Human N-demethylation of (S)-mephenytoin by cytochrome P450s 2C9 and 2B6.

作者: Jae Wook Ko , David A. Flockhart , Zeruesenay Desta

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摘要: We tested the ability of human liver microsomes (HLMs) and recombinant cytochrome P450 (CYP or P450) isoforms to catalyze N-demethylation nirvanol-free (S)-mephenytoin [(S)-MP] in vitro. In mixed HLMs, kinetics (S)-MPN-demethylation suggested two contributing activities. A high-affinity/low-capacity component exhibited aKM 174.1 μM aVmax 170.5 pmol/mg protein/min, whereas a low-affinity/high-capacity 1911 3984 protein/min. The activity high-affinity was completely abolished by sulfaphenazole, with little effect on low-affinity component. Of tested, only CYP2B6 CYP2C9 formed nirvanol from (S)-MP. KMvalue (150 ± 42 μM) derived for close that obtained HLMs (KM = μM). predicted contribution this at concentrations (1–25 achieved after single 100-mg dose racemic MP is approximately 30% rate formation. At >1000 μM, we estimate >90% can be explained (CYP2B6). Therefore, (S)-MP may useful means probing vitro when are used, but it unlikely suitable phenotyping tool isoform vivo, where rarely encountered.

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