(Clinical Chemistry. 1998;44:532-538.)
© 1998 American Association for Clinical Chemistry, Inc.
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Drug Monitoring and Toxicology |
Isolation and identification of a C39 demethylated metabolite of rapamycin from pig liver microsomes and evaluation of its immunosuppressive activity
Marc J. M. Nickmilder1,
Dominique Latinne2,
Jean-Paul De Houx2,
Roger K. Verbeeck1,
and Georges J. J. Lhoëst1,a
1
Department of Pharmaceutical Sciences-UCL, Pharmacokinetics and Metabolism Unit, Laboratory of Mass Spectrometry, 7246, Av. E. Mounier, B-1200 Brussels, Belgium.
2
Experimental Immunology Unit-UCL, Clos Chapelle aux
Champs, 3056, B-1200 Brussels, Belgium.
a Author for correspondence. Fax 32 2 2624150;
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Abstract
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We studied in vitro metabolism of rapamycin using pig liver microsomes.
After extraction of the metabolites from the incubation medium, the
crude metabolite extract was submitted to normal and subsequently to
reversed-phase HPLC chromatography. We describe in the current study a
metabolite of retention time 23.2 min collected from reversed-phase
HPLC and identified by fast atom bombardment mass spectrometry (MS) and
electrospray MS-MS as a C39 demethylated rapamycin
metabolite. In vitro immunosuppressive activity of this metabolite,
determined by the mixed lymphocyte reaction, was negligible compared
with that of the parent compound. The decrease of in vitro
immunosuppressive activity compared with the parent compound is likely
to be attributed to important structural modifications of the rapamycin
binding region to the FK-506 binding protein.
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Introduction
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Rapamycin (sirolimus, AY-22,989,
C51H79NO13), isolated from a
strain of Streptomyces hygroscopus (1), is a
31-membered macrolide lactone with a molecular mass of 913.6 Da.
Although rapamycin was originally developed as an antifungal and
antitumor drug, the focus of current interest has shifted towards its
immunosuppressive properties (2). Rapamycin binds to the
same intracellular binding protein in lymphocytes (FKBP or FK-506
binding protein) as its structural homolog, the immunosuppressive
drug FK-506 (3), and inhibits the S6p70-kinase
(4), an immunosuppressive mechanism of drug biological
action quite different from that of FK-506 (tacrolimus), which inhibits
the phosphatase activity of calcineurin in vitro
(5).1
The cytochrome P-450 3A-dependent mixed-function oxygenase system is
responsible for the metabolism of rapamycin (6). Some
hydroxylated and (or) demethylated metabolites of rapamycin were
isolated and identified from human liver microsomes and rat small
intestinal microsomes, among them the 41-O-demethyl
rapamycin metabolite (7), also called
39-O-demethyl rapamycin, following the numbering of atoms of
the Cambridge Structure Data Bank (8).
We describe in this study the isolation of the 39-O-demethyl
rapamycin metabolite from pig liver microsomes and the structural
identification of this compound by fast atom bombardment (FAB) and
electrospray tandem mass spectrometry (MS-MS). We also discuss the
results of in vitro immunosuppressive activity of this metabolite in
terms of structureactivity relation using the mixed lymphocyte
reaction (MLR).
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Materials and Methods
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Chemicals and reagents.
Rapamycin (white powder, batch
AY-2298921) was graciously supplied by Wyeth-Ayerst Research.
"Spectrograde" solvents (acetonitrile, dichloromethane, and
isopropanol) used in extraction or analytical procedures were purchased
from Labscan Unit T26 and hexane from Alltech Associates, Applied
Science Labs. NADP, glucose-6 phosphate, and
glucose-6-phosphate dehydrogenase grade II (5 g/L) were purchased from
Boehringer Mannheim. The matrix used in FAB/MS, 3-nitrobenzyl alcohol,
was manufactured by Aldrich-Chemie. Demineralized and filtered (MilliQ
water purification system; Millipore-Waters) water was used. All cell
culture reagents were obtained from Gibco Labs.
Animals.
Female Landrace Belgium pigs (~16 kg) were
maintained in individual cages and were given free access to commercial
food pellets (Versele-Laga) and water.
Preparation of pig liver microsomes.
After intracardiac
injection of 20 mmol of a KCl solution (1 mol/L), the liver was
removed, weighed, cut into seven pieces of ~100 g, and stored in a
refrigerator at -80 °C. The pieces of liver were removed, weighed,
washed with ice-cold 3 mmol/L imidazole homogenizing medium containing
0.5 mol/L sucrose, minced with scissors, and fractionated according to
a described method (9) to produce a microsomal fraction
containing 4.62 g/L protein and 0.43 nmol of cytochrome P-450/mg
protein determined according to published standard procedures
(10)(11).
Rapamycin microsomal incubation medium and extraction of the
metabolites.
To the NADPH-generating medium (1.6 mL) containing
5.08 mg of NADP, 0.4 mL of MgCl2 (0.5 mol/L),
10 mg of glucose-6 phosphate, and 1.2 mL of Tris (pH 7.4) were added 5
mL of pig liver microsomes, 1.2 µL of glucose-6-phosphate
dehydrogenase (specific activity 350 kU/g), and 5 µg of rapamycin/mg
protein dissolved in acetonitrile (1 g/L), in a total volume of 6.6 mL.
This mixture was incubated for 1 h at 37 °C in 50-mL Erlenmeyer
flasks and transferred to a centrifuge tube. Fourteen milliliters of
dichloromethane were added, vortex-mixed for 2 min, and centrifuged for
20 min at 3800g. The aqueous phase was discarded and the
residue remaining after evaporation of the organic phase under reduced
pressure was dissolved in 800 µL of isopropanol. The resulting
solution was then submitted to HPLC analysis.
HPLC.
The HPLC system consisted of a HP 1090 HPLC system
(Hewlett-Packard) connected to a Diode-Array detector HP 1050.
Rapamycin metabolites were first separated in normal phase on an
Alltech Rsil column (10 mm, length 250 mm, i.d. 10 mm) fitted with a
Lichrosorb CN precolumn (Merck) with a gradient of hexane (from 100
mL/L to 600 mL/L):isopropanol (from 900 mL/L to 400 mL/L) during 35
min, followed by an isocratic hexane:isopropanol (60:40) phase as the
mobile phase. Flow rate and UV detector settings were 2 mL/min and 276
nm, respectively. Groups of peaks with retention times (RT) 27 to 55
min were then collected and after evaporation of the mobile phase the
residue was dissolved in acetonitrile. The resulting solution was then
rechromatographed on a reversed-phase HPLC system consisting of three
columns in tandem (Nova-Pak-C18 4 µm, Waters, 3.9 x
150 mm Nucleosil-C18,, 5 µm, 4 x 250 mm,
Macherey-Nagel, and Supelco, LC-18 DB, 5 µm, 4.6 x 250 mm,
Sercolab) at 40 °C by using a gradient of acetonitrile (from 480
mL/L to 1000 mL/L):water (from 520 mL/L to 0 mL/L) as the mobile phase.
Flow rate and UV detector settings were 1 mL/min and 276 nm,
respectively. Under these conditions, the major peaks were detected and
collected. After evaporation of the mobile phase under reduced
pressure, the residues were dissolved in acetonitrile, transferred to
individual tubes, preweighed on a semimicro balance (Precisia), and
evaporated to dryness under a stream of nitrogen.
FAB/MS.
FAB mass spectra were obtained with a Kratos
(Kratos Analytical) MS80 RFA instrument. Metabolites (100 µg) were
dissolved in dichloromethane. Small aliquots of the resulting solution
were slowly transferred and evaporated on a copper probe tip (standard
Kratos FAB probe) before adding a fixed amount (6 mg) of a
3-nitrobenzyl alcohol matrix. Xenon gas was used in the Kratos FAB
source with a primary energy of 7.8 kV.
Electrospray MS-MS.
Electrospray MS-MS spectra were
obtained with a Finnigan Mat LCQ and MSn instrument. The
source voltage was 5.05 kV, the capillary voltage 25.76 V, and the
capillary temperature 220.10 °C. The compounds (100 µg) were
dissolved in a mixture of acetonitrile:5 mmol/L aqueous solution of
ammonium acetate (50:50) and the solution was infused with the aid of a
syringe pump at a flow rate of 5 µL/min.
Functional assays to determine the immunosuppressive
effect.
Mononuclear cells were isolated from human peripheral
blood by density gradient centrifugation on FicollHypaque medium
(International Medical, d = 1.077). After washing, the cells were
suspended in enriched RPMI medium at a concentration of 2 x
10 cells/L (12). The enriched RPMI medium
consisted of 770 mL/L RPMI medium 1640 (Gibco), 200 mL/L fetal calf
serum (Biosys), 10 mL/L glutamine, 10 mL/L penistreptomycin (5000
kU/L), and 10 mL/L gentamicin (50 g/L). In microplates, 10
cells/well (50 µL) were incubated at 37 °C and 5% CO2
for 5 days with 50 µL of the metabolite solution, 10
nonirradiated MHC-incompatible allogeneic cells (50 µL), and 50 µL
of enriched medium. The concentration range of the metabolite and of
the parent compound rapamycin was 0.125, 1.25, 12.5, 25, 100, 500, and
1000 µg/L. To each well was added 10 µL of a
[1
H]thymidine solution [7.4 GBq (0.2 Ci)/L,
Isotopchim]. Cell cultures were harvested with an automated multiwell
harvester (Skatron) that first aspirates cells, lyses them, and
transfers their DNA onto filter paper, while allowing unincorporated
[1
H]thymidine to wash out. The incorporation was
determined by liquid scintillation counting (beta counter cpm, Beckman
LS 6000SE) after an additional 8-h incubation. The potential inhibitory
response of each solution was calculated in cpm and expressed as the
percentage of inhibition of a normal response (MLR performed in absence
of any solution). Each culture, including positive and negative
controls, was performed in triplicate, and then repeated five times.
Pure rapamycin and solvent additions were the positive and negative
controls, respectively.
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Results and Discussion
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The reversed-phase chromatogram resulting from the incubation of
rapamycin in the presence of pig liver microsomes is illustrated in
Fig. 1
and reveals the presence of metabolic peaks of RTs 8.5 min,
11.2 min, 18.6 min, and 23.2 min. The remaining chromatographic peaks
observed at 25.9 min, 26.7 min, and 27.8 min are tautomers of unchanged
rapamycin as confirmed by FAB/MS. The metabolite at RT 11.2 is a
5,6-dihydrodiol metabolite already identified from rat liver microsomes
(13).

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Figure 1. Reversed-phase HPLC chromatogram resulting from the
incubation of rapamycin in the presence of pig liver microsomes.
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The FAB mass spectrum of the metabolite at RT 23.2 (Fig. 2
) is characterized by the presence of quasimolecular ions of
mass m/z = 922 (MNa) and 938
(MK) and by fragmentation ions of mass m/z
= 906 (M - CH3OH)K, 890 (M -
CH3OH)Na, 785 (M - 115)H,
769 (M - CH4 - 115)H, 755 (M -
3H2O - pipecolic acid)K, and 737
(769 - CH3OH)H, proving that a
demethylation process occurred under the influence of the cytochrome
P-450-dependent mixed-function oxygenase system as illustrated in the
fragmentation pathway of Fig. 3
. Because ringchain tautomerism effects exist between the
lactone function and the corresponding carboxylic acid with the
formation of a double bond at the C25C26
positions, a fragmentation process in the
position of the double
bond is observed giving rise to a fragment ion of mass
m/z = 785, demonstrating that demethylation occurred at
the rapamycin C39 position. Also, the fact that fragment
ions are observed resulting in the elimination of pipecolic acid
indicates that some intramolecular interactions between the
C39 hydroxy group and the C16 carbonyl are
possible, giving rise to a carbinolamine intermediate that is able to
lose pipecolic acid, as already observed for tacrolimus
(14)(15).
These observations were confirmed by electrospray MS (Fig. 4
) and MS-MS measurements on this rapamycin metabolite
characterized mainly by the presence of quasimolecular ions of mass
m/z = 917 (M NH4), 922 (M
Na), and 938 (M K), confirming that
rapamycin was submitted to a phase I demethylation reaction. When the
sodium adduct (m/z = 922) was selected as the parent
ion, daughter ions of mass m/z = 890 (M -
CH3OH)Na, 872 (M -
CH3OH - H2O)Na, 614 (M
- 308)Na, 582 (M - 308 -
CH3OH)Na, and 564 (M - 308 -
CH3OH - H2O)Na were
observed, as shown in the Fig. 5
, confirming again that demethylation occurred at the rapamycin
C39 position. The daughters of the parent ion
m/z = 890 were found to be 872 (890 -
H2O), 779 (890 - 111),
761(890 - pipecolic acid), 735(890 - 111
- CO2), 717(890 - 111 -
CO2 - H2O), 582(890 -
308), and 564 (890 - 308 -
H2O) (data not shown). The fact that pipecolic
acid or 2-formyl piperidine 2-ene, as also observed for tacrolimus
metabolites (14), may be lost from the parent ion
m/z = 890 confirms that intramolecular interactions of
free hydroxy groups with the C16 rapamycin carbonyl
function are possible to produce a carbinol-amine intermediate.
The in vitro immunosuppressive activity of MLR by the
C39 demethylated rapamycin metabolite is essentially
zero until 25 µg/L (Fig. 6
). The 50% immunosuppressive concentration (IC50)
of rapamycin is 2 x 10-4 µg/L (data not shown) and
of the C39 demethylated metabolite 2 x
10 µg/L, which is 10-6 times lower than
that of rapamycin. In the higher concentration range, the
immunosuppressive activity increases progressively from 25 to 1000
µg/L, where the last recorded value is similar to the one of
rapamycin. These results are in agreement with the ones obtained
recently for four rapamycin metabolites isolated from urine of renal
transplant recipients, since the observed immunosuppressive activities
in MLR (16) were small at a concentration of 40 µg.
Probably the 39-O-demethyl metabolite was present among
these four metabolites. The metabolite obtained from pig liver was
estimated to be 5% of unchanged rapamycin (comparison between the
surfaces under the curve in the HPLC chromatogram). The same metabolite
was already isolated from human liver microsomes (7) and
inhibited phytohemagglutinin-induced lymphocyte proliferation. The
amount and the immunosuppressive activity of this metabolite are both
low, leading to a negligible contamination in current therapeutic
monitoring methods of rapamycin. Kessler et al. reported
(17) that the binding region, including the
C11 to C23 and C37 to
C44 positions of rapamycin, is nearly identical to the one
of tacrolimus. Intramolecular interactions of free hydroxy groups at
the rapamycin C16 position to produce a carbinolamine
intermediate were observed in FAB as well as in electrospray MS. Also,
intermolecular interactions with FKBP-12 may give rise to the formation
of several tautomeric forms of the C39 demethylated
rapamycin metabolite, presenting different binding affinities for
FKBP-12. The decrease of in vitro immunosuppressive activity is likely
to be attributed to important structural modifications of the rapamycin
binding region to FKBP-12, including intramolecular interactions of the
C39 hydroxy group with the lactone function, producing
another ring tautomer very similar to the one described for iso-FK-506
(18)(19) and decreasing the binding affinity
of this rapamycin metabolite for its pharmacological receptor FKBP-12.
We conclude that rapamycin is metabolized in vitro under the
influence of cytochrome P-450-dependent mixed-function oxygenase
enzymic system to a C39 demethylated rapamycin
metabolite characterized by an in vitro immunosuppressive activity that
is essentially zero.
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Footnotes
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1 Nonstandard abbreviations: FKBP, FK-506 binding protein; FAB, fast atom bombardment; MS, mass spectrometry; MLR, mixed lymphocyte reaction; and RT, retention time. 
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