Skip to main content
Log in

The use of transgenic cell lines for evaluating toxic metabolites of carbamazepine

  • Published:
Cell Biology and Toxicology Aims and scope Submit manuscript

Abstract

Human lymphoblastoid cell lines transgenic for human CYP450s were evaluated for the identification of toxic metabolites of the anticonvulsant drug carbamazepine (CBZ). Human CYP450 isoforms expressed by these cell lines included 1A1, 1A2, 2E1, 2A6 and 3A4. A dose-dependent inhibition of population growth from 50–200 μg/ml CBZ was detected by measuring cell number and respiration. The inhibition increased with the growth rate of the various lines, which correlated inversely with the presence of CYP450s, and may have been caused by CBZ itself. Cytotoxicity was observed only at the highest dose and in the line lacking transfected CYP450s. Microsomal preparations from hCYP3A4/OR cells converted CBZ into its principal oxidative metabolite, carbamazepine-10,11-epoxide (CBZ-E), at a rate of 630 pmol/min per mg protein, confirming a major role of CYP3A4 in this reaction. However, no CBZ-E (or any metabolite) was recovered from any whole-cell incubation even though hCYP3A4 cells readily converted testosterone to 6ß-hydroxytestosterone. This suggests that differences exist between whole-cell and microsomal preparations of lymphoblastoid cells in their ability to metabolize CBZ.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

Abbreviations

BSTFA:

N,O-bis(trimethylsilyl)trifluoroacetamide

CBZ:

carbamazepine

CBZ-E:

carbamazepine-10, 11-epoxide

CYP450:

cytochrome P450

CYP3A4:

cytochrome P450, isoform 3A4

DMSO:

dimethyl sulfoxide

GC-MS:

gas chromatography-mass spectrometry

HPLC:

high-performance liquid chromatography

MTT:

(3-[4,5-dimethylthiazol-2-y1]-2,5-diphenyl)tetrazolium

SIM:

selected-ion monitoring

TMS:

trimethylsilyl

References

  • Agbato OA,Abdulmajid AE, Patsalos PN, Brett EM, Lascellas PT. Total and free serum concentration of carbamazepine and carbamazepine-10, 11-episode in children with epilepsy. arch Neurol. 1986;43:1111–6.

    Google Scholar 

  • Bertilsson L, Höjer B, Tybring G, Osterloh J, Rane A. Auto-induction of carbamazepine metabolism in children examined by a stable isotope technique. Clin Pharmacol Ther. 1980;27:83–8.

    Google Scholar 

  • Blom S. Tic douloreux treated with new anticonvulsant: experience with G 32883. arch Neurol. 1963;9:285–90.

    Google Scholar 

  • Crespi CL, Thilly WG. Assay for gene mutation in a human lymphoblast line, AHH-1, competent for xenobiotic metabolism. Mutat Res. 1984;128:221–30.

    Google Scholar 

  • Crespi CL, Altman JD, Marletta MA. Xenobiotic metabolism in a human lymphoblastoid cell line. Chem Biol Interact. 1985;53:257–72.

    Google Scholar 

  • Crespi CL, Langenbach R, Penman BW. The development fo a panel of human cell lines expressing specific human cytochrome P450 cDNAs. In: Mendelsohn ML, Albertini RJ, eds. Progress in clinical and biological research. New York: Wiley-Liss; 1990;340B:97–106.

    Google Scholar 

  • Crespi CL, Penman BW, Steimel DT, Gelboin HV, Gonzalwz FJ. The development of a human cell line stably expressing human CYP3A4: role in the metabolic activation of aflatoxin B1 and comparison to CYP1A2 and CYP2A3. Carcinogenesis. 1991a;12:355–9.

    Google Scholar 

  • Crespi CL, Gonzalez FJ, Steimel Dt et al. Metabolically competent human cell line expressing five cDNAs encoding procarcinogen-activating enzymes: application to mutagenicity testing. Chem Res Toxicol. 1991b;4:566–72.

    Google Scholar 

  • Crespi CL, Langenbach R, Penman BW. Human cell lines, derived from AHH-1 TK+—human lymphobalsts, genetically engineered for expression of cytochromes P450. Toxicology. 1993a;82:89–104.

    Google Scholar 

  • Crespi CL, Penman BW, Gonzalez FJ, Gelboin HV, Galvin M, Langenbach R. Genetic toxicology using human cell lines expressing human P-450. Biochem Soc Trans. 1993b;211023–8.

    Google Scholar 

  • Faigle JW, Feldmann KF.Carbamazepine biotransformation. In: Levy R, Meldrum B, Penry B, Penry JK, Dreifuss FE, eds. Antiepileptic drugs. New York: Raven Press; 1989:491–504.

    Google Scholar 

  • Gonzalez FJ. Human cytochrome P450: problems and prospects. Trends Pharmacol Sci. 1992;13:346–52.

    Google Scholar 

  • Holm S, A simple sequently rejective multiple test procedure. Sacn J Statist. 1979;6:65–70.

    Google Scholar 

  • Hooper WD, Dubetz DK, Bochner F et al. Plasma protein binding of carbamazepine. Clin Pharmacol Ther. 1975;17:433–40.

    Google Scholar 

  • Husoy T, syversen T, Jenssen J. Comparison of fourin vitro cytotoxicity tests: the MTT assay, NR assay, uridine incorporation and protein measurements. Toxicol In Vitro. 1993;7:149–54.

    Google Scholar 

  • Jover R, Ponsoda X, Castell JV, Gómez-Lechón MJ. Evaluation of the cytotoxicity of ten chemicals on human cultured hepatocytes: predictability of human toxicity and comparison with rodent cell culture systems. Toxicol In Vitro. 1992;6:47–52.

    Google Scholar 

  • Kerr BM, Thummel KE, Wurden CJ et al. Human liver carbamazepine metabolism — role of CYP3A4 and CYP2C8 in 10,11-epoxide formation. Biochem Pharmacol. 1994;47:1969–79.

    Google Scholar 

  • Korinthenberg R, Haug C, Hannak D. The metabolization of carbamazepine to CBZ-10,11-epoxide in children from the newborn age to adolescence. Neuropediatrics. 1994;25:214–6.

    Google Scholar 

  • Lertratanangkoon K, Horning MG. Metabolism of carbamazepine. Drug Metab Dispos. 1982;10:1–10.

    Google Scholar 

  • Mattson RH, Cramer JA, Collins JF et al. Comparison of carbamazepine, phenobarbital, phenytoin, and primidone in partial and secondarily generalized tonic-clonic seizures. N Engl J Med. 1985;13:145–51.

    Google Scholar 

  • Mosmann T. Rapid colorimetric assay for cellular growth and survival: application to proliferation and cytotoxicity assays. J Immunol Methods. 1983;65:55–63.

    Google Scholar 

  • Pellock JM. Carbamazepine side effects in children and adults. Epilepsia. 1987;28(suppl):S64–70.

    Google Scholar 

  • Penry JK. Epilepsy: diagnosis, management and quality of life. New York: Raven Press; 1986.

    Google Scholar 

  • Pirmohamed M, Kitteringham NR, Guenthner TM, Breckenridge AM, Park BK. An investigation of the formation of cytotoxic, protein-reactive and stable metabolites from carbamazepinein vitro. Biochem Pharmacol. 1992;43:1675–82.

    Google Scholar 

  • Rane A, Höjer B, Wilson JT. Kineticscs of carbamazepine and its 10,11-epoxide metabolite in children. Clin Pharmacol Ther. 1976;19:276–83.

    Google Scholar 

  • Reynolds EH. Neurotoxicity of carbamazepine. Adv Neurol. 1975;11:345–53.

    Google Scholar 

  • Schirrmacher K, Mayer A, Walden J, Dusing R, Bingmann D. Effects of carbamazepine on membrane properties of rat sensory spinal ganglion cells in vitro. Neuropsychobiology. 1995;5:501–7.

    Google Scholar 

  • Schmidt S, Schmitzbuhl M. Signs and symptoms of carbamazepine overdose. J Neurol. 1995;242:169–73.

    Google Scholar 

  • Schoeman JF, Elyas AA, Brett EM, Lascelles PT. Correlation between plasma carbamazepine-10, 11-epoxide concentration and drug side-effects in children with epilepsy. Dev Med Child Neurol. 1984;26:756–64.

    Google Scholar 

  • Scolnik D, Nulman I, Rovet J et al. Neurodevelopment of children exposed in utero to phenytoin and carbamazepine monotherapy. J Med Assoc. 1994;271:767–70.

    Google Scholar 

  • Semah F, Gimenez F, Longer E, Laplane D, Thuillier A, Baulac M. Carbamazepine and its epoxide — an open study of efficacy and side effects after carbamazepine dose increment in refractory partial epilepsy. Ther Drug Monitoring. 1994;16:537–40.

    Google Scholar 

  • Seng JE, Leakey JE, Arlotto MP, Parkinson A, Gandy J. Cellular localization of cytochrome P450IIA1 in testes of mature Sprague-Dawley rats. Biol Reprod. 1991;45:876–82.

    Google Scholar 

  • Shear NH, Spielberg SP. Anticonvulsant hypersensitivity syndrome. In vitro assessment of risk. J Clin Invest. 1988;82:1826–32.

    Google Scholar 

  • Sobotka JL, Alexander B, Cook BL. A review of carbamazepine's hematologic reactions and monitoring recommendations. DICP Ann Pharmacother. 1990;24:1214–9.

    Google Scholar 

  • Tomson T, Bertilsson L. Potent therapeutic effect of carbamazepine-10,11-epoxide in trigeminal neuralgia. Arch Neurol. 1984;41:598–601.

    Google Scholar 

  • Tomson T, Almkvist O, Nilsson BY, Svensson J-O, Bertilsson L. Carbamazepine-10, 11-epoxide in epilepsy — a pilot study. Arch Neurol. 1990;47:888–92.

    Google Scholar 

  • White INH, Dematteis F, Davies A et al. Genotoxic potential of tamoxifen and analogues in female Fischer F3444/N rats, DBA/2 and C57BL/6 mice and in human MCL-5 cells, Carcinogenesis. 1992;13:2197–203.

    Google Scholar 

  • Xiao-Ming G, Margolis RL, Leeds P, Hough C, Post RM, Chuang D-M. Carbamazepine induction of apoptosis in cultured cerebellar neurons: effects ofN-methyl-d-aspartate, aurintricarboxylic acid and cycloheximide. Brain Res. 1995;703:63–71.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Valentine, C.R., Valentine, J.L., Leakey, J. et al. The use of transgenic cell lines for evaluating toxic metabolites of carbamazepine. Cell Biol Toxicol 12, 155–165 (1996). https://doi.org/10.1007/BF00148169

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00148169

Keywords

Navigation