Metabolism of oxazaphosphorines

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  • Cited by (324)

    • Human constitutive androstane receptor agonist DL5016: A novel sensitizer for cyclophosphamide-based chemotherapies

      2019, European Journal of Medicinal Chemistry
      Citation Excerpt :

      One of the potential solutions is to increase the metabolic conversion of CPA to its pharmacologically active metabolite [2]. CPA is biotransformed predominantly in the liver to the active metabolite 4-hydroxy cyclophosphamide by cytochrome P450 isozyme 2B6 (CYP2B6) [3,4]. In addition to this desirable metabolic pathway, CPA can also be converted into a pharmacologically inactive metabolite dechloroethyl-CPA, along with another toxic metabolite, 2-chloro acetaldehyde, almost exclusively by CYP3A4 [5].

    • Metabolic activity testing can underestimate acute drug cytotoxicity as revealed by HepG2 cell clones overexpressing cytochrome P450 2C19 and 3A4

      2019, Toxicology
      Citation Excerpt :

      Various human CYP450 enzymes such as CYP2A6, 2B6, 3A4/5, 2C9, 2C8, 2C18 and 2C19 were shown to perform monooxygenation of CPA leading to the phase I metabolite 4-hydroxy-cyclophosphamide (4−OH-CPA) (Chang et al., 1997a, 1993; Chang et al., 1997b; Griskevicius et al., 2003; Ren et al., 1997; Rodriguez-Antona and Ingelman-Sundberg, 2006). 4−OH-CPA tautomerizes with aldophosphamide, which then can undergo β-elimination to generate the alkylating metabolite phosphoramide mustard (PM) and the toxic byproduct acrolein (Supplementary material, Fig. S1) (Low et al., 1982; Sladek, 1988). Since many years, in vitro studies on drug toxicity make use of complex hepatoma cell systems such as HepaRG (Aninat et al., 2006; Gerets et al., 2012; Guillouzo et al., 2007; Kanebratt and Andersson, 2008; Lubberstedt et al., 2011) and more recently studies are also conducted on physiologically relevant non-transformed human hepatocytes.

    • Halogenated Hydrocarbons

      2018, Comprehensive Toxicology: Third Edition
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