A large set of Bacillus megaterium CYP102A1 mutants are known to metabolize various drugs to form human metabolites. Omeprazole (OMP), a proton pump inhibitor, has been widely used as an acid inhibitory agent for the treatment of gastric acid hypersecretion disorders. It is primarily metabolized by human CYP2C19 and CYP3A4 to 59-OH OMP and a sulfone product, respectively. It was recently reported that several CYP102A1 mutants can oxidize racemic and S-OMP to 59-OH OMP and that these mutants can further oxidize 59-OH racemic OMP to 59-COOH OMP. Here, we report that the S-and R-enantiomers of OMP are hydroxylated by 26 mutants of CYP102A1 to produce 1 major metabolite (59-OH OMP) regardless of the chirality of the parent substrates. Although the binding of R-OMP to the CYP102A1 active site caused a more apparent change of heme environment compared with binding of S-OMP, there was no correlation between the spectral change upon substrate binding and catalytic activity of either enantiomer. The 59-OH OMP produced from racemic, S-, and R-OMP could be obtained with a high conversion rate and high selectivity when the triple R47L/F87V/L188Q mutant was used. These results suggest that bacterial CYP102A1 mutants can be used to produce the human metabolite 59-OH OMP from both the S-and R-enantiomers of OMP.
IntroductionOmeprazole (OMP), a proton pump inhibitor (PPI), acts to regulate acid production in the stomach by irreversible binding to the proton pump (H + -K + ) ATPase in the gastric parietal cell. It is used for the treatment of gastric acid hypersecretion disorders including dyspepsia, peptic ulcer disease, gastroesophageal reflux disease, laryngopharyngeal reflux, and Zollinger-Ellison syndrome. It is administered as a racemic mixture of the R-and S-enantiomers. OMP is primarily metabolized by the hepatic enzymes CYP2C19 and CYP3A4. Both CYP2C19 and CYP3A4 exhibit a stereoselective metabolism of OMP. CYP2C19 favors 59-hydroxylation of R-OMP, whereas sulfoxidation mediated by CYP3A4 highly favors the S-form (Yamazaki et al., 1997;Abelö et al., 2000;Li et al., 2005) (Fig. 1). S-OMP (esomeprazole; Nexium) has been developed as a new drug with the goal of improving the pharmacokinetic and pharmacodynamic profiles of racemic omeprazole (McKeage et al., 2008). It is known that esomeprazole is significantly more active against Helicobacter pylori than omeprazole. Esomeprazole was not associated with either gastric dysplasia or neoplasia after long-term treatment in patients with healed reflux esophagitis.CYP2C19 is a highly polymorphic enzyme, with variations in both mRNA and protein expression as well as differences in the protein coding region, which give rise to differing rates of catalysis (Goldstein, 2001). The proportion of the poor metabolizer phenotype varies widely between populations, from approximately 2% for Caucasians to nearly approximately 20% in Asians. Several pharmacogenomic studies have suggested that PPI treatment should be tailored according to the patient's CYP2C19 metabolism status (Furut...