Department of Pharmaceutical Sciences, University of the Sciences in Philadelphia, Philadelphia, PA 19104, USA.
J Appl Toxicol. 2012 Feb;32(2):108-17. doi: 10.1002/jat.1639. Epub 2011 Feb 21.
Glitazones, used for type II diabetes, have been associated with liver damage in humans. A structural feature known as a 2,4-thiazolidinedione (TZD) ring may contribute to this toxicity. TZD rings are of interest since continued human exposure via the glitazones and various prototype drugs is possible. Previously, we found that 3-(3,5-dichlorophenyl)-2,4-thiazolidinedione (DCPT) was hepatotoxic in rats. To evaluate the importance of structure on DCPT toxicity, we therefore studied two series of analogs. The TZD ring was replaced with: a mercaptoacetic acid group {[[[(3,5-dichlorophenyl)amino]carbonyl]thio]acetic acid, DCTA}; a methylated TZD ring [3-(3,5-dichlorophenyl)-5-methyl-2,4-thiazolidinedione, DPMT]; and isomeric thiazolidinone rings [3-(3,5-dichlorophenyl)-2- and 3-(3,5-dichlorophenyl)-4-thiazolidinone, 2-DCTD and 4-DCTD, respectively]. The following phenyl ring-modified analogs were also tested: 3-phenyl-, 3-(4-chlorophenyl)-, 3-(3,5-dimethylphenyl)- and 3-[3,5-bis(trifluoromethyl)phenyl]-2,4-thiazolidinedione (PTZD, CPTD, DMPT and DFMPT, respectively). Toxicity was assessed in male Fischer 344 rats 24 h after administration of the compounds. In the TZD series only DPMT produced liver damage, as evidenced by elevated serum alanine aminotransferase (ALT) activities at 0.6 and 1.0 mmol kg(-1) (298.6 ± 176.1 and 327.3 ± 102.9 Sigma-Frankel units ml(-1) , respectively) vs corn oil controls (36.0 ± 11.3) and morphological changes in liver sections. Among the phenyl analogs, hepatotoxicity was observed in rats administered PTZD, CPTD and DMPT; with ALT values of 1196.2 ± 133.6, 1622.5 ± 218.5 and 2071.9 ± 217.8, respectively (1.0 mmol kg(-1) doses). Morphological examination revealed severe hepatic necrosis in these animals. Our results suggest that hepatotoxicity of these compounds is critically dependent on the presence of a TZD ring and also the phenyl substituents.
用于治疗 2 型糖尿病的噻唑烷二酮类药物已被证实会对人类肝脏造成损害。一种被称为 2,4-噻唑烷二酮(TZD)环的结构特征可能是导致这种毒性的原因。由于人类可能会持续通过噻唑烷二酮类药物及其各种原型药物接触到 TZD 环,因此 TZD 环备受关注。此前,我们发现 3-(3,5-二氯苯基)-2,4-噻唑烷二酮(DCPT)会对大鼠造成肝毒性。为了评估结构对 DCPT 毒性的重要性,我们因此研究了两个系列的类似物。我们用以下物质替换了 TZD 环:巯基乙酸基团{[[[(3,5-二氯苯基)氨基]羰基]硫代]乙酸,DCTA};甲基化的 TZD 环[3-(3,5-二氯苯基)-5-甲基-2,4-噻唑烷二酮,DPMT];以及互变异构的噻唑烷酮环[3-(3,5-二氯苯基)-2-和 3-(3,5-二氯苯基)-4-噻唑烷酮,2-DCTD 和 4-DCTD]。我们还测试了以下苯环修饰类似物:3-苯基-、3-(4-氯苯基)-、3-(3,5-二甲基苯基)-和 3-[3,5-双(三氟甲基)苯基]-2,4-噻唑烷二酮(PTZD、CPTD、DMPT 和 DFMPT)。在给药化合物后 24 小时,雄性 Fischer 344 大鼠被用于评估毒性。在 TZD 系列中,只有 DPMT 会导致肝损伤,这一点可以通过血清丙氨酸氨基转移酶(ALT)活性升高来证明,在 0.6 和 1.0mmol/kg 剂量下分别为 298.6±176.1 和 327.3±102.9Sigma-Frankel 单位/ml(分别),而玉米油对照组为 36.0±11.3,并且肝切片的形态学变化也表明了这一点。在苯类似物中,给予 PTZD、CPTD 和 DMPT 的大鼠出现了肝毒性;丙氨酸氨基转移酶(ALT)值分别为 1196.2±133.6、1622.5±218.5 和 2071.9±217.8(1.0mmol/kg 剂量)。形态学检查显示这些动物的肝脏有严重坏死。我们的结果表明,这些化合物的肝毒性严重依赖于 TZD 环的存在以及苯取代基。