Female ICR mice were treated with cocaine either alone or in combination wi
th one of several cytochrome P450 (CYP) inducers, i.e. phenobarbital, beta-
ionone, dexamethasone and beta-naphthoflavone. Cocaine-induced hepatotoxici
ty was first observed by pretreatment with phenobarbital, beta-ionone or de
xamethasone in accordance with significant elevation of cocaine N-demethyla
tion, the first step of cocaine bioactivation. The hepatic lesions occured
in the periportal region (zone 1) by phenobarbital and beta-ionone and in t
he perivenular region (zone 3) by dexamethasone. The activities of the enzy
me specific for CW isozyme were determined to elucidate the effects of pret
reatment with CYP inducers. beta-Naphthoflavone induced CYP1A and 2B but ha
d no effects on hepatotoxicity by cocaine. On the other hand, beta-ionone e
nhanced hepatotoxicity without induction of CYP3A. Activities of cocaine N-
demethylase correlated well with CYP2A (r = 0.83) and CYP2B (r = 0.81). Coc
aine N-demethylation was inhibited particularly by addition of the CYP2A sp
ecific inhibitor, 8-methoxypsoralen. Moreover, pretreatment with 8-methoxyp
soralen produced a marked inhibition of the hepatotoxicity induced by cocai
ne in phenobarbital-treated mice. These results suggest that cocaine-induce
d hepatotoxicity in female mice was mediated in part by CYP2A, participatin
g in cocaine N-demethylation.