K. Castren et al., METABOLITES AND DNA-BINDING OF CARBAMAZEPINE AND OXCARBAZEPINE IN-VITRO BY RAT-LIVER MICROSOMES, Human & experimental toxicology, 15(7), 1996, pp. 577-582
DNA-binding of carbamazepine (CBZ) and oxcarbazepine (OCBZ) catalysed
by non-induced, phenobarbital-induced or methylcholanthrene-induced ra
t liver microsomes in vitro was studied. C-14-CBZ 200 nmol incubated w
ith DNA, liver microsomes and cofactors led to the formation of a sign
ificant amount of CBZ-epoxide, which has been suspected as the cause o
f teratogenesis and other side-effects of CBZ,(1,2) but has not been r
eactive in any test systems for genotoxicity, including the Ames test.
(3) No enzyme-dependent DNA-binding of CBZ was found. Using the same c
onditions, however, OCBZ was bound to DNA. This binding was dependent
on the presence of NADPH. 10-hydroxy-10,11-dihydro-carbamazepine, whic
h is known to be the major metabolite of OCBZ, and an unknown peak wer
e demonstrated by HPLC. These results are the first indication of a hi
gher level of covalent DNA binding of OCBZ than of CBZ. The nature of
the unknown metabolite and the pathway leading to covalent binding rem
ain to be studied.