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Assessing the Reactivity of Acyl Glucuronide Metabolites Hokkanen J, Komu M & Tolonen A. Admescope Ltd, Oulu, Finland www.admescope.com Introduction Results The goal of this work was to set up an assay to assess the reactivity of acyl glucuronide metabolites in liver microsomes. With the aid of UPLC/TOF-MS the isomeric AGs formed via acyl migration can be separated. Furthermore the disappearance by hydrolysis can be differentiated from acyl migration. Degradation of Zomepirac 1-O-β-AG Peak area, % of 0 min Glucuronide conjugation of the drugs is most commonly considered as a detoxification route, but in the presence of carboxylic acid moiety in a parent drug or a metabolite, reactive acyl glucuronide conjugates (AGs) can be formed. These conjugates can mediate idiosyncratic toxicity by binding to cellular enzymes, proteins and DNA. The glucuronide moiety of acyl glucuronides migrates to form several isomeric products, including an aldehyde form. The disappearance rate of acyl glucuronide metabolites is shown to correlate with the toxicity risk. 1,2,3 100 1-O-b-AG 1-O-b-AG relative other AGs 50 0 0 1 2 3 Fig 2. Peak areas of 1-O-acyl glucuronides relative to peak area at 0 min. Disappearance of 1-O--AG is illustrated with black, formation of isomeric acyl glucuronides by acyl migration with red and relative disappearance of 1-O--AG with blue. 4 Incubation time (h) Acyl migration HOOC HO HO O O OH R HOOC HO HO O OH R O O Table 1: Half-lives for 1-O--acyl glucuronides of reference compounds HOOC HO O O HOOC HO O OH OH O HOOC HO N O Protein R O O OH O OH OH R O OH R Fig 1. An isomerization process in which the acyl group migrates from one position to another one, revealing reactive aldehyde functionality, is called acyl migration. Acyl group is highlighted in red and aldehyde formation/ protein binding in blue. Category1-2 Compound Observed T1/2 (h) Relative T1/2 (h)a T1/2 (h) in buffer (pH 7.4)1-2 Montelukast 4.3 NA, > 40 37.5 Safe Repaglinide 4.8 13.7 11.5 Safe Valproic acid 4.4 29.8 79 Safe Gemfibrozil 6.2 NA, > 40 44 - 71.4 Safe Telmisartan 3.7 32.3 26 - 45.6 Safe Diclofenac 0.2 0.3 0.5 - 0.7 Warning Indomethacin 1.2 2.2 1.4 - 1.7 Warning S-Naproxen 2.0 4.4 1.8 - 2.2 Warning Tolmetin 0.5 0.4 0.3 - 0.4 Warning Furosemide 2.6 3.1 3.2 - 5.3 Warning Isoxepac 0.6 0.6 0.3 Withdrawn Zomepirac 0.5 0.6 0.4 - 0.5 Withdrawn a) Hydrolysis is neglected, NA = by hydrolysis only, no acyl migration observed Method Conclusions The study compounds were incubated at 100 µM concentration with pooled human liver microsomes (1.0 mg/ml) in the presence of cofactor UDPGA (1 mM) for 40 min for the formation of AG conjugate. These pre-incubations were diluted with a phosphate buffer containing UDP to suppress the formation of AG in the secondary incubation. The secondary incubations were sampled up to 6h and the samples were analysed using UPLC/TOF-MS to monitor the chemical stability of the AG formed in the microsomal incubation. The observed data was used to calculate the half-lives of the acyl glucuronide metabolites. In addition, half-lives based on acyl migration only were calculated to eliminate the effect of ester hydrolysis (chemical or esterase based) from the disappearance rate, by using the relation of the initial 1-O-β-AG to the total abundance of all isomeric AGs. The stability of 1-O--AGs formed in the human liver microsomal incubations were studied and compared to the literature values. The safe compounds possess longer half-lives and thus can be differentiated from compounds with known toxicity risks. The relative half-lives for 1-O--AGs were calculated relative to combined peak area of all AGs to neglect the effect of disappearance caused by hydrolysis, which occured due to the microsome-originated esterase enzymes present in the secondary incubations. With these values the difference between safe and toxic compounds was even more pronounced, than with observed half-lives of initial 1-O--AGs only. The method is a valuable tool for assessing the reactivity of acyl glucuronide metabolites without a need for synthetized glucuronide metabolites. The relative degradation rate of 1-O-β-AG was determined by fitting the data to equation: 𝐴1−𝑂−𝛽−𝐴𝐺 ( ) = 𝐴0 ∗ 𝑒 −𝐾𝑡 𝐴𝐴𝐺,𝑡𝑜𝑡𝑎𝑙 where A1-O-β-AG is the abundance of 1-O-β-acyl glucuronide at each time point and AAG,total is the abundance of all acyl glucuronides (1-O-β-AG and acyl migration products) at each time point. A0 is the abundance of 1-Oβ-AG in the beginning of secondary incubation, K is the degradation rate constant and t is the incubation time in secondary incubation. Fitting was done using GraphPad Prism 5.04 software (GraphPad Software Inc). References: 1. Sawamura R. et al (2010) Drug Metab Disposit, 38; 1857- 1864. 2. Ebner T. et al (1999) Drug Metab. Dispos. 27; 1143-1149. 3. Chen Z. et al (2007) J Pharm Toxicol Meth. 55; 91-95 The half-life for 1-O-β-acyl glucuronide was obtained from the degradation rate constant: 𝑡1/2 = 𝑙𝑛2/𝐾 Admescope Ltd, Typpitie 1, FI-90620 Oulu, Finland. Tel +358 (0) 207 429 970, [email protected], www.admescope.com