Identification of human cytochrome P450 isoforms involved in the metabolism of brotizolam
作者:C. SENDA、W. KISHIMOTO、K. SAKAI、A. NAGAKURA、T. IGARASHI*
DOI:10.1080/004982597240082
日期:1997.1
1. To identify the cytochrome P450 (CYP) isoenzyme(s) responsible for the major metabolic pathways of brotizolam in man, rye examined the metabolism of brotizolam using human liver microsomes and microsomes expressing individual human CYP isoenzymes (CYP1A1, 1A2, 2A6, 2B6, 2C9, 2C19, 2D6, 2E1, 3A4).2. Brotizolam was metabolized to alpha-OH-and 6-OH-brotizolam by human liver microsomes (n = 3). V-max for alpha- and beta-hydroxylation of brotizolam were 1470 +/- 259 and 8983 +/- 7740 pmol/min/mg protein respectively, and the corresponding K-m were 49 +/- 9.3 and 595 +/- 580 mu M respectively.3. Among CYP inhibitors examined (iurafylline, sulphaphenazole, quinidine, ketoconazole and cimetidine), ketoconazole showed the most potent inhibitory effect on brotizolam metabolism by human liver microsomes. K-i of ketoconazole for alpha -and 6-hydroxylation were 0.05 and 0.07 mu M respectively.4. When incubated with microsomes expressing individual human CYP isoenzymes (CYP1AI, 1A2, 2A6, 2B6, 2C9, 2C19, 2D6, 2E1, 3A4), brotizolam was metabolized only by CYP3AC.5. Brotizolam metabolism in human liver microsomes was almost completely inhibited by anti-CYP3A4 antiserum.6. These results suggest that CYP3A4 is predominantly responsible for both alpha- and 6-hydroxylation of brotizolam in human liver microsomes.