1. The formation of estrogen-like tamoxifen metabolites and their influence on enzyme activity and gene expression of ADME genes
- Author
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Michel Eichelbaum, Astrid Nörenberg, Maria Thomas, Ulrich M. Zanger, Werner Schroth, Thomas E. Mürdter, Hiltrud Brauch, Matthias Schwab, Janina Johänning, and Patrick Kröner
- Subjects
CYP2B6 ,Bisphenol ,Health, Toxicology and Mutagenesis ,Metabolite ,Glucuronidation ,Estrogen receptor ,Gene induction ,Pharmacology ,Alkenes ,Toxicology ,030226 pharmacology & pharmacy ,Gene Expression Regulation, Enzymologic ,Cell Line ,03 medical and health sciences ,chemistry.chemical_compound ,0302 clinical medicine ,Glucuronides ,Cytochrome P-450 Enzyme System ,Phenols ,medicine ,Humans ,Glucuronosyltransferase ,skin and connective tissue diseases ,ADME ,CYP3A4 ,Estrogens ,General Medicine ,Tamoxifen ,Metabolism ,Estrogen-like metabolites ,chemistry ,030220 oncology & carcinogenesis ,Hepatocytes ,Microsomes, Liver ,hormones, hormone substitutes, and hormone antagonists ,CYP activity ,medicine.drug ,Toxicokinetics and Metabolism - Abstract
Tamoxifen, a standard therapy for breast cancer, is metabolized to compounds with anti-estrogenic as well as estrogen-like action at the estrogen receptor. Little is known about the formation of estrogen-like metabolites and their biological impact. Thus, we characterized the estrogen-like metabolites tamoxifen bisphenol and metabolite E for their metabolic pathway and their influence on cytochrome P450 activity and ADME gene expression. The formation of tamoxifen bisphenol and metabolite E was studied in human liver microsomes and Supersomes™. Cellular metabolism and impact on CYP enzymes was analyzed in upcyte® hepatocytes. The influence of 5 µM of tamoxifen, anti-estrogenic and estrogen-like metabolites on CYP activity was measured by HPLC MS/MS and on ADME gene expression using RT-PCR analyses. Metabolite E was formed from tamoxifen by CYP2C19, 3A and 1A2 and from desmethyltamoxifen by CYP2D6, 1A2 and 3A. Tamoxifen bisphenol was mainly formed from (E)- and (Z)-metabolite E by CYP2B6 and CYP2C19, respectively. Regarding phase II metabolism, UGT2B7, 1A8 and 1A3 showed highest activity in glucuronidation of tamoxifen bisphenol and metabolite E. Anti-estrogenic metabolites (Z)-4-hydroxytamoxifen, (Z)-endoxifen and (Z)-norendoxifen inhibited the activity of CYP2C enzymes while tamoxifen bisphenol consistently induced CYPs similar to rifampicin and phenobarbital. On the transcript level, highest induction up to 5.6-fold was observed for CYP3A4 by tamoxifen, (Z)-4-hydroxytamoxifen, tamoxifen bisphenol and (E)-metabolite E. Estrogen-like tamoxifen metabolites are formed in CYP-dependent reactions and are further metabolized by glucuronidation. The induction of CYP activity by tamoxifen bisphenol and the inhibition of CYP2C enzymes by anti-estrogenic metabolites may lead to drug–drug-interactions. Electronic supplementary material The online version of this article (10.1007/s00204-017-2147-y) contains supplementary material, which is available to authorized users.
- Published
- 2017