2015
DOI: 10.1124/dmd.114.061747
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Metabolism of MRX-I, a Novel Antibacterial Oxazolidinone, in Humans: The Oxidative Ring Opening of 2,3-Dihydropyridin-4-One Catalyzed by Non-P450 Enzymes

Abstract: MRX-I is an analog of linezolid containing a 2,3-dihydropyridin-4-one (DHPO) ring rather than a morpholine ring. Our objectives were to characterize the major metabolic pathways of MRX-I in humans and clarify the mechanism underlying the oxidative ring opening of DHPO. After an oral dose of MRX-I (600 mg), nine metabolites were identified in humans. The principal metabolic pathway proposed involved the DHPO ring opening, generating the main metabolites in the plasma and urine: the hydroxyethyl amino propionic … Show more

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Cited by 49 publications
(38 citation statements)
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References 15 publications
(14 reference statements)
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“…For molecule 13 a “hypothesized glucuronide” is reported, an atypical N ‐glucuronide adduct to a pyridine ring. Molecules 18 and 23 show isoxazole ring cleavages. Compound 12 undergoes glucuronidation and sulfation after Ar−O−Ar ether cleavage (no examples in the training data) and molecule 14 undergoes the “unusual N‐acetylation of an aliphatic amine”.…”
Section: Resultsmentioning
confidence: 99%
“…For molecule 13 a “hypothesized glucuronide” is reported, an atypical N ‐glucuronide adduct to a pyridine ring. Molecules 18 and 23 show isoxazole ring cleavages. Compound 12 undergoes glucuronidation and sulfation after Ar−O−Ar ether cleavage (no examples in the training data) and molecule 14 undergoes the “unusual N‐acetylation of an aliphatic amine”.…”
Section: Resultsmentioning
confidence: 99%
“…MRX-I from MicuRx Pharmaceuticals Inc. is a further 2 nd -generation oxazolidinone with a 2,3-dihydropyridin-4-one (DHPO) ring replacing the morpholine ring found in linezolid [13]. It is active against methicillin-resistant Staphylococcus epidermidis , other coagulase-negative staphylococci, and MRSA [14, 15].…”
Section: Investigational Antibiotics Against Mrsamentioning
confidence: 99%
“…FMO5 differs markedly from FMOs 1, 2, and 3 with respect to its substrate specificities ( Phillips and Shephard, 2017 ). Although FMO5 catalyzes the N -oxygenation of short-chain aliphatic primary amines such as N -octylamine ( Overby et al, 1995 ) and the S -oxygenation of S -methyl-esonarimod, an active metabolite of the antirheumatic agent esonarimod ( Ohmi et al, 2003 ; Zhang et al, 2007 ), it is apparently more efficient in catalyzing the oxygenation of a variety of carbonyl compounds, via a Baeyer-Villiger process ( Fiorentini et al, 2016 ), including the anticancer drug E7016 ( Lai et al, 2011 ) and the antibacterial agent MRX-I ( Meng et al, 2015 ). FMOs 1, 2, and 3 ( Siddens et al, 2014 ) and FMO5 ( Fiorentini et al, 2016 ) can act also as NADPH oxidases, producing hydrogen peroxide.…”
Section: Introductionmentioning
confidence: 99%