Role of CYP2A6 in Methimazole Bioactivation and Hepatotoxicity.

Role of CYP2A6 in Methimazole Bioactivation and Hepatotoxicity.
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DOI:
10.1021/acs.chemrestox.1c00300
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发表时间:
2021-12-20
影响因子:
4.1
通讯作者:
Ma X
Ma X
中科院分区:
医学3区
文献类型:
--
作者:
Li J;Hussain Z;Zhu J;Lei S;Lu J;Ma X

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甲巯咪唑(Methimazole, MMI)是一种应用广泛的抗甲状腺药物,但其引起肝毒性的机制尚不清楚。既往研究表明,MMI的肝脏代谢产生n -甲基硫脲导致肝损伤。然而,负责产生有毒代谢物n -甲基硫脲的特定酶仍不清楚。在这项研究中,我们筛选了MMI生产n -甲基硫脲的细胞色素P450 (CYPs)。CYP2A6被认为是催化MMI代谢生成n -甲基硫脲的关键酶。当用CYP2A6抑制剂预处理小鼠时,MMI形成的n -甲基硫脲明显减少。与此一致,CYP2A6抑制剂可阻止mmi诱导的肝毒性。这些结果表明CYP2A6在MMI的生物激活和肝毒性中是必不可少的。
Methimazole (MMI) is a widely used antithyroid drug, but it can cause hepatotoxicity by unknown mechanisms. Previous studies showed that hepatic metabolism of MMI produces N-methylthiourea leading to liver damage. However, the specific enzyme responsible for the production of the toxic metabolite N-methylthiourea is still unclear. In this study, we screened cytochromes P450 (CYPs) in N-methylthiourea production from MMI. CYP2A6 was identified as the key enzyme in catalyzing MMI metabolism to produce N-methylthiourea. When mice were pretreated with a CYP2A6 inhibitor, formation of N-methylthiourea from MMI was remarkably reduced. Consistently, the CYP2A6 inhibitor prevented MMI-induced hepatotoxicity. These results demonstrated that CYP2A6 is essential in MMI bioactivation and hepatotoxicity.
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