RT Journal Article SR Electronic T1 METABOLIC ACTIVATION OF PIOGLITAZONE IDENTIFIED FROM RAT AND HUMAN LIVER MICROSOMES AND FRESHLY ISOLATED HEPATOCYTES JF Drug Metabolism and Disposition JO Drug Metab Dispos FD American Society for Pharmacology and Experimental Therapeutics SP 733 OP 738 DO 10.1124/dmd.104.002683 VO 33 IS 6 A1 T. M. Baughman A1 R. A. Graham A1 K. Wells-Knecht A1 I. S. Silver A1 L. O. Tyler A1 M. Wells-Knecht A1 Z. Zhao YR 2005 UL http://dmd.aspetjournals.org/content/33/6/733.abstract AB Pioglitazone is in the class of compounds known as the thiazolidinediones and is used to treat type 2 diabetes mellitus. The first in its class compound, troglitazone, was withdrawn from the U.S. market in 2000 due to a high incidence of hepatotoxicity and drug-induced liver failure. Reactive ring-opened products of troglitazone have been identified and evidence suggests that these reactive intermediates might be a potential cause of hepatotoxicity. The present work shows that pioglitazone has a reactive ring-opened product which was trapped by glutathione and positively identified by high performance liquid chromatography with tandem mass spectrometry accurate mass measurements. The novel thiazolidinedione ring-opened products of pioglitazone were identified in rat and human liver microsomes and in freshly isolated rat but not human hepatocytes. The American Society for Pharmacology and Experimental Therapeutics