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5.2 Physiological Cascade Reactions Involving P450s  97





                                                          14
                                                        32
                                                           OH
               HO                           HO
                       Lanosterol





                                                          14
                                                        32  O
                                            HO



                                                           HCOOH





                                                         14
                                            HO

                                         4,4-Dimethyl-5α-cholesta-8,14,24-diene-3β-ol

               Scheme 5.8 Demethylation of lanosterol via multistep oxidations catalyzed by CYP51.



                                                14
               method with human liver microsomes and C-labeled capravirine, the complicated
               sequential metabolism of this drug was elucidated in detail. Whereas the two major
               monooxygenated metabolites, namely sulfoxide and N-oxide, were formed mainly
               (>90%) by CYP3A4 and only partially by CYP2C8, the formation of the minor
               C19-hydroxylated metabolite was catalyzed by CYP3A4, 2C8, and 2C19 and of the
               minor C20-hydroxylated metabolite by CYP3A4, 2C8, and 2C9. Interestingly, all
               further oxygenation reactions were mediated exclusively by CYP3A4 in a strictly
               sequential manner (Scheme 5.9) [41].
                Rabbit CYP1A2 was found to catalyze the hydroxylation of pyrene at the C1
               atom and the subsequent C6, C8 (and further) hydroxylations of 1-hydroxy-pyrene
               to dihydroxylated pyrene products (Scheme 5.10) [42]. The kinetics of pyrene and
               1-hydroxypyrene hydroxylation demonstrated high cooperativity. Furthermore, the
               analysis of the spectral changes in CYP1A2 observed for binding and hydroxylation
               of both pyrene and 1-hydroxy-pyrene revealed that they fit into a kinetic model in
               which hydroxylation occurs only when both substrates are bound.
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