Antipyrine as a probe for human oxidative drug metabolism: identification of the cytochrome P450 enzymes catalyzing 4-hydroxyantipyrine, 3-hydroxymethylantipyrine, and norantipyrine formation.

Article Details

Citation

Engel G, Hofmann U, Heidemann H, Cosme J, Eichelbaum M

Antipyrine as a probe for human oxidative drug metabolism: identification of the cytochrome P450 enzymes catalyzing 4-hydroxyantipyrine, 3-hydroxymethylantipyrine, and norantipyrine formation.

Clin Pharmacol Ther. 1996 Jun;59(6):613-23.

PubMed ID
8681486 [ View in PubMed
]
Abstract

BACKGROUND AND OBJECTIVE: Antipyrine has been widely used as a probe drug for human oxidative drug metabolism. To evaluate the role of antipyrine as a model drug, we have identified the cytochrome P450 enzymes involved in 4-hydroxyantipyrine, 3-hydroxymethylantipyrine, and norantipyrine formation. METHODS: We used the following methods for this study: (1) determination of enzyme kinetics for antipyrine metabolite formation in human liver microsomes, (2) inhibition studies with antibodies and inhibitors, and (3) formation of metabolites by stable expressed human P450 enzymes. RESULTS: Antipyrine biotransformation could be described by Michaelis-Menten kinetics: norantipyrine: maximum rate of metabolite formation (Vmax), 0.91 +/- 0.04 nmol . mg-1 . min-1; Michaelis-Menten constant (Km), 19.0 +/- 0.8 mmol/L; 4-hydroxyantipyrine: Vmax, 1.54 +/- 0.08 nmol . mg-1 . min-1;Km,39.6 +/- 2.5 mmol/L. Antibodies against CYP3A4 inhibited the formation of 4-hydroxyantipyrine by 25% to 65%. LKM-2 antibodies (anti-CYP2C) caused a 75% to 100% inhibition of norantipyrine and a 58% to 80% inhibition of 3-hydroxymethylantipyrine formation. Sulfaphenazole inhibited the formation of 3-hydroxymethylantipyrine and norantipyrine by about 50%. Furafylline and fluvoxamine inhibited norantipyrine, 4-hydroxyantipyrine, and 3-hydroxymethylantipyrine formation by about 30%, 30%, and 50%, respectively. Ketoconazole reduced formation of norantipyrine, 3-hydroxymethylantipyrine, and 4-hydroxyantipyrine by up to 80%. Formation in stable expressed enzymes indicated involvement of CYP1A2, CYP2B6, CYP2C, and CYP3A4 in metabolite formation. CONCLUSION: Antipyrine metabolites are formed by at least six hepatic cytochrome P450 enzymes (CYP1A2, CYP2B6, CYP2C8, CYP2C9, CYP2C18, and CYP3A4). 4-Hydroxylation is mainly catalyzed by CYP3A4 and, to a lesser extent, by CYP1A2. The CYP2C subfamily contains the predominant enzymes for norantipyrine formation, and CYP1A2 is also involved. Formation of 3-hydroxymethylantipyrine is mediated by CYP1A2 and CYP2C9. Because several cytochrome P450 enzymes are involved in the formation of each metabolite, antipyrine is not well suited as a probe for distinct human cytochrome P450 enzymes.

DrugBank Data that Cites this Article

Drug Enzymes
DrugEnzymeKindOrganismPharmacological ActionActions
AntipyrineCytochrome P450 1A2ProteinHumans
Unknown
Substrate
Details
AntipyrineCytochrome P450 2B6ProteinHumans
Unknown
Substrate
Details
AntipyrineCytochrome P450 2C18ProteinHumans
Unknown
Substrate
Details
AntipyrineCytochrome P450 2C19ProteinHumans
Unknown
Substrate
Details
AntipyrineCytochrome P450 2C8ProteinHumans
Unknown
Substrate
Details
AntipyrineCytochrome P450 2C9ProteinHumans
Unknown
Substrate
Details
AntipyrineCytochrome P450 2D6ProteinHumans
Unknown
Substrate
Details
AntipyrineCytochrome P450 3A4ProteinHumans
Unknown
Substrate
Details
Drug Interactions
DrugsInteraction
Acenocoumarol
Somatrem
The metabolism of Acenocoumarol can be increased when combined with Somatrem.
Acenocoumarol
Albusomatropin
The metabolism of Acenocoumarol can be increased when combined with Albusomatropin.
Acenocoumarol
Somatropin pegol
The metabolism of Acenocoumarol can be increased when combined with Somatropin pegol.
Acetaminophen
Somatrem
The metabolism of Acetaminophen can be increased when combined with Somatrem.
Acetaminophen
Albusomatropin
The metabolism of Acetaminophen can be increased when combined with Albusomatropin.