabolites appeared to be accumulated inside the cells. In summary, time-dependent CYP3A inactivation by MA seems to be the major contributor responsible for the loss of CYP3A in human liver microsomes and human hepatocytes incubated with diltiazem. These findings suggest that prediction of CYP3A loss based solely on microsomal inactivation parameters of parent drug may be inadequate.

Footnotes

  • This work was partially supported by National Institutes of Health GM32165.

  • Article, publication date, and citation information can be found at http://dmd.aspetjournals.org.

  • doi:10.1124/dmd.106.013847.

  • ABBREVIATIONS: MA, N-desmethyl diltiazem; HLM, human liver microsome; fc, free fraction of inactivator/inhibitor in hepatocyte incubation; Iu, free inactivator/inhibitor concentration in hepatocyte incubation medium; [I]u,ave, microsomal inactivator concentration corrected for both percentage free and metabolic consumption by time-averaged factor; Ki, reversible inhibition constant; kinact, maximum inactivation rate constant; KI, apparent inactivation constant; KI,u,ave, KI obtained using [I]u,ave; λ, apparent inactivation rate constant; MD, N,N-didesmethyl diltiazem; TDI, time-dependent inactivation.

    • Received November 9, 2006.
    • Accepted February 7, 2007.
  • The American Society for Pharmacology and Experimental Therapeutics
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Drug Metabolism and Disposition: 35 (5)
Drug Metabolism and Disposition
Vol. 35, Issue 5
1 May 2007
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Research ArticleArticle

Sequential Metabolism Is Responsible for Diltiazem-Induced Time-Dependent Loss of CYP3A

Ping Zhao, Caroline A. Lee and Kent L. Kunze
Drug Metabolism and Disposition May 1, 2007, 35 (5) 704-712; DOI: https://doi.org/10.1124/dmd.106.013847

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Research ArticleArticle

Sequential Metabolism Is Responsible for Diltiazem-Induced Time-Dependent Loss of CYP3A

Ping Zhao, Caroline A. Lee and Kent L. Kunze
Drug Metabolism and Disposition May 1, 2007, 35 (5) 704-712; DOI: https://doi.org/10.1124/dmd.106.013847
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