ABSTRACT:Nebicapone (BIA 3-202; 1-[3,4-dihydroxy-5-nitrophenyl]-2-phenylethanone), a novel catechol-O-methyltransferase inhibitor, is mainly metabolized by glucuronidation. The purpose of this study was to characterize the major plasma metabolites of nebicapone following p.o. administration of nebicapone to healthy volunteers, and to determine the human UDP-glucuronosyltransferase (UGT) enzymes involved in nebicapone glucuronidation. Plasma samples were collected as part of a clinical trial at different time points postdose and were analyzed for nebicapone and its metabolites using a validated method consisting of a solid-phase extraction, followed by high-performance liquid chromatography/mass spectrometry detection. The primary metabolic pathways of nebicapone in humans involve mainly 3-O-glucuronidation, the major early metabolite, and 3-O-methylation, the predominant late metabolite. Of the nine commercially available recombinant UGT enzymes studied (UGT1A1, UGT1A3, UGT1A6, UGT1A7, UGT1A8, UGT1A9, UGT1A10, UGT2B7, and UGT2B15), only UGT1A9 exhibited high nebicapone glucuronosyltransferase specific activity (24.3 ؎ 1.3 nmol/mg protein/min). UGT1A6, UGT1A7, UGT1A8, UGT1A10, UGT2B7, and UGT2B15 exhibited low activity (0.1-1.1 nmol/mg protein/min), and UGT1A1 and UGT1A3 showed extremely low activities (less than 0.03 nmol/mg protein/min). The results show that nebicapone is mainly glucuronidated in humans and that multiple UGT enzymes are involved in this reaction.L-3,4-dihydroxyphenylalanine (L-DOPA) therapy has revolutionized treatment of idiopathic Parkinson's disease (PD) by providing a p.o. administered source of dopamine precursor with ready access to the brain, and it remains the most widely used palliative drug for PD. However, L-DOPA is metabolized in the periphery by aromatic Lamino acid decarboxylase (AADC) and catechol-O-methyltransferase (COMT) enzymes, reducing brain availability. Therefore, an improvement in L-DOPA therapy is provided by a combination treatment of L-DOPA with an AADC inhibitor plus a COMT inhibitor, effectively increasing its availability to the brain (Backstrom et al., 1989).Second-generation COMT inhibitors entacapone and tolcapone ( Fig. 1) have proven beneficial when used together with L-DOPA and an AADC inhibitor, such as carbidopa or benserazide, in the medical treatment of patients with PD (Dingemanse et al., 1995;Dingemanse, 1997;Heikkinen et al., 2001Heikkinen et al., , 2002. When metabolized, these nitrocatechol derivatives are extensively conjugated, usually undergo direct glucuronidation catalyzed by UDP-glucuronosyltransferases (UGT), and are then rapidly excreted in the urine (Lautala et al., 1997). Additionally, both methylation and sulfation compete with glucuronidation for conjugation of the adjacent phenolic hydroxyls (Lautala et al., 1997). Major metabolites of tolcapone in human plasma are the 3-O--glucuronic acid (ϳ18.6%) and the 3-O-methyl conjugate (ϳ2.1%). In urine, the 3-O--glucuronic conjugates of tolcapone (ϳ13%) and its derivative N-acetyl amino (ϳ5.7...