2009
DOI: 10.1124/dmd.108.025932
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Characterization of Dasatinib and Its Structural Analogs as CYP3A4 Mechanism-Based Inactivators and the Proposed Bioactivation Pathways

Abstract: ABSTRACT:Dasatinib was approved in 2006 for the treatment of imatinibresistant chronic myelogenous leukemia and functions primarily through the inhibition of BCR-ABL and Src kinase. Dasatinib is extensively metabolized in humans by CYP3A4. In this study, we report that the bioactivation of dasatinib by CYP3A4 proceeds through a reactive intermediate that leads to CYP3A4 inactivation with K I ‫؍‬ 6.3 M and k inact ‫؍‬ 0.034 min ؊1. The major mechanism of inactivation proceeds through hydroxylation at the para-p… Show more

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Cited by 110 publications
(116 citation statements)
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“…For conjugates 1 and 2, conjugation at the methyl is likely to occur through the formation of a quinone methide intermediate. While this has been observed previously in GST conjugation to methyl-substituted aromatic rings (Kassahun et al, 2001;Li et al, 2009), this is, to our knowledge, the first report of such a GST conjugate to TNT. For both GST-U24 and GST-U25, catalytic activity increased with pH, with the optimum appearing to be pH 9.5 or greater.…”
Section: Glutathione-tnt Productsmentioning
confidence: 42%
“…For conjugates 1 and 2, conjugation at the methyl is likely to occur through the formation of a quinone methide intermediate. While this has been observed previously in GST conjugation to methyl-substituted aromatic rings (Kassahun et al, 2001;Li et al, 2009), this is, to our knowledge, the first report of such a GST conjugate to TNT. For both GST-U24 and GST-U25, catalytic activity increased with pH, with the optimum appearing to be pH 9.5 or greater.…”
Section: Glutathione-tnt Productsmentioning
confidence: 42%
“…As these drugs can inactivate CYP3A4, the enzyme responsible for the oxidation of BU after initially being conjugated with glutathione, the hypothesis that tyrosine kinase inhibitors could affect BU metabolism cannot be excluded. [15][16][17][18] Variations in BU AUC have been previously observed in approximately 20% of the patients. 3,6,7,11,12 In particular, these variations were higher in a pediatric population with rapidly changing metabolism, 13 and the test dose was used to address this problem before a reduced-intensity conditioning HSCT.…”
Section: Discussionmentioning
confidence: 99%
“…For example, erlotinib and dasatinib are mechanism-based inactivators of CYP3A [15,16], a characteristic of many important inhibitors of drug metabolism [17,18]. Product information for these drugs indicates minor impact on the clearance of CYP3A substrates [Sprycel® (dasatinib), labelling,Tarceva® (erlotinib) labelling], but these data are not in the public domain.…”
Section: Discussionmentioning
confidence: 99%