PMID- 18725511 OWN - NLM STAT- MEDLINE DCOM- 20091113 LR - 20131121 IS - 1521-009X (Electronic) IS - 0090-9556 (Linking) VI - 36 IP - 11 DP - 2008 Nov TI - The role of human hepatic cytochrome P450 isozymes in the metabolism of racemic 3,4-methylenedioxy-methamphetamine and its enantiomers. PG - 2345-54 LID - 10.1124/dmd.108.021543 [doi] AB - The entactogen, 3,4-methylenedioxy-methamphetamine (MDMA), is a chiral drug that is mainly metabolized by N-demethylation and demethylenation. The involvement of cytochrome P450 (P450) isozymes in these metabolic steps has been studied by inhibition assays with human liver microsomes and, in part, with heterologously expressed human P450 isozymes. However, a comprehensive study on the involvement of all relevant human P450s has not been published yet. In addition, the chirality of this drug was not considered in these in vitro studies. The aim of the present work was to study the contribution of human P450 isozymes in the N-demethylation and demethylenation of racemic MDMA and its single enantiomers. MDMA and its enantiomers were incubated using heterologously expressed human P450s, and the metabolites were quantified by gas chromatography-mass spectrometry after derivatization with S-heptafluorobutyrylprolyl chloride. The highest contribution for the N-demethylation as calculated from the enzyme kinetic data, were obtained for CYP2B6 (R,S-MDMA), CYP1A2 (R-MDMA), and CYP2B6 (S-MDMA). In the case of the demethylenation, the isozyme with the highest contribution to net clearance for R,S-MDMA, R-MDMA, and S-MDMA was CYP2D6. For the first time, marked enantioselectivity was observed for N-demethylation and demethylenation by CYP2C19 with a preference for the S-enantiomers. In addition, CYP2D6 showed preference for S-MDMA in the case of demethylenation. None of the other isozymes showed major preferences for certain enantiomers. In conclusion, therefore, the different pharmacokinetic properties of the MDMA enantiomers may be caused by enantioselective metabolism by CYP2C19 and CYP2D6. FAU - Meyer, Markus R AU - Meyer MR AD - Department of Experimental and Clinical Toxicology, Institute of Experimental and Clinical Pharmacology and Toxicology, Saarland University, Building 46, D-66421 Homburg (Saar), Germany. FAU - Peters, Frank T AU - Peters FT FAU - Maurer, Hans H AU - Maurer HH LA - eng PT - Comparative Study PT - Journal Article DEP - 20080825 PL - United States TA - Drug Metab Dispos JT - Drug metabolism and disposition: the biological fate of chemicals JID - 9421550 RN - 0 (Isoenzymes) RN - EC 1.14.14.1 (Cytochrome P-450 CYP1A2) RN - EC 1.14.14.1 (Cytochrome P-450 CYP2D6) RN - KE1SEN21RM (N-Methyl-3,4-methylenedioxyamphetamine) SB - IM MH - Cytochrome P-450 CYP1A2/chemistry/*physiology MH - Cytochrome P-450 CYP2D6/chemistry/*physiology MH - Humans MH - Isoenzymes/chemistry/physiology MH - Liver/enzymology/metabolism MH - Microsomes, Liver/enzymology/*metabolism MH - N-Methyl-3,4-methylenedioxyamphetamine/*chemistry/*pharmacokinetics MH - Stereoisomerism EDAT- 2008/08/30 09:00 MHDA- 2009/11/17 06:00 CRDT- 2008/08/30 09:00 PHST- 2008/08/30 09:00 [pubmed] PHST- 2009/11/17 06:00 [medline] PHST- 2008/08/30 09:00 [entrez] AID - dmd.108.021543 [pii] AID - 10.1124/dmd.108.021543 [doi] PST - ppublish SO - Drug Metab Dispos. 2008 Nov;36(11):2345-54. doi: 10.1124/dmd.108.021543. Epub 2008 Aug 25.