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Vol. 28, Issue 8, 865-868, August 2000
Department of Pharmaceutics, Using selective cytochrome P450 (CYP) inhibitors and clinical
concentrations (4 µM) of dapsone (DDS), we found a major contribution of CYP2C9 and little or no contribution (
University of Washington,
Seattle, Washington
10%) of CYP3A4 and CYP2E1 to dapsone N-hydroxylation (DDS-NHY) in human liver
microsomes. Sulfaphenazole (2.16 µM) and tolbutamide (500 µM),
selective inhibitors of CYP2C9 (or 2C8/9), inhibited DDS-NHY by 48 ± 14 and 41 ± 15%, respectively. The apparent Michaelis-Menten
Km values for DDS-NHY by cloned CYP2C8, CYP2C9,
CYP2C18, and CYP2C19 were 75 µM, 31 µM, 25 µM, and greater than 1 mM, respectively. CYP3A4 and CYP2E1 were incapable of DDS-NHY at
4 µM DDS. S-mephenytoin (360 µM) activated DDS-NHY by
human liver microsomes and by CYP2C8 by 43 ± 36 and 193 ± 16%, respectively. This activation was cytochrome b5-dependent. In contrast,
S-mephenytoin inhibited DDS-NHY by CYP2C9, CYP2C18, and
CYP2C19 by 27 ± 2, 49 ± 1, and 32 ± 4%,
respectively. Because CYP2C18 and CYP19 are expressed at low
concentrations in the human liver, these observations indicate that at
clinical DDS concentrations, CYP2C9 is a major and CYP2C8 is a likely
minor contributor to DDS-NHY in human liver microsomes.
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