Methylenedioxymethamphetamine (MDMA) was investigated in cryopreserved human hepatocytes as a time-dependent inactivator (TDI) of CYP2D6 using dextromethorphan (DEX) as a probe substrate. Inhibition kinetic parameters kinact, the maximal rate of inactivation, and KI, the inhibitor concentration at half the maximal activation rate, were determined. Time- and concentration-dependent inhibition were confirmed, and the influence of different elements of study design (e.g. cell number, stability of hepatocytes, dilution after preincubation) on estimated kinetic parameters were evaluated. Dilution factors (DF) of 1.2, 5 or total removal of inhibitor (by washing cells after preincubation, WR) resulted in kinact and KI ( ± S.E.) values of 0.02 ± 0.002 min-1 and 0.88 ± 0.31 µM, 0.01 ± 0.001 min-1 and 1.23 ± 0.70 µM, and 0.01 ± 0.001 min-1 and 2.10 ± 1.32 µM, respectively; indicating that insufficient dilution may lead to overestimation of CYP2D6 inactivation. Accounting for MDMA depletion during the preincubation, corrected KI values were significantly lower (0.11 ± 0.05 µM, 0.15 ± 0.09 µM, 0.24 ± 0.16 µM for DF of 1.2, 5, and WR, respectively). Inactivation efficiency in hepatocytes, as measured by kinact/K(I), was 10-fold less than that previously reported in human liver microsomes or recombinantly expressed systems. Possible causes for the observed differences between in vitro systems warrant further investigation. These may include differences in metabolic consumption of MDMA in each system, non-specific binding and presence of active efflux in hepatocytes.
Author(s): Linh Van, John Swales, Clare Hammond, Claire Wilson, Judith Hargreaves, Amin Rostami-Hodjegan