Species differences in the CYP3A-catalyzed metabolism of TPN729,a novel PDE5 inhibitor

• 作者: Qian-qian Tian Yun-ting Zhu Xing-xing Diao Xiang-lei Zhang Ye-chun Xu Xiang-rui Jiang Jing-shan Shen Zhen Wang Da-fang Zhong
• 来源期刊: 中国药理学报（英文版）
• 年，卷（期）: 2021,（3）
• 所属期刊栏目: Absorption,Distribution Metabolism, and Excression
• 页码范围: 482-490
• 页数: 9页
• 语种: 英文

摘要

TPN729 is a novel phosphodiesterase 5(PDE5)inhibitor used to treat erectile dysfunction in men.Our previous study shows that the plasma exposure of metabolite M3(N-dealkylation of TPN729)in humans is much higher than that of TPN729.In this study,we compared its metabolism and pharmacokinetics in different species and explored the contribution of its main metabolite M3 to pharmacological effect.We conducted a combinatory approach of ultra-performance liquid chromatography/quadrupole time-of-flight mass spectrometry-based metabolite identification,and examined pharmacokinetic profiles in monkeys,dogs,and rats following TPN729 administration.A remarkable species difference was observed in the relative abundance of major metabolite M3:i.e.,the plasma exposure of M3 was 7.6-fold higher than that of TPN729 in humans,and 3.5-,1.2-,1.1-fold in monkeys,dogs,and rats,respectively.We incubated liver S9 and liver microsomes with TPN729 and CYP3A inhibitors,and demonstrated that CYP3A was responsible for TPN729 metabolism and M3 formation in humans.The inhibitory activity of M3 on PDE5 was 0.78-fold that of TPN729(The ICs0 values of TPN729 and M3 for PDE5A were 6.17±0.48 and 7.94 ± 0.07 nM,respectively.).The plasma protein binding rates of TPN729 and M3 in humans were 92.7％and 98.7％,respectively.It was astonishing that the catalyzing capability of CYP3A4 in M3 formation exhibited seven-fold disparity between different species.M3 was an active metabolite,and its pharmacological contribution was equal to that of TPN729 in humans.These findings provide new insights into the limitation and selection of animal model for predicting the clinical pharmacokinetics of drug candidates metabolized by CYP3A4.