title: Metabolism of cyclosporin A. IV. Purification and identification of the rifampicin-inducible human liver cytochrome P-450 (cyclosporin A oxidase) as a product of P450IIIA gene subfamily.
abstract: A cytochrome P-450 involved in the metabolism of cyclosporin A (CsA) was isolated and purified to electrophoretic homogeneity from human liver microsomes of renal transplant donors. This cytochrome, designated P-450(CsA), exhibited a type I binding spectrum in the presence of CsA with a Ks(app) of 25 microM, a molecular weight of 52 kDa on sodium dodecyl sulfate-polyacrylamide gel electrophoresis, and a maximal absorbance at 449 nm when reduced in the presence of carbon monoxide. The N-terminal sequence of P-450(CsA), determined by Edman degradation reaction, was 63% homologous with that of the rabbit liver CsA oxidase P-450 3c and 100% homologous with that of the human liver isozyme P-450(HLp/NF), recently identified as the human nifedipine (NF) oxidase. Polyclonal and monoclonal antibodies directed against P-450 3c and P-450(HLp/NF), respectively, recognized native microsomal and highly purified P450(CsA). As observed in the rabbit, human liver microsomes were shown to generate mono- and dihydroxy, as well as dihydroxy and/or monohydroxy N-demethylated, derivatives of CsA. Production of these metabolites was shown to be specifically inhibited by anti-P-450 3c polyclonal antibodies. CsA oxidase, NF oxidase, and erythromycin demethylase were shown to be closely correlated with the level of P-450(CsA) determined from Western blot or enzyme-linked immunosorbent assay. Moreover, these monoxygenase activities and the hepatic level of P-450(CsA) were simultaneously increased in the liver of patients treated for 4 days with 600 mg of rifampicin per day. Finally, NF was shown to be a competitive inhibitor of CsA oxidation and vice versa. We conclude that P-450(CsA) is responsible for most (80%) of CsA oxidase activity in human liver, is encoded by gene P450IIIA3, as is NF oxidase, or a very closely related gene, and is strongly inducible by rifampicin pretreatment.
authors.affiliation: INSERM U 278, Faculté de Pharmacie, Montpellier, France.
authors.forename: J
authors.initials: J
authors.lastname: Combalbert
authors.forename: I
authors.initials: I
authors.lastname: Fabre
authors.forename: G
authors.initials: G
authors.lastname: Fabre
authors.forename: I
authors.initials: I
authors.lastname: Dalet
authors.forename: J
authors.initials: J
authors.lastname: Derancourt
authors.forename: J P
authors.initials: JP
authors.lastname: Cano
authors.forename: P
authors.initials: P
authors.lastname: Maurel
mesh_terms: D015153:Blotting, Western; D002851:Chromatography, High Pressure Liquid; D003524:Cyclosporins / Q000378:metabolism*; D003577:Cytochrome P-450 Enzyme System / Q000032:analysis / Q000276:immunology / Q000302:isolation & purification*; D004591:Electrophoresis, Polyacrylamide Gel; D006801:Humans; D008862:Microsomes, Liver / Q000032:analysis*; D010088:Oxidoreductases / Q000378:metabolism; D012293:Rifampin / Q000494:pharmacology*; D013053:Spectrophotometry
chemical_list: D003524:Cyclosporins; D003577:Cytochrome P-450 Enzyme System; D010088:Oxidoreductases; D012293:Rifampin