Halpin R A, Ulm E H, Till A E, Kari P H, Vyas K P, Hunninghake D B, Duggan D E
Department of Drug Metabolism, Merck Research Laboratories, West Point, PA 19488.
Drug Metab Dispos. 1993 Nov-Dec;21(6):1003-11.
Lovastatin is a prodrug lactone whose open-chain 3,5-dihydroxy acid is a potent, competitive inhibitor of 3-hydroxy-3-methylglutaryl-coenzyme A reductase, the rate-limiting enzyme in cholesterol biosynthesis. The compound undergoes extensive and complex metabolism in animals and humans, with the metabolites excreted predominantly in bile. Radiochromatograms of bile from three human subjects and of bile and liver homogenates from mouse, rat, and dog displayed obvious species differences. Biotransformation of lovastatin occurred by three distinct routes, namely hydrolysis of the lactone ring to yield the pharmacologically active dihydroxy acid, cytochrome P-450-mediated oxidation of the fused-ring system, and beta-oxidation of the dihydroxy acid side chain. The first two reactions occurred in all four species, but the last was observed in mouse and rat only. The P-450 reactions, hydroxylation and a novel dehydrogenation reaction, yielded a 6'-hydroxylated metabolite of the dihydroxy acid and a 6'-exomethylene derivative as major and minor metabolites, respectively, in the bile of rat and dog. Human bile, which contained predominantly polar metabolites, yielded these metabolites in similar proportions only after mild hydrolysis at pH 5.0. In mouse and rat an atypical beta-oxidation of the dihydroxy acid side chain occurred to give a pentanoic acid derivative that was observed in liver homogenates. This metabolite was subsequently conjugated with taurine and excreted in the bile. From these studies, cytochrome P-450 oxidation is the primary route of phase I metabolism for lovastatin in human and dog, but beta-oxidation plays a major metabolic role in rodents.
洛伐他汀是一种前药内酯,其开链的3,5 - 二羟基酸是3 - 羟基 - 3 - 甲基戊二酰辅酶A还原酶的强效竞争性抑制剂,该酶是胆固醇生物合成中的限速酶。该化合物在动物和人类体内经历广泛而复杂的代谢,代谢产物主要通过胆汁排泄。三名人类受试者的胆汁以及小鼠、大鼠和狗的胆汁和肝脏匀浆的放射色谱图显示出明显的物种差异。洛伐他汀的生物转化通过三种不同途径发生,即内酯环水解产生药理活性二羟基酸、细胞色素P - 450介导的稠环系统氧化以及二羟基酸侧链的β - 氧化。前两个反应在所有四个物种中均发生,但最后一个反应仅在小鼠和大鼠中观察到。细胞色素P - 450反应(羟基化和一种新的脱氢反应)分别在大鼠和狗的胆汁中产生二羟基酸的6'- 羟基化代谢产物和6'- 亚甲基衍生物作为主要和次要代谢产物。人胆汁主要含有极性代谢产物,仅在pH 5.0温和水解后才以相似比例产生这些代谢产物。在小鼠和大鼠中,二羟基酸侧链发生非典型β - 氧化,产生一种戊酸衍生物,在肝脏匀浆中观察到。该代谢产物随后与牛磺酸结合并通过胆汁排泄。从这些研究中可知,细胞色素P - 450氧化是洛伐他汀在人和狗体内I相代谢的主要途径,但β - 氧化在啮齿动物中起主要代谢作用。