Characterization of rat intestinal microsomal UDP-glucuronosyltransferase activity toward mycophenolic acid.

Article Details

Citation

Miles KK, Kessler FK, Smith PC, Ritter JK

Characterization of rat intestinal microsomal UDP-glucuronosyltransferase activity toward mycophenolic acid.

Drug Metab Dispos. 2006 Sep;34(9):1632-9. Epub 2006 Jun 21.

PubMed ID
16790558 [ View in PubMed
]
Abstract

Mycophenolic acid (MPA) is the active immunosuppressive metabolite of the anti-organ rejection drug mycophenolate mofetil (MMF) and is implicated in the gastrointestinal toxicity associated with MMF therapy. Intestinal UDP-glucuronosyltransferases (UGT) have been proposed to provide intrinsic resistance against MMF-induced gastrointestinal toxicity by converting MPA to the inactive MPA 7-O-glucuronide. Using an optimized intestinal microsome preparation method that stabilized the intestinal MPA UGT activity, the MPA UGT activity of male Sprague-Dawley rat intestinal microsomes was characterized. A longitudinal gradient similar to that described for other phenolic compounds was observed, with the activity decreasing from the duodenum to the distal small intestine and colon. The catalytic efficiency of MPA glucuronidation decreased from the proximal to distal intestine as a result of decreasing Vmax and increasing Km. The finding that homozygous Gunn rats lack detectable intestinal MPA UGT activity indicates exclusive roles of UGT1A1, UGT1A6, and/or UGT1A7. Quantitative immunoblotting revealed a parallel between the MPA UGT activity and the content of UGT1A7-like immunoreactivity (18.7 and 7.3 microg/mg for duodenum and colon, respectively). In contrast, the lesser MPA-metabolizing UGT, UGT1A1 and UGT1A6, were lower in abundance (1.6-2.1 and 1.7-2.9 microg/mg, respectively), and their patterns of longitudinal distribution were distinct from the MPA UGT activity. These data suggest a dominant role of a UGT1A7-like enzyme, presumably UGT1A7 itself, in the catalysis of rat intestinal MPA glucuronidation. Studies are ongoing to investigate the relationship between intestinal UGT1A enzymes and susceptibility to MMF-induced gastrointestinal toxicity.

DrugBank Data that Cites this Article

Drug Enzymes
DrugEnzymeKindOrganismPharmacological ActionActions
Mycophenolate mofetilUDP-glucuronosyltransferase 1-1ProteinHumans
Unknown
Substrate
Details
Mycophenolate mofetilUDP-glucuronosyltransferase 1-6ProteinHumans
Unknown
Substrate
Details
Mycophenolate mofetilUDP-glucuronosyltransferase 1-7ProteinHumans
Unknown
Substrate
Details
Mycophenolic acidUDP-glucuronosyltransferase 1-1ProteinHumans
Unknown
Substrate
Details
Mycophenolic acidUDP-glucuronosyltransferase 1-6ProteinHumans
Unknown
Substrate
Details
Mycophenolic acidUDP-glucuronosyltransferase 1-7ProteinHumans
Unknown
Substrate
Details