2002
DOI: 10.1021/jm020864q
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Isotopic Effect Study of Propofol Deuteration on the Metabolism, Activity, and Toxicity of the Anesthetic

Abstract: The use of isotopic substitution to delay the oxidative metabolism of the anesthetic propofol 1 was studied. The aromatic hydrogens of propofol 1 were replaced by deuterium to produce the mono- and trideuterated derivatives 4 and 5. In vitro metabolic studies on human hepatic microsomes showed no isotopic effect in the para hydroxylation of propofol, and 1, 4, and 5 display similar hypnotic activity and toxicity in mice.

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Cited by 54 publications
(31 citation statements)
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“…For instance, two isopropyl groups in 2,6-diisopropylphenol (propofol, is a short-acting, intravenously administered hypnotic agent) [58] are equivalent in chemical shifts [59] because of the low rotational barrier. Therefore, it seems that the appearance of approximately two doublets in 1 H NMR spectrum of 1c (before adding D 2 O) either attributed to the hindrance effect between two isopropyls and tetrazole groups upon phenyl ring and restricted rotation around ether linkage bonds in 1c or presumably to the equilibrium mixture of 1H-and 2H-tautomers that slightly have enough life time in NMR time scale.…”
Section: Resultsmentioning
confidence: 99%
“…For instance, two isopropyl groups in 2,6-diisopropylphenol (propofol, is a short-acting, intravenously administered hypnotic agent) [58] are equivalent in chemical shifts [59] because of the low rotational barrier. Therefore, it seems that the appearance of approximately two doublets in 1 H NMR spectrum of 1c (before adding D 2 O) either attributed to the hindrance effect between two isopropyls and tetrazole groups upon phenyl ring and restricted rotation around ether linkage bonds in 1c or presumably to the equilibrium mixture of 1H-and 2H-tautomers that slightly have enough life time in NMR time scale.…”
Section: Resultsmentioning
confidence: 99%
“…This can often increase drug exposure and reduce drug toxicity . However, deuterium replacement strategy may be confounded by metabolic switching and other metabolic pathways in vivo, for example, deuterated Propofol and Imatinib …”
Section: Introductionmentioning
confidence: 99%
“…Many factors may confound this approach, including the contribution to in vivo metabolism by enzymes which do not rely on C-H bond breakage. No isotope effect was observed after administration of deuterated propofol to mice (Helfenbein et al, 2002); this may be attributed to the fact that glucuronidation accounts for a significant proportion of propofol metabolism (Simons et al, 1988). Contribution to in vivo clearance by nonmetabolic elimination mechanisms (urinary and/or biliary excretion of unchanged drug) may also attenuate in vivo deuterium isotope effects; biliary excretion of zoniporide (;40% of dose) is likely to contribute to the lack of isotope effects observed for this compound in rats (Sharma et al, 2012).…”
Section: Discussionmentioning
confidence: 93%