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Vol. 294, Issue 2, 735-745, August 2000
Drug Metabolism and Pharmacokinetics Section, DuPont
Pharmaceuticals Company, Stine-Haskell Research Center, Newark,
Delaware (A.E.M., J.S., R.E., A.D., L.-S.G.); and Chemical and Physical
Sciences Division, DuPont Pharmaceuticals Company, Experimental
Station, Wilmington, Delaware (N.G.)
With the advent of liquid chromatography/mass spectrometry and liquid
chromatography/NMR, it has become easier to characterize metabolites
that were once difficult to isolate and identify. These techniques have
enabled us to uncover the existence of an alternate pathway for the
disposition of glutathione adducts of several structurally diverse
compounds. Studies were carried out using acetaminophen as a model
compound to investigate the role of the glutamic acid pathway in
disposition of the glutathione adducts. Although the mercapturic acid
pathway was the major route of degradation of the glutathione adducts,
it was found that the conjugation of the glutathione, cysteinylglycine,
and cysteine adducts of acetaminophen with the
-carboxylic acid of
the glutamic acid was both interesting and novel. The coupling of the
glutathione adduct and the products from the mercapturic acid pathway
with the glutamic acid led to unusual peptide conjugates. The natures of these adducts were confirmed unequivocally by comparisons with synthetic standards. This pathway (addition of glutamic acids) led to
larger peptides, in contrast to the mercapturic acid pathway, in which
the glutathione adducts are broken down to smaller molecules. The
enzyme responsible for the addition of glutamic acid to the different
elements of the mercapturic acid pathway is currently unknown. It is
postulated that the
-carboxylic acid is activated (perhaps by ATP)
before enzymatic addition to the
-amino group of cysteine or
glutamate takes place. The discovery of these peptide conjugates of
acetaminophen represents a novel disposition of glutathione adducts of
compounds. The formation of such conjugates may represent yet another
pathway by which drugs could produce covalent binding via their
reactive intermediates.
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