Dioscorea Bulbifera L. (DBL), an effective
traditional
Chinese medicine, has been restricted because of multiple reports
that it can cause severe hepatotoxicity. 8-Epidiosbulbin E acetate
(EEA), one of the main components of DBL, can induce severe liver
injury. It has been reported that EEA can be metabolized by CYP3A
to the corresponding cis-enedial intermediate which
alkylates the lysine residues of proteins to form pyrroline derivatives.
The present study unexpectedly found that the reactive intermediate
reacted with the amide groups of asparagine (Asn) and glutamine (Gln)
residues of hepatic proteins of mice treated with EEA. The amide-derived
protein modification increased with the increase in the dose administered.
Like the adduction of the primary amine of lysine residues, the electrophilic
metabolite reacted with the amide groups of Asn and Gln residues to
offer the corresponding pyrrolines. The structures of the pyrrolines
were confirmed by mass spectrometry and nuclear magnetic resonance
spectroscopy.