Inhibition of zaleplon metabolism by cimetidine in the human liver: in vitro studies with subcellular fractions and precision-cut liver slices

Xenobiotica. 2002 Oct;32(10):849-62. doi: 10.1080/00498250210158221.

Abstract

1. The effect of cimetidine on the metabolism of zaleplon (ZAL) in human liver subcellular fractions and precision-cut liver slices was investigated. 2. ZAL was metabolized to a number of products including 5-oxo-ZAL (M2), which is known to be formed by aldehyde oxidase, N-desethyl-ZAL (DZAL), which is known to be formed by CYP3A forms, and N-desethyl-5-oxo-ZAL (M1). 3. Human liver microsomes catalysed the NADPH-dependent metabolism of ZAL to DZAL. Kinetic analysis of three microsomal preparations revealed mean (+/-SEM) S(50) and V(max) of 310 +/- 24 micro M and 920 +/- 274 pmol/min/mg protein, respectively. 4. Human liver cytosol preparations catalysed the metabolism of ZAL to M2. Kinetic analysis of three cytosol preparations revealed mean (+/-SEM), K(m) and V(max) of 124 +/- 14 micro M and 564 +/- 143 pmol/min/mg protein, respectively. 5. Cimetidine inhibited ZAL metabolism to DZAL in liver microsomes and to M2 in the liver cytosol. With a ZAL substrate concentration of 62 micro M, the calculated mean (+/-SEM, n = 3) IC50 were 596 +/- 103 and 231 +/- 23 micro M for DZAL and M2 formation, respectively. Kinetic analysis revealed that cimetidine was a competitive inhibitor of M2 formation in liver cytosol with a mean (+/-SEM, n = 3) K(i) of 155 +/- 16 micro M. 6. Freshly cut human liver slices metabolized ZAL to a number of products including 1, M2 and DZAL. 7. Cimetidine inhibited ZAL metabolism in liver slices to M1 and M2, but not to DZAL. Kinetic analysis revealed that cimetidine was a competitive inhibitor of M2 formation in liver slices with an average (n = 2 preparations) K(i) of 506 micro M. 8. The results demonstrate that cimetidine can inhibit both the CYP3A and aldehyde oxidase pathways of ZAL metabolism in the human liver. Cimetidine appears to be a more potent inhibitor of aldehyde oxidase than of CYP3A forms and hence in vivo is likely to have a more marked effect on ZAL metabolism to M2 than on DZAL formation. 9. The results also demonstrate that precision-cut liver slices may be a useful model system for in vitro drug-interaction studies.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acetamides / antagonists & inhibitors*
  • Acetamides / pharmacokinetics*
  • Cimetidine / pharmacokinetics*
  • Cytosol / metabolism
  • Dose-Response Relationship, Drug
  • Drug Interactions*
  • Enzyme Inhibitors / pharmacokinetics*
  • Humans
  • Hypnotics and Sedatives / antagonists & inhibitors*
  • Hypnotics and Sedatives / pharmacokinetics*
  • Inhibitory Concentration 50
  • Kinetics
  • Liver / drug effects*
  • Liver / metabolism
  • Models, Chemical
  • Pyrimidines / antagonists & inhibitors*
  • Pyrimidines / pharmacokinetics*
  • Subcellular Fractions / metabolism

Substances

  • Acetamides
  • Enzyme Inhibitors
  • Hypnotics and Sedatives
  • Pyrimidines
  • Cimetidine
  • zaleplon