title: Verapamil: identification of novel metabolites in cultures of primary human hepatocytes and human urine by LC-MS(n) and LC-NMR.
abstract: 1. Verapamil is a well-known and world-wide prescribed calcium antagonist, but it suffers from extensive first-pass metabolism. Although it has been marketed for many years, a complete understanding of its biotransformation in humans is still lacking. 2. The metabolism of verapamil was therefore investigated in cultures of primary human hepatocytes and in extracts of human urine after oral dosing. Identification of metabolites was done with LC-MS(n) and LC-NMR (600 MHz) to obtain in-depth information on its biotransformation products and definitive proof of the proposed chemical structures of metabolites. 3. Hyphenation of LC-MS(n) and LC-NMR was shown to be a powerful and effective platform for the identification of metabolites. Indeed, 21 Phase I and 16 Phase II metabolites were identified. Basically, all the Phase II metabolites (glucuronides) and 11 of the Phase I (oxidative) metabolites were not reported previously. 4. New insight into verapamil's biotransformation pathway is provided as well as evidence about its true complexity of metabolic disposal.
authors.affiliation: Department of Analytical Chemistry, Fraunhofer Institute of Toxicology and Experimental Medicine, Nikolai-Fuchs Str 1, D-30625 Hannover, Germany. borlak@item.fraunhofer.de
authors.forename: J
authors.initials: J
authors.lastname: Borlak
authors.forename: M
authors.initials: M
authors.lastname: Walles
authors.forename: M
authors.initials: M
authors.lastname: Elend
authors.forename: T
authors.initials: T
authors.lastname: Thum
authors.forename: A
authors.initials: A
authors.lastname: Preiss
authors.forename: K
authors.initials: K
authors.lastname: Levsen
mesh_terms: D001711:Biotransformation; D002121:Calcium Channel Blockers / Q000493:pharmacokinetics* / Q000652:urine; D002478:Cells, Cultured; D002853:Chromatography, Liquid; D003640:Dealkylation; D022781:Hepatocytes / Q000378:metabolism*; D006801:Humans; D006900:Hydroxylation; D009682:Magnetic Resonance Spectroscopy; D013058:Mass Spectrometry; D010084:Oxidation-Reduction; D014700:Verapamil / Q000031:analogs & derivatives* / Q000378:metabolism / Q000493:pharmacokinetics* / Q000652:urine
chemical_list: D002121:Calcium Channel Blockers; C016904:norverapamil; D014700:Verapamil