Acute administration of single high doses of cocaine (50 or 60 mg/kg) produ
ces liver injury in mice that have been pretreated with inducers of mixed f
unction oxidases. Multiple low doses of cocaine (10-30 mg/kg) will produce
hepatotoxicity without prior induction. To establish whether cocaine can in
duce its own activation, mice were given three daily injections of cocaine.
Total cytochrome P450 content of the liver did not change. After 3 days th
e amount of cytochrome P450 2B10, as measured by pentoxy resorufin-O-dealky
lase activity and immunoblotting, increased 3-fold. Cytochrome P450 2A5-cat
alyzed coumarin 7-hydroxylase activity and immunoreactive protein increased
by about 50%. Enzyme activities and Western blotting of isoforms 1A, 2E, a
nd 3A showed no change during this time. Chronic cocaine increased N-hydrox
ylation of norcocaine. Immunoinhibition studies showed that cytochrome P450
2A5 was the major isoform responsible for norcocaine N-hydroxylation. Thes
e results demonstrate that chronic cocaine can induce its own metabolism. S
imilar increases were also observed in mice not susceptible to liver injury
from chronic cocaine.