Metabolism of the anticancer drug taxol was investigated in freshly is
olated rat hepatocytes. Two main metabolites were separated by reverse
d-phase HPLC and shown by tandem mass spectrometry to be monohydroxyla
ted metabolites. Kinetic studies revealed apparent K(m) values of 68 a
nd 61 muM with identical V(max) values for the two metabolites. Verapa
mil and midazolam, but not phenacetin, showed concentration-dependent
inhibition of taxol metabolism with both metabolites being affected eq
ually. The IC50 was about 100 muM for verapamil and 25 muM for midazol
am. These observations demonstrate for the first time in vitro metabol
ism of taxol and suggest that the metabolism may be subject to potenti
ally important interactions with numerous other drugs.