Three major organosulfur compounds of aged garlic extract, S-allyl-L-cysteine (SAC), S-methyl-Lcysteine (SMC), and trans-S-1-propenyl-L-cysteine (S1PC), were examined for their effects on the activities of five major isoforms of human CYP enzymes: CYP1A2, 2C9, 2C19, 2D6, and 3A4. The metabolite formation from probe substrates for the CYP isoforms was examined in human liver microsomes in the presence of organosulfur compounds at 0.01-1 mM by using liquid chromatography-tandem mass spectrometry (LC-MS/ MS) analysis. Allicin, a major component of garlic, inhibited CYP1A2 and CYP3A4 activity by 21-45% at 0.03 mM. In contrast, a CYP2C9-catalyzed reaction was enhanced by up to 1.9 times in the presence of allicin at 0.003-0.3 mM. SAC, SMC, and S1PC had no effect on the activities of the five isoforms, except that S1PC inhibited CYP3A4-catalyzed midazolam 1′-hydroxylation by 31% at 1 mM. The N-acetylated metabolites of the three compounds inhibited the activities of several isoforms to a varying degree at 1 mM. N-Acetyl-Sallyl-L-cysteine and N-acetyl-S-methyl-L-cysteine inhibited the reactions catalyzed by CYP2D6 and CYP1A2, by 19 and 26%, respectively, whereas trans-N-acetyl-S-1-propenyl-L-cysteine showed weak to moderate inhibition (19-49%) of CYP1A2, 2C19, 2D6, and 3A4 activities. On the other hand, both the N-acetylated and Soxidized metabolites of SAC, SMC, and S1PC had little effect on the reactions catalyzed by the five isoforms. These results indicated that SAC, SMC, and S1PC have little potential to cause drug-drug interaction due to CYP inhibition or activation in vivo, as judged by their minimal effects (IC 50 >1 mM) on the activities of five major isoforms of human CYP in vitro.Key words organosulfur compound; cytochrome P450 inhibition; drug-drug interaction; garlic Garlic (Allium sativum L.) has been widely consumed since ancient times and its health benefits as a supplementary medicine have been well recognized.1) Recently, the increased use of herbal medicines has raised concerns about potential interactions with prescription medications. Of particular concern are drug-drug interactions (DDIs) caused by the inhibition or induction of drug-metabolizing enzymes, in particular, CYP enzymes.
2-4)Aged garlic extract (AGE) is a unique garlic product manufactured through a long extraction process from raw garlic and its multiple pharmacologic effects have been demonstrated in several clinical studies. [5][6][7][8] This extraction process leads to the reduction of odorous, acidic, and irritating compounds found in fresh garlic and the enrichment of water-soluble organosulfur components in AGE, such as S-allyl-L-cysteine (SAC),
S-methyl-L-cysteine (SMC), and trans-S-1-propenyl-L-cysteine (S1PC)9) (Fig. 1). SAC is recognized as an active key component of AGE, and its favorable effects have been demonstrated, including a cholesterol-lowering effect, 10) an antioxidative effect, 11) and an anticancer effect. 12) There has been limited study on the biological and pharmacologic activities of S1PC; however, its immun...