Protein binding and the metabolism of thiamylal enantiomers in vitro

Citation
M. Sueyasu et al., Protein binding and the metabolism of thiamylal enantiomers in vitro, ANESTH ANAL, 91(3), 2000, pp. 736-740
Citations number
25
Categorie Soggetti
Aneshtesia & Intensive Care","Medical Research Diagnosis & Treatment
Journal title
ANESTHESIA AND ANALGESIA
ISSN journal
00032999 → ACNP
Volume
91
Issue
3
Year of publication
2000
Pages
736 - 740
Database
ISI
SICI code
0003-2999(200009)91:3<736:PBATMO>2.0.ZU;2-7
Abstract
Thiamylal, a chiral thiobarbiturate, is marketed as a racemic product. We s tudied the serum protein binding and microsomal metabolism of thiamylal ena ntiomers in vitro. The unbound fraction of R(+)-thiamylal was greater than that of S(-)-thiamylal. The analysis of binding data revealed that both ena ntiomers bound to human serum albumin through only one site. In displacemen t studies with site-specific probes, dansylsarcosine, but not warfarin, sig nificantly decreased the binding of both enantiomers. The bindings of enant iomers were also decreased by octanoate and a large concentration of oleate . These findings suggest that both enantiomers bind to Site II of albumin w ith higher affinity for S(-)-enantiomer. R(+)-thiamylal was metabolized mor e rapidly than S(-)-enantiomer by human liver microsomes. An experiment wit h isoform-selective inhibitors and cytochrome P-450 (CYP) isoforms showed t hat CYP2C9 had the highest activity for the metabolism of both enantiomers, the activity being 7 to 10 times that of CYP2E1 and CYP3A4. CYP2C9 showed a significantly rapid metabolism of R(+)-enantiomer, suggesting that CYP2C9 is mainly involved in the enantioselective metabolism of thiamylal.