Glucuronidation of tizoxanide, an active metabolite of nitazoxanide, in liver and small intestine: Species differences in humans, monkeys, dogs, rats, and mice and responsible UDP-glucuronosyltransferase isoforms in humans

Tizoxanide (TZX) is an active metabolite of nitazoxanide (NTZ) originally developed as an antiparasitic agent, and is predominantly metabolized into TZX glucuronide. In the present study, TZX glucuronidation by the liver and intestinal microsomes of humans, monkeys, dogs, rats, and mice, and recombi...

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Veröffentlicht in:Comparative biochemistry and physiology. Toxicology & pharmacology 2024-09, Vol.283, p.109962, Article 109962
Hauptverfasser: Hanioka, Nobumitsu, Isobe, Takashi, Saito, Keita, Nagaoka, Kenjiro, Mori, Yoko, Jinno, Hideto, Ohkawara, Susumu, Tanaka-Kagawa, Toshiko
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container_title Comparative biochemistry and physiology. Toxicology & pharmacology
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creator Hanioka, Nobumitsu
Isobe, Takashi
Saito, Keita
Nagaoka, Kenjiro
Mori, Yoko
Jinno, Hideto
Ohkawara, Susumu
Tanaka-Kagawa, Toshiko
description Tizoxanide (TZX) is an active metabolite of nitazoxanide (NTZ) originally developed as an antiparasitic agent, and is predominantly metabolized into TZX glucuronide. In the present study, TZX glucuronidation by the liver and intestinal microsomes of humans, monkeys, dogs, rats, and mice, and recombinant human UDP-glucuronosyltransferase (UGT) were examined. The kinetics of TZX glucuronidation by the liver and intestinal microsomes followed the Michaelis–Menten or biphasic model, with species-specific variations in the intrinsic clearance (CLint). Rats and mice exhibited the highest CLint values for liver microsomes, while mice and rats were the highest for intestinal microsomes. Among human UGTs, UGT1A1 and UGT1A8 demonstrated significant glucuronidation activity. Estradiol and emodin inhibited TZX glucuronidation activities in the human liver and intestinal microsomes in a dose-dependent manner, with emodin showing stronger inhibition in the intestinal microsomes. These results suggest that the roles of UGT enzymes in TZX glucuronidation in the liver and small intestine differ extensively across species and that UGT1A1 and/or UGT1A8 mainly contribute to the metabolism and elimination of TZX in humans. This study presents the relevant and novel-appreciative report on TZX metabolism catalyzed by UGT enzymes, which may aid in the assessment of the antiparasitic, antibacterial, and antiviral activities of NTZ for the treatment of various infections. [Display omitted] •TZX glucuronidation abilities in the liver and small intestine differ extensively across species.•TZX glucuronidation activities in the liver microsomes were rats > mice ≥ monkeys > dogs > humans.•TZX glucuronidation activities in the intestinal microsomes were mice ≥ rats > monkeys > dogs > humans.•UGT1A1 and/or UGT1A8 mainly contribute to the metabolism and elimination of TZX in humans.
doi_str_mv 10.1016/j.cbpc.2024.109962
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Toxicology &amp; pharmacology</jtitle><addtitle>Comp Biochem Physiol C Toxicol Pharmacol</addtitle><date>2024-09</date><risdate>2024</risdate><volume>283</volume><spage>109962</spage><pages>109962-</pages><artnum>109962</artnum><issn>1532-0456</issn><eissn>1878-1659</eissn><abstract>Tizoxanide (TZX) is an active metabolite of nitazoxanide (NTZ) originally developed as an antiparasitic agent, and is predominantly metabolized into TZX glucuronide. In the present study, TZX glucuronidation by the liver and intestinal microsomes of humans, monkeys, dogs, rats, and mice, and recombinant human UDP-glucuronosyltransferase (UGT) were examined. The kinetics of TZX glucuronidation by the liver and intestinal microsomes followed the Michaelis–Menten or biphasic model, with species-specific variations in the intrinsic clearance (CLint). Rats and mice exhibited the highest CLint values for liver microsomes, while mice and rats were the highest for intestinal microsomes. Among human UGTs, UGT1A1 and UGT1A8 demonstrated significant glucuronidation activity. Estradiol and emodin inhibited TZX glucuronidation activities in the human liver and intestinal microsomes in a dose-dependent manner, with emodin showing stronger inhibition in the intestinal microsomes. These results suggest that the roles of UGT enzymes in TZX glucuronidation in the liver and small intestine differ extensively across species and that UGT1A1 and/or UGT1A8 mainly contribute to the metabolism and elimination of TZX in humans. This study presents the relevant and novel-appreciative report on TZX metabolism catalyzed by UGT enzymes, which may aid in the assessment of the antiparasitic, antibacterial, and antiviral activities of NTZ for the treatment of various infections. [Display omitted] •TZX glucuronidation abilities in the liver and small intestine differ extensively across species.•TZX glucuronidation activities in the liver microsomes were rats &gt; mice ≥ monkeys &gt; dogs &gt; humans.•TZX glucuronidation activities in the intestinal microsomes were mice ≥ rats &gt; monkeys &gt; dogs &gt; humans.•UGT1A1 and/or UGT1A8 mainly contribute to the metabolism and elimination of TZX in humans.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>38889874</pmid><doi>10.1016/j.cbpc.2024.109962</doi></addata></record>
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subjects Animals
Antiparasitic Agents - metabolism
Dogs
Female
Glucuronidation
Glucuronides - metabolism
Glucuronosyltransferase - metabolism
Humans
Intestinal microsomes
Intestine, Small - drug effects
Intestine, Small - enzymology
Intestine, Small - metabolism
Isoenzymes - metabolism
Liver - drug effects
Liver - enzymology
Liver - metabolism
Liver microsomes
Macaca fascicularis
Male
Mice
Microsomes - enzymology
Microsomes - metabolism
Microsomes, Liver - metabolism
Nitazoxanide (NTZ)
Nitro Compounds - metabolism
Rats
Rats, Sprague-Dawley
Species Specificity
Thiazoles - metabolism
Tizoxanide (TZX)
UDP-glucuronosyltransferase (UGT)
title Glucuronidation of tizoxanide, an active metabolite of nitazoxanide, in liver and small intestine: Species differences in humans, monkeys, dogs, rats, and mice and responsible UDP-glucuronosyltransferase isoforms in humans
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