![]() |
|
|
Vol. 27, Issue 3, 422-428, March 1999
Department of Pharmacokinetics, Medical Research Laboratories, Lederle (Japan), Ltd., Saitama, Japan (K.K., K.H., T.N., T.S., M.K.); and Department of Drug Metabolism and Molecular Toxicology, School of Pharmacy, Tokyo University of Pharmacy and Life Science, Tokyo, Japan (T.W.)
| |
Abstract |
|---|
|
|
|---|
A marked difference in hepatic activity of aldehyde oxidase between rats and monkeys was found to be responsible for the previously reported marked species difference in the metabolism of Zaleplon in vivo. In the postmitochondrial fractions, S-9s, from liver homogenates of these animals, Zaleplon was transformed in the presence of NADPH into the side chain oxidation product, N-desethyl-Zaleplon, and the aromatic ring oxidation product, 5-oxo-Zaleplon. In the rat S-9, N-desethyl-Zaleplon and 5-oxo-Zaleplon were a major and a very minor metabolites, respectively. However, in the monkey S-9, Zaleplon was transformed into 5-oxo-Zaleplon at a much higher rate than that for N-desethyl-Zaleplon formation. N-Desethyl-Zaleplon was formed in the monkey S-9 at a rate almost equal to that in the rat S-9. N-Desethyl-5-oxo-Zaleplon was formed at a minor rate only in the monkey S-9 through N-desethyl-Zaleplon as an obligatory intermediate. The hepatic activity for the formation of 5-oxo-Zaleplon in the monkey and rat was localized in cytosol and did not require NADPH. Sensitivity to various inhibitors and requirement of water as oxygen source, using H218O, strongly suggested that the hepatic cytosolic formation of 5-oxo-Zaleplon was mediated by aldehyde oxidase. N-Desethyl-Zaleplon was formed in the presence of NADPH by microsomes from the liver of rats and monkeys, and its formation was strongly suggested using various cytochrome P-450 inhibitors to be mediated by a number of cytochrome P-450 isoforms, such as 3A, 2C, and 2D subfamilies.
| |
Introduction |
|---|
|
|
|---|
Zaleplon, CL 284,846 (N-[3-(3-cyanopyrazolo[1,5-a]pyrimidine-7-yl)phenyl]-N-ethyl-acetamide),
is a nonbenzodiazepine compound with a preclinical profile indicative
of sedative-hypnotic properties (Vanover et al., 1994
). Zaleplon is
currently being developed as an ultra-short-acting sleep inducer with a
prompt onset of action, and it has been submitted for a new drug
application to the Food and Drug Administration in the United States,
and late phase II studies have been completed in Japan. A marked
species difference was found in metabolism of Zaleplon administered
orally, i.e., the major metabolite in the plasma of the rat, mouse, and dog is N-desethyl-Zaleplon, a side chain
oxidation product, and in that of the monkey and human is
5-oxo-Zaleplon, an oxidation product at a position adjacent
to the nitrogen atom of the pyrimidine ring (Chaudhary et al., 1994
).
The in vivo study also demonstrated that the N-deethylation
and ring oxidation products were found as minor metabolites in the
plasma of monkey and of the rat, mouse, and dog, respectively, and that
N-desethyl-5-oxo-Zaleplon existed as a minor
metabolite in the plasma of the human and monkey.
It may be presumed that the N-deethylation reaction from
Zaleplon to N-desethyl-Zaleplon proceeds by
microsomal cytochrome P-450 (CYP; EC
1.14.14.1) in the presence of NADPH and
molecular oxygen (Wislocki et al., 1980
). On the other hand, the
aromatic ring oxidation of Zaleplon to 5-oxo-Zaleplon may be
mediated by the molybdenum hydroxylase(s), aldehyde oxidase
(AO1; EC 1.2.3.1), xanthine oxidase (XO; EC 1.1.3.22),
and/or xanthine dehydrogenase (XD; EC 1.1.1.204), because Zaleplon, a
pyrimidine derivative, seems to be a structurally typical substrate for
these enzymes (Johns et al., 1969
). Pyridine, quinoline, pyrimidine, and their derivatives, including various drugs, are known to be oxidized at the
-carbon to the nitrogen atom of the heterocycles by
AO, XO, and/or XD in mammalian liver cytosol (Krenitsky et al., 1972
;
Beedham, 1987
). Many of the N-heterocycles for AO are oxidized by XO and XD, e.g., pyridoxal, 4-hydroxypyrimidine,
6-mercaptopurine, and pyrazolo[3.4-d]pyrimidine (Johns et
al., 1969
; Krenitsky et al., 1972
).
The hepatic oxidases, AO and XD, have been demonstrated to be products
from the corresponding genes in the human (Ichida et al., 1993
; Wright
et al., 1993
; Xu et al., 1994
). XO is a post-translational modification
product derived by an oxidative process from XD as a direct translation
product from the gene (Stirpe and Corte, 1968
; Corte and Stirpe, 1972
;
Waud and Rajagopalan, 1976
). Both XO and XD play an important role in
catabolism of hypoxanthine to uric acid via xanthine. Of these three
molybdenum hydroxylases, only XD requires NAD+ as
an electron acceptor for the maximal activity in the oxidation of
N-heterocycles, but the others do not require any cofactor for their enzyme function (Rajagopalan, 1980
). These cytosolic enzymes
contain a common electron transfer system in each subunit, i.e., one
molybdenum atom, two Fe/S clusters, and one flavin adenine dinucleotide
molecule (Rajagopalan et al., 1962
; Rajagopalan, 1980
; Beedham,
1987
). Water is used by these enzymes as a source of the oxygen atom
incorporated into the N-heterocycles with concomitant reduction of molecular oxygen to superoxide (Beedham, 1987
).
This article provides evidence that Zaleplon is transformed to 5-oxo-Zaleplon selectively by cytosolic AO and to N-desethyl-Zaleplon by microsomal CYPs in the liver of monkeys and rats. Evidence will also be provided that the previously reported marked species difference in Zaleplon metabolism in the monkey and rat in vivo is due to the marked difference in the hepatic AO activity between these animals.
| |
Materials and Methods |
|---|
|
|
|---|
Chemicals.
Zaleplon, its metabolites, and CL 218,872 as an internal standard for
HPLC were supplied by Wyeth-Ayerst Research Drug Metabolism Division
(Princeton, NJ). NAD+ and NADPH were purchased
from Oriental Yeast Co., Ltd. (Tokyo, Japan), and allopurinol,
methotrexate, oxipurinol,
-naphthoflavone, quinidine, and quinine
were purchased from Wako Pure Chemical Industries, Ltd. (Osaka, Japan).
Quinacrine, menadione, troleandomycin, and chlorozoxazone were obtained
from Sigma Chemical Co. (St. Louis, MO) and SKF 525-A (proadifen
hydrochloride) was obtained from Funakoshi (Tokyo, Japan). Furafylline,
sulfaphenazole, and (S)-(+)-mephenytoin were purchased from
Salford Ultrafine Chemicals and Research Ltd. (Manchester, UK),
H218O (97 atom%) was purchased
from Isotec Inc. (Miamisburg, OH). All other chemicals were of
analytical grade.
Preparation of Subcellular Fractions.
Male Sprague-Dawley rats (6 weeks old) were obtained from Charles River
Japan Laboratories, Inc. After starvation for 18 h, the rats were
sacrificed by exsanguination under ether anesthesia. The livers were
perfused with ice-cold 1.15% (w/v) potassium chloride (KCl), minced,
and homogenized to 30% (w/v) in the ice-cold 1.15% KCl/50 mM
sodium-potassium phosphate buffer solution (pH 7.4) with a Teflon-glass
homogenizer. The homogenate was centrifuged to obtain a
postmitochondrial fraction for 30 min at 9000g and 4°C and
an aliquot of the resultant supernatant was frozen rapidly using liquid
nitrogen and stored as S-9 at
80°C before use. All remaining supernatant was centrifuged for 60 min at 105,000g
and 0°C and the supernatant was dialyzed against approximately
1000-fold volume of 10 mM phosphate buffer (pH 7.4) for 18 h, then
frozen and stored as described above. The precipitate was resuspended in an appropriate volume of ice-cold 1.15% KCl/50 mM phosphate buffer
solution (pH 7.4). The suspension was recentrifuged at 105,000g for 1 h to remove cytosol. The washed
precipitate was resuspended with 1 mM EDTA/50 mM phosphate buffer
solution (pH 7.4) to gram liver equivalent per milliliter and
then stored at
80°C. One milliliter of S-9 or the
cytosolic fraction was equivalent to 333 mg of the liver and 1 ml of
the microsomal suspension to 1 g of the liver. The male cynomolgus
monkey liver was supplied under frozen conditions in dry ice from Shin
Nippon Biomedical Laboratories, Ltd. (Kagoshima, Japan) and prepared to
obtain S-9, cytosol, and microsomes by the same procedure as
described above. Protein concentration of each microsomal fraction was
determined by the Lowry method (Lowry et al., 1951
) using BSA as a
standard and the others were by the Lowry-trichloroacetic acid method. The protein concentrations of the S-9, cytosolic, and
microsomal fractions were 43.03, 30.25, and 20.12 mg/ml for monkey and
21.39, 20.89, and 8.14 mg/ml for rat, respectively.
Enzyme Assays.
The incubation mixture consisted of 20- to 50-mg liver equivalents per
ml of rat and monkey subcellular fractions, 0.1 mM EDTA and 0.1 M
potassium phosphate, pH 7.4, in the presence or absence of 5 mM NADPH.
After preincubation at 37°C for 1 min, the reaction was initiated by
adding DMSO solutions of Zaleplon to make a final concentration of 50 or 500 µM and followed by incubation at 37°C for 10 min in a
shaking water bath. DMSO had no effect on the metabolic formation at a
final concentration of less than 0.2% (v/v). Under the incubation
conditions chosen, metabolite formations were linear with respect to
time of incubation, protein concentration, and substrate concentration.
Reactions were terminated by adding 2-fold volumes of chilled
acetonitrile that included an internal standard. After vigorous
stirring, the mixtures were centrifuged (1500g for 15 min)
and 500 µl of clear supernatant was removed and evaporated at 40°C
under a nitrogen stream. The residues were dissolved in 200 to 400 µl
of 20% (v/v) acetonitrile-50 mM potassium phosphate, pH 6.8, and 50 µl of these solutions were injected into HPLC. For the CO inhibition
study in cytosol and microsomes, incubation mixtures were pretreated by
bubbling with 80% (v/v) CO/O2 obtained with a
gas divider apparatus (SGD-XC51, STEC Inc.) for 2 min. Zaleplon (50 µM) was added to the reaction mixture, the gas bubbling was continued
for 1 more min, and then the reaction system was quickly sealed with an
airtight cap and incubated for 20 min. The inhibition of
5-oxo-Zaleplon formation was studied in cytosol in the
presence of potassium cyanide (Coughlan et al., 1980
), allopurinol
(Elion et al., 1966
; Massey et al., 1970
), oxipurinol (Massey et al.,
1970
), methotrexate (Lewis et al., 1984
), quinacrine (Rajagopalan and
Handler, 1964
; Johns, 1967
), menadione (Johns, 1967
), and SKF 525-A
(Yoshihara and Tatsumi, 1985
; Robertson and Bland, 1993
). The
inhibitors were added in distilled water for potassium cyanide
and quinacrine or in DMSO solution [final concentration of 0.1%
(v/v)] for allopurinol, oxipurinol, methotrexate, menadione, and SKF
525-A. For the inhibition study on N-desethyl-Zaleplon
formation in microsomes, the incubations were performed in the
presence of specific inhibitors/substrates for CYP such as furafylline
(Rodrigues, 1994
; Newton et al., 1995
),
-naphthoflavone (Rodrigues,
1994
; Newton et al., 1995
), sulfaphenazole (Rodrigues, 1994
; Newton et
al., 1995
), tolubutamide (Loft et al., 1991
; Masimirembwa and Hasler,
1994
), (S)-(+)-mephenytoin (Loft et al., 1991
), quinidine
(Masimirembwa and Hasler, 1994
), quinine (Masimirembwa and Hasler,
1994
), chlorozoxazone (Peter et al., 1990
), and troleandomycin
(Rodrigues, 1994
; Newton et al., 1995
). The inhibitors were added in
distilled water for quinidine, quinine, sulfaphenazole, and
chlorozoxazone or in DMSO solution [final concentration of 0.1%
(v/v)] for furafylline,
-naphthoflavone, tolubutamide,
(S)-(+)-mephenytoin, and troleandomycin. After preincubation for 1 min in the presence of inhibitor and NADPH (5 mM), the reaction was initiated by addition of Zaleplon and followed incubation at 37°C
for 10 min.
HPLC Analysis. In all cases, chromatographic analysis was performed using a Develosil ODS-UG-5 column (4.6 × 150 mm; Nomura Chemical Co., Ltd., Aichi, Japan), with a mobile phase composed of acetonitrile and 50 mM phosphate buffer (pH 6.8) at ambient temperature. The column was eluted with acetonitrile gradient from 20% to 60% over 18 min by Waters LC Module-1 and a flow rate of 1.0 ml/min; the eluate was monitored continuously at 245 nm. No significant interference peaks appeared from the samples of the drug-free incubation mixture. The retention time for Zaleplon, N-desethyl-Zaleplon, 5-oxo-Zaleplon, N-desethyl-5-oxo-Zaleplon, and the internal standard was 17.6, 14.5, 8.5, 3.4, and 20.8 min, respectively. The amounts of the metabolites were determined from the standard curve based on the peak area ratio between the metabolites and the internal standard (calculated automatically by a weighted linear regression least squares method using Waters 820J Workstation). The standard curves were produced by measurement of the authentic standard samples through the same preparation procedures as those for the reaction samples. Calibration lines for all compounds were liner in the range 0.05 to 25 µM.
Incorporation of 18O into 5-Oxo-Zaleplon.
Partially purified rat liver AO was prepared by the method of Stell et
al. (1989)
and underwent lyophilizing. The reaction system contained
the lyophilized preparation (6 g wet liver equivalent), 5 mM Zaleplon,
and 0.1 M phosphate buffer (pH 7.4) consisting of 2.71 mg
KH2PO4, 28.67 mg
Na2HPO4 and 1 ml of
H218O or H2O. In each measurement,
the reaction system was incubated at 37°C for 5 h in a shaking
water bath, and then centrifuged at 15,000g for 10 min.
The supernatant was applied to Sep-Pack C-18 (Waters) and eluted with a
step gradient of aqueous methanol (0-50%). The fractions (10-30%
methanol) were gathered and evaporated to concentrate the
5-oxo-Zaleplon (determined by HPLC) and analyzed for
incorporation of 18O or 16O into
5-oxo-Zaleplon by a JEOL JMS-SX102A mass spectrometer under
the following condition: instrument, fast atom bombardment (positive); gun high voltage, 3 KV; accelerating voltage, 10 KV; filament current, 2 A; emission current, 5 mA, and gas, Xe.
| |
Results |
|---|
|
|
|---|
Marked Species Difference in Metabolism of Zaleplon by Rat and Monkey Liver S-9s. In the presence of NADPH, the postmitochondrial fraction, S-9, from rat liver homogenate transformed Zaleplon to N-desethyl-Zaleplon and 5-oxo-Zaleplon as a major and a very minor metabolite with higher polarities, respectively (Fig. 1A). In contrast, monkey liver S-9 transformed the sedative-hypnotic to 5-oxo- and N-desethyl-Zaleplons as a major and a minor metabolite, respectively, under the same incubation conditions as used for rat liver S-9 (Fig. 1B). 5-Oxo-N-desethyl-Zaleplon with higher polarity than the above two was also isolated by HPLC as a very minor metabolite from the reaction medium with the monkey S-9 when incubation was prolonged over 30 min (Fig. 1C), but not from that with the rat S-9. None of the metabolites were formed when the S-9s were heated (100°C, 10 min) before incubation (data not shown). These metabolites were further identified with the corresponding synthetic specimens by mass spectroscopy (MS) and UV absorption spectroscopy after being eluted from the HPLC column (data not shown).
|
Characterization of Enzyme Catalyzing 5-oxo- and N-Desethyl-5-oxo-Zaleplon Formations in Monkey Liver Cytosol. Zaleplon was incubated with subcellular fractions from monkey liver S-9, which was reconstituted from washed microsomes and dialyzed cytosol, for the characterization of the type of enzyme catalyzing the 5-oxo-Zaleplon formation. In the presence of NADPH, the reconstituted S-9 and dialyzed cytosol had almost equal activities of 167.28 ± 13.60 and 176.08 ± 2.93 nmol/g liver/min, respectively (Fig. 2a). The activity for 5-oxo-Zaleplon formation from Zaleplon in the monkey S-9 was localized in the cytosolic fraction, but not in microsomes (Fig. 3A). The cytosolic 5-oxo-Zaleplon formation in the monkey liver was little affected in the absence of NADPH. Similar results were obtained for the 5-oxo-Zaleplon formation as a very minor metabolic pathway by subcellular fractions of rat liver S-9 (data not shown).
|
|
|
|
Characterization of CYPs Catalyzing Microsomal N-desethyl-Zaleplon Formation in Rat and Monkey Livers. Activity of the N-dealkylation of Zaleplon to N-desethyl-Zaleplon, a typical reaction mediated by CYP(s), was localized in microsomes but not in cytosols from rat and monkey livers (Fig. 3B). The microsomal N-dealkylation reaction required NADPH as a cofactor and was strongly inhibited by CO (Table 2). Sulfaphenazole, quinidine, quinine, and troleandomycin strongly inhibited the microsomal N-deethylation of Zaleplon at their concentration of 0.1 mM, suggesting the microsomal reaction to be mediated by multiple isoforms of CYPs such as 2C, 2D, and 3A subfamilies.
|
| |
Discussion |
|---|
|
|
|---|
The present study provides direct evidence that the previously
demonstrated marked species difference in the in vivo metabolism of the
oral sedative-hypnotic, Zaleplon, between the monkey and rat (Chaudhary
et al., 1994
) results from by AO activity in their hepatic
postmitochondrial fractions, S-9s (Figs. 3 and
5). The present study also provides the
first evidence for the oxidation by AO of the
pyrazolo[1,5-a]pyrimidine, a fundamental structure of
Zaleplon. As demonstrated previously in the plasma of monkeys orally
administered Zaleplon (Chaudhary et al., 1994
), the major metabolite
was 5-oxo-Zaleplon and the minor metabolites were
N-desethyl-Zaleplon and
N-desethyl-5-oxo-Zaleplon in the monkey liver
S-9. Similarly, N-desethyl- and
5-oxo-Zaleplons were a major and a very minor metabolite,
respectively, in the rat liver S-9 as well as in the plasma
after orally administered Zaleplon as reported previously (Chaudhary et
al., 1994
). However, there was only a little difference in hepatic
activity of N-deethylation of Zaleplon in the S-9
and microsomal fractions between rats and monkeys.
N-Desethyl-5-oxo-Zaleplon was formed at a very low rate from 5-oxo-Zaleplon used as a substrate in the monkey S-9 and microsomal fraction in the presence of NADPH,
but not in the absence of the cofactor (data not shown).
|
In the monkey liver S-9, the major metabolite, 5-oxo-Zaleplon, was formed in cytosol without any cofactor and the minor, N-desethyl-Zaleplon, by microsomes in the presence of NADPH. N-Desethyl-5-oxo-Zaleplon was formed only from N-desethyl-Zaleplon as an obligatory intermediate by the cytosolic 5-oxygenation of N-desethyl-Zaleplon in the absence of NADPH in the monkey liver.
The hepatic cytosolic 5-oxygenation of Zaleplon and
N-desethyl-Zaleplon was attributable to a family
of molybdenum hydroxylases consisting of AO, XO, and XD, which are
widely distributed in cytosol of various tissues, especially the liver,
in mammals (Krenitsky et al., 1974
; Beedham et al., 1987a
).
H218O was found by MS to be the
source of the oxygen atom incorporated into the substrate. This has
been demonstrated directly using H218O with the oxidation of
xanthine by XO (Murray et al., 1966
; Hill and Sprecher, 1987
) and
indirectly under the anaerobic condition with
N1-methylnicotinamide by AO (Quinn and Greengard,
1966
). Of these enzymes, XD is excluded from possible participants in
the aromatic oxidation of Zaleplon because NAD+
had no effect on the 5-oxo-Zaleplon formation in monkey and
rat liver cytosols (data not shown). AO and XO are known to be
completely inhibited by cyanide anion acting as a potent ligand on the
molybdenum ion located in the active site of the enzymes (Coughlan et
al., 1980
). The hepatic cytosolic Zaleplon 5-oxidation was completely
inhibited by 1 mM KCN but not influenced by CO, the latter of which,
however, strongly inhibited the microsomal N-deethylation of Zaleplon.
Representative inhibitors have been proposed for clearly
differentiating the reaction mediated by AO from that by XO: quinacrine (Rajagopalan and Handler, 1964
; Johns, 1967
), menadione (Johns, 1967
),
and SKF 525-A (Yoshihara and Tatsumi, 1985
; Robertson and Bland, 1993
)
for AO and allopurinol (Elion et al., 1966
; Massey et al., 1970
),
oxipurinol (Massey et al., 1970
), and methotrexate (Lewis et al., 1984
)
for XO. The Zaleplon 5-oxidation was inhibited very strongly by
menadione and strongly by quinacrine and SKF 525-A, but slightly
inhibited by allopurinol, oxipurinol and methotrexate (Table 1).
Similar evidence was provided for the formation of 5-oxo-Zaleplon as a very minor metabolite in rat liver cytosol (data not shown). In a similar manner using these inhibitors, the hepatic cytosolic oxidation of the
-carbon adjacent to aromatic nitrogen has been demonstrated with BRL 55792 (Harrell et al., 1994
),
famciclovir (Clarke et al., 1995
), and
O6-benzylguanine (Roy et al., 1995
) to
be mediated by AO in mammalian liver cytosol. Actually, oxidation of
the N-containing aromatic heterocycles, 6-methylpurine
(Krenitsky et al., 1974
), bromonidine (Acheampong et al., 1996
), and
cinchona antimalarials (Beedham et al., 1987b
) are known to proceed at
much higher rates in hepatic cytosol from monkeys and humans than in
that from rats as demonstrated in the present study on the 5-oxidation
of Zaleplon. To our knowledge, except for the above drugs, nothing is
known about the oxidation of N-containing heterocyclic
aromatic compounds, especially pyrazolo[1,5-a]pyrimidine, a fundamental structure of Zaleplon, by AO in monkey liver.
The hepatic microsomal N-deethylation of the Zaleplon side
chain in rats and monkeys was a reaction mediated by CYP, because of
the requirement of NADPH as a cofactor and the strong inhibition by CO
(Table 2). Use of various inhibitors at a concentration of 0.1 or 10 and 100 µM for characterizing the molecular species of CYPs in the
rat strongly suggested that at least two CYPs were involved in the
oxidative N-deethylation of Zaleplon (Table 2), because the
microsomal N-dealkylation reaction was strongly inhibited by
quinine and quinine, inhibitors for CYP2D subfamily in the rat and
human, respectively. In addition, these alkaloids are good substrates
for CYP3A (Guengrich et al., 1986
), so that they may play a role as
competitive inhibitors in the N-deethylation of Zaleplon. A
possibility of the direct participation of CYP 3A in the microsomal
N-deethylation was strongly supported by the potent
inhibition with troleandomycin, an irreversible inhibitor for human
CYP3A3/4. Sulfaphenazole, an inhibitor for human CYP 2C9/10, also
strongly inhibited the microsomal N-dealkylation reaction. A
further study is in progress in our laboratories to identify the
molecular species of human CYPs involved in the Zaleplon N-deethylation using recombinant human enzymes and to
provide direct evidence for the participation in the Zaleplon
5-oxidation of AO purified from monkey liver cytosol.
| |
Acknowledgments |
|---|
We thank K. Hayashi for generating mass spectral data for 5-oxo-Zaleplon. We also thank the following personnel of Wyeth-Ayerst Research (Princeton, NJ): Dr. G. Fisher, Dr. S. E. Ball, Dr. J. A. Scatina, and Dr. V. V. Subrahmanyan for helpful discussions during the course of this work and K. V. Wimbert for proofreading the manuscript.
| |
Footnotes |
|---|
Received September 11, 1998; accepted December 15, 1998.
Send reprint requests to: Kosuke Kawashima, Department of Pharmacokinetics, Medical Research Laboratories, Lederle (Japan), Ltd., 1-6-34 Kashiwacho, Shikishi, Saitama 353-8511, Japan. E-mail: kosuke_k{at}kt.rim.or.jp
| |
Abbreviations |
|---|
Abbreviations used are: AO, aldehyde oxidase; XD, xanthine dehydrogenase; XO, xanthine oxidase.
| |
References |
|---|
|
|
|---|
This article has been cited by other articles:
![]() |
R. S. Obach POTENT INHIBITION OF HUMAN LIVER ALDEHYDE OXIDASE BY RALOXIFENE Drug Metab. Dispos., January 1, 2004; 32(1): 89 - 97. [Abstract] [Full Text] [PDF] |
||||
![]() |
R. S. Obach, P. Huynh, M. C. Allen, and C. Beedham Human Liver Aldehyde Oxidase: Inhibition by 239 Drugs J. Clin. Pharmacol., January 1, 2004; 44(1): 7 - 19. [Abstract] [Full Text] [PDF] |
||||
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||