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Received for publication April 7, 2006.
Revised June 14, 2006.
Accepted for publication July 19, 2006.
Arylamine compounds, such as sulfamethoxazole (SMX) and dapsone (DDS), are metabolized in epidermal keratinocytes to arylhydroxylamine metabolites that auto-oxidize to arylnitroso derivatives, which in turn bind to cellular proteins and can act as antigens/immunogens. Previous studies have demonstrated that neither cytochromes P450 nor cyclooxygenases mediate this bioactivation in normal human epidermal keratinocytes (NHEK). In this investigation, we demonstrated that methimazole (MMZ), a prototypical substrate of the flavin-containing monooxygenases (FMOs), attenuated the protein haptenation observed in NHEK exposed to SMX or DDS. In addition, recombinant FMO1 and FMO3 were able to bioactivate both SMX and DDS, resulting in covalent adduct formation. Western blot analysis confirmed the presence of FMO3 in NHEK, whereas FMO1 was not detectable. In addition to MMZ, 4-aminobenzoic acid hydrazide (ABH) also attenuated SMX- and DDS-dependent protein haptenation in NHEK. ABH did not alter the bioactivation of these drugs by recombinant FMO3, suggesting its inhibitory effect in NHEK was due to its known ability to inhibit peroxidases. Studies confirmed the presence of peroxidase activity in NHEK, however, immunoblot analysis and RT-PCR indicated that myeloperoxidase, lactoperoxidase and thyroid peroxidase were absent. Thus, our results suggest an important role for FMO3 and yet to be identified peroxidases in the bioactivation of sulfonamides in NHEK.
Key words:
dapsone, flavin monooxygenase, keratinocytes, peroxidases, protein haptenation, sulfamethoxazole
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