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Vol. 28, Issue 12, 1493-1504, December 2000
Department of Pharmacology and Experimental Therapeutics, Tufts
University School of Medicine and the Division of Clinical
Pharmacology, New England Medical Center, Boston, Massachusetts (K.V.,
L.L.v.M., M.H.C., J.S.H., D.J.G.); and Gentest Corporation, Woburn,
Massachusetts (C.L.C.)
Relative activity factors (RAFs) and immunoquantified levels of
cytochrome P450 (CYP) isoforms both have been proposed as scaling
factors for the prediction of hepatic drug metabolism from studies
using cDNA-expressed CYPs. However, a systematic comparison of the two
approaches, including possible mechanisms underlying differences, is
not available. In this study, RAFs determined for CYPs 1A2, 2B6,
2C19, 2D6, and 3A4 in 12 human livers using lymphoblast-expressed
enzymes were compared to immunoquantified protein levels. 2C19, 2D6,
and 3A4 RAFs were similar to immunoquantified enzyme levels. In
contrast, 1A2 RAFs were 5- to 20-fold higher than CYP1A2 content, and
the RAF:content ratio was positively correlated with the molar ratio of
NADPH:CYP oxidoreductase (OR) to CYP1A2. The OR:CYP1A2 ratio in
lymphoblast microsomes was 92-fold lower than in human liver
microsomes. Reconstitution experiments demonstrated a 10- to 20-fold
lower activity at OR:CYP1A2 ratios similar to those in lymphoblasts,
compared with those in human livers. CYP2B6-containing lymphoblast
microsomes had 29- and 13-fold lower OR:CYP and cytochrome
b5:CYP ratios, respectively, than did
liver microsomes and yielded RAFs that were 6-fold higher than CYP2B6
content. Use of metabolic rates from cDNA-expressed CYPs containing
nonphysiologic concentrations of electron-transfer proteins
(relative to human liver microsomes) in conjunction with hepatic CYP
contents may lead to incorrect predictions of liver microsomal rates
and relative contributions of individual isoforms. Scaling factors used
in bridging the gap between expression systems and liver microsomes
should not only incorporate relative hepatic abundance of
individual CYPs but also account for differences in activity per
unit enzyme in the two systems.
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