De Matteis F, Gibbs A H, Cantoni L, Francis J
Ciba Found Symp. 1980;76:119-39. doi: 10.1002/9780470720592.ch8.
2-Allyl-2-isopropylacetamide and other drugs containing either an allyl, a vinyl or an ethynyl unsaturated side chain are metabolized by liver cytochrome P-450 to reactive derivatives that irreversibly inhibit the haemoprotein by a suicidal type of inactivation. The main target is the haem moiety of cytochrome P-450 which is converted into abnormal porphyrins. These have been isolated from the liver of treated rats, extensively purified and compared with model porphyrins. The abnormal porphyrins incorporate metal ions in vitro much more readily than does their parent porphyrin, protoporphyrin. They are also much more basic than protoporphyrin, and on titration with a strong acid they readily give rise to a porphyrin monocation which then requires relatively large amounts of acid for conversion to the porphyrin dication. In all these respects and also in the intensity of their bathochromic shifts these abnormal porphyrins closely resemble N-alkylated porphyrins and they markedly differ from porphyrins that are substituted at one of their meso-carbon positions or which bear electron-withdrawing substituents at the beta-positions of the pyrrole rings. This suggests strongly that reactive derivatives of the unsaturated drugs act as electrophilic reagents and alkylate one of the pyrrole nitrogen atoms of cytochrome P-450. A model centred on the apoprotein of cytochrome P-450 is considered for the degradation of liver haem caused by unsaturated drugs. The apocytochrome may accept exchangeable pools of liver haem for degradation, leading to a state of haem depletion and to activation of delta-aminolaevulinate synthase.
2-烯丙基-2-异丙基乙酰胺及其他含有烯丙基、乙烯基或乙炔基不饱和侧链的药物,经肝脏细胞色素P-450代谢为活性衍生物,这些衍生物通过自杀式失活不可逆地抑制血红蛋白。主要靶点是细胞色素P-450的血红素部分,它会转化为异常卟啉。这些异常卟啉已从经处理大鼠的肝脏中分离出来,经过广泛纯化,并与模型卟啉进行了比较。异常卟啉在体外比其母体卟啉原卟啉更容易结合金属离子。它们的碱性也比原卟啉强得多,在用强酸滴定过程中,它们很容易生成卟啉单阳离子,然后需要相对大量的酸才能转化为卟啉二阳离子。在所有这些方面以及它们红移的强度方面,这些异常卟啉与N-烷基化卟啉非常相似,而与在其中一个中位碳原子上被取代或在吡咯环的β位带有吸电子取代基的卟啉明显不同。这强烈表明不饱和药物的活性衍生物作为亲电试剂,使细胞色素P-450的一个吡咯氮原子烷基化。考虑了一个以细胞色素P-450脱辅基蛋白为中心的模型,用于解释不饱和药物引起的肝脏血红素降解。脱辅基细胞色素可能接受肝脏血红素的可交换池进行降解,导致血红素耗竭状态并激活δ-氨基乙酰丙酸合酶。