CYTOCHROME P4502D6 CATALYZES THE O-DEMETHYLATION OF THE PSYCHOACTIVE ALKALOID IBOGAINE TO 12-HYDROXYIBOGAMINE

Ibogaine is a psychoactive alkaloid that possesses potential as an age nt to treat opiate and cocaine addiction. The primary metabolite arise s via O-demethylation at the 12-position to yield 12-hydroxyibogamine. In this report, evidence is presented that the O-demethylation of ibo gaine observed in human hepatic microsomes is catalyzed primarily by t he polymorphically expressed cytochrome P-4502D6 (CYP2D6). An enzyme k inetic examination of ibogaine O-demethylase activity in pooled human liver microsomes suggested that two (or more) enzymes are involved in this reaction: one with a low K-Mapp (1.1 mu M) and the other with a h igh K-Mapp (>200 mu M). The low K-Mapp activity comprised >95% of tota l intrinsic clearance. Human liver microsomes from three individual do nors demonstrated similar enzyme kinetic parameters (mean K-Mapp = 0.5 5 +/- 0.09 mu M and 310 +/- 10 mu M for low and high K-M activities, r espectively). However, a fourth human microsome sample that appeared t o be a phenotypic CYP2D6 poor metabolizer possessed only the high K-Ma pp activity. In hepatic microsomes from a panel of human donors, the l ow K-Mapp ibogaine O-demethylase activity correlated with CYP2D6-catal yzed bufuralol 1'-hydroxylase activity but not with other P450 isoform -specific activities. Quinidine, a CYP2D6-specific inhibitor, inhibite d ibogaine O-demethylase (IC50 = 0.2 mu M), whereas other P450 isoform -specific inhibitors did not inhibit this activity. Also, of a battery of recombinant heterologously expressed human P450 isoforms, only rCY P2D6 possessed significant ibogaine O-demethylase activity. Thus, it i s concluded that ibogaine O-demethylase is catalyzed by CYP2D6 and tha t this isoform is the predominant enzyme of ibogaine O-demethylation i n humans. The potential pharmacological implications of these findings are discussed.