Genipin (GP) is the reactive aglycone of geniposide,
the main component
of traditional Chinese medicine Gardeniae Fructus (GF). The covalent binding of GP to cellular proteins is suspected
to be responsible for GF-induced hepatotoxicity and inhibits drug-metabolizing
enzyme activity, although the mechanisms remain to be clarified. In
this study, the mechanisms of GP-induced human hepatic P450 inactivation
were systemically investigated. Results showed that GP inhibited all
tested P450 isoforms via distinct mechanisms. CYP2C19 was directly
and irreversibly inactivated without time dependency. CYP1A2, CYP2C9,
CYP2D6, and CYP3A4 T (testosterone as substrate) showed time-dependent
and mixed-type inactivation, while CYP2B6, CYP2C8, and CYP3A4 M (midazolam
as substrate) showed time-dependent and irreversible inactivation.
For CYP3A4 inactivation, the k
inact/K
I values in the presence or absence of NADPH
were 0.26 or 0.16 min–1 mM–1 for
the M site and 0.62 or 0.27 min–1 mM–1 for the T site. Ketoconazole and glutathione (GSH) both attenuated
CYP3A4 inactivation, suggesting an active site occupation- and reactive
metabolite-mediated inactivation mechanism. Moreover, the in vitro
and in vivo formation of a P450-dependent GP-S-GSH conjugate indicated
the involvement of metabolic activation and thiol residues binding
in GP-induced enzyme inactivation. Lastly, molecular docking analysis
simulated potential binding sites and modes of GP association with
CYP2C19 and CYP3A4. We propose that direct covalent binding and metabolic
activation mediate GP-induced P450 inactivation and alert readers
to potential risk factors for GP-related clinical drug–drug
interactions.