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Research ArticleArticle

Metabolic Activation of Mefenamic Acid Leading to Mefenamyl-S-Acyl-Glutathione Adduct Formation In Vitro and In Vivo in Rat

Mark P. Grillo, Michelle Tadano Lohr and Jill C. M. Wait
Drug Metabolism and Disposition August 2012, 40 (8) 1515-1526; DOI: https://doi.org/10.1124/dmd.112.046102
Mark P. Grillo
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Michelle Tadano Lohr
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Jill C. M. Wait
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Abstract

Carboxylic acid-containing nonsteroidal anti-inflammatory drugs (NSAIDs) can be metabolized to chemically reactive acyl glucuronide and/or S-acyl-CoA thioester metabolites capable of transacylating GSH. We investigated the metabolism of the NSAID mefenamic acid (MFA) to metabolites that transacylate GSH, leading to MFA-S-acyl-GSH thioester (MFA-SG) formation in incubations with rat and human hepatocytes and in vivo in rat bile. Thus, incubation of MFA (1–500 μM) with rat hepatocytes led to the detection of MFA-1-β-O-acyl glucuronide (MFA-1-β-O-G), MFA-S-acyl-CoA (MFA-SCoA), and MFA-SG by liquid chromatography-tandem mass spectrometric analysis. The Cmax of MFA-SG (330 nM; 10-min incubation with 100 μM MFA) was 120- to 1400-fold higher than the Cmax of drug S-acyl-GSH adducts detected from studies with other carboxylic acid drugs to date. MFA-SG was also detected in incubations with human hepatocytes, but at much lower concentrations. Inhibition of MFA acyl glucuronidation in rat hepatocytes had no effect on MFA-SG formation, whereas a 58 ± 1.7% inhibition of MFA-SCoA formation led to a corresponding 66 ± 3.5% inhibition of MFA-SG production. Reactivity comparisons with GSH in buffer showed MFA-SCoA to be 80-fold more reactive than MFA-1-β-O-G forming MFA-SG. MFA-SG was detected in MFA-dosed (100 mg/kg) rat bile, where 17.4 μg was excreted after administration. In summary, MFA exhibited bioactivation in rat and human hepatocytes and in vivo in rat, leading to reactive acylating derivatives that transacylate GSH. The formation of MFA-SG in hepatocytes was shown not to be mediated by reaction with MFA-1-β-O-G, and not solely by MFA-SCoA, but perhaps also by intermediary MFA-acyl-adenylate formation, which is currently under investigation.

Footnotes

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

    http://dx.doi.org/10.1124/dmd.112.046102.

  • ABBREVIATIONS:

    NSAID
    nonsteroidal anti-inflammatory drug
    MFA
    mefenamic acid
    MFA-SCoA
    MFA-S-acyl-CoA thioester
    MFA-SG
    mefenamyl-S-acyl-glutathione thioester
    MFA-1-β-O-G
    mefenamyl-1-β-O-acyl glucuronide
    I-SCoA
    ibuprofen-S-acyl-CoA
    I-SG
    ibuprofen-S-acyl-GSH
    D-SG
    diclofenac-S-acyl-glutathione
    CBZ
    carbamazepine
    CID
    collision-induced dissociation
    GST
    glutathione S-transferase
    LC-MS/MS
    liquid chromatography-tandem mass spectrometry
    MRM
    multiple reaction monitoring.

  • Received April 5, 2012.
  • Accepted May 10, 2012.
  • Copyright © 2012 by The American Society for Pharmacology and Experimental Therapeutics
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Drug Metabolism and Disposition: 40 (8)
Drug Metabolism and Disposition
Vol. 40, Issue 8
1 Aug 2012
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Research ArticleArticle

MEFENAMIC ACID-S-ACYL-GLUTATHIONE FORMATION

Mark P. Grillo, Michelle Tadano Lohr and Jill C. M. Wait
Drug Metabolism and Disposition August 1, 2012, 40 (8) 1515-1526; DOI: https://doi.org/10.1124/dmd.112.046102

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Research ArticleArticle

MEFENAMIC ACID-S-ACYL-GLUTATHIONE FORMATION

Mark P. Grillo, Michelle Tadano Lohr and Jill C. M. Wait
Drug Metabolism and Disposition August 1, 2012, 40 (8) 1515-1526; DOI: https://doi.org/10.1124/dmd.112.046102
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