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Vol. 26, Issue 12, 1168-1173, December 1998
Department of Drug Metabolism, Merck Research Laboratories
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Introduction |
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-hydroxylation to drug...
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I
am very honored at being chosen as the recipient of the 1996 Bernard B. Brodie Award in Drug Metabolism and to join the ranks of the previous
recipients of the award (Gillette, 1979
; Coon, 1981
; Jerina, 1983
;
Mannering, 1986
; Nebert, 1986
; Levin, 1990
; Zeigler, 1991
; Guengerich,
1993
; Ortiz de Montellano, 1995
). I wish to thank the American Society
for Pharmacology and Experimental Therapeutics and Dow Elanco for their
recognition of the research done in my laboratory. I am also very
grateful to my colleagues and collaborators for their participation and
contributions to the research conducted in my laboratory. It has been a
privilege to work with so many dedicated and talented scientists over
the years in exploring the scientific new frontiers and meeting the many challenges we faced. I would particularly like to express my
sincere gratitude to my mentors, Professor Minor J. Coon at the
University of Michigan and Professor Allan Conney at Rutgers University, for the opportunity to work on some very fascinating and
challenging research projects and for setting high scientific and moral
standards to follow. Both Jud and Allan made monumental contributions
to our field; they are my role models.
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A Vibrant Environment |
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My entry into the area of cytochrome P450 and drug metabolism
research was totally accidental. It all started when I joined Jud
Coon's laboratory as a postdoctoral fellow after I completed my
graduate study in biochemistry at the University of North Carolina in
Chapel Hill. At that time, the major research effort in Jud's laboratory was the investigation of the fatty acid and hydrocarbon
-hydroxylase system in Pseudomonas oleovorans by Julian
(Bill) Peterson, Deb Basu, and Eva McKenna. Larry Cottam and Paul
Hollenberg worked on the pyruvate kinase project. The liver microsomal
-hydroxylase system was a new, small-effort project. Later,
Henry Strobel and Ann Autor joined me in pursuing this work. Since
1971, the microsomal cytochrome P450 system has been the major research
focus in Jud's laboratory. I am pleased to note that Bill Peterson,
Paul Hollenberg, Henry Strobel, and many of Jud's former graduate
students and postdoctoral fellows are all now making major
contributions to the cytochrome P450 and drug-metabolism field; this is
quite a compliment to Jud's mentorship.
It was a very exciting time when I joined Jud's laboratory. Peterson
had made tremendous progress in resolving the bacterial
-hydroxylase
system into three components: a flavoprotein, a nonheme iron protein
rubredoxin, and the
-hydroxylase (Peterson et al., 1966
).
Interestingly, cytochrome P450 is not a component of this
multicomponent enzyme system. Because of this progress, Jud suggested
that I initiate an investigation into the liver microsomal fatty acid
-hydroxylase system, perhaps using Peterson's approach. So we set
up our goal to solubilize, identify, and purify the components
necessary for fatty acid
-hydroxylation. Little did we know that it
would eventually take more than 10 years by many dedicated scientists
to accomplish this task. Since the bacterial system contained multiple
components, we assumed that the microsomal system would also contain
several components. Therefore, we decided that we would always combine
fractions for assay during purification. This was an important decision
since at that time, many investigators in the field appeared to be
concentrating more on the solubilization and purification of cytochrome
P450 alone. Our approach would ensure that we would not miss any
component essential for
-hydroxylation. At the beginning of this
investigation neither Jud nor I had any experience in dealing with the
membrane-bound enzyme system. In addition, we had no knowledge about
cytochrome P450 and drug metabolism. I also had no publications up to
that point. However, this lack of knowledge and experience did not
dampen my enthusiasm in our research efforts since exciting and new
findings were generated by Peterson and others from the bacterial
hydroxylase system almost on a daily basis, and we anticipated that
similar excitement could be generated from the microsomal hydroxylase work.
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Searching for Functional Components |
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My first attempt to solubilize the mammalian
-hydroxylase
system was to extract the rabbit liver microsomal suspension by diluted Tris buffer containing EDTA, a procedure used
successfully by Peterson to release rubredoxin from the bacterial cells
(Peterson et al., 1966
). After centrifugation, all
-hydroxylase activity was recovered in the microsomal fraction, and
no functional components were solubilized from the microsomal membrane
by this method. This and other initial attempts proved to be
unsuccessful, clearly indicating to us that the bacterial and mammalian
-hydroxylases are two very different enzyme systems.
For almost a year, I carried out daily experiments, systematically
examining various factors (pH, ionic strength, buffers, detergents,
sonication, etc.) that affect solubilization of the fatty
acid
-hydroxylase activity from rabbit liver microsomes. A variety
of agents (e.g. EDTA, dithiothreiotal, citrate, sucrose, and
glycerol) were found to increase the recovery of the
-hydroxylase activity in the supernatant fraction, although the mechanism by which
these agents enhanced activity recovery was totally unclear to me at
that time. By including many of these components in the solubilization
mixture, recovery of activity in the soluble fraction increased from
5% in the beginning to approximately 50%, probably an underestimation
due to the inhibitory effect of deoxycholate in the
-hydroxylase
assay. We know today that some of the components used in the initial
solubilization method are not needed for cytochrome P450
solubilization, but they were included at that time to increase the
activity recovery after solubilization, even by just a few per cent for
some of the components. I repeated the solubilization experiment
several times before I showed the data to Jud. I was hoping that the
solubilization results were good enough for publication, but Jud
thought that it would be a much better paper if we could include
resolution and reconstitution results. This was a good lesson to me:
don't just publish any paper if you can publish a good paper.
Resolution of the solubilized preparations proved to be as difficult as
the initial step. At first I thought that difficulties in fractionation
originated from the presence of detergent. But I soon found out that
all enzyme activities would end up in the particulate fraction by
centrifugation when detergent was removed from the preparations. A
series of experiments was conducted to determine the minimum
concentration of detergent needed to keep enzyme activity in solution.
Detergent was then incorporated into every fractionation step, followed
by reconstitution of the
-hydroxylase activity. This strategy paid
off handsomely since, at that time, incorporating detergent in
cytochrome P450 fractionation was not a common practice. Near the end
of 1967, the solubilized
-hydroxylase system was resolved by column
chromatography into three fractions. Although there was considerable
cross-contamination in each fraction, maximum
-hydroxylase activity
could be reconstituted by combining these three fractions. The brown
color fraction contained cytochrome P450, assayed for the first time in
our laboratory by a CO-difference spectrum. The yellow color fraction
contained NADPH-cytochrome P450 reductase, assayed by the
NADPH-dependent cytochrome c reduction. We contacted the late Henry
Kamin at Duke University for help, and Bettie Sue Masters, then a
member of Henry's laboratory, promptly and generously supplied us with
a sample of purified NADPH-cytochrome c reductase. Surprisingly, this
reductase, which was purified from protease-solubilized microsomes,
could not substitute for our reductase fraction in supporting
-hydroxylation, providing the first indication that
detergent-solubilized and protease-solubilized reductase exhibited
different catalytic functions. The third fraction required for
-hydroxylation was pink in color. Initially we thought that this
fraction contained a nonheme iron protein like rubredoxin. However,
this hope faded quickly as I found that the active component in this
fraction was stable at 100°C, unstable by ashing at high temperature
(which ruled out the involvement of metals), and extractable by organic
solvent. All of these results pointed to the involvement of lipid in
-hydroxylation. A manuscript describing the initial work on
solubilization, resolution, and reconstitution was promptly accepted
for publication. It was my first paper (Lu and Coon, 1968
) and,
fortunately, also a citation classic (Lu, 1992
). This reconstituted
system was further characterized (Lu et al., 1969a
, 1969b
;
Lu et al., 1970
), and the heat-stable factor was later identified by my good friend Henry Strobel as phosphatidylcholine (Strobel et al., 1970
). With this reconstituted system, we
could, for the first time, characterize the catalytic function of
cytochrome P450 and thus paved the way for eventual cytochrome P450
purification and the demonstration of multiple P450s.
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From -Hydroxylation to Drug Metabolism |
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Although the first successful solubilization, resolution, and
reconstitution of the liver microsomal cytochrome P450 system generated
much excitement in our own and other laboratories, there was also
skepticism about our studies (e.g. low activity of the reconstituted system, low specific content of the solubilized cytochrome P450, enzyme components not pure, number of components required for activity unknown). One often-asked question was whether the reconstituted
-hydroxylase system could also metabolize drugs.
Among the most popular substrates in the field of cytochrome P450 and
drug metabolism at that time were ethylmorphine and aniline, the
so-called type I and type II substrates. Because of my limited
knowledge about cytochrome P450, I tried benzphetamine instead as my
first drug substrate for the reconstituted system. I learned about
benzphetamine at one of the Federation Meetings in Atlantic City, and
this turned out to be a very lucky choice. Benzphetamine proved to be
one of the best drug substrates (Lu et al., 1969b
), whereas
the metabolism of ethylmorphine and aniline by the reconstituted system
was only marginal. We know today that these three drugs are metabolized
by different cytochrome P450s and that the enzyme preparations
available at that time may not contain all cytochrome P450 isoforms.
As I read more papers, I was fascinated by the literature and elegant contributions by many of the pioneers of the cytochrome P450 and drug-metabolism field. This was the field full of action and excitement involving biochemistry (heme and flavoproteins, enzyme mechanism involving multiple components, lipid-protein interactions, electron transport), pharmacology (in vivo and in vitro drug metabolism, enzyme induction and inhibition, drug action) and toxicology (metabolism-mediated toxicity; mechanism of cytotoxicity, mutagenicity, and carcinogenicity). There was no doubt in my mind that I should devote my research career to this wonderful scientific field.
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From One Cytochrome P450 to Many Cytochrome P450s |
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After my postdoctoral training, I had the good fortune to join the laboratory of Allan Conney, then at Hoffmann-LaRoche. At that time, there was an intense debate among investigators as to whether there is one or more than one cytochrome P450. This question is central to our understanding of cytochrome P450 and its role in drug metabolism, cytotoxicity, mutagenicity, and carcinogenicity. Therefore, the challenge to the investigators at that time was whether one could separate, purify, and characterize individual cytochrome P450s if multiple isoforms exist.
Previous studies from the laboratories of Conney, Mannering, and others
(Gillette et al., 1969
) had demonstrated that liver microsomes prepared from phenobarbital- or
3-methylcholanthrene-treated rats have different substrate
specificities in the metabolism of drugs and steroids. We thought that
as a first step to answer the question about cytochrome P450
multiplicity, the reconstituted system could be used to examine the
substrate specificity of cytochrome P450s isolated from different
sources, even though the cytochrome P450 preparations were not pure.
Susan West, who joined my laboratory shortly after my arrival at
Hoffmann-LaRoche, participated in these studies from the very
beginning. Susan was resourceful, hard-working, and dependable. She
made many important contributions in this and other research projects.
We isolated the three components from rats treated with either
phenobarbital or 3-methylcholanthrene and assayed benzphetamine
N-demethylation and benzo(a)pyrene hydroxylation in the
reconstituted system. Benzphetamine and benzo(a)pyrene were selected as
substrates since the metabolism of these two compounds was
preferentially induced in rats by phenobarbital and
3-methylcholanthrene treatment, respectively. As expected, cytochrome
P450 from phenobarbital-treated rats metabolized benzphetamine rapidly
and benzo(a)pyrene poorly, whereas P450 from
3-methylcholanthrene-treated rats metabolized benzo(a)pyrene rapidly
but benzphetamine poorly (Lu et al., 1971
; Lu et
al., 1972a
). Subsequent studies (Lu et al., 1973
)
indicated that substrate specificities of cytochrome P450 from
untreated rats differed from the cytochrome P450 from induced animals.
These results demonstrated that substrate specificity of liver
microsomes from rats treated with different inducers is determined
primarily by the cytochrome P450 component, rather than by the
reductase or the lipid.
Encouraged by these results, which pointed to the presence of multiple
cytochrome P450s, we initiated the purification of cytochrome P450 in
rats. In a very productive collaboration with Wayne Levine, Dene Ryan,
and Paul Thomas, a number of cytochrome P450 forms were purified and
characterized (Ryan et al., 1975
; Thomas et al.,
1976
). Joseph Kawalek and M. T. Huang also purified several cytochrome
P450s from rabbits (Kawalek et al., 1975
) and mice (Huang
et al., 1976
) for metabolism, toxicity, and mechanistic studies. These studies, along with those from the laboratory of Coon,
Guengerich, Johnson, Philpot, and Sato, paved the way for the discovery
of many more cytochrome P450s.
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The Lipid Dream |
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Since detergent was used for solubilization and resolution, the
question was raised as to whether the requirement of lipid for
catalytic activity in the reconstituted system is due to its reversal
of detergent inhibition on cytochrome P450 function. To address this
question, Mary Vore extracted lyophilized liver microsomes with organic
solvents (acetone and butanol) to remove the lipids. Under strictly
anhydrous conditions, virtually all neutral lipids and greater than
80% of the phospholipids were removed, while recovery of cytochrome
P450 and reductase was better than 80% (Vore et al., 1974a
,
1974b
). The lipid-depleted microsomes had greatly reduced activities
for metabolism, but activity could be restored by the addition of
lipids. These results indicate that the requirement of lipid for
metabolism activity is unrelated to the presence of detergent in the
reconstituted system. Subsequent studies showed that the lipid
component can be replaced by certain detergents (Lu et al.,
1974
) and that lipid may function by enhancing the interaction between
NADPH-cytochrome P450 reductase and cytochrome P450 (Miwa and Lu,
1981
).
I was hoping that with the lipid-depleted microsomes, I could extract cytochrome P450 from the microsomes without the use of any detergent. This dream was never fulfilled. Despite extensive effort, cytochrome P450 could not be released from the membrane unless a detergent was used.
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A New Inducer |
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In 1971, Arpad Somogyi, a postdoctoral fellow with Allan Conney,
demonstrated that 7,12-dimethylbenz(a)anthracene-induced adrenal
necrosis in female rats could be inhibited by steroids capable of
inducing aryl hydrocarbon hydroxylase (Somogyi et al., 1971
). Pregnenolone-16
-carbonitrile
(PCN)3 was among the most
potent agents being tested. Arpad suggested that together we
characterize the induction of cytochrome P450 in rat by PCN, a
hormonally inactive steroid. We found that the specificity of the
inductive effect of PCN on the oxidative metabolism of benzphetamine,
ethylmorphine, and benzo(a)pyrene differs from the specificity of
either phenobarbital or 3-methylcholanthrene (Lu et al.,
1972b
). These results suggest that PCN is a new type of cytochrome P450
inducer. Susan West subsequently purified the cytochrome P450 from
PCN-treated rats. Although electrophoretically pure, this cytochrome
P450 preparation exhibited little or no catalytic activity toward a
number of substrates when reconstituted with the reductase and lipid.
Various attempts were made to enhance activities of the reconstituted
system, but all efforts failed. As a result, we made the unwise
decision to drop this project. Today we know that PCN-induced
cytochrome P450 belongs to the CYP3A subfamily, and reconstitution of
this subfamily of cytochrome P450 has always been a problem. It also
turns out that this is one of the most important human cytochrome P450s
in the metabolism of many important therapeutic agents.
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Deuterium Isotope Effect and Metabolic Switching |
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In 1975, Gerald Miwa joined my laboratory as a postdoctoral fellow after completing his graduate study with Arthur Cho at the University of California, Los Angeles. Because of Gerald's interest and strong background in mechanistic organic chemistry, we initiated a series of studies to investigate the mechanism of cytochrome P450-catalyzed reactions, particularly the use of a deuterium isotope as a probe. My long-term collaboration with Gerald has been scientifically and personally very rewarding.
One of the most interesting studies carried out in this series was the
oxidative O-deethylation of 7-ethoxycoumarin by rat cytochrome P450s 1A1 and 2B1 (Miwa et al., 1984a
; Harada
et al., 1984
). Substitution of the hydrogens on the
-carbon of the ethoxy side chain of 7-ethoxycoumarin resulted in an
observed deuterium isotope effect of 2 for P450 1A1 and 4 for 2B1. The
intrinsic isotope effects for the O-deethylation of
7-ethoxycoumarin were 13-14 for both enzymes, indicating the masking
of the expression of the intrinsic isotope effect by other rate
factors. Careful analysis of the stoichiometric data by Nobuhiro Harada
and Gerald Miwa indicated that deuterated 7-ethoxycoumarin has no
effect on rat cytochrome P450 1A1-dependent NADPH oxidation, oxygen
and 7-ethoxycoumarin consumption, and H2O2
formation. Thus, despite a very large intrinsic isotope effect and a
significant observed isotope effect on the O-deethylation of
7-ethoxycoumarin, the oxidase and the overall monooxygenase activities
of rat 1A1 are not altered. Furthermore, the decreased rate in
O-deethylation was associated with a pronounced increase in
6-hydroxylation on the aromatic ring. These results suggest that
7-ethoxycoumarin can bind to the active site of rat 1A1 in at least two
different orientations and that the active oxygen species, once formed, is committed to catalysis. Therefore, cytochrome P450 is capable of
switching to an alternate metabolic site of the drug substrate when the
preferred site of metabolism is slowed down or blocked by deuterium or
other substituents.
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Bound Residues in Food-Producing Animals: A Regulatory Challenge |
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In 1978, I joined Merck Research Laboratories and established the Biochemical Toxicology Group in the Department of Animal and Exploratory Drug Metabolism. Turning my attention from basic cytochrome P450 research to drug development, I became interested in probing the possibility of using basic metabolism knowledge to develop safer and more efficacious drugs. The major objective of the group at that time was to evaluate the toxicological significance of covalently bound drug residues, a critical issue in the development of veterinary medicine in the 1970s.
Bound residues in food-producing animals are generated primarily from the metabolic activation of drugs to electrophilic metabolites that covalently bind to tissue macromolecules. The safety assessment of bound residues derived from toxic veterinary drugs presents a unique and difficult challenge to scientists involved both in product development and regulatory decision-making. The chemical nature of bound residues is generally unknown because of their extremely low levels in the tissues of food-producing animals as well as the complex nature of the in vivo metabolic activation leading to covalent binding of drug residues to numerous macromolecules. Furthermore, because drug residues are immobilized on macromolecules, most of the in vivo and in vitro methods used in toxicity evaluations are not suitable for covalently bound residues. Because of the paucity of scientific information, very little progress was made in regulatory policies for many years.
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Analytical vs. Mechanistic Approach |
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Ronidazole (fig. 1), a substituted
5-nitroimidazole used for the treatment of swine dysentery, was
selected as the model compound for our study. In swine, ronidazole is
extensively metabolized. After several days, a great portion of the
total radioactivity in liver and muscle is protein-bound, and no parent
compound can be found. Since ronidazole is mutagenic in Ames' test and
carcinogenic in rodents, meat containing bound residues cannot be
approved by the Food and Drug Administration (FDA) for human
consumption unless the safety of these bound residues can be
established. Two approaches can be used to study tissue-bound residues.
In the analytical approach, one attempts to isolate all tissue-bound residues and determine the structure and toxicity of these residues. This is the classic approach taken by many other laboratories but
proved to be too difficult technically to answer the regulatory questions. Alternatively, one can use the mechanistic approach to
define the metabolic pathway and chemical and biochemical mechanisms leading to covalent binding, along with the use of structure-activity relationship and model compounds to define the toxicity potential of
bound residues. After extensive discussions with Gerald Miwa, Susan
West, and Peter Wislocki, we decided to take the mechanistic approach,
starting with an in vitro covalent-binding study in rat
liver microsomes, followed by in vivo bound-residue studies in rats and swine (Lu et al., 1988
; Lu et al.,
1990
; Wislocki and Lu, 1990
). In all of these studies, the support of a
group of talented radiosynthesis chemists (Robert Ellsworth, Greg
Gatto, and Avery Rosegay) was invaluable, and the contributions
by Gerald Miwa and Peter Wislocki were outstanding.
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Covalent Binding: In Vitro vs. In Vivo |
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In a series of studies in rat-liver microsomes (table
1), we established that covalent binding
of ronidazole involves nitro reduction and binding of reactive species
to cysteine residues on proteins through the 2-methylene position (West
et al., 1982a
, 1982b
; Miwa et al., 1982
; Wislocki
et al., 1984a
; Miwa et al., 1984b
; Alvaro
et al., 1992
). A critical step in this mechanistic approach
was to demonstrate that ronidazole covalent adducts (i.e., bound residues) generated from in vitro studies were
identical to those obtained in vivo in rats and in swine,
the target animals (table 2). Extensive
characterization of the covalent adducts generated in vitro
made it possible to make this correlation in vivo since one
can focus on specific parameters in the more complex in vivo
studies.
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Mutagenicity of Metabolites and Bound Residues |
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Since many nitroimidazoles are mutagenic and carcinogenic, the ultimate goal of our study was to determine if bound residues derived from ronidazole (i.e., covalent adducts) are also mutagenic or carcinogenic. Our strategy was to establish a structure-mutagenicity relationship and to ask the question of whether ronidazole covalent adducts still retain the structural features necessary for mutagenicity and whether cysteine adducts, the ultimate hydrolysis products from protein-bound residues, are still mutagenic.
During ronidazole activation, 95% of the reactive intermediate formed
is converted to water-soluble breakdown products that are nonmutagenic
while the other 5% is protein-bound (Wislocki et al.,
1984b
; Lu et al., 1988
; Wislocki and Lu, 1990
). The
following observations support the conclusion that ronidazole protein
adducts are not mutagenic: (1) the structural features essential for
the mutagenic activity of ronidazole no longer exist in the protein adduct; (2) the ronidazole cysteine adduct is not mutagenic nor can it
be activated to a mutagenic product; and (3) the enzymatic hydrolysis
of ronidazole-bound proteins fails to generate any mutagenic products.
Thus, despite the fact that ronidazole is genotoxic, bound residues
generated from ronidazole are not.
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Regulatory Solution |
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In July 1994, The Center for Veterinary Medicine of the FDA issued
the "Guideline for the Human Food Safety Evaluation of Bound Residues
Derived from Carcinogenic New Animal Drugs." The end of the document
contains the following statement: "FDA has written this guideline
after considering the views of numerous scientists. In particular, FDA
has relied upon the paper entitled `Development of a Unified Approach
to Evaluate the Toxicological Potential of Bound Residues' [Lu
et al., 1990
]. Sponsors are directed to this paper for an
excellent overview of the bound residue issue. In addition, FDA
suggests that sponsors consider addressing the safety of the bound
residue of their own drugs refer to the paper entitled `Toxicological
Significance of Covalently Bound Drug Residues' [Lu et
al., 1988
]. This latter paper and references therein describe the
extensive work that was conducted in attempting to elucidate the
toxicological potential of the found residues of ronidazole."
The bound-residue project has been a very complex and challenging one. I was very fortunate to have a group of talented and dedicated colleagues (Raul Alvaro, Edward Bagan, Karen Fiorentini, Gerald Miwa, John Walsh, Regina Wang, Susan West, and Peter Wislocki) working together. My colleagues and I are very proud of our achievements in contributing to the regulatory guideline.
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Many Fruitful Collaborations |
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One of the most satisfying experiences in my research career has
been the collaboration with many talented scientists. These include the
metabolism of ivermectin with Lee Chiu (Chiu et al., 1987
),
the structure and function of quinone oxidoreductase with Chung S. Yang
(Ma et al., 1992
), the metabolism of polycyclic aromatic
hydrocarbons with Shen K. Yang and Peter Fu (Yang et al., 1982
), the catalytic mechanism of glutathione S-transferase with William Atkins (Atkins et al., 1993
), the metabolism of
carcinogens by cytochrome P450 and epoxide hydrolase with Wayne Levin
and Don Jerina (Lu et al., 1977
), and the study of
glutathione S-transferase with Regina Wang (Wang et al.,
1992
), and Su Huskey (Huskey et al., 1991
). To support drug
discovery and development, I collaborated with Regina Wang and Deborah
Newton to evaluate the role of CYP3A in lovastatin metabolism (Wang
et al., 1991
), the selectivity of cytochrome P450 inhibitors
(Newton et al., 1995
) and the substrate interaction with
CYP3A4 (Wang et al., 1997
), and with Jiunn Lin on many
strategic metabolism issues (Lin and Lu, 1997a
, 1997b
). Finally, my
long-term collaboration with Cecil Pickett on glutathione S-transferase
(Pickett and Lu, 1989
) has been extremely productive and rewarding. It
has been a privilege to work with so many talented individuals.
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Acknowledgement |
|---|
I would like to express my sincere thanks to Terry Rafferty for the preparation of this manuscript and for her friendship over the years.
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Footnotes |
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1 This article is dedicated to my wife, Lillian, and my daughters, Deborah and Catherine, for their love and support, and to my late father, Chao-ling, and mother, Weng-Ing, who did so much in their life to support, love, and educate their children.
2 Current address: Laboratory for Cancer Research, College of Pharmacy, Rutgers, The State University of New Jersey, Piscataway, NJ 08854.
Send reprint requests to: Anthony Y. H. Lu, Ph.D., Laboratory for Cancer Research, College of Pharmacy, Rutgers, The State University of New Jersey, Piscataway, New Jersey 08854.
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Abbreviations |
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Abbreviations used are:
PCN, pregnenolone-16
-carbonitrile;
FDA, Food and Drug Administration.
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-hydroxylation to drug...
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