ABSTRACT:Propofol (2,6-diisopropylphenol) is a widely-used anesthetic agent attributable to its rapid biotransformation. Liver microsomal cytochrome P450 (P450) isoforms involved in the biotransformation of propofol in rats and the effects of propofol in vivo on P450 levels in rats were investigated. Of six cDNA-expressed rat P450 isoforms tested, CYP2B1 and CYP2C11 had high catalytic activities from 5 M and 20 M propofol concentrations, respectively. Rates of propofol metabolism, at a substrate concentration of 20 M based on the reported human blood concentration, were decreased by intraperitoneal treatment of propofol with male rats, in contrast to a strong induction by phenobarbital. Single intravenously administered propofol (10 mg/kg) caused the decrease of total P450 and CYP2C contents and activities of testosterone 16âŁ-hydroxylation and propofol metabolism in liver microsomes from male rats. The suppressive effects were caused by administered propofol (10 mg/kg) twice every 4 h on CYP2B activities such as testosterone 16â€-hydroxylation or pentoxyresorufin O-depentylation, in addition to the strong suppression of CYP2C function by the single propofol treatment. These results suggest that CYP2C11, presumably deactivated by propofol, has an important role in propofol metabolism in rat liver microsomes. Repeated administration of propofol could markedly decrease the biotransformation of propofol via P450 deactivation.Propofol (2,6-diisopropylphenol) is administered as a bolus for the induction of anesthesia and as an infusion for maintenance of anesthesia or for sedation (Bryson et al., 1995). One of the major advantages of this drug over other injectable anesthetic agents is the rapid and complete recovery that occurs even after relatively prolonged intravenous infusions (Mandsager et al., 1995). This property is attributable to rapid and extensive biotransformation of the parent compound, primarily by the liver. The relative contribution of individual metabolic pathways has been found to vary among animal species and humans (Simons et al., 1991;Sneyd et al., 1994). Although there are several reports of propofol pharmacokinetics or drug interactions in humans (Guitton et al., 1998;McKillop et al., 1998;Hamaoka et al., 1999;Court et al., 2001;Oda et al., 2001;Tanaka et al., 2004), the precise roles of cytochrome P450 (P450) isoforms in the propofol disposition are still unknown. Moreover, there is no report of the effects of propofol on P450 induction or deactivation as a determinant factor of the pharmacodynamic and/or pharmacokinetics of propofol. There has been reported a significant association between receiving a long-term and high-dose propofol infusion and developing progressive myocardial failure (Bray, 1998).In the present study, the roles of rat P450 isoforms involved in propofol metabolism were investigated with recombinant rat P450 isoforms and rat liver microsomes, mainly at a substrate concentration of 20 M, based on the human plasma concentration (McKillop et al., 1998). The effects of P450 dea...