1990
DOI: 10.1093/bja/64.4.469
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A Urinary Cysteine-Halothane Metabolite: Validation and Measurement in Children

Abstract: An attempt was made in children to identify a urinary halothane-cysteine conjugate which had been described previously in adult patients following administration of halothane. If this conjugate was found it would indicate that a reductive metabolite of halothane binds covalently with the sulphydryl-containing amino acid, cysteine, a reaction which could lead to hepatic injury. The potential halothane-cysteine conjugate, N-acetyl-S-(2-bromo-2-chloro-1,1-difluoroethyl)-L-cysteine (acetyl BCFEC), was prepared and… Show more

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Cited by 18 publications
(4 citation statements)
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“…Bacterial mutagenicity studies lead to the generalization that S-(l-chloroalkenyl)-L-cysteine conjugates are mutagenic, but that S-(l,ldifluoroalkyl)-L-cysteine conjugates are not (11,12). 2-Bromo-2-chloro-1,1-difluoroethene is a halothane-derived 1,1-difluoroalkene that is apparently metabolized to the mercapturate S-(2-bromo-2-chloro-1,1-difluoroethyl)-iV-acetyl-L-cysteine (26,27). The 2-bromo-2-chloro-1,1-difluoroethene-derived conjugates S-(2-bromo-2-chloro-1, l-difluoroethyl)glutathione and S -(2-bromo-2-chloro-1,1difluoroethyl)-L-cysteine (BCDFC) undergo 8-lyasedependent bioactivation and are nephrotoxic in rats and cytotoxic in LLC-PKl cells (28).…”
Section: Introductionmentioning
confidence: 99%
“…Bacterial mutagenicity studies lead to the generalization that S-(l-chloroalkenyl)-L-cysteine conjugates are mutagenic, but that S-(l,ldifluoroalkyl)-L-cysteine conjugates are not (11,12). 2-Bromo-2-chloro-1,1-difluoroethene is a halothane-derived 1,1-difluoroalkene that is apparently metabolized to the mercapturate S-(2-bromo-2-chloro-1,1-difluoroethyl)-iV-acetyl-L-cysteine (26,27). The 2-bromo-2-chloro-1,1-difluoroethene-derived conjugates S-(2-bromo-2-chloro-1, l-difluoroethyl)glutathione and S -(2-bromo-2-chloro-1,1difluoroethyl)-L-cysteine (BCDFC) undergo 8-lyasedependent bioactivation and are nephrotoxic in rats and cytotoxic in LLC-PKl cells (28).…”
Section: Introductionmentioning
confidence: 99%
“…2-Bromo-2-chloro-1,1-difluoroethylene reacts readily and nonenzymatically with sulfur nucleophiles, such as GSH and cysteine, forming S-(2-bromo-2-chloro-1,1-difluoroethyl)-N-acetyl-L-cysteine, that is present in the urine of halothane-anesthetized humans (Wark et al, 1990).…”
Section: Bioactivation Of 2-bromo-2-chloro-11-difluoroethylenementioning
confidence: 99%
“…As indicated above, the terminal products of the biotransformation of bromine-lacking 1,1-difluoroalkene-derived cysteine S -conjugates are dihaloacetic acids. 1-Bromo-1-chloro-2,2-difluoroethene, a metabolite or decomposition product, or both, of the anesthetic halothane , is biotransformed to N -acetyl- S -(2-bromo-2-chloro-1,1-difluoroethyl)- l -cysteine in human subjects anesthetized with halothane , , indicating glutathione S -conjugate formation and processing. An investigation of the fate of S -(2-bromo-2-chloro-1,1-difluoroethyl)- l -cysteine in rat kidney homogenates and in a pyridoxal model system showed that glyoxylic acid rather than the expected bromochloroacetic acid is the terminal metabolite .…”
Section: -Halo-α-thiolactonesmentioning
confidence: 99%