Cd. Thompson et al., IDENTIFICATION OF MODIFIED ATROPALDEHYDE MERCAPTURIC ACIDS IN RAT ANDHUMAN URINE AFTER FELBAMATE ADMINISTRATION, Chemical research in toxicology, 10(4), 1997, pp. 457-462
3-Carbamoyl-2-phenylpropionaldehyde has recently been proposed [Thomps
on et al. (1996) Chem. Res. Toxicol. 9, 1225-1229] as a potential reac
tive metabolite of the anti-epileptic drug felbamate. This aldehyde wa
s found to undergo rapid elimination to generate 2-phenylpropenal and
reversible cyclization to generate 4-hydroxy-5-phenyltetrahydro-1,3-ox
azin-2-one at physiological pH. 2-Phenylpropenal, an alpha,beta-unsatu
rated aldehyde commonly termed atropaldehyde, is a potent electrophile
and undergoes rapid conjugation with glutathione. We sought to demons
trate the formation of atropaldehyde in vivo through the identificatio
n of mercapturic acids in rat and human urine after felbamate administ
ration. In this paper, we describe the identification of both the redu
ced (N-acetyl-S-(2-phenylpropan-3-ol)-L-cysteine) and oxidized (N-acet
yl-S-(2-phenyl-3-propanoic acid)-L-cysteine) mercapturic acids of atro
paldehyde in rat and human urine. The reduced species was the more abu
ndant in human (similar to 2:1) and rat (similar to 6: 1) urine. These
findings establish the possibility that atropaldehyde is formed from
felbamate in vivo, undergoes glutathione conjugation, and is ultimatel
y excreted in urine in the form of mercapturic acids. Thus, the propos
ed pathway of felbamate biotransformation, if confirmed in patients, c
ould contribute to our understanding of the toxicities observed during
felbamate treatment.