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ABSTRACT:A metabolite formed by incubation of human liver microsomes, etoposide, and UDP-glucuronic acid was identified as etoposide glucuronide by liquid chromatography-tandem mass spectrometry analysis. According to the derivatization with trimethylsilylimidazole (Tri-Sil-Z), it was confirmed that the glucuronic acid is linked to an alcoholic hydroxyl group of etoposide and not to a phenolic group. Among nine recombinant human UGT isoforms (UGT1A1, UGT1A3, UGT1A4, UGT1A6, UGT1A8, UGT1A9. UGT1A10, UGT2B7, and UGT2B15), only UGT1A1 exhibited the catalytic activity of Etoposide [4Ј-demethylepipodophyllotoxin-9-(4,6-O-ethylidene)--D-glucopyranoside] is one of the clinically important antitumor agents derived from 4Ј-demethylepipodophyllotoxin, which is an extract from the plants Podophyllum peltatum and Podophyllum emodi (Clark and Slevin, 1987;Stähelin and von Wartburg, 1991). It is widely used in the treatment of testicular cancer, small cell lung cancer, and certain lymphomas (O'Dwyer et al., 1985). Etoposide causes tumor cell killing through DNA strand breakage resulting from the interaction of etoposide with the enzyme topoisomerase II and DNA (Ross et al., 1984).In humans, the disposition of etoposide is described as a biphasic process with a distribution half-life of about 1.5 h and terminal elimination half-life ranging from 4 to 11 h (PDR, 2000). Clearance of etoposide occurs by direct renal excretion and metabolism. Roughly 35% of the administered drug is excreted into urine as a parent drug (Hande et al., 1984;Sinkule et al., 1984), but less than 3% is excreted into bile (Joel et al., 1996). Several metabolites were identified in human plasma and urine such as hydroxy acid derivatives, cis-(picro) lactone, 3Ј-demethyletoposide, and etoposide glucuronide (Clark and Slevin, 1987;Stewart, 1994). It has been reported that 58 and 19% of the administered drug is excreted as hydroxy acid into urine and bile, respectively (Clark and Slevin, 1987); less than 5 and 1% of the administered drug is found as cis-(picro) lactone in plasma and urine, respectively (Holthuis et al., 1986). It has been reported that 3Ј-demethylation of etoposide, a minor metabolite, is catalyzed by CYP3A4 (Relling et al., 1994). Etoposide glucuronide accounts for the disposition of 15 to 35% of administered etoposide (D'Incalci et al., 1986;Hande et al., 1988).Glucuronidation is catalyzed by UDP-glucuronosyltransferase (UGT 1 ) enzymes (Miners and Mackenzie, 1991). It is well known that there are many isoforms of mammalian UGT enzymes (Tukey and Strassburg, 2000). UGT1 and UGT2 have been shown to catalyze the glucuronidation of xenobiotics. The UGT1 and UGT2 genes seem to be structurally different in that UGT1 proteins result from alternate splicing of different first exons with five shared exons encoded by the UGT1 gene complex, whereas UGT2 proteins seem to be encoded by unique genes. In the human genome, at least 13 different first exons have been identified for the UGT1...