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Biotransformation of rifabutin, an antibiotic used for treatment of tuberculosis in patients infected with the human immunodeficiency virus (HIV), and its interactions with some macrolide and antifungal agents were studied in human intestinal and liver microsomes. Both liver and enterocyte microsomes metabolized rifabutin to 25-O-deacetylrifabutin, 27-O-demethylrifabutin, and 20-, 31-, and 32-hydroxyrifabutin. The same products (except 25-O-deacetylrifabutin) were formed by microsomes from lymphoblastoid cells that contained expressed CYP3A4. The apparent Michaelis-Menten constant (Km); approximately 10 to 12 mumol/L) and maximal velocity (Vmax; approximately 100 pmol/min/mg of protein) values for CYP-mediated metabolism were similar in liver and enterocyte microsomes. Deacetylation of rifabutin (Km approximately 16 to 20 mumol/L and Vmax approximately 50 to 100 pmol/min/mg of protein) was catalyzed by microsomal cholinesterase. Clarithromycin, ketoconazole, and fluconazole inhibited CYP-mediated metabolism of rifabutin in enterocyte microsomes equally or more potently than in liver microsomes but had no effect on cholinesterase activity. Azithromycin did not inhibit in vitro metabolism of rifabutin. This study provides evidence that CYP3A4 and cholinesterase are major enzymes that biotransform rifabutin in humans and that intestinal CYP3A4 contributes significantly to rifabutin presystemic first-pass metabolism and drug interactions with macrolide and antifungal agents.

Abstract. Optical-resolution photoacoustic microscopy ͑OR-PAM͒ is a novel imaging technology for visualizing optically absorbing superficial structures in vivo with lateral spatial resolution determined by optical focusing rather than acoustic detection. Since scanning of the illumination spot is required, OR-PAM imaging speed is limited by both scanning speed and laser pulse repetition rate. Unfortunately, lasers with high repetition rates and suitable pulse durations and energies are not widely available and can be cost-prohibitive and bulky. We are developing compact, passively Q-switched fiber and microchip laser sources for this application. The properties of these lasers are discussed, and pulse repetition rates up to 100 kHz are demonstrated. OR-PAM imaging was conducted using a previously developed photoacoustic probe, which enabled flexible scanning of the focused output of the lasers. Phantom studies demonstrate the ability to image with lateral spatial resolution of 7±2 m with the microchip laser system and 15± 5 m with the fiber laser system. We believe that the high pulse repetition rates and the potentially compact and fiber-coupled nature of these lasers will prove important for clinical imaging applications where real-time imaging performance is essential.

The surface-enhanced Raman scattering (SERS) spectrum of L-tryptophan has been studied in the concentration range 1.4 × 10(-8) to 5 × 10(-4) M. A borohydride-reduced silver colloid was employed as the nanoparticle enhancing agent and different electrolytes have been tested for activation of the colloid. The optimum conditions have been determined for achieving high sensitivity of detection. The experimental procedure developed, which includes the use of a composite electrolyte (a mixture of NaHCO(3) and NaCl) for colloid activation, results in very high enhancement of the Raman signal (up to 10(8)). This gives the possibility of studying SERS spectra of L-tryptophan at concentrations as low as 10(-8) M, which is several orders of magnitude lower than previously reported in the literature. The observed SERS spectra were very reproducible and were detectable 2 minutes after mixing, reaching maximum strength approximately 15 minutes after mixing. The spectral characteristics were stable over the entire period of observation. We have found that SERS spectra of tryptophan in silver colloid differ in several features at low (below ∼10(-5) M) and at high (above ∼10(-4) M) concentrations. The most important difference is the absence of the peak near 1000 cm(-1) at low concentrations, which is usually assigned to the indole ring breathing mode. The observed spectra allow us to suggest that at low concentrations Trp molecules bind to the surface through the indole ring, which remains flat on the surface. This is in contrast to the previously reported observation of SERS spectra from Trp performed at concentration levels above 10(-5) M.

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