Skip to main content
Log in

The inhibition characteristics of human placental glutathione S-transferase-π by tricyclic antidepressants: amitriptyline and clomipramine

  • Published:
Molecular and Cellular Biochemistry Aims and scope Submit manuscript

Abstract

Tricyclic antidepressants (TCAs) are the non-selective amine re-uptake inhibitors, well absorbed from small intestine, cross the blood–brain barrrier, distributed in the brain, and are bound to glutathione S-transferase-π (GST-π). TCAs can pass through placenta, accumulate in utero baby, and cause congenital malformations. Thus, the study of the interaction of GST-π with antidepressants is crucial. In this study, the interaction of GST-π with amitriptyline and clomipramine was investigated. The K m values for glutathione (GSH) and 1-chloro-2,4-dinitrobenzene (CDNB) were found to be 0.16 ± 0.04 and 3.60 ± 1.67 mM, respectively. The V m values were varying according to the fixed substrate; [CDNB] fixed, 53 ± 3 and [GSH] fixed 182 ± 63 U/mg protein. At variable [GSH] and variable [CDNB], the k cat values of 7.0 × 106 and 1.42 × 107 s−1 and the k cat/K m values of 4.38 × 1010 and 3.94 × 10M−1 s−1 were obtained, respectively. At fixed [CDNB] and variable [GSH], amitriptyline (K s = 0.16 ± 0.03 mM; α = 2.08; and K i = 1.75 ± 0.37 mM) and clomipramine (K s = 0.24 ± 0.05 mM; α = 1.57; and K i = 3.90 ± 2.26 mM) showed linear mixed-type inhibition whereas when the varied substrate is CDNB, amitriptyline (K i = 4.90 ± 0.68 mM) and clomipramine (K i = 3.37 ± 0.39 mM) inhibition were noncompetitive. The inhibition of GST-π by TCAs means the destruction of its protective role against toxic electrophiles. The effect of antidepressants on fetus will be much severe, thus, the antidepressant therapy of pregnant women should be done with caution.

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.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6

Similar content being viewed by others

References

  1. Altshuler LL, Cohen L, Szuba MP, Burt VK, Gitlin M, Mintz J (1996) Pharmacologic management of psychiatric illness during pregnancy: dilemmas and guidelines. Am J Psychiatry 153:592–606

    PubMed  CAS  Google Scholar 

  2. Bebbington PE, Dunn G, Jenkins R, Lewis G, Brugha T, Farrel M, Meltzer H (1998) The influence of age and sex on the prevalence of depressive conditions: report from the National Survey of Psychiatric Morbidity. Psychiatr Med 28:9–19

    Article  CAS  Google Scholar 

  3. Kostowski W (ed) (1998) Antidepressant drugs. In: Pharmacology. PZWL, Warsaw

  4. Weissman MM, Bruce ML, Leaf PJ, Florio LP, Holzer C (1991) Affective disorders. In: Robins LN, Regier DA (eds) Psychiatric disorders in America: the epidemiologic catchment area study. Free Press, New York

    Google Scholar 

  5. Kessler RC, McGonagle KA, Swartz M, Blazer DG, Nelson CB (1993) Sex and depression in the National Comorbidity Survey. I. Lifetime prevalence, chronicityand recurrence. J Affect Disord 29:85–96

    Article  PubMed  CAS  Google Scholar 

  6. Baranczyk-Kuzma A, Kuzma M, Gutowicz M, Kazmierczk B, Sawicki J (2004) Glutathione S-transferase π as a target for tricyclic antidepressants in human brain. Acta Biochim Pol 51:207–212

    PubMed  Google Scholar 

  7. Heikkinen T, Ekblad U, Laine K (2001) Transplacental transfer of amitriptyline and nortriptyline in isolated perfused human placenta. Psychopharmacology 153:450–454

    Article  PubMed  CAS  Google Scholar 

  8. Loughhead AM, Stowe ZN, Newport DJ, Ritchie JC, De Vane CL, Owens MJ (2006) Placental passage of tricyclic antidepressants. Biol Psychiatry 59:287–290

    Article  PubMed  CAS  Google Scholar 

  9. Myren M, Mose T, Mathiesen L, Knudsen LE (2007) The human placenta—an alternative for studying foetal exposure. Toxicol In Vitro 21:1332–1340

    Article  PubMed  CAS  Google Scholar 

  10. Shearer WT, Shreiner RL, Marshall RE (1972) Urinary retention in a neonate secondary to maternal ingestion of nortriptyline. J Pediatr 81:570–572

    Article  PubMed  CAS  Google Scholar 

  11. Eggermont E (1980) Neonatal effects of maternal therapy with tricyclic antidepressant drugs. Arch Dis Child 55:81

    Article  PubMed  CAS  Google Scholar 

  12. Boringa JBS, De Jong GM, Touw DJ (1992) Neonatal withdrawal symptoms after use of clomipramine during pregnancy. Ned Tijdschr Geneeskd 136:1473–1475

    PubMed  CAS  Google Scholar 

  13. Schimmell MS, Katz EZ, Shaag Y, Pastuszak A, Koren G (1991) Toxic neonatal effects following maternal clomipramine therapy. J Toxicol Clin Toxicol 29:479–484

    Article  PubMed  CAS  Google Scholar 

  14. Pariante CM, Seneviratne G, Howard L (2011) Should we stop using tricyclic antidepressants in pregnancy? Psychol Med 41:15–17

    Article  PubMed  CAS  Google Scholar 

  15. Reis M, Kallen B (2010) Delivery outcome after maternal use of antidepressant drugs in pregnancy: an update using Swedish data. Physiol Med 40(10):1723–1733

    CAS  Google Scholar 

  16. Malm H, Klaukka T, Neuvonen PJ (2005) Risks associated with selective serotonin reuptake inhibitors in pregnancy. Obstet Gynecol 106:1289–1296

    Article  PubMed  CAS  Google Scholar 

  17. Kallen B, Otterblad Olausson P (2006) Antidepressant drugs during pregnancy and infant congenital heart defect. Reprod Toxicol 21:221–222

    Article  PubMed  Google Scholar 

  18. Berard A, Ramos E, Rey E, Blais L, St. Andre M, Oraichi D (2007) First trimester exposure to paroxetine and risk of cardiac malformations in infants: the importance of dosage. Birth Defects Res B Dev Reprod Toxicol 80:18–27

    Article  PubMed  CAS  Google Scholar 

  19. Aworanti OM (2009) Congenital idiopathic chylothorax in a Jamaican neonate: management challenges. Internet J Pediatr Neonatol 10:1–18

    Google Scholar 

  20. Pedersen LH, Henriksen TB, Vestergaard M, Olsen J, Bech BH (2009) Selective serotonin reuptake inhibitors in pregnancy and congenital malformations: population based cohort study. BMJ 339:3569

    Article  Google Scholar 

  21. Kallen B (2007) The safety of antidepressant drugs during pregnancy. Expert Opin Drug Saf 6(4):357–370

    Article  PubMed  Google Scholar 

  22. Yung M, Herrema I (2000) Persistent mydriasis following intravenous atropine in a neonate. Paediatr Anaesth 10:438–440

    Article  PubMed  CAS  Google Scholar 

  23. De Kloet ER, Joels M, Holsboer F (2005) Stress and the brain: from adaptation to disease. Nat Rev Neurosci 6:47–463

    Google Scholar 

  24. Berk M (2007) Oxidative biology: new intervention opportunities in psychiatry. Acta Neuropsychiatr 19:259–260

    Article  Google Scholar 

  25. Bilici M, Efe H, Koroglu MA, Uydu HA, Bekaroglu M, Deger O (2001) Antioxidant enzyme activities and lipid peroxidation in major depression: alterations by antidepressant treatments. J Affect Disord 64:43–51

    Article  PubMed  CAS  Google Scholar 

  26. Zafir A, Ara A, Banu N (2009) In vivo antioxidant status: a putative target of antidepressant action. Prog Neuro-Psychopharmacol Biol Psychiatry 33:220–228

    Article  CAS  Google Scholar 

  27. Barbui C, Hotopf M (2001) Amitriptyline v. the rest: still the leading antidepressant after 40 years of randomised controlled trials. Br J Psychiatry 178:129–144

    Article  PubMed  CAS  Google Scholar 

  28. Gillman PK (2007) Tricyclic antidepressant pharmacology and therapeutic drug interactions updated. Br J Pharmacol 151(6):737–748

    Article  PubMed  CAS  Google Scholar 

  29. Tatsumi M, Groshan K, Blakely RD, Richelson E (1997) Pharmacological profile of antidepressants and related compounds at human monoamine transporters. Eur J Pharmacol 340(2–3):249–258

    Article  PubMed  CAS  Google Scholar 

  30. Millan MJ, Gobert A, Lejeune F, Newman-Tancredi A, Rivet JM, Auclair A, Peglion JL (2001) S33005, a novel ligand at both serotonin and norepinephrine transporters: I. Receptor binding, electrophysiological, and neurochemical profile in comparison with venlafaxine, reboxetine, citalopram, and clomipramine. J Pharmacol Exp Ther 298(2):565–580

    PubMed  CAS  Google Scholar 

  31. Shin JG, Park JY, Kim MJ, Shon JH, Yoon YR, Cha IJ, Lee SS, Oh SW, Kim SW, Flockhart DA (2002) Inhibitory effects of tricyclic antidepressants (TCAs) on human cytochrome P450 enzymes in vitro: mechanism of drug interaction between TCAs and phenytoin. Drug Metab Dis 30:1102–1107

    Article  CAS  Google Scholar 

  32. Simons PC, Vander Jagt DL (1981) Purification of glutathione S-transferases by glutathione affinity chromatography. Methods Enzymol 77:235–237

    Article  PubMed  CAS  Google Scholar 

  33. Ozer N, Erdemli O, Sayek I, Ozer I (1990) Resolution and kinetic characterization of glutathione S-transferases from human jejunal mucosa. Biochem Med Metab Biol 44:142–150

    Article  PubMed  CAS  Google Scholar 

  34. Tahir MK, Ozer N, Mannervik B (1988) Isozymes of glutathione S-transferase in rat small intestine. Biochem J 253:759–764

    PubMed  CAS  Google Scholar 

  35. Tuna G, Kulaksiz-Erkmen G, Dalmizrak O, Dogan A, Ogus IH, Ozer N (2010) Inhibition characteristics of hypericin on rat small intestine glutathione-S-transferases. Chem Biol Interact 188(1):59–65

    Article  PubMed  CAS  Google Scholar 

  36. Bradford MM (1976) A rapid and sensitive method for the quantitation of microgram quantities of protein utilizing the principle of protein-dye binding. Anal Biochem 72:248–254

    Article  PubMed  CAS  Google Scholar 

  37. Laemmli UK (1970) Cleavage of structural proteins during the assembly of the head of bacteriophage T4. Nature 227:680–685

    Article  PubMed  CAS  Google Scholar 

  38. Habig WH, Jakoby WB (1981) Assays for differentiation of glutathione S-transferases. Methods Enzymol 77:398–405

    Article  PubMed  CAS  Google Scholar 

  39. Segel IH (1975) Enzyme Kinetics. Wiley-Interscience, New York

    Google Scholar 

  40. Guthenberg C, Mannervik B (1981) Glutathione S-transferase (transferase π) from human placenta is identical or closely related to glutathione S-transferase (transferase ρ) from erythrocytes. Biochem Biophys Acta 661:255–260

    PubMed  CAS  Google Scholar 

  41. Ralat LA, Colman RF (2004) Glutathione S-transferase π has at least three distinguishable xenobiotic substrate sites close to its glutathione-binding site. J Biol Chem 279(48):50204–50213

    Article  PubMed  CAS  Google Scholar 

  42. Schmidt AJ, Heiser P, Hemmeter UM, Krieg J-C, Vedder H (2008) Effects of antidepressants on mRNA levels of antioxidant enzymes in human monocytic U-937 cells. Prog Neuro-Psychopharmacol Biol Psychiatry 32:1567–1573

    Article  CAS  Google Scholar 

  43. Norppa H, Hirvonen A, Jarventaus H, Uuskula M, Tasa G, Ojajarvi A, Sorsa M (1995) Role of GSTT1 and GSTM1 genotypes in determining individual sensitivity to sister chromatid exchange induction by diepoxybutane in cultured human lymphocytes. Carcinogenesis 16:1261–1264

    Article  PubMed  CAS  Google Scholar 

  44. Landi S, Ponzanelli I, Hirvonen A, Norppa H, Barale R (1996) Repeated analysis of sister chromatid exchange induction by diepoxybutane in cultured lymphocytes: effect of glutathione S-tranferase T1 and M1 genotype. Mutat Res 351:79–85

    PubMed  Google Scholar 

  45. Reis M, Aamo T, Spigset O, Ahlner J (2009) Serum concentrations of antidepressant drugs in naturalistic setting: compilation based on a large therapeutic drug monitoring database. Ther Drug Monit 31:42–56

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Nazmi Ozer.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Dalmizrak, O., Kulaksiz-Erkmen, G. & Ozer, N. The inhibition characteristics of human placental glutathione S-transferase-π by tricyclic antidepressants: amitriptyline and clomipramine. Mol Cell Biochem 355, 223–231 (2011). https://doi.org/10.1007/s11010-011-0858-6

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11010-011-0858-6

Keywords

Navigation