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ABSTRACT:Zileuton, a 5-lipoxygenase inhibitor, was evaluated as an inhibitor of cytochrome P450 activity in human liver microsomes. In the absence of preincubation, the racemate was found to be a weak inhibitor (IC 50 > 100 M) of phenacetin O-deethylation (POD) (CYP1A2), paclitaxel 6␣-hydroxylation (CYP2C8), diclofenac 4-hydroxylation (CYP2C9), (S)-mephenytoin 4-hydroxylation (CYP2C19), bufuralol 1-hydroxylation (CYP2D6), testosterone 6-hydroxylation (CYP3A4), chlorzoxazone 6-hydroxylation (CYP2E1), and bupropion hydroxylation (CYP2B6). When preincubated with NADPH-fortified human liver microsomes in the absence of substrate, zileuton (racemate) was shown to inhibit POD. The effect was NADPH-, time-, and concentration-dependent, and was characterized by a k inact (maximal rate of enzyme inactivation) and apparent K I (inhibitor concentration that supports half the maximal rate of inactivation) of 0.035 min ]. In addition, the inhibition of CYP1A2 was not reversed in the presence of reduced glutathione, catalase, and superoxide dismutase and was refractory to dialysis. Therefore, zileuton was characterized as a mechanism-based inhibitor of human liver microsomal CYP1A2. Mechanism-based inhibition of CYP1A2 may explain why zileuton decreases the oral clearance of antipyrine, propranolol, (R)-warfarin, and theophylline, at doses that have a minimal effect on the pharmacokinetics of (S)-warfarin, phenytoin, and terfenadine. Zileuton (Zyflo;thien-2-ylethyl)-N-hydroxyurea), a substituted hydroxamic acid, is a potent and selective 5-lipoxygenase inhibitor that has been approved for the prevention and chronic treatment of asthma (Isreal et al., 1990;Carter et al., 1991;Bell et al., 1992;Wenzel and Kamada, 1996;Dube et al., 1999). The drug contains a single chiral center (Fig. 1), is administered as a racemic mixture of (R)-(ϩ)-and (S)-(Ϫ)-enantiomers, and is characterized by a plasma half-life of about 4 h (Wong et al., 1995). As a result of the short half-life, zileuton has to be dosed four times a day (q.i.d.), and effective inhibition (70 -80%) of leukotriene B 4 biosynthesis can be attained using a 600-mg q.i.d. dosing regimen (Awni et al., 1995a).Zileuton is well absorbed, and the majority of the dose (ϳ75%) is recovered in the urine of healthy volunteers as the N-hydroxy glucuronides of both the (R)-(ϩ)-and (S)-(Ϫ)-enantiomers (Wong et al., 1995). Although N-hydroxy glucuronidation has been confirmed with human liver microsomes, zileuton is metabolized in the presence of NADPH (Machinist et al., 1995b;Sweeny and Nellans, 1995). In fact, CYP1A2 and CYP2C9 catalyze ring hydroxylation, whereas sulfoxidation is catalyzed largely by CYP3A4. Both reactions conform to Michaelis-Menten kinetics in human liver microsomes and are described by relatively high K m values (Ն 0.2 mM).Zileuton also has been shown to be a weak inhibitor of human liver microsomal CYP3A4, CYP2C9, and CYP2D6 activity in vitro (Machinist et al., 1995b). As anticipated, zileuton has a m...