Lw. Whitehouse et al., MOUSE HEPATIC METABOLITES OF KETOCONAZOLE - ISOLATION AND STRUCTURE ELUCIDATION, Journal of pharmaceutical and biomedical analysis, 12(11), 1994, pp. 1425-1441
Oxidation, cleavage and degradation of the imidazole and piperazine ri
ngs, O-dealkylation, and aromatic hydroxylation are the reported pathw
ays of ketoconazole (KC) metabolism. Metabolites were examined in hepa
tic extracts from male Swiss Webster mice treated with KC (350 mg kg(-
1) po x 7 days) in a 0.25% gum tragacanth suspension at 10 ml kg(-1).
Livers were collected 24 h after the last dose and stored at -70 degre
es C. A mixture of chloroform/methanol extracts of liver homogenates w
ere dried under vacuum and methanol extracts of the residue were chrom
atographed by a series of preparative and analytical HPLC techniques.
Structure assignments were made by NMR and MS/MS techniques. It was de
monstrated that KC was biotransformed to a number of products. Nine we
re isolated and seven identified as exclusive products of the biotrans
formation of the 1-acetylpiperazine moiety of KC. This substituent was
biotransformed to the following: piperazine (de-N-acetyl ketoconazole
, DAKC), N-carbamylpiperazine, N-formylpiperazine, 2,3-piperazinedione
, 2-formamidoethylamine, ethylenediamine and amine. The H-1-NMR and MS
data suggested that the remaining two metabolites were products resul
ting from the oxidation of the imidazole ring.