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DMD #14084 1 Inhibitory effects of neurotransmitters and steroids on human CYP2A6 Eriko Higashi, Miki Nakajima, Miki Katoh, Shogo Tokudome, and Tsuyoshi Yokoi Drug Metabolism and Toxicology, Division of Pharmaceutical Sciences, Graduate School of Medical Science, Kanazawa University, Kakuma-machi, Kanazawa 920-1192 (E.H., M.N., M.K., T.Y.); and Department of Legal Medicine, Dokkyo University School of Medicine, Kitakobayashi 880, Mibu, Tochigi 321-0293 (S.T.), Japan DMD Fast Forward. Published on January 19, 2007 as doi:10.1124/dmd.106.014084 Copyright 2007 by the American Society for Pharmacology and Experimental Therapeutics. This article has not been copyedited and formatted. The final version may differ from this version. DMD Fast Forward. Published on January 19, 2007 as DOI: 10.1124/dmd.106.014084 at ASPET Journals on December 3, 2020 dmd.aspetjournals.org Downloaded from

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DMD #14084

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Inhibitory effects of neurotransmitters and steroids on human CYP2A6

Eriko Higashi, Miki Nakajima, Miki Katoh, Shogo Tokudome, and Tsuyoshi Yokoi

Drug Metabolism and Toxicology, Division of Pharmaceutical Sciences, Graduate School of

Medical Science, Kanazawa University, Kakuma-machi, Kanazawa 920-1192 (E.H., M.N.,

M.K., T.Y.); and Department of Legal Medicine, Dokkyo University School of Medicine,

Kitakobayashi 880, Mibu, Tochigi 321-0293 (S.T.), Japan

DMD Fast Forward. Published on January 19, 2007 as doi:10.1124/dmd.106.014084

Copyright 2007 by the American Society for Pharmacology and Experimental Therapeutics.

This article has not been copyedited and formatted. The final version may differ from this version.DMD Fast Forward. Published on January 19, 2007 as DOI: 10.1124/dmd.106.014084

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Running title: Inhibitory effects of neurotransmitters and steroids on CYP2A6

*To whom all correspondence should be sent:

Miki Nakajima, PhD.

Drug Metabolism and Toxicology

Division of Pharmaceutical Sciences

Graduate School of Medical Science

Kanazawa University

Kakuma-machi, Kanazawa 920-1192, Japan

Tel/Fax +81-76-234-4407

E-mail: [email protected]

Number of text pages: 14

Number of tables: 2

Number of figures: 4

Number of references: 37

Number of words

Abstract: 259

Introduction: 379

Discussion: 1079

Abbreviations: CYP, P450, Cytochrome P450.

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Abstract

Human CYP2A6 catalyzes the metabolism of nicotine, cotinine, and coumarin as well as

some pharmaceutical drugs. CYP2A6 is highly expressed in liver, and also in brain and

steroid related tissues. In this study, we investigated the inhibitory effects of neurotransmitters

and steroid hormones on CYP2A6 activity. We found that coumarin 7-hydroxylation and

cotinine 3’-hydroxylation by recombinant CYP2A6 expressed in baculovirus-infected insect

cells were competitively inhibited by tryptamine (both Ki = 0.2 µM), serotonin (Ki = 252 µM

and 167 µM), dopamine (Ki = 49 µM and 22 µM), and histamine (Ki = 428 µM and 359 µM).

Cotinine formation from nicotine was inhibited by tryptamine (Ki = 0.7 µM, competitive),

serotonin (Ki = 272 µM, non-competitive), dopamine, noradrenaline, and adrenaline (Ki = 11

µM, 54 µM, and 81 µM, un-competitive). Estrogens (Ki = 0.6 – 3.8 µM), androgens (Ki = 60

– 149 µM), and corticosterone (Ki = 36 µM) also inhibited cotinine formation but coumarin

7-hydroxylation and cotinine 3’-hydroxylation did not. Nicotine-∆5’(1’)-iminium ion formation

from nicotine was not affected by these steroid hormones, indicating that the inhibition of

cotinine formation was due to the inhibitory effects on aldehyde oxidase. The

nicotine-∆5’(1’)-iminium ion formation was competitively inhibited by tryptamine (Ki = 0.3

µM), serotonin (Ki = 316 µM), dopamine (Ki = 66 µM), and histamine (Ki = 209 µM). Thus,

we found that some neurotransmitters inhibit CYP2A6 activity, being related with inter- and

intra-individual differences in CYP2A6-dependent metabolism. The inhibitory effects of

steroid hormones on aldehyde oxidase may also contribute to interindividual differences in

nicotine metabolism.

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Introduction

Cytochrome P450 (CYP, P450) enzymes are of great importance and interest because

they catalyze the metabolism of both endogenous compounds and xenobiotics. The substrates

for the P450s include a variety of clinically used drugs, environmental pollutants, carcinogens,

steroid hormones, fatty acids, and bile acids. Studies on the inhibition of P450 are useful to

predict drug efficacy, drug interaction, and drug toxicity. Because many endogenous

compounds are substrates of P450s, they may inhibit drug metabolism catalyzed by P450s.

Previous studies reported that human CYP1A2 (Agúndez et al., 1998), CYP2C9 (Gervasini et

al., 2001), CYP2D6 (Martínez et al., 1997), and CYP3A (Martínez et al., 2000) activities were

inhibited by neurotransmitters and their precursors. The inhibition would be of particular

importance, since these P450s are expressed in brain and are involved in the metabolism of

psychoactive drugs or associated with Parkinson’s disease. In addition, it has been reported

that androgens activate or inhibit the enzymatic activities catalyzed by CYP3A4 (Nakamura et

al., 1998). Since endogenous compounds are always found in vivo, the inhibitory effects of

endogenous compounds may contribute to the intraindividual and interindividual differences

in P450 activity.

Human CYP2A6, first purified as a coumarin 7-hydroxylase (Yun et al., 1991), catalyzes

the metabolism of pharmaceutical agents such as tegafur, losigamone, letrozole and valproic

acid. CYP2A6 is a major enzyme responsible for the metabolism of nicotine to cotinine

(Nakajima et al., 1996b) and further to trans-3’-hydroxycotinine (Nakajima et al., 1996a).

Furthermore, it can metabolically activate aflatoxin B1 and tobacco specific nitrosamines such

as 4-methylnitrosoamino-1-(3-pyridyl)-1-butanone and N-nitrosodiethylamine (Nakajima et

al., 2002). CYP2A6 is predominantly expressed in liver and also in brain (Miksys and

Tyndale, 2004). Although the systemic clearance of nicotine is due to the metabolism in liver,

CYP2A6 expressed in human brain contributes to the local metabolism of nicotine (Miksys

and Tyndale et al., 2004; Yamanaka et al., 2005).

In addition, CYP2A6 is also expressed in steroid related tissues such as adrenal gland, testis,

ovary, and breast (Nakajima et al., 2006b). Recent studies reported that CYP2A6 catalyses the

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16β-hydroxylation of estradiol (Lee et al., 2003) and progesterone 6β-hydroxylation (Niwa et

al., 1998), although the activities were much lower than those of other CYPs. This

background prompted us to investigate the inhibitory effects of neurotransmitters, their

precursors and steroid hormones on CYP2A6 activity.

Materials and Methods

Materials

Tryptamine, serotonin, melatonin, tyrosine, dopamine, histamine, corticosterone,

testosterone, indole-3-acetic acid, and tryptophol were purchased from Wako Pure Chemical

Industries (Osaka, Japan). Tryptophan, L-dopa, noradrenaline, adrenaline, progesterone,

4-androstene-3,17-dione (androstenedione), 5α-androstane-3α,17β-diol (androstanediol),

estrone, estradiol, estriol, coumarin, 7-hydroxycoumarin, nicotine, cotinine, and caffeine were

from Sigma-Aldrich (St. Louis, MO). Trans-3'-hydroxycotinine was kindly provided by Dr.

William S. Caldwell (R. J. Reynolds Tobacco Company, Winston Salem, NC). NADP+,

glucose-6-phosphate, and glucose-6-phosphate dehydrogenase were from Oriental Yeast

(Tokyo, Japan). Pooled human liver microsomes and microsomes from baculovirus-infected

insect cells expressing human CYP2A6 with NADPH-cytochrome P450 oxidoreductase and

cytochrome b5 were obtained from BD Gentest (Woburn, MA). All other chemicals and

solvents were of the highest grade commercially available.

Enzyme assays

Coumarin 7-hydroxylase activity was determined as described previously (Ohyama et al.,

2000). The incubation mixture (200 µl total volume) contained 50 mM Tris-HCl buffer (pH

7.4), the NADPH-generating system (0.5 mM NADP+, 5 mM glucose-6-phosphate, 5 mM

MgCl2, 1 U/ml glucose-6-phosphate dehydrogenase), 2 pmol/ml CYP2A6 with coumarin as a

substrate. The substrate concentration was 1 µM for the determination of the IC50 values, and

ranged from 0.1 to 5 µM for the determination of the Ki values.

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Cotinine 3’-hydroxylase activity was determined as described previously (Nakajima et

al., 1996a). The incubation mixture (500 µl total volume) contained 50 mM potassium

phosphate buffer (pH 7.4), the NADPH-generating system, 3 pmol/ml CYP2A6, with cotinine

as a substrate. The substrate concentration was 250 µM for the determination of the IC50

values, and ranged from 100 to 2000 µM for the determination of the Ki values.

Cotinine formation from nicotine was determined as described previously (Nakajima et

al., 1996b). The incubation mixture (500 µl total volume) contained 50 mM potassium

phosphate buffer (pH 7.4), the NADPH-generating system, 3 pmol/ml CYP2A6, 3 mg/ml

human liver cytosol, with nicotine as a substrate. The substrate concentration was 50 µM for

the determination of the IC50 values, and ranged from 10 to 200 µM for the determination of

the Ki values. Since nicotine is auto-oxidized to cotinine, cotinine contaminants exist in

commercially available nicotine to the extent of about 0.15%. Therefore, the content of

cotinine in the mixture incubated without microsomal protein was subtracted from that with

microsomal protein to correct the activity.

Nicotine-∆5’(1’)-iminium ion formation from nicotine was determined by HPLC. The

incubation mixture (200 µl total volume) contained 50 mM Tris-HCl buffer (pH 7.4), the

NADPH-generating system, 3 pmol/ml CYP2A6, and nicotine as a substrate. The

concentrations of nicotine were the same as described above. The reaction was initiated by the

addition of the NADPH-generating system, following a 2 min preincubation at 37°C. After

incubation for 10 min, the reaction was terminated by adding 100 µl of ice-cold acetonitrile.

After removal of protein by centrifugation at 10,000 rpm for 5 min, a 50 µl portion of the

supernatant was injected into a HPLC system. The HPLC analyses were performed using an

L-7000 pump (Hitachi, Tokyo, Japan), L-7200 autosampler (Hitachi), and a D-2500 integrator

(Hitachi) equipped with a Capcell Pak C18 UG120 (4.6 x 250 mm; 5 µm) column (Shiseido,

Tokyo, Japan). The eluent was monitored at 260 nm using an L-7400 UV detector (Hitachi).

The mobile phase was 7% acetonitrile containing 0.05% phosphoric acid and 1 mM sodium

heptane sulfonate. The retention times of nicotine-∆5’(1’)-iminium ion and nicotine were 18

min and 21 min, respectively. Since an authentic standard was not available, the relative

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enzyme activity was determined with the HPLC peak height. This is the first study in which

nicotine-∆5’(1’)-iminium ion could be detected by HPLC-UV with unlabeled nicotine. It was

confirmed that the peak of nicotine-∆5’(1’)-iminium ion was decreased to less than half in the

presence of cytosol. The nicotine-∆5’(1’)-iminium ion formation was verified with LC-MS/MS

analysis by the method described previously (Yamanaka et al., 2004) with slight modifications.

The column was a Capcell Pak C18 UG120 (4.6 x 250 mm; 5 µm) and the mobile phase was

0.15% acetic acid, and the flow rate was 0.5 ml/min. Nicotine with [M+H]+ ion at m/z 163

and product ion at m/z 130 was eluted at 5.0 min. A peak with M+ ion at m/z 161 and the

product ion at m/z 130, corresponding to nicotine-∆5’(1’)-iminium ion (Murphy et al., 2005),

was observed at 4.3 min. The 18-min peak in the above ion-pair HPLC analysis was

fractionated, and extracted by dichloromethane after alkalinization with sodium hydroxide.

The organic fraction was evaporated under a gentle stream of nitrogen and the residue was

dissolved in mobile phase. LC-MS/MS analysis of the residue showed a peak at 4.3 min with

ions at m/z 161 and 130, demonstrating that it was nicotine-∆5’(1’)-iminium ion.

Inhibition analysis of CYP2A6 enzyme activities

The structures of the neurotransmitters, their precursors and steroid hormones used in

this study are shown in Fig. 1. Tryptophan, tryptamine, serotonin, tyrosine, L-dopa, dopamine,

noradrenaline, adrenaline, and histamine were dissolved in distilled water. Melatonin,

progesterone, corticosterone, androstenedione, testosterone, androstanediol, estrone, estradiol,

and estriol were dissolved in methanol. These endogenous compounds were added to the

incubation mixtures described above to investigate their inhibitory effects. The final

concentration of methanol in the incubation mixture was 1%. Therefore, the control activity

was determined in the presence of 1% methanol for the compounds that were dissolved in

methanol. The concentrations of tryptophan, tryptamine, serotonin, dopamine, noradrenaline,

adrenaline, and histamine ranged from 1 to 1000 µM, but the concentration of the other

substances was limited to 100 µM because of the solubility. The effects of noradrenaline and

adrenaline for the cotinine 3’-hydroxylation could not be investigated at 1000 µM, because of

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interference with the detection of trans-3’-hydroxycotinine.

Tryptamine metabolism by CYP2A6

Indole-3-acetic acid and tryptophol formations from tryptamine was determined

according to the methods by Mills et al. (1991) and Yu et al. (2003) with slight modifications.

The incubation mixture (200 µl total volume) contained 50 mM Tris-HCl buffer (pH 7.4), the

NADPH-generating system, 120 µg/ml human liver microsomes or 20 pmol/ml CYP2A6 with

tryptamine as a substrate. The retention times of tryptamine, indole-3-acetic acid, and

tryptophol were 11 min, 6.7 min, and 15 min, respectively.

Data analysis

The IC50 values were determined by a nonlinear regression analysis. For the

determination of the type of inhibition, the Lineweaver-Burk plot and the kinetic parameters

were determined by a nonlinear regression analysis using the computer program K•cat

(BioMetallics, Princeton, NJ). All data were analyzed using the average of duplicate

determinations. The variances between the duplicate determinations were < 10%.

Results

Effects of endogenous compounds on CYP2A6 activity

The inhibitory effects of neurotransmitters and their precursors as well as steroid

hormones on the CYP2A6 activity were investigated using recombinant CYP2A6 expressed

in baculovirus-infected insect cells (Fig. 2). The coumarin 7-hydroxylase activity was strongly

inhibited by tryptamine (IC50 = 0.8 µM), and was moderately inhibited by dopamine (IC50 =

117 µM), serotonin (IC50 = 394 µM), and histamine (IC50 = 575 µM) (Fig. 2A, Table 1).

Steroid hormones did not show inhibitory effects on the coumarin 7-hydroxylase activity (Fig.

2B). The cotinine 3’-hydroxylase activity was strongly inhibited by tryptamine (IC50 = 1.0

µM), and was moderately inhibited by dopamine (IC50 = 134 µM), serotonin (IC50 = 336 µM),

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and histamine (IC50 = 829 µM) (Fig. 2C), but not by the steroid hormones (Fig. 2D). This

inhibitory pattern was almost the same as that for the coumarin 7-hydroxylase activity.

The cotinine formation from nicotine was strongly inhibited by tryptamine (IC50 = 4.6 µM),

and was moderately inhibited by dopamine (IC50 = 94 µM) and serotonin (IC50 = 592 µM)

(Fig. 2E). In addition, noradrenaline (IC50 = 110 µM) and adrenaline (IC50 = 483 µM) also

exhibited moderate inhibition. In contrast to the coumarin 7-hydroxylase and cotinine

3’-hydroxylase activities, most steroid hormones inhibited the cotinine formation from

nicotine (Fig. 2F). Especially, estriol (IC50 = 5.2 µM), estrone (IC50 = 7.2 µM), and estradiol

(IC50 = 8.2 µM) showed prominent inhibition for the cotinine formation from nicotine.

When the cotinine formation from nicotine was measured, cytosol as a source of

aldehyde oxidase was usually added in the incubation mixture. To exclude the effects of the

aldehyde oxidase activity, we investigated the inhibitory effect of the endogenous compounds

on the nicotine-∆5’(1’)-iminium ion formation from nicotine in the absence of cytosol (Fig. 3).

The nicotine-∆5’(1’)-iminium ion formation from nicotine was strongly inhibited by tryptamine

(IC50 = 1.0 µM), and was moderately inhibited by dopamine (IC50 = 162 µM), serotonin (IC50

= 701 µM), histamine (IC50 = 722 µM) (Fig. 3A), but not by noradrenaline and adrenaline. In

addition, the steroid hormones did not inhibit the nicotine-∆5’(1’)-iminium ion formation, in

contrast to cotinine formation (Fig. 3B).

Inhibition constant and inhibitory patterns

The Ki values and inhibition patterns of endogenous compounds exhibiting obvious

inhibition of the CYP2A6 enzyme activities were determined (Table 2). The coumarin

7-hydroxylase activity was competitively inhibited by tryptamine (Ki = 0.2 ± 0.1 µM),

serotonin (Ki = 252 ± 47 µM), dopamine (Ki = 49 ± 2 µM), and histamine (Ki = 428 ± 152

µM). The cotinine 3’-hydroxylase activity was also competitively inhibited by tryptamine (Ki

= 0.2 ± 0.0 µM), serotonin (Ki = 167 ± 14 µM), dopamine (Ki = 22 ± 5 µM), and histamine

(Ki = 359 ± 86 µM). These Ki values were significantly correlated between the two activities

(r = 0.992, P < 0.005). Fig. 4 shows the typical Lineweaver-Burk plots of cotinine formation

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from nicotine and nicotine-∆5’(1’)-iminium ion formation from nicotine. First, it was clarified

that the Km value of the latter activity (37 µM) was close to that of the former activity (44

µM). The nicotine-∆5’(1’)-iminium ion formation from nicotine was also competitively

inhibited by tryptamine (Ki = 0.3 ± 0.0 µM), serotonin (Ki = 316 ± 48 µM), dopamine (Ki =

66 ± 21 µM), and histamine (Ki = 209 ± 47 µM). In contrast, the cotinine formation from

nicotine was non-competitively inhibited by serotonin (Ki = 272 ± 74 µM) and

un-competitively by dopamine (Ki = 11 ± 3 µM). Furthermore, the activity was

un-competitively inhibited by noradrenaline (Ki = 54 ± 3 µM), adrenaline (Ki = 81 ± 6 µM),

corticosterone (Ki = 36 ± 19 µM), testosterone (Ki = 60 ± 10 µM), estrone (Ki = 3.8 ± 0.9

µM), estradiol (Ki = 0.9 ± 0.5 µM), and estriol (Ki = 0.6 ± 0.1 µM).

Tryptamine metabolism by CYP2A6

We examined whether CYP2A6 can metabolize tryptamine or not. When pooled human

liver microsomes was incubated with tryptamine, two peaks of metabolites, indole-3-acetic

acid and tryptophol, were observed. However, recombinant CYP2A6 did not show the

formation of these metabolites, even at a high substrate concentration, 1 mM (data not

shown).

Discussion

Over a decade ago, large interindividual variability was reported for CYP2A6 activity

(Shimada et al., 1994). Genetic polymorphisms of CYP2A6 gene can explain the

interindividual variability, but our recent study revealed that considerable variability was still

observed among homozygotes of the wild CYP2A6 allele (Nakajima et al., 2006a). Three

possible reasons for the variability are inferred: 1) the expression level of CYP2A6 varies,

possibly owing to differences in transcriptional or posttranscriptional regulation, 2) dietary

and/or environmental compounds may affect the enzymatic activity, as we recently reported

that dietary isoflavones inhibit nicotine C-oxidation (Nakajima et al., 2006c); 3) endogenous

compounds may affect the enzymatic activity. In the present study, to examine the third

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possibility, the inhibitory effects of endogenous compounds on CYP2A6 activity were

investigated.

In accordance with a previous study using recombinant CYP2A6 expressed in human

lymphoblast cells showing that the Ki value of tryptamine for coumarin 7-hydroxylation was

1.7 µM (Zhang et al., 2001), we found that tryptamine is a potent inhibitor of CYP2A6 (Ki =

0.2 – 0.3 µM). The inhibition pattern of tryptamine for CYP2A6 was competitive, but

tryptamine was not a substrate of CYP2A6, in accordance with a previous report (Yu et al.,

2003). It has been reported that tryptamine inhibits phenacetin O-deethylation catalyzed by

CYP1A2 (Ki = 40 µM) (Agúndez et al., 1998), diclofenac 4-hydrocylation catalyzed by

CYP2C9 (Ki = 340 µM) (Gervasini et al., 2001), and dextromethorphan O-demethylation

catalyzed CYP2D6 (IC50 = 45 µM) (Martínez et al., 1997) in human liver microsomes. Thus,

tryptamine exhibited a most potent inhibition toward CYP2A6 among human P450s. In

addition to tryptamine, we found that serotonin, dopamine, and histamine also inhibit

CYP2A6. The inhibitory effects of serotonin on CYP2A6 activity (Ki = 167 – 316 µM) seem

to be weaker than those on CYP1A2 (Ki = 35 µM) (Agúndez et al., 1998), CYP2C9 (Ki =

63.5 µM) (Gervasini et al., 2001), and CYP3A4 (Ki = 26 µM) (Martínez et al., 2000)

activities. In contrast, the inhibitory effects of dopamine on CYP2A6 activity (Ki = 22 – 66

µM) seem to be stronger than those on CYP1A2 (Ki = 520 µM) (Agúndez et al., 1998) and

CYP2C9 (Ki = 405 µM) (Gervasini et al., 2001) activities. Although adrenaline has been

reported to inhibit CYP1A2 (Ki = 175 µM) (Agúndez et al., 1998), CYP2C9 (Ki = 156 µM)

(Gervasini et al., 2001), and CYP3A4 (Ki = 42 µM) (Martínez et al., 2000) activities, it did

not inhibit CYP2A6. Thus, the inhibitory effects of neurotransmitters depend on human CYP

isoforms.

Cotinine formation from nicotine is frequently used as a specific activity for CYP2A6.

However, it consists of two step reactions, CYP2A6-dependent nicotine-∆5’(1’)-iminium ion

formation from nicotine and subsequent cotinine formation from nicotine-∆5’(1’)-iminium ion

that is mainly catalyzed by cytosolic aldehyde oxidase (Brandänge and Lindblom, 1979).

Based on the difference in the inhibitory effects on cotinine formation from nicotine and

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nicotine-∆5’(1’)-iminium ion formation from nicotine, it appeared that some neurotransmitter

and steroid hormones could inhibit aldehyde oxidase. These results were supported by a

previous study reporting that human cytosolic aldehyde oxidase was inhibited by estradiol,

estrone, and ethinyl estradiol (IC50 = 0.29 – 0.57 µM), using phthalazine as a substrate (Obach,

2004). Thus, nicotine-∆5’(1’)-iminium ion formation from nicotine would be preferable to

evaluate CYP2A6 activity rather than cotinine formation from nicotine. However, to predict

the in vivo situation, the cotinine formation from nicotine in the presence of cytosol should be

evaluated.

Cotinine formation from nicotine was inhibited by tryptamine, serotonin, dopamine as

well as noradrenaline and adrenaline. Nicotine absorbed from lung by cigarette smoking

reaches the brain rapidly. Once nicotine penetrates the central nervous system, it acts as an

agonist of nicotinic acetylcholine receptors and evokes dopamine, serotonin, and

noradrenaline release (Di Chiara, 2000). It has been reported that monoamine oxidase A and B,

metabolizing serotonin, dopamine, and noradrenaline (Johnston, 1968; Youdim and Riederer,

1993), were inhibited in brains of smokers (Fowler et al., 1996a, b). Thus, the inhibition of the

nicotine metabolism by the increased neurotransmitters in brain might be associated with

nicotine addiction and/or dependence. Previous reports have shown that the serotonin

concentration was 6 µM in rat brain homogenate, 4 µM in sheep cerebrospinal fluid, and

adrenaline concentration was 0.14 nM in human cerebrospinal fluid (Mousseau, 1993;

Ensinger et al., 1992). However, the concentrations in cerebrospinal fluid are not necessarily

indicative of the concentrations in brain. There are serious limitations in quantifying of the

levels of these substances in brain tissues in human. Furthermore, these transmitter substances

are not homogeneously distributed in the brain. The concentrations at the synaptic space,

where the neurotransmitters are secreted, must be several orders of magnitude greater. Thus,

even though the Ki values in our study are high, an inhibition of CYP2A6 in brain may take

place.

Several previous reports suggested the possibility that estrogens might induce CYP2A6.

Zeman et al. (2002) reported that the ratio of nicotine/(cotinine + trans-3’-hydroxycotinine)

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was significantly lower in women compared with men. Similarly, we also found that the ratio

of cotinine/nicotine was higher in women than in men (Nakajima et al., 2006a). It has been

reported that the clearance of nicotine via the cotinine pathway was higher during pregnancy

compared with postpartum (Dempsey et al., 2002) and is accelerated by oral contraceptive use

in women (Benowitz et al., 2006). On the other hand, the present study demonstrated that

estrogens potently inhibited the cotinine formation from nicotine. Circulating estrogens,

which mainly originate from ovarian steroidogensis in premenopausal women and peripheral

aromatization of ovarian and adrenal androgens in postmenopausal women, are eliminated

from the body by metabolic conversion in the liver. The major enzymes responsible for the

metabolism of estrogens are CYP3A4 and CYP1A2 (Lee et al., 2003). The Km values of

CYP3A4 and CYP1A2 for estrogen metabolism have been reported to be 54 – 111 µM and 17

– 28 µM, respectively (Yamazaki et al., 1998). Thus, the extremely low Ki values of estrogens

for cotinine formation from nicotine indicated that estrogens would inhibit nicotine

metabolism in vivo. The regulation of nicotine metabolism by estrogens might be complicated

in vivo, because of the induction of CYP2A6 and inhibition of aldehyde oxidase.

In conclusion, we found that some neurotransmitters and steroid hormones inhibit human

CYP2A6 activity. It is known that there are large inter- and intra-individual variations in the

level of these endogenous compounds (Curtin et al., 1996). The inhibitory effects of the

endogenous substances might be one of the factors influencing the variability of CYP2A6

activity.

Acknowledgements

We acknowledge Brent Bell for reviewing the manuscript.

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Footnotes

This study was supported in part by a grant from the Smoking Research Foundation in Japan.

Address correspondence to: Dr. Miki Nakajima, Drug Metabolism and Toxicology, Division

of Pharmaceutical Sciences, Graduate School of Medical Science, Kanazawa University,

Kakuma-machi, Kanazawa 920-1192, Japan. E-mail: [email protected]

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Figure legends

Figure 1. Structure of neurotransmitters and their precursors as well as steroid hormones used

in the present study.

Figure 2. Inhibitory effects of neurotransmitters, their precursors (A, C, E) and steroid

hormones (B, D, F) on human CYP2A6 activity. Coumarin 7-hydroxylase activity (A, B),

cotinine 3’-hydroxylase activity (C, D), and cotinine formation from nicotine (E, F) by

recombinant CYP2A6 expressed in baculovirus-infected insect cells were determined at the

substrate concentrations of 1 µM, 250 µM, and 50 µM, respectively. The control activity was

7.7 pmol/min/pmol CYP for the coumarin 7-hydroxylation, 0.55 pmol/min/pmol CYP for the

cotinine 3’-hydroxylation, and 10.3 pmol/min/pmol CYP for the cotinine formation from

nicotine.

Figure 3. Inhibitory effects of neurotransmitters, their precursors (A) and steroid hormones

(B) on nicotine-∆5’(1’)-iminium ion formation from nicotine at the substrate concentrations of

50 µM.

Figure 4. Lineweaver-Burk plots of cotinine formation (A, C, E) and nicotine-∆5’(1’)-iminium

ion formation (B, D, F) from nicotine by the recombinant CYP2A6 in the presence of

tryptamine (A, B), serotonin (C, D), and dopamine (E, F). The inhibitory patterns of

tryptamine (A), serotonin (C), and dopamine (E) for the cotinine formative activity were the

competitive, non-competitive, and un-competitive types, respectively. Tryptamine (B),

serotonin (D), and dopamine (F) competitively inhibit the nicotine-∆5’(1’)-iminium ion

formative activity.

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Table 1. The IC50 values of endogenous compounds for CYP2A6 enzyme activities.

Coumarin Cotinine Cotinine formation Nicotine-∆5’(1’)-iminium ion

Inhibitor 7-hydroxylation 3’-hydroxylation from nicotine formation from nicotine

Tryptophan > 1000 > 1000 > 1000 > 1000

Tryptamine 0.8 1.0 4.6 1.0

Serotonin 394 336 592 701

Melatonin > 100 > 100 > 100 > 100

Tyrosine > 100 > 100 > 100 > 100

L-Dopa > 100 > 100 > 100 > 100

Dopamine 117 134 94 162

Noradrenaline > 1000 > 100 110 > 100

Adrenaline > 1000 > 100 483 > 100

Histamine 575 829 > 1000 722

Progesterone > 100 > 100 > 100 > 100

Corticosterone > 100 > 100 44 > 100

Androstenedione > 100 > 100 85 > 100

Testosterone > 100 > 100 78 > 100

Androstanediol > 100 > 100 > 100 > 100

Estrone > 100 > 100 7.2 > 100

Estradiol > 100 > 100 8.2 > 100

Estriol > 100 > 100 5.2 > 100

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Table 2. The Ki values and inhibition types of endogenous compounds for the CYP2A6 enzyme activities.

Nicotine-∆5’(1’)-iminium ion

Coumarin 7-hydroxylation Cotinine 3’-hydroxylation Cotinine formation from nicotine formation from nicotine

Inhibitor Ki (µM) Type of inhibition Ki (µM) Type of inhibition Ki (µM) Type of inhibition Ki (µM) Type of inhibition

Tryptophan – – – –

Tryptamine 0.2 ± 0.1 Competitive 0.2 ± 0.0 Competitive 0.7 ± 0.1 Competitive 0.3 ± 0.0 Competitive

Serotonin 252 ± 47 Competitive 167 ± 14 Competitive 272 ± 74 Non-competitive 316 ± 48 Competitive

Melatonin – – – –

Tyrosine – – – –

L-Dopa – – – –

Dopamine 49 ± 2 Competitive 22 ± 5 Competitive 11 ± 3 Un-competitive 66 ± 21 Competitive

Noradrenaline – – 54 ± 3 Un-competitive –

Adrenaline – – 81 ± 6 Un-competitive –

Histamine 428 ± 152 Competitive 359 ± 86 Competitive – 209 ± 47 Competitive

Progesterone – – – –

Corticosterone – – 36 ± 19 Un-competitive –

Androstenedione – – 149 ± 25 Mixed –

Testosterone – – 60 ± 10 Un-competitive –

Androstanediol – – – –

Estrone – – 3.8 ± 0.9 Un-competitive –

Estradiol – – 0.9 ± 0.5 Un-competitive –

Estriol – – 0.6 ± 0.1 Un-competitive –

Data generated by nonlinear regression analysis are expressed as mean ± SE of duplicate determinations.

– : Not applicable.

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