Identification of an Epoxide Metabolite of Amitriptyline In Vitro and In Vivo

Amitriptyline (ATL), a tricyclic antidepressant, has been reported to cause various adverse effects, particularly hepatotoxicity. The mechanisms of ATL-induced hepatotoxicity remain unknown. The study was performed to identify the olefin epoxidation metabolite of ATL and determine the possible toxic...

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Veröffentlicht in:Chemical research in toxicology 2024-06, Vol.37 (6), p.935-943
Hauptverfasser: Li, Ximei, Xin, Lihua, Yang, Lan, Yang, Yi, Li, Wei, Zhang, Mingyu, Liao, Yufen, Sun, Chen, Li, Weiwei, Peng, Ying, Zheng, Jiang
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container_end_page 943
container_issue 6
container_start_page 935
container_title Chemical research in toxicology
container_volume 37
creator Li, Ximei
Xin, Lihua
Yang, Lan
Yang, Yi
Li, Wei
Zhang, Mingyu
Liao, Yufen
Sun, Chen
Li, Weiwei
Peng, Ying
Zheng, Jiang
description Amitriptyline (ATL), a tricyclic antidepressant, has been reported to cause various adverse effects, particularly hepatotoxicity. The mechanisms of ATL-induced hepatotoxicity remain unknown. The study was performed to identify the olefin epoxidation metabolite of ATL and determine the possible toxicity mechanism. Two glutathione (GSH) conjugates (M1 and M2) and two N-acetylcysteine (NAC) conjugates (M3 and M4) were detected in rat liver microsomal incubations supplemented with GSH and NAC, respectively. Moreover, M1/M2 and M3/M4 were respectively found in ATL-treated rat primary hepatocytes and in bile and urine of rats given ATL. Recombinant P450 enzyme incubations demonstrated that CYP3A4 was the primary enzyme involved in the olefin epoxidation of ATL. Treatment of hepatocytes with ATL resulted in significant cell death. Inhibition of CYP3A attenuated the susceptibility to the observed cytotoxicity of ATL. The metabolic activation of ATL most likely participates in the cytotoxicity of ATL.
doi_str_mv 10.1021/acs.chemrestox.4c00008
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subjects Amitriptyline - metabolism
Animals
Cells, Cultured
Cytochrome P-450 CYP3A - metabolism
Epoxy Compounds - chemistry
Epoxy Compounds - metabolism
Epoxy Compounds - toxicity
Glutathione - metabolism
Hepatocytes - drug effects
Hepatocytes - metabolism
Male
Microsomes, Liver - metabolism
Rats
Rats, Sprague-Dawley
title Identification of an Epoxide Metabolite of Amitriptyline In Vitro and In Vivo
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