Capsaicinoids are botanical irritants present in chili peppers. Chili pepper extracts and capsaicinoids are common dietary constituents and important pharmaceutical agents. Use of these substances in modern consumer products and medicinal preparations occurs worldwide. Capsaicinoids are the principals of pepper spray self-defense weapons and several over-the-counter pain treatments as well as the active component of many dietary supplements. Capsaicinoids interact with the capsaicin receptor (a.k.a., VR1 or TRPV1) to produce acute pain and cough as well as long-term analgesia. Capsaicinoids are also toxic to many cells via TRPV1-dependent and independent mechanisms. Chemical modifications to capsaicinoids by P450 enzymes decreases their potency at TRPV1 and reduces the pharmacological and toxicological phenomena associated with TRPV1 stimulation. Metabolism of capsaicinoids by P450 enzymes also produces reactive electrophiles capable of modifying biological macromolecules. This review highlights data describing specific mechanisms by which P450 enzymes convert the capsaicinoids to novel products and explores the relationship between capsaicinoid metabolism and its effects on capsaicinoid pharmacology and toxicology.
CAPSAICINOID PHARMACOLOGY, TOXICOLOGY, AND HUMAN EXPOSURE SOURCESThe capsaicinoids are a family of natural products isolated from the fruits of "hot" peppers (Govindarajan, 1985;Govindarajan and Sathyanarayana, 1991). These substances produce the characteristic sensations associated with the ingestion of spicy food. Capsaicinoids elicit multiple characteristic pharmacological responses that include severe irritation, inflammation, erythema, and transient hyper-and hypoalgesia at exposed sites; capsaicinoids are particularly irritating to the eyes, skin, nose, tongue, and respiratory tract, where large numbers of sensory nerve fibers (C-and Aδ-) terminate that express high quantities of the capsaicin receptor (i.e., VR1 or TRPV1). TRPV1 has been cloned and its pharmacological properties and physiological roles characterized (Caterina et al., 1997). TRPV1 is a calcium channel that, when activated by capsaicinoids, produces the characteristic sensations previously described and causes toxicity in many mammalian cell types (Lee et al., 2000;Maccarrone et al., 2000;Macho et al., 2000;Surh, 2002;Reilly et al., 2003b;Agopyan et al., 2004;Johansen et al., 2006). Several excellent and comprehensive reviews dedicated to TRPV1 have been published (Szallasi and Blumberg, 1999;Caterina and Julius, 2001).There are numerous naturally occurring capsaicinoid analogs (Kozukue et al., 2005;Thompson et al., 2005a;Thompson et al., 2005b) dihydrocapsaicin, nordihydrocapsaicin, nonivamide, homocapsaicin, and homodihydrocapsaicin (Reilly et al., 2001a;Reilly et al., 2001b). The chemical structures of the major capsaicinoid analogs are depicted in Fig. 1. All analogs have the capacity to bind to and activate TRPV1, albeit with different potencies depending primarily upon the alkyl chain structure (Pyman, 1925;Hayes...