J. Vasquezvivar et O. Augusto, HYDROXYLATED METABOLITES OF THE ANTIMALARIAL DRUG PRIMAQUINE - OXIDATION AND REDOX CYCLING, The Journal of biological chemistry, 267(10), 1992, pp. 6848-6854
Oxidation and redox cycling of the hydroxylated metabolites of the ant
imalarial drug primaquine (i.e. 5-hydroxyprimaquine, 5-hydroxydemethyl
primaquine, and 5,6-dihydroxy-8-aminoquinoline) were studied. The thre
e metabolites readily oxidized under physiological conditions, forming
hydrogen peroxide and the corresponding quinone-imine derivatives as
the main products. The latter compounds were characterized by visible,
NMR, and infrared spectroscopy. Concomitant formation of drug-derived
radicals and hydroxyl radicals was attested by direct and spin-trappi
ng EPR experiments, respectively. The use of the spin stabilization me
thod indicated that the radicals derived from 5-hydroxydemethylprimaqu
ine and 5,6-dihydroxy-8-aminoquinoline are of the o-semiquinone type.
Tentative structures are proposed for the radicals based on product id
entification and computer simulation of the experimental EPR spectra.
The quinone-imines obtained from the reduced metabolites did not react
at appreciable rates with NADPH but underwent redox cycling upon addi
tion of ferredoxin:NADP+ oxidoreductase, forming hydrogen peroxide and
hydroxyl radicals. The effect of antioxidant enzymes on hydroxyl radi
cal yield obtained during oxidation and redox cycling indicates that t
he main route for hydroxyl radical formation is the metal ion-catalyze
d reaction between the drug-derived radicals and hydrogen peroxide. Ta
ken together, the results indicate that hydrogen peroxide is the poten
tial toxic product formed from the primaquine metabolites.