Dh. Phillips et al., ALPHA-HYDROXYTAMOXIFEN, A METABOLITE OF TAMOXIFEN WITH EXCEPTIONALLY HIGH DNA-BINDING ACTIVITY IN RAT HEPATOCYTES, Cancer research, 54(21), 1994, pp. 5518-5522
It has been proposed that the antiestrogen tamoxifen induces liver tum
ors in rats and genotoxic effects in vitro through metabolic activatio
n involving, initially, alpha-hydroxylation of the ethyl group. To tes
t this hypothesis, the extent of DNA adduct formation in primary rat h
epatocytes treated with tamoxifen and alpha-hydroxytamoxifen was inves
tigated. Hepatocytes from female Fischer F-344 rats were treated with
1 or 10 mu M concentrations of either alpha-hydroxytamoxifen or tamoxi
fen. DNA was isolated and analyzed for the presence of DNA adducts by
P-32 postlabeling. Chromatography on polyethyleneimine cellulose thin
layer chromatography and reverse-phase high performance liquid chromat
ography revealed that the same pattern of adducts was formed by both c
ompounds. However, the level of adduct formation was 25 and 49 times g
reater with alpha-hydroxytamoxifen than with tamoxifen at 1 and 10 mu
M, respectively. The formation of alpha-hydroxytamoxifen as a metaboli
te of tamoxifen was demonstrated by mass spectrometric analysis of the
extracted culture medium. alpha-Hydroxytamoxifen was found to react w
ith DNA in the absence of metabolizing enzymes. These results demonstr
ate the involvement of alpha-hydroxylation in the metabolic activation
of tamoxifen.