K. Sugihara et al., INVOLVEMENT OF MAMMALIAN LIVER CYTOSOLS AND ALDEHYDE OXIDASE IN REDUCTIVE METABOLISM OF ZONISAMIDE, Drug metabolism and disposition, 24(2), 1996, pp. 199-202
Zonisamide (1,2-benzisoxazole-3-methanesulfonamide) an anticonvulsant
agent, is primarily metabolized to 2-sulfamoylacetyl-phenol by reducti
ve cleavage of the 1,2-benzisoxazole ring. Rabbit liver cytosol with a
n electron donor of aldehyde oxidase exhibited a significant zonisamid
e reductase activity that was sensitive to inhibition by menadione, an
inhibitor of aldehyde oxidase, The result suggested that the cytosoli
c activity is caused by aldehyde oxidase, a cytosolic enzyme. In fact,
rabbit and rat liver aldehyde oxidase had the ability to reduce zonis
amide when supplemented with its electron donor, Apparent K-M and V-ma
x values of aldehyde oxidase for zonisamide were 217 mu M and 42 nmol/
10 min/mg protein in the case of the rabbit liver enzyme, and 542 mu M
and 382 nmol/10 min/mg protein in the case of the rat liver enzyme, r
espectively. In rabbits, hamsters, mice, and guinea pigs, zonisamide r
eductase activity of the liver cytosols with 2-hydroxypyrimidine, an e
lectron donor of aldehyde oxidase, was much higher than that of the li
ver microsomes with NADPH. In rats, zonisamide reductase activity was
examined with liver microsomes and cytosols from seven strains. The 2-
hydroxypyrimidine-dependent cytosolic activity exhibited marked strain
differences, unlike the NADPH-dependent microsomal activity, 1,2-Benz
isoxazole was also reduced to salicylaldehyde by rabbit liver cytosol
and aldehyde oxidase in the presence of 2-hydroxypyrimidine, Stoichiom
etric studies showed that 2-sulfamoylacetylphenol was formed accompany
ing nearly equimolar ammonia from zonisamide.