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Halogen Substitution Influences Ketamine Metabolism by Cytochrome P450 2B6: In Vitro and Computational Approaches Pan-Fen Wang, Alicia Neiner, Thomas R. Lane, Kimberly M. Zorn, Sean Ekins, and Evan D. Kharasch Mol. Pharmaceutics, Just Accepted Manuscript • DOI: 10.1021/acs.molpharmaceut.8b01214 • Publication Date (Web): 27 Dec 2018 Downloaded from http://pubs.acs.org on January 3, 2019
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Molecular Pharmaceutics
1 Halogen Substitution Influences Ketamine Metabolism by Cytochrome P450 2B6: In Vitro and Computational Approaches Pan-Fen Wang1 Alicia Neiner,2 Thomas R. Lane,3 Kimberley M. Zorn,3 Sean Ekins3, Evan D. Kharasch1,*
1Department
of Anesthesiology, Duke University School of Medicine, Durham, NC
2Department
of Anesthesiology, Washington University in St. Louis, St. Louis, MO
3Collaborations
Pharmaceuticals, Inc., Main Campus Drive, Lab 3510, Raleigh, NC
[email protected],
[email protected],
[email protected],
[email protected],
[email protected],
[email protected] Funding: Supported by National Institutes of Health grants R01DA14211, R43GM122196 and R44GM122196, and by the Washington University in St. Louis Department of Anesthesiology Russel B and Mary D Shelden fund Word count: Abbreviated Title: ketamine halogen analogs metabolism Conflicts of interest: SE is an owner and SE, TRL and KMZ are employees of Collaborations Pharmaceuticals, Inc. All other authors have no conflicts of interest.
*Address Correspondence to: Dr. Evan Kharasch, Department of Anesthesiology, Duke University Box 3094, GSRB1 room 2031, 905 S. LaSalle St, Durham, NC 27710 Tel.: 919-613-1154, E-mail:
[email protected] ACS Paragon Plus Environment
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2 Table of Contents/Abstract Graphic
ACS Paragon Plus Environment
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Molecular Pharmaceutics
3 Abstract Ketamine is analgesic at anesthetic and subanesthetic doses, and used recently to treat depression. Biotransformation mediates ketamine effects, influencing both systemic elimination and bioactivation. CYP2B6 is the major catalyst of hepatic ketamine N-demethylation and metabolism at clinically relevant concentrations. Numerous CYP2B6 substrates contain halogens. CYP2B6 readily forms halogen-protein (particularly Cl-π) bonds, which influence substrate selectivity and active site orientation. Ketamine is chlorinated, but little is known about metabolism of halogenated analogs. This investigation evaluated halogen substitution effects on CYP2B6-catalyzed ketamine analogs N-demethylation in vitro, and modeled interactions with CYP2B6 using various computational approaches. Ortho phenyl ring halogen substituent changes caused substantial (18-fold) differences in Km, on the order Br (bromoketamine, 10 µM)< Cl
