title: Leflunomide, a Reversible Monoamine Oxidase Inhibitor.
abstract: A screening study aimed at identifying inhibitors of the enzyme, monoamine oxidase (MAO), among clinically used drugs have indicated that the antirheumatic drug, leflunomide, is an inhibitor of both MAO isoforms. Leflunomide inhibits human MAO-A and MAO-B and exhibits IC&lt;sub&gt;50&lt;/sub&gt; values of 19.1 μM and 13.7 μM, respectively. The corresponding K&lt;sub&gt;i&lt;/sub&gt; values are 17.7 μM (MAO-A) and 10.1 μM (MAO-B). Dialyses of mixtures of the MAO enzymes and leflunomide show that inhibition of the MAOs by leflunomide is reversible. The principal metabolite of leflunomide, teriflunomide (A77 1726), in contrast is not an MAO inhibitor. This study concludes that, although leflunomide is only moderately potent as an MAO inhibitor, isoxazole derivatives may represent a general class of MAO inhibitors and this heterocycle may find application in MAO inhibitor design. In this respect, MAO inhibitors are used in the clinic for the treatment of depressive illness and Parkinson's disease, and are under investigation as therapy for certain types of cancer, Alzheimer's disease and age-related impairment of cardiac function.
authors: Jacobus P
authors: JP
authors: Petzer
authors: North-West University, 11 Hoffman street, Potchefstroom 2531, South Africa. 12264954@nwu.ac.za.
authors: Anél
authors: A
authors: Petzer
mesh_terms: D000818:Animals; D004305:Dose-Response Relationship, Drug; D006801:Humans; D007313:Insecta; D007555:Isoxazoles / Q000737:chemistry* / Q000494:pharmacology*; D000077339:Leflunomide; D008861:Microsomes / Q000187:drug effects / Q000201:enzymology; D008995:Monoamine Oxidase / Q000378:metabolism*; D008996:Monoamine Oxidase Inhibitors / Q000737:chemistry* / Q000494:pharmacology*; D013329:Structure-Activity Relationship
chemical_list: D007555:Isoxazoles; D008996:Monoamine Oxidase Inhibitors; D008995:Monoamine Oxidase; C579458:monoamine oxidase A, human; D000077339:Leflunomide