Characterization of midazolam metabolism in locusts: The role of CYP3A4-like enzyme in the formation of 1'-OH and 4-OH midazolam

Line Rørbæk Olsen, Charlotte Gabel-Jensen, Sileshi Gizachew Wubshet, Kenneth Thermann Kongstad, Christian Janfelt, Lassina Badolo, Steen Honoré Hansen

    11 Citations (Scopus)

    Abstract

    1. The metabolism of midazolam was investigated in vivo in locusts in order to evaluate the presence of an enzyme with functionality similar to human CYP3A4/5.2. Hydroxylated metabolites of midazolam identical to human metabolites were detected in locusts and the apparent affinities (Km values) were in the same range as reported in humans (in locusts: 7-23 and 33-85 M for the formation of the 1′-OH and 4-OH metabolites, respectively).3. The formation of hydroxylated metabolites could successfully be inhibited by co-administration of ketoconazole, a known CYP3A4/5 inhibitor.4. Besides phase I metabolites, a number of conjugated metabolites were detected using high-resolution mass spectrometry. The most abundant metabolites detected were structurally identified by 1H NMR as two N-glucosides. NMR analysis strongly suggested that the glycosylation occurred at the two nitrogens (either one in each case) of the imidazole ring.5. Distribution of midazolam and the glucose conjugates were successfully measured using desorption electrospray mass spectrometry imaging revealing time-dependent changes in distribution over time.6. In conclusion, it appears that an enzyme with functionality similar to human CYP3A4/5 is present in locusts. However, it appears that conjugation with glucose is the main detoxification pathway of midazolam in locusts.

    Original languageEnglish
    JournalXenobiotica
    Volume46
    Issue number2
    Pages (from-to)99–107
    Number of pages9
    ISSN0049-8254
    DOIs
    Publication statusPublished - 1 Feb 2016

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