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Vol. 27, Issue 12, 1381-1391, December 1999
Division of Drug Metabolism, Azelastine, an antiallergy and antiasthmatic drug, has been
reported to be mainly N-demethylated to
desmethylazelastine in humans. In the present study, Eadie-Hofstee
plots of azelastine N-demethylation in human liver
microsomes were biphasic. In microsomes from human B-lymphoblast cells,
recombinant cytochrome P-450 (CYP)2D6 and CYP1A1 exhibited higher
azelastine N-demethylase activity than did other CYP
enzymes. On the other hand, recombinant CYP3A4 and CYP1A2 as well as
CYP1A1 and CYP2D6 in microsomes from baculovirus-infected insect cells
were active in azelastine N-demethylation. The
KM value of the recombinant CYP2D6 (2.1 µM) from baculovirus-infected insect cells was similar to the
KM value of the high-affinity (2.4 ± 1.3 µM) component in human liver microsomes. On the other hand, the
KM values of the recombinant CYP3A4 (51.1 µM) and CYP1A2 (125.4 µM) from baculovirus-infected insect cells
were similar to the KM value of the
low-affinity (79.7 ± 12.8 µM) component in human liver
microsomes. Bufuralol inhibited the high-affinity component, making the
Eadie-Hofstee plot in human liver microsomes monophasic. Azelastine
N-demethylase activity in human liver microsomes (5 µM
azelastine) was inhibited by ketoconazole, erythromycin, and
fluvoxamine (IC50 = 0.08, 18.2, and 17.2 µM,
respectively). Azelastine N-demethylase activity in
microsomes from twelve human livers was significantly correlated with
testosterone 6
-hydroxylase activity (r = 0.849, p < .0005). The percent contributions of CYP1A2,
CYP2D6, and CYP3A4 in human livers were predicted using several
approaches based on the concept of correction with CYP contents or
relative activity factors (RAFs). Our data suggested that the approach
using RAFCL (RAF as the ratio of clearance) is most
predictive of the N-demethylation clearance of
azelastine because it best reflects the observed
N-demethylation clearance in human liver microsomes.
Summarizing the results, azelastine N-demethylation in
humans liver microsomes is catalyzed mainly by CYP3A4 and CYP2D6, and
CYP1A2 to a small extent (in average, 76.6, 21.8, and 3.9%,
respectively), although the percent contribution of each isoform varied
among individuals.
Copyright © 1999 by The American Society for Pharmacology and Experimental Therapeutics
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