Cytochrome P450-Mediated Metabolism and CYP Inhibition for the Synthetic Peroxide Antimalarial OZ439

OZ439 is a potent synthetic ozonide evaluated for the treatment of uncomplicated malaria. The metabolite profile of OZ439 was characterized in vitro using human liver microsomes combined with LC/MS-MS, chemical derivatization, and metabolite synthesis. The primary biotransformations were monohydroxy...

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Veröffentlicht in:ACS infectious diseases 2021-07, Vol.7 (7), p.1885-1893
Hauptverfasser: Shackleford, David M, Chiu, Francis C. K, Katneni, Kasiram, Blundell, Scott, McLaren, Jenna, Wang, Xiaofang, Zhou, Lin, Sriraghavan, Kamaraj, Alker, André M, Hunziker, Daniel, Scheurer, Christian, Zhao, Qingjie, Dong, Yuxiang, Möhrle, Jörg J, Abla, Nada, Matile, Hugues, Wittlin, Sergio, Vennerstrom, Jonathan L, Charman, Susan A
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container_end_page 1893
container_issue 7
container_start_page 1885
container_title ACS infectious diseases
container_volume 7
creator Shackleford, David M
Chiu, Francis C. K
Katneni, Kasiram
Blundell, Scott
McLaren, Jenna
Wang, Xiaofang
Zhou, Lin
Sriraghavan, Kamaraj
Alker, André M
Hunziker, Daniel
Scheurer, Christian
Zhao, Qingjie
Dong, Yuxiang
Möhrle, Jörg J
Abla, Nada
Matile, Hugues
Wittlin, Sergio
Vennerstrom, Jonathan L
Charman, Susan A
description OZ439 is a potent synthetic ozonide evaluated for the treatment of uncomplicated malaria. The metabolite profile of OZ439 was characterized in vitro using human liver microsomes combined with LC/MS-MS, chemical derivatization, and metabolite synthesis. The primary biotransformations were monohydroxylation at the three distal carbon atoms of the spiroadamantane substructure, with minor contributions from N-oxidation of the morpholine nitrogen and deethylation cleavage of the morpholine ring. Secondary transformations resulted in the formation of dihydroxylation metabolites and metabolites containing both monohydroxylation and morpholine N-oxidation. With the exception of two minor metabolites, none of the other metabolites had appreciable antimalarial activity. Reaction phenotyping indicated that CYP3A4 is the enzyme responsible for the metabolism of OZ439, and it was found to inhibit CYP3A via both direct and mechanism-based inhibition. Elucidation of the metabolic pathways and kinetics will assist with efforts to predict potential metabolic drug–drug interactions and support physiologically based pharmacokinetic (PBPK) modeling.
doi_str_mv 10.1021/acsinfecdis.1c00225
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K ; Katneni, Kasiram ; Blundell, Scott ; McLaren, Jenna ; Wang, Xiaofang ; Zhou, Lin ; Sriraghavan, Kamaraj ; Alker, André M ; Hunziker, Daniel ; Scheurer, Christian ; Zhao, Qingjie ; Dong, Yuxiang ; Möhrle, Jörg J ; Abla, Nada ; Matile, Hugues ; Wittlin, Sergio ; Vennerstrom, Jonathan L ; Charman, Susan A</creator><creatorcontrib>Shackleford, David M ; Chiu, Francis C. K ; Katneni, Kasiram ; Blundell, Scott ; McLaren, Jenna ; Wang, Xiaofang ; Zhou, Lin ; Sriraghavan, Kamaraj ; Alker, André M ; Hunziker, Daniel ; Scheurer, Christian ; Zhao, Qingjie ; Dong, Yuxiang ; Möhrle, Jörg J ; Abla, Nada ; Matile, Hugues ; Wittlin, Sergio ; Vennerstrom, Jonathan L ; Charman, Susan A</creatorcontrib><description>OZ439 is a potent synthetic ozonide evaluated for the treatment of uncomplicated malaria. The metabolite profile of OZ439 was characterized in vitro using human liver microsomes combined with LC/MS-MS, chemical derivatization, and metabolite synthesis. 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subjects Antimalarials
Cytochrome P-450 CYP3A
Cytochrome P-450 Enzyme System
Humans
Microsomes, Liver
Peroxides
title Cytochrome P450-Mediated Metabolism and CYP Inhibition for the Synthetic Peroxide Antimalarial OZ439
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