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Vol. 27, Issue 10, 1099-1103, October 1999
Eli Lilly and Co., Indianapolis, Indiana (B.J.R., S.A.W., L.A.S.);
Western Maryland College, Westminster, Maryland (S.L.K.A.); Novo
Nordisk, Maaloer, Denmark (K.H.); and Indiana University, Indianapolis,
Indiana (B.H.)
The involvement of flavin-containing monooxygenases (FMOs)
in the formation of xanomeline N-oxide was examined in
various human and rat tissues. Expressed FMOs formed xanomeline
N-oxide at a significantly greater rate than did
expressed cytochromes P-450. Consistent with the involvement of FMO in
the formation of xanomeline N-oxide in human liver,
human kidney, rat liver, and rat kidney microsomes, this
biotransformation was sensitive to heat treatment, increased at pH 8.3, and inhibited by methimazole. The latter two characteristics were
effected to a lesser extent in human kidney, rat liver, and rat kidney
microsomes than were observed in human liver microsomes, suggesting the
involvement of a different FMO family member in this reaction in these
tissues. As additional proof of the involvement of FMO in the formation of xanomeline N-oxide, the formation of this metabolite
by a characterized human liver microsomal bank correlated with FMO
activity. The FMO forming xanomeline N-oxide by human
kidney microsomes exhibited a 20-fold lower
KM (average
KM = 5.5 µM) than that observed by the FMO present in human liver microsomes (average
KM of 107 µM). The involvement of an FMO
in the formation of xanomeline N-oxide in rat lung could
not be unequivocally demonstrated. These data and those in the
literature suggest that the increased prevalence of
N-oxidized metabolites of xanomeline after s.c. dosing
as compared with oral dosing may be due to differences in the affinity
of various FMO family members for xanomeline or to differences in exposure to xanomeline that these enzymes receive under different dosing regimens.
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