ABSTRACT:Furamidine is an effective antimicrobial agent; however, oral potency of furamidine is poor. A prodrug of furamidine, 2,5-bis(4-amidinophenyl)furan-bis-O-methylamidoxime (DB289), has greatly improved oral potency. DB289 is transformed to furamidine via O-demethylation, and N-dehydroxylation reactions with four intermediate metabolites formed. The O-demethylation reactions have been shown to be catalyzed by cytochrome P450. The enzymes catalyzing the reductive N-dehydroxylation reactions have not been determined. The objective of this study was to identify the enzymes that catalyze N-dehydroxylation of metabolites M1, a monoamidoxime, and M2, a diamidoxime, formed during generation of furamidine. M1 and M2 metabolism was investigated using human liver microsomes and human soluble cytochrome 2,5-Bis(4-amidinophenyl)furan-bis-O-methylamidoxime (DB289) is an antimicrobial prodrug developed for the treatment of a variety of microbial infections. DB289 has completed phase II clinical trials for African trypanosomiasis in Angola and the Democratic Republic of Congo and is currently enrolled in phase II trials for malaria in Thailand and for Pneumocystis pneumonia in Peru. In the phase II clinical trials involving patients with primary-stage African trypanosomiasis, treatment with DB289 achieved cure rates of approximately 95%. Moreover, DB289 was found to be well tolerated, with no significant side effects (J. Allen, unpublished).The study of drug metabolism is a key component in the drug discovery process. A compound's metabolic pathway can provide valuable information, including the identification of metabolites, the rate and extent of metabolism, the enzymes responsible for catalyzing metabolism, and potentially dangerous drug-drug interactions. More importantly for DB289 is the role of drug metabolism for activation of this inactive prodrug. The phase I metabolic pathway for DB289 conversion to the active dicationic compound 2,5-bis(4-amidinophenyl)furan (furamidine; DB75) has been determined in vitro using freshly isolated rat hepatocytes (Zhou, 2001). DB289 uptake and metabolism by rat liver hepatocytes was rapid, with furamidine detectable inside the cells within 30 min. Further investigations resulted in the detection of four other intermediate phase I metabolites as shown in Fig. 1. The metabolic conversion of DB289 to furamidine is complex with two different metabolic routes that converge on M4. Efficient transformation and enzymatic activation through this metabolic pathway are required for sufficient quantities of furamidine to reach its target. Therefore, characterizing the enzymes involved in the metabolic conversion is important for evaluating the metabolic disposition of these compounds in vivo.Preliminary results using rat hepatocytes with 1-aminobenzotria- Article, publication date, and citation information can be found at http://dmd.aspetjournals.org. doi:10.1124/dmd.105.005017.ABBREVIATIONS: DB289, 2,5-bis(4-amidinophenyl)furan-bis-O-methylamidoxime; ABT, 1-aminobenzotriazole; P450, cytochr...