Ky. Zhang et al., METABOLIC CHIRAL INVERSION OF STIRIPENTOL IN THE RAT .1. MECHANISTIC STUDIES, Drug metabolism and disposition, 22(4), 1994, pp. 544-553
To study enantioselective aspects of the disposition of stiripentol (S
TP), a chiral allylic alcohol undergoing development as an antiepilept
ic drug, a stereoselective synthesis was developed and the configurati
on of the two enantiomers determined to be (R)-(+) and (S)-(-). Follow
ing a single oral dose (300 mg kg(-1)) of the individual enantiomers t
o adult male Sprague-Dawley rats, it was found that (R)-STP was transf
ormed extensively to its antipode, whereas little inversion was detect
ed when (S)-STP was administered. Studies on the mechanism of this app
arently unidirectional chiral inversion revealed that the phenomenon w
as dependent on the presence of the side-chain C=C double bond, becaus
e the enantiomers of the corresponding saturated alcohol (D2602) did n
ot interconvert in vivo. Experiments with analogs of STP labeled with
deuterium or oxygen-18 at the chiral center showed that, whereas the d
euterium was retained in vivo, partial loss of the O-18 occurred from
both enantiomers of the drug. Pretreatment of rats with pentachlorophe
nol (40 mu mol kg(-1) ip), an inhibitor of sulfation (and possibly oth
er conjugation reactions), led to a marked decrease in the rate of con
version of (R)STP to its antipode, suggesting that the chiral inversio
n phenomenon may be mediated, at least in part, by an enantioselective
conjugation process.