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Clinical Cancer Research Vol. 7, 675-681, March 2001
© 2001 American Association for Cancer Research


Experimental Therapeutics, Preclinical Pharmacology

Involvement of Microsomal Cytochrome P450 and Cytosolic Thymidine Phosphorylase in 5-Fluorouracil Formation from Tegafur in Human Liver1

Tomoko Komatsu, Hiroshi Yamazaki, Noriaki Shimada, Sekio Nagayama, Yasuro Kawaguchi, Miki Nakajima and Tsuyoshi Yokoi2

Faculty of Pharmaceutical Sciences, Kanazawa University, Kanazawa 920-0934, Japan [T. K., H. Y., M. N., T. Y.]; Daiichi Pure Chemicals, Ibaraki 312-1182, Japan [N. S.]; and Taiho Pharmaceutical Co., Tokushima 771-0194, Japan [S. N., Y. K.]

Recently, we have reported that tegafur, an anticancer agent, is biotransformed into active drug 5-fluorouracil (5-FU) by cytochromes P450 1A2, 2A6, and 2C8 in human liver microsomes (T. Komatsu et al., Drug Metab. Dispos., 28: 1457–1463, 2000). Because the conversion of tegafur into 5-FU has also been reported to be catalyzed by cytosolic thymidine phosphorylase (dThdPase), the involvement of human liver microsomes and cytosol and individual differences in 5-FU formation from tegafur were investigated. In 14 human samples, the mean rates of 5-FU formation in liver microsomes were 5-fold and 2-fold higher than those in liver cytosol at substrate concentrations of 100 µM and 1 mM tegafur, respectively. In the presence of 5-chloro-2,4-dihydroxypyridine, a dihydropyrimidine dehydrogenase inhibitor, the rates of 5-FU formation by the combination of liver microsomes and cytosol showed 5- and 3-fold interindividual differences at 100 µM and 1 mM tegafur, respectively. Kinetic analysis of human liver cytosolic 5-FU formation indicated an apparent higher Km value (16 ± 4 mM) than that of liver microsomes (1.8 ± 0.3 mM) with similar Vmax values. Human liver cytosolic 5-FU formation was confirmed to be catalyzed by dThdPase with correlation and chemical inhibition studies. These results suggested that 5-FU formation from tegafur in human liver was mainly catalyzed by microsomal P450 at low concentrations of tegafur, but the contribution of cytosolic 5-FU formation by dThdPase would be important at high concentrations.




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Copyright © 2001 by the American Association for Cancer Research.