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ABSTRACT:HMR1098, a novel K ATP -blocking agent, is metabolized to form an S-glucuronide in rat and dog bile. Synthesis of the S-glucuronide metabolite was studied in human liver and kidney microsomes. Recombinant UPD-glucuronosyltransferases (UGTs) were screened for activity, and kinetic analysis was performed to identify the isoform or isoforms responsible for the formation of this novel S-glucuronide in humans. S-Glucuronidation is relatively rare, but from this study it appears that S-glucuronides are not generated exclusively by a single UGT isoform. From the panel of recombinant isoforms used, both UGT1A1 and UGT1A9 catalyzed the glucuronidation of HMR1098. The V max values in both instances were similar, but the K m for UGT1A1 was substantially lower than that measured for UGT1A9, 82 M compared with 233 M, respectively. Liver and kidney microsomes displayed similar K m values, but the V max in kidney was more than 20-fold less than in liver microsomes, which is suggestive of a significant role for the bilirubin UGT in catalysis of HMR1098, although other UGTs may play a secondary role.HMR1098 is a new K ATP -blocking agent being developed as a drug for prevention of sudden cardiac death by Aventis Pharma Deutschland GmbH. Metabolic studies in rats, dogs, and humans have shown that the main metabolite, M1, was characterized by 2D 1 NMR as HMR1098-S--D-glucuronide (see this paper), and the glucuronide was linked via the thiourea group (Fig. 1). S-Glucuronides are rare metabolites, and the individual UDP-glucuronosyltransferases (UGTs) catalyzing their formation have never been identified.UGTs are a family of microsomal enzymes in humans catalyzing the glucuronidation of thousands of compounds by transferring glucuronic acid from UDP-glucuronic acid to the aglycone substrate (Burchell et al., 1997). The substrate specificity of individual UGTs has been partially characterized by study of cloned/expressed transferases. This work has determined that UGT subfamily 1 is responsible for glucuronidation of bilirubin, phenols, and drugs, whereas subfamily 2 enzymes catalyze glucuronidation of steroids, bile acids, and drugs (Burchell et al., 1997). Key probe substrates such as bilirubin for UGT1A1 are used to indicate the specific activity of an individual isoform (Burchell et al., 1995).The formation of thiol drug glucuronides is a relatively rare event, and few examples have been reported up to 1980 (see Dutton, 1980). The antithyroid drug 6-n-propyl-2-thiouracil forms a confirmed S-glucuronide in rats (Lindsay et al., 1977). A pyrithone (Omedine) metabolite, 2-mercaptopyridine-N-oxide, was detected as an S-glucuronide in rat, rabbit, and rhesus monkey urine (Mitoma et al., 1983). The thiocarbonate herbicide, SUTAN [bis(2-methylpropyl)carbamothioic acid S-ethyl ester], was significantly metabolized to an S-glucuronide found in rat urine (Peffer et al., 1991). A recent search of the literature failed to reveal any reference to formation of S-glucuro...