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Research ArticleArticle

Evaluation of Erythromycin as a Tool to Assess CYP3A Contribution of Low Clearance Compounds in a Long-Term Hepatocyte Culture

Tom S. Chan, Young-Sun Scaringella, Klairynne Raymond and Mitchell E. Taub
Drug Metabolism and Disposition August 2020, 48 (8) 690-697; DOI: https://doi.org/10.1124/dmd.120.090951
Tom S. Chan
Boehringer Ingelheim Pharmaceuticals Inc., Drug Metabolism and Pharmacokinetics, Ridgefield, Connecticut
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Young-Sun Scaringella
Boehringer Ingelheim Pharmaceuticals Inc., Drug Metabolism and Pharmacokinetics, Ridgefield, Connecticut
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Klairynne Raymond
Boehringer Ingelheim Pharmaceuticals Inc., Drug Metabolism and Pharmacokinetics, Ridgefield, Connecticut
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Mitchell E. Taub
Boehringer Ingelheim Pharmaceuticals Inc., Drug Metabolism and Pharmacokinetics, Ridgefield, Connecticut
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    Fig. 1.

    Relationship between inhibition of APZ turnover (A) and KTZ exposure (B) in HepatoPac incubations (donor 1307). Values represent the mean ± S.D. from three replicates.

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    Fig. 2.

    Relationship between inhibition of APZ turnover (A) and ERY exposure (B) in HepatoPac incubations (donor 1307). Values represent the mean ± S.D. from three replicates.

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    Fig. 3.

    Time course of CYP3A activity in the presence and absence of ERY. Values represent the mean of two replicates. (A) The time-dependent changes in 1′OH MDZ activity. (B) The percent remaining CYP3A activity in the presence of ERY relative to the control.

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    Fig. 4.

    (A) Percent inhibition of APZ CLint by ERY in HepatoPac cultures from multiple donors. (B) ERY CLint from multiple donors at various concentrations of ERY. Values represent the mean ± S.D. of the number of donors used.

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    Fig. 5.

    CYP1A2 (A), CYP2B6 (B), and CYP3A4 (C) expression in the presence of up to 120 µM ERY, 50 µM OME, and 10 µM RIF. Values are depicted as the mean ± S.D. of three individual biologic replicates. *P < 0.05, statistically significant induction relative to the vehicle control.

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    Fig. 6.

    (A) Comparison of hepatocyte island morphology in the vehicle-treated control vs. hepatocyte island morphology in the presence of ERY (30 or 60 µM) and APAP (20 mM) 144 hours after start of the incubation. (B) Hepatocellular ALT content over the course of a 144 hours incubation (donor ACR). APAP, acetaminophen.

Tables

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    TABLE 1

    Hepatopac donor demographics

    LotSexAgeCause of Death
    1307Male31Anoxia, second to heroin overdose
    3121BFemale52Anoxia, second to cardiac arrest
    4202Female39Anoxia, second to cardiac arrest
    4297Female54Stroke
    ACR (10-donor pool)Mixed SexN/AN/A
    • N/A, not applicable.

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    TABLE 2

    MRM transitions used for liquid chromatography–tandem mass spectrometry analysis

    CompoundMRM TransitionEnzyme
    Alprazolam309→281 (+)CYP3A
    Diazepam285→193 (+)CYP2C19/CYP3A
    Erythromycin735→158 (+)CYP3A
    Estradiol 3-(β-D-glucuronide)447.0→271.1 (−)UGT1A1, UGT1A3
    Ketoconazole532→489 (+)CYP3A
    Midazolam342→324 (+)CYP3A
    Riluzole235→166 (+)CYP1A2
    Risperidone411→191 (+)CYP2D6
    Tolbutamide273→155 (+)CYP2C9
    Trifluoromethylumbelliferyl β-D-glucuronide407→231 (+)UGT1A6, UGT1A9, UGT2B7, UGT2B15
    Trifluoperazine N-glucuronide584.0→408.1 (+)UGT1A4
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    TABLE 3

    Effect of ERY on other CYP450 isoforms

    For incubations with diazepam, riluzole, and risperidone, CLint values were derived from the average of two replicates using donor 1307. Tolbutamide CLint values were derived from the average of three replicates each for donors 1307 and ACR. APZ CLint values were derived from the average of two to five replicates each from donors 1307, 3121B, 4202, 4297, and ACR.

    Probe SubstrateP450 Responsible for MetabolismPercent Metabolized by IsoformExpected Percent Inhibition by 30 µM ERYObserved Percent Inhibition by 30 µM ERY
    RiluzoleCYP2D6>8007.7
    TolbutamideCYP2C9>85026
    DiazepamCYP3A4/CYP2C1960/406074
    RisperidoneCYP2D6>93721
    AlprazolamCYP3A4>9010089 ± 11
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Drug Metabolism and Disposition: 48 (8)
Drug Metabolism and Disposition
Vol. 48, Issue 8
1 Aug 2020
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Research ArticleArticle

CYP3A Phenotyping in HepatoPac with Erythromycin

Tom S. Chan, Young-Sun Scaringella, Klairynne Raymond and Mitchell E. Taub
Drug Metabolism and Disposition August 1, 2020, 48 (8) 690-697; DOI: https://doi.org/10.1124/dmd.120.090951

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Research ArticleArticle

CYP3A Phenotyping in HepatoPac with Erythromycin

Tom S. Chan, Young-Sun Scaringella, Klairynne Raymond and Mitchell E. Taub
Drug Metabolism and Disposition August 1, 2020, 48 (8) 690-697; DOI: https://doi.org/10.1124/dmd.120.090951
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