The pharmacological action and duration of action of a drug are closely related to the metabolism. For example, the reduction of zonisamide, an anticonvulsant, to 2-sulfamoylacetylphenol (SMAP) is a detoxification reaction, and the reductive ring-opening reaction is catalyzed by aldehyde oxidase and cytochrome P450. [1][2][3] In contrast, the reduction of sulindac, an anti-inflammatory agent, to sulindac sulfide is an activation step, and is catalyzed by aldehyde oxidase, but not cytochrome P450. 4,5) Imipramine N-oxide is also reduced to an active parent drug, imipramine by aldehyde oxidase and cytochrome P450 (Fig. 1). 6,7) Aldehyde oxidase (EC 1.2.3.1), a cytosolic enzyme, contains FAD, molybdenum and iron-sulfur center, and is closely related to xanthine oxidase. 8,9) The enzyme can catalyze the oxidation of a number of aldehydes and nitrogenous heterocyclic compounds. 8,9) In humans, benzaldehyde and N 1 -methylnicotinamide oxidase activities based on aldehyde oxidase were reported. 10,11) Moreover, the enzyme in the presence of its electron donor can mediate the reduction of a variety of compounds such as sulfoxides, 5) N-oxides, 6,12) nitrosamines, 13) hydroxamic acids, 14,15) azo dyes, 16,17) oximes, 18) epoxides, 19) aromatic nitro compounds 20,21) and 1,2-benzisoxazole derivatives. 3) However, it has been reported that a marked species difference exists in the oxidase activity of the enzyme. 8,9) For example, high aldehyde oxidase activity is observed in rabbit and guinea pig livers. 8,9,22) In contrast, aldehyde oxidase activity is not detected in dogs. We also showed a marked species difference of the reductase activity of the enzyme. High reductase activity towards N-oxide compounds, epoxides and 1,2-benzoisoxazole derivatives was observed in rabbits. In contrast, relatively low activity was observed in rats and mice. 3,6,12,19) In monkeys, which are often used as a model animal for human therapy, aldehyde oxidase activity in liver cytosol was observed as phthalazine, benzaldehyde or N 1 -methylnicotinamide oxidase activity. 10,23,24) However, the drug-reductase activity catalyzed by this enzyme in monkeys has not been reported. In this study, the drug-reducing activity of aldehyde oxidase in monkey liver was examined using zonisamide, sulindac and imipramine N-oxide as substrates. * To whom correspondence should be addressed. e-mail: kitamura@pharm.hiroshima-u.ac. 1-2-3 Kasumi, Minami-ku, Hiroshima 734-8551, Japan. Received January 18, 2001; accepted May 7, 2001 Drug-reducing ability of monkey liver cytosol was examined in this study. Monkey liver cytosol exhibited significant reductase activities toward zonisamide, sulindac and imipramine N-oxide in the presence of 2-hydroxypyrimidine or benzaldehyde, an electron donor to aldehyde oxidase. These activities were abolished by inhibitors of aldehyde oxidase, such as menadione. These reductase activities in monkeys were extremely high compared to those in other animals. The zonisamide reductase activity of monkey liver cytosol was about 40-fold h...