Long L, Dolan M E
Section of Hematology-Oncology, Department of Medicine and Cancer Research Center, University of Chicago, 5841 South Maryland Avenue, Chicago, IL 60637, USA.
Clin Cancer Res. 2001 Dec;7(12):4239-44.
O(6)-Benzylguanine (BG) effectively inactivates the DNA repair protein O(6)-alkylguanine-DNA alkyltransferase and enhances the effectiveness of alkylating agents, such as 1,3-bis(2-chloroethyl)-1-nitrosourea and temozolomide, in vitro and in vivo. BG is presently in clinical trials with 1,3-bis(2-chloroethyl)-1-nitrosourea and temozolomide. Preclinical data demonstrate that BG enhances the sensitivity of cells to 5-[3-methyl-triazen-1-yl]-imidazole-4-carboxamide, the active intermediate of dacarbazine (DTIC), making the combination BG plus DTIC attractive for additional clinical development. DTIC requires metabolism by cytochrome P450 (CYP450) isoforms, 1A1, 1A2, and 2E1 to form two reactive N-demethylated metabolites, 5-[3-hydroxy-methyl-3-methyl-triazen-1-yl]-imidazole-4-carboxamide and 5-[3-methyl-triazen-1-yl]-imidazole-4-carboxamide, ultimately forming a methylating species responsible for its cytotoxicity. The objective of this study was to examine the role of CYP450 1A1 and 1A2 in the metabolism of BG and identify possible drug-drug interactions with DTIC. Our data show that CYP450 isoforms 1A1 and 1A2 are primarily responsible for both BG oxidation to O(6)-benzyl-8-oxoguanine (8-oxoBG) and additional debenzylation to 8-oxoguanine. The catalytic efficiency of BG oxidation is 16 times lower for CYP1A1 than CYP1A2; however, the catalytic efficiency of 8-oxoBG debenzylation is 11 times greater for CYP1A1 than CYP1A2. Furthermore, BG inhibits CYP1A1 and 1A2 catalyzed conversion of DTIC to active methylating species. 8-OxoBG also inhibited conversion of DTIC to active methylating species but to a much lesser extent. The concentrations of BG required to inhibit 50% of DTIC N-demethylation were 2.8, 0.13, and 3.8 microM in human liver microsomes, baculovirus overexpressed CYP1A1, and CYP1A2, respectively. Our results suggest that treating patients with BG as a means to enhance the effectiveness of DTIC is unlikely to result in a therapeutic benefit as a result of inhibition of the enzymes responsible for conversion of DTIC to its active methylating species.
O(6)-苄基鸟嘌呤(BG)可有效使DNA修复蛋白O(6)-烷基鸟嘌呤-DNA烷基转移酶失活,并增强烷化剂(如1,3-双(2-氯乙基)-1-亚硝基脲和替莫唑胺)在体外和体内的有效性。BG目前正在与1,3-双(2-氯乙基)-1-亚硝基脲和替莫唑胺进行临床试验。临床前数据表明,BG可增强细胞对达卡巴嗪(DTIC)的活性中间体5-[3-甲基-三氮烯-1-基]-咪唑-4-甲酰胺的敏感性,使得BG加DTIC的联合用药在进一步的临床开发中具有吸引力。DTIC需要通过细胞色素P450(CYP450)同工酶1A1、1A2和2E1进行代谢,以形成两种具有反应性的N-去甲基代谢产物,即5-[3-羟甲基-3-甲基-三氮烯-1-基]-咪唑-4-甲酰胺和5-[3-甲基-三氮烯-1-基]-咪唑-4-甲酰胺,最终形成一种导致其细胞毒性的甲基化物质。本研究的目的是研究CYP450 1A1和1A2在BG代谢中的作用,并确定与DTIC可能存在的药物相互作用。我们的数据表明,CYP450同工酶1A1和1A2主要负责将BG氧化为O(6)-苄基-8-氧代鸟嘌呤(8-氧代BG)以及进一步脱苄基生成8-氧代鸟嘌呤。BG氧化的催化效率在CYP1A1中比在CYP1A2中低16倍;然而,8-氧代BG脱苄基的催化效率在CYP1A1中比在CYP1A2中高11倍。此外,BG可抑制CYP1A1和1A2催化的DTIC向活性甲基化物质的转化。8-氧代BG也可抑制DTIC向活性甲基化物质的转化,但程度要小得多。在人肝微粒体、杆状病毒过表达的CYP1A1和CYP1A2中,抑制50%的DTIC N-去甲基化所需的BG浓度分别为2.8、0.13和3.8微摩尔。我们的结果表明,将BG作为增强DTIC有效性的一种手段来治疗患者,不太可能带来治疗益处,因为负责将DTIC转化为其活性甲基化物质的酶会受到抑制。