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Environmental Toxicology and Chemistry, Vol. 32, No. 8, pp.

1810–1818, 2013
# 2013 SETAC
Printed in the USA

COMPARATIVE PHARMACEUTICAL METABOLISM BY RAINBOW TROUT


(ONCORHYNCHUS MYKISS) LIVER S9 FRACTIONS

KRISTIN A. CONNORS,*yzx BOWEN DU,yzk PATRICK N. FITZSIMMONS,# ALEX D. HOFFMAN,#


C. KEVIN CHAMBLISS,zkyy JOHN W. NICHOLS,# and BRYAN W. BROOKSyzxk
yDepartment of Environmental Science, Baylor University, Waco, Texas, USA
zCenter for Reservoir and Aquatic Systems Research, Baylor University, Waco, Texas, USA
xInstitute of Biomedical Studies, Baylor University, Waco, Texas, USA
kThe Institute of Ecological, Earth and Environmental Sciences, Baylor University, Waco, Texas, USA
#US Environmental Protection Agency, Duluth, Minnesota, USA
yyDepartment of Chemistry and Biochemistry, Baylor University, Waco, Texas, USA

(Submitted 10 December 2012; Returned for Revision 6 February 2013; Accepted 5 April 2013)

Abstract: The occurrence of pharmaceuticals in the environment presents a challenge of growing concern. In contrast to many industrial
compounds, pharmaceuticals undergo extensive testing prior to their introduction to the environment. In principle, therefore, it may be
possible to employ existing pharmacological safety data using biological “read-across” methods to support screening-level
bioaccumulation environmental risk assessment. However, few approaches and robust empirical data sets exist, particularly for
comparative pharmacokinetic applications. For many pharmaceuticals, the primary cytochrome P450 (CYP) enzymes responsible for their
metabolism have been identified in humans. The purpose of the present study was to employ a comparative approach to determine whether
rainbow trout biotransform pharmaceuticals known to be substrates for specific human CYPs. Seven compounds were selected based on
their primary metabolism in humans by CYP3A4, CYP2D6, or CYP2C9. Five additional test compounds are known to be substrates for
multiple CYPs. Metabolism by rainbow trout liver S9 fractions was evaluated using a substrate-depletion approach, which provided an
estimate of intrinsic hepatic clearance (CLIN VITRO,INT). An isotope dilution liquid chromatography–tandem mass spectrometry method
was employed for quantitation of parent chemical concentrations. Only 2 general CYP substrates demonstrated measurable levels of
substrate depletion. No significant biotransformation was observed for known substrates of human CYP2D6, CYP2C9, or CYP3A4. The
results of this study provide novel information for therapeutics that fish models are likely to metabolize based on existing mammalian data.
Further, these results suggest that pharmaceuticals may possess a greater tendency to bioaccumulate in fish than previously anticipated.
Environ Toxicol Chem 2013;32:1810–1818. # 2013 SETAC

Keywords: Bioaccumulation Contaminant of emerging concern Comparative pharmacology Risk assessment Alternative
model

INTRODUCTION of pharmaceuticals in aquatic life therefore represents a critical


The occurrence of pharmaceuticals and personal care research need [9,10].
products in the environment has prompted substantial research Pharmaceuticals are unusual among nonpesticidal environ-
activity and an increasing level of regulatory attention. In the mental contaminants because the drug-approval process provides a
developed world, dozens of pharmaceuticals have been detected wealth of information about their physicochemical and biological
in wastewater treatment plant effluent, surface water, and properties. Therapeutic compounds are intentionally designed to
groundwater at concentrations ranging from nanograms per liter elicit specific physiological effects at low concentrations. If
to low micrograms per liter [1]. Higher concentrations have been therapeutic targets (e.g., receptors, enzymes) are sufficiently
found in some developing countries [2]. Bioaccumulation of conserved in nontarget species, adverse outcome pathways may be
pharmaceuticals in fish and other aquatic organisms has attracted predicted by mammalian pharmacodynamic information [11–14].
additional attention, particularly in effluent-dominated sys- For example, Valenti and coworkers [15] studied the effect of
tems [3–6]. For some compounds, tissue residues may increase sertraline, a widely prescribed antidepressant, on adult fathead
in aquatic organisms to several orders of magnitude higher than minnows. Sertraline acts in humans by selectively inhibiting
surface water concentrations [7]. For example, in a recent study serotonin reuptake. Previous work had shown that serotonin
by Brodin et al. [8], the concentration of the benzodiazepine reuptake transport (SERT) proteins in fish share substantial (65%–
oxazepam was 6 times greater in fish tissue than in surface water. 75%) sequence homology with human SERT proteins [17]. Adult
In the laboratory, exposure to such environmentally relevant male fathead minnows exposed to sertraline in water accumulated
concentrations of oxazepam resulted in similar tissue bioaccu- chemical concentrations in plasma exceeding the human
mulation levels and subsequently behavioral alterations and therapeutic threshold [15]. These measured concentrations were
changes in feeding rate [8]. Understanding the bioaccumulation subsequently associated with functional changes in chemical
binding to SERT proteins and shelter-seeking, antianxiety
behavior. Thus, it may be possible to use mammalian pharmaco-
All Supplemental Data may be found in the online version of this article. dynamic data to develop predictions for substances presenting
* Address correspondence to Kristin_Connors@Baylor.edu.
Published online 18 April 2013 in Wiley Online Library
potential environmental hazards to aquatic life [9,12,16,17].
(wileyonlinelibrary.com). Unfortunately, the comparative pharmacokinetics of phar-
DOI: 10.1002/etc.2240 maceuticals in aquatic life are less well understood than the
1810
Comparative pharmaceutical metabolism by rainbow trout Environ Toxicol Chem 32, 2013 1811

pharmacodynamic approaches described above [7,18]. Because Fish cultures


biotransformation has the potential to reduce chemical accumu- Rainbow trout (Erwin strain) of mixed sex were obtained
lation within an organism, a question of particular concern is from the Upper Midwest Environmental Sciences Center (La
whether aquatic biota can appreciably metabolize these Crosse, WI, USA) and reared until approximately 1.5 yr old
compounds. Using substrate-depletion methods developed by (average wt approximately 350 g) at the US Environmental
the pharmaceutical industry, environmental toxicologists have Protection Agency laboratory in Duluth, Minnesota. All fish
begun to characterize biotransformation rates in fish using in were in early stages of sexual maturation at the time of death and
vitro systems derived from liver tissue [19–21]. Though had not previously undergone a spawning cycle. Fish were fed
measured rates of depletion provide no information on the Silver Cup trout chow (Nelson and Sons) and maintained on a
identity of metabolizing enzymes, the resulting information can 16 h light:8 h dark photoperiod at 11  1 8C. Water for fish
be extrapolated to estimate whole-body clearance. In vitro holding was drawn from Lake Superior and was treated before
systems, such as those that utilize the liver S9 fraction or liver use with ultraviolet light and sand filtration.
microsomes, are desirable because they can be rapidly
performed, are cost-effective, and thus can support screening- S9 fractions
level environmental risk-assessment efforts [22]. To date, most Fish were killed with ethyl 3-aminobenzoate methanesulfo-
of this work has been performed with pesticides and other nate (MS222, 250 mg/L) buffered with 750 mg/L NaHCO3. In
organic compounds; however, limited studies have been an effort to reduce blood contamination of liver S9 preparations,
conducted using pharmaceuticals [23–25]. These efforts have the hepatic vein was severed, and 10 mL to 20 mL of ice-cold
shown that fish can biotransform several widely used drugs. buffer (Hank’s balanced salt solution with 10 mM N-2-
For many pharmaceuticals, the primary cytochrome P450 hydroxyethylpiperazine-N0 -2-ethane-sulfonic acid and 3 mM
(CYP) enzymes responsible for their metabolism have been ethylenediamine tetraacetic acid [EDTA], pH 7.8) was passed
identified in humans [26,27]. The CYP isoforms 3A4, 2C9, and through the hepatic portal vein. Livers were excised, rinsed with
2D6 represent the major phase I enzymes involved in clearing buffer, minced in 2 volumes (w/v) of homogenization
pharmaceutical metabolism [28]. Research to identify orthologs buffer (50 mM Tris, 2 mM EDTA, 1 mM dithiothreitol,
in fish to these and other CYP enzymes is ongoing. Based on 150 mM KCl, and 250 mM sucrose; pH 7.8), and homogenized
sequence information, several CYP1 and CYP3 genes in rainbow using a Potter-Elvehjem mortar and pestle. Homogenates from 5
trout (Oncorhynchus mykiss) have been shown to be orthologous male (pool A) and 6 female (pool B) fish were pooled and
to human CYPs from the same gene families [29,30]. In contrast, centrifuged at 13 000 g (4 8C) for 20 min. The S9 fraction was
trout and other fish possess very few CYP2 family genes carefully isolated, flash-frozen, and stored at 80 8C.
orthologous to human CYP2 forms [31]. Gene sequences do not,
however, provide information on the functional behavior of fish
S9 characterization
CYPs, including substrate specificity and inducibility. Thus, fish
may possess a CYP capable of catalyzing reactions typically Select phase I and phase II enzymatic activities were
associated with a specific human CYP despite the absence of any characterized using well-known substrates. The activity of
known orthologs to the human enzyme. It is of interest, therefore, CYP1A was described using 2 assays: BAP ring hydroxylation
to determine whether fish and humans possess similar types of (aryl hydrocarbon hydroxylase) and ethoxyresorufin O-deal-
metabolic activity as this may provide a basis for predicting fish kylation. A radiometric method described by Van Cantfort
metabolism from human data. Because in vitro studies with fish et al. [34] was used to measure aryl hydrocarbon hydroxylase
S9 can support screening-level bioaccumulation assessment of activity. Each reaction consisted of 0.5 mg/mL S9 protein,
organic contaminants [22,32,33], the primary objective of the 5 mM MgCl2, 2 mM NADPH, and 80 mM 14C-BAP in 50 mM
present study was to determine whether trout are capable of Tris buffer for a final incubation volume of 0.5 mL. Reactions
metabolizing in vitro 7 pharmaceuticals identified as substrates were initiated by adding BAP and terminated with 1 mL 0.15 M
for specific CYP enzymes in humans. Additional studies were KOH in 85% dimethyl sulfoxide. Unreacted BAP was removed
performed with 5 therapeutics considered to be general CYP by extracting samples 3 times with hexane (5 mL per
substrates in mammals. A secondary objective was to compare extraction). A 750-mL aliquot of the resulting aqueous:dimethyl
such in vitro pharmaceutical biotransformation data with sulfoxide phase was mixed with 20 mL UltimaGold scintillation
previous field observations of bioaccumulation in fish. fluid (Perkin-Elmer), and polar BAP metabolites were quantified
by liquid scintillation counting (Packard 2550; Perkin-Elmer).
Heat-denatured S9 controls were employed to account for
MATERIALS AND METHODS radioactivity (e.g., by-products in the BAP) that partitioned to
the aqueous phase but were unrelated to enzymatic activity.
Chemicals The ethoxyresorufin O-dealkylation assay was based on the
Pharmaceuticals were selected for study based on whether fluorescence method of Burk and Mayer [35]. Each reaction
they are primarily metabolized in humans by CYP3A4, 2C9, or consisted of 1 mg/mL S9 protein, 5 mM ethoxyresorufin, and
2D6, or a general combination of CYPs (Table 1). Pharmaceuti- 1 mM NADPH in 100 mM potassium phosphate buffer for a
cal substrates and isotopically labeled standards were purchased final incubation volume of 200 mL. Reactions were initiated by
from several providers and were of 98% purity or higher adding ethoxyresorufin and terminated with 600 mL methanol.
(Supplemental Data, Table S1). The b form of reduced Samples were centrifuged at 3000 g to precipitate protein. The
nicotinamide adenine dinucleotide phosphate (b-NADPH, metabolite resorufin was measured by fluorescence at excitation
>95% pure) was purchased from Oriental Yeast. Radiolabeled and emission wavelengths of 550 nm and 580 nm, respectively,
benzo[a]pyrene (14C-BAP, >97% pure, 26.6 mCi/mmol; Sigma- on a microplate reader (BioTek Instruments) and quantified
Aldrich) was diluted with unlabeled BAP to a specific activity of using a standard curve.
5 mCi/mmol. All other reagents and cofactors were purchased Uridine diphosphate-glucuronosyltransferase (UGT) activity
from Sigma-Aldrich and were reagent-grade or higher in quality. was measured using p-nitrophenol as the substrate and uridine
1812 Environ Toxicol Chem 32, 2013 K.A. Connors et al.

Table 1. Cytochrome P450 (CYP) enzyme substrates in humansa

1A2 2A6 2B6 2C8 2C9 2C19 2D6 E21 3A4

Major CYP3A4 substrates


Diltiazem þ þ þþþþþ
Carbamazepine þ þþþþþ
Major human CYP2C9 substrates
Celecoxib þþþþþ þ
Sulfamethoxazole þþþþþ þ
Warfarin þ þ þþþþþ þ þ
Major human CYP2D6 substrates
Methylphenidate þþþþþ
Paroxetine þþþþþ
General human CYP substrates
Acetaminophen þ þ þ þ þ þ
Diclofenac þ þ þ þ þ þ þ
Diphenhydramine þ þ þ þþþþþ
Fluoxetine þ þ þþþþþ þ þþþþþ þ þ
Propranolol þþþþþ þ þþþþþ þ
a
Data from Lacy et al. [26], Lee et al. [27], and Akutsu et al. [59].
þþþþþ ¼ major CYP substrate; þ ¼ minor substrate.

50 -diphosphoglucuronic acid (UDPGA) as the glucuronosyl and GSH (2 mM, 2 mM, 0.1 mM, and 5 mM final concen-
donor [36]. Incubations consisted of 1 mg/mL S9 protein, trations, respectively) dissolved in 100 mM potassium phos-
10 mM EDTA, 7 mM UDPGA, 100 mM p-nitrophenol, and phate buffer (pH 7.8) were added and allowed to incubate with
25 mg/mL alamethicin in 500 mM potassium phosphate buffer S9 samples for 10 min in a shaking 11 8C water bath. Reactions
with a final incubation volume of 200 mL. Reactions were were initiated by adding 2 mL of test compound dissolved in
terminated with 600 mL of 3% trichloroacetic acid and 100 mL either methanol or acetonitrile. The resulting final concentration
of 5N sodium hydroxide. Samples were then centrifuged at of substrate was 1 mM, except for methylphenidate (0.5 mM),
3000 g for 5 min to precipitate protein. The remaining substrate propranolol (0.5 mM), paroxetine (0.5 mM), and pyrene
was measured by fluorescence (400 nm) on a microplate reader (0.38 mM). The final reaction volume was 200 mL, and the
(BioTek Instruments) and quantified using a standard curve. final S9 concentration was 1 mg protein mL1, except for
Samples containing denatured S9 or active S9 without UDPGA diltiazem (2 mg mL1) and carbamazepine (2 mg mL1).
were used as controls to correct for nonenzymatic losses. Paroxetine and diphenhydramine assays were performed with
Glutathione S-transferase activity was measured using the S9 pool A; all other assays were conducted using S9 pool B.
method described by Habig et al. [37]. Reactions contained 2 mM For quality control, matrix blanks and heat-inactivated S9
reduced glutathione (GSH) and 2 mM 1-chloro-2,4-dinitroben- controls were run with each assay. Reactions were terminated at
zene in 100 mM potassium phosphate buffer for a final incubation regular time intervals by adding 595 mL ice-cold acetonitrile,
volume of 1.4 mL. Absorbance (340 nm) was monitored for followed by thorough vortexing. Each time point was collected
5 min (Varian 300; Agilent Technologies) following the addition in duplicate. All samples were spiked with 5 mL of 25-ppm
of 0.1 mg/mL of S9 protein. Control samples without S9 protein isotopically labeled internal standard, vortexed, and centrifuged
were analyzed to account for nonenzymatic changes in absor- at 3000 g at 4 8C for 6 min. Supernatants were collected via
bance. Enzyme activity was calculated using a molar absorption pipette and analyzed by liquid chromatography–tandem mass
coefficient of 9.6 mM1 cm1. spectrometry (LC/MS-MS) or high-performance liquid chroma-
All assays were conducted at trout physiological temperature tography (HPLC) according to methods described in the
(11 8C) and pH (7.8) and under saturating substrate conditions. Instrumental analysis section, below.
Substrates were added to incubations using acetone as the carrier
solvent (1% v/v). The S9 protein concentration was measured Instrumental analysis
using Peterson’s modification of the Lowry method (Sigma Pharmaceuticals were analyzed by LC/MS-MS on a Varian
technical bulletin TP0300; Sigma-Aldrich). model 410 autosampler, a ProStar model 212 binary pumping
system, and a model 1200L triple quadrupole mass analyzer.
In vitro metabolism assay Most aspects of LC/MS-MS analyses were based on methods
In vitro substrate-depletion experiments were conducted previously reported by our group [5,39]. In those studies, gradient
using S9 fractions derived from liver tissue as outlined by elution was utilized to monitor all target analytes in a single
Johanning et al. [38], with slight modifications. The S9 fraction chromatographic run. In the present study, only a single
was selected because of its ease of preparation and because it compound needed to be analyzed in each sample. Accordingly,
contains both phase I and phase II metabolizing enzymes. For an isocratic mobile-phase condition that resulted in compound
compounds exhibiting measurable rates of clearance, prelimi- elution between 2 min and 10 min was identified for each
nary experiments were run to assess the kinetics of depletion. analyte. This enabled salts and other highly polar sample
The goal of such studies was to establish conditions (protein constituents to be diverted from the MS during the first 2 min of
concentration, substrate concentration, incubation time) result- each run and reduced analysis time. Chromatography was
ing in log-linear elimination. performed

using a 15 cm  2.1 mm Extend-C18 column (5mm,
Samples of S9 protein were preincubated with 25 mg/mL 80 A; Agilent Technologies) connectedto a 12.5 mm  2.1 mm
alamethicin on ice for 15 min in 1-mL glass tubes. Cofactors Extend-C18 guard cartridge (5 mm, 80 A; Agilent Technologies).
NADPH, UDPGA, adenosine 30 -phosphate 5-phosphosulfate, Analyte-dependent mobile-phase conditions, MS parameters,
Comparative pharmaceutical metabolism by rainbow trout Environ Toxicol Chem 32, 2013 1813

and method detection limits are available in Supplemental Data, Table 2. Rainbow trout liver S9 characterization parameters
Table S1. A minimum of 6 standards, ranging in concentration Pool A Pool B
from just below each analyte’s method detection limit to (mean  SD, (mean  SD,
500 ng mL1, were used to construct linear calibration curves (r2 n ¼ 3) n ¼ 3)
 0.998) for each analyte. Instrument calibration was monitored
over time via analysis of continuing calibration verification Protein recovery (mg/g liver) 26.3  0.6 26.0  0.0
AHH (pmol/min/mg protein) 48.5  1.2 45.0  1.1
samples with an acceptability criterion of  20%. EROD (pmol/min/mg protein) 11.3  1.7 10.6  1.7
Pyrene was analyzed by HPLC on a Beckman 126 HPLC UGT (pmol/min/mg protein) 1075  197.5 1032  47.1
system (Beckman Instruments) with a multiwavelength fluores- GST (nmol/min/mg protein) 507  26 559  13
cence detector (Waters). Chromatography was performed using a
SD ¼ standard deviation; AHH ¼ aryl hydrocarbon hydroxylase; EROD
reverse-phase Hypersil Green polyaromatic hydrocarbon column ¼ ethoxyresorufin O-dealkylation; UGT ¼ uridine diphosphate-glucurono-
(5 mm, 100  2.1 mm; Thermo Fisher Scientific). Solvent A syltransferase; GST ¼ glutathione S-transferase.
consisted of 90% water (Millipore) and 10% acetonitrile. Solvent
B was made of 10% water and 90% acetonitrile. The solvents
were run isocratically at a flow rate of 0.5 mL/min. Proportions of
solvents A (15%) and B (85%) were chosen to optimize run time norethindrone, and propranolol by trout and catfish [23,24] as
and peak symmetry. Identification and quantification were based well as fluoxetine biotransformation by rainbow trout, goldfish,
on reproducible retention times of standards and samples. zebrafish, and killifish [25]. Collectively, these observations
Quantification was performed at excitation and emission wave- show that fish are capable of metabolizing several widely
lengths of 237 nm and 385 nm, respectively. prescribed drugs and provide some initial information related to
the functional conservation of this activity in fish and humans.
Data analysis In the present study, we employed a more targeted approach
Measured concentrations of test compounds were log- to investigate the comparative biotransformation of pharma-
transformed and plotted against reaction time. In each case, ceuticals in trout and humans. Twelve compounds were chosen
there was no apparent loss of compound from heat-denatured based on their extensive hepatic metabolism and CYP-isoform
controls. Data for active and heat-denatured samples (n ¼ 2 per selectivity in humans (Table 1). Substrate-depletion experiments
time point) were evaluated using linear regression. Slopes from were then conducted to determine whether trout possess
each regression were compared for significant differences comparable “CYP-like” activity (CYP3A4, 2D6, etc.). Impor-
(p < 0.05) using a Student’s t test [40]. If a significant tantly, the resulting data do not indicate whether this expressed
difference was observed, the depletion rate constant (k; per activity is performed by the same or similar enzymes. Instead,
hour) was calculated from the slope of the line according to the value of this information depends on the existence of
functional patterns that can be used to predict reactions in 1
k ¼ 2:3  Slope species from activities measured in a second. It is also important
to note that all S9 assays in the present study were performed at
Rate constants were divided by the S9 protein concentration to the physiologically relevant temperature of 11 8C in order to
calculate intrinsic hepatic clearance and extrapolated to describe describe the baseline ability of uninduced rainbow trout to
intrinsic hepatic clearance per gram of liver (ClIN VITRO, INT, biotransform selected pharmaceuticals in an environmental
milliliters per hour per gram of liver tissue) [41]. exposure.
The activity of trout S9 fractions was initially characterized
using well-known substrates for CYP1A, UGT, and glutathione
RESULTS AND DISCUSSION
S-transferase (Table 2). As an additional confirmation of S9
Determining the potential for a chemical to bioaccumulate activity, we performed a set of substrate-depletion experiments
within aquatic ecosystems represents an important component of with pyrene, a well-characterized polycyclic aromatic hydrocar-
environmental risk assessments. Due to the cost and labor bon (Figure 1). The observed intrinsic clearance rate for pyrene
intensity of performing in vivo bioaccumulation studies,
bioaccumulation is often estimated using modeling ap-
proaches [42,43]. However, such estimates are inherently 0.0
log pyrene concentration (uM)

affected if an organism possesses the ability to biotransform


or metabolize a chemical. In fact, a recent kinetic modeling -0.5
exercise demonstrated the ability for metabolic rates to alter fish
bioaccumulation [32]. Even low levels of microsomal intrinsic -1.0
clearance can alter bioaccumulation for compounds with high
octanol–water partition coefficient (log KOW >5) [32,33]. Thus, -1.5
incorporating in vitro metabolic transformation information,
such as S9 substrate-depletion assays, promises to improve the -2.0
accuracy of bioaccumulation models employed during environ-
mental risk assessments [22]. In the present study, S9 substrate- -2.5
depletion methods were employed to derive novel in vitro
metabolism information that can inform comparative bioaccu- -3.0
mulation predictions during screen-leveling environmental 0 10 20 30
assessments of pharmaceuticals. Time (min)
Three recent studies have applied a substrate-depletion Figure 1. Biotransformation of pyrene by trout liver S9 fraction. Closed
approach to investigate pharmaceutical metabolism in fish. circles denote heat-inactive S9; open circles denote active S9 (n ¼2 at each
These efforts demonstrated the biotransformation of ibuprofen, time point).
1814 Environ Toxicol Chem 32, 2013 K.A. Connors et al.

(472 mL/h/g liver; Table 3) was in good agreement with contrast, dextromethorphan, a typical human CYP2D6 substrate,
previously determined values (P. Fitzsimmons, unpublished was shown previously to be metabolized by larval zebrafish [47].
observations). The CYP2 family of enzymes differs widely among species,
Liver S9 fractions from trout exhibited no measurable activity and several genomic studies have described the diversity of
toward the prototypical human CYP3A4 substrates diltiazem CYP2 isoforms in fish [29,31,48]. Limited homology between
and carbamazepine (Figure 2). Some CYP3A-like isoforms have human and fish CYP2 isoforms exists [31]. Presently, however,
been identified in several fish species, including trout [44] and only CYP2R1 and CYP2U1 have been described as con-
zebrafish [31]. Moreover, several studies have described the served [31,48]. Furthermore, CYP2 catalytic activity in fish has
metabolism by fish of mammalian CYP3A substrates, including been reported in some [45,49], but not all [46,50], studies. Given
testosterone, 7-benzyloxyquinoline, and 7-benzyloxy-4-trifluor- these inconsistencies, it cannot be presumed that fish possess
omethylcoumarin [19,45,46]. In a recent study by Alderton similar CYP2 biotransformation capabilities as mammals.
et al. [47], larval zebrafish were shown to hydroxylate Several drugs considered to be broad CYP enzyme substrates
testosterone, although the predominant metabolism pathway (acetaminophen, diphenhydramine, fluoxetine) also displayed
appeared to be glucuronidation. Metabolic clearance of no significant depletion by rainbow trout S9 fractions (Figure 2).
nortethindrone, a CYP3A4 substrate in humans, was described In a recent study, Smith et al. [25] described fluoxetine
in both trout and catfish [23]. The results of the present study metabolism by liver microsomes from several fish species.
suggest that there are differences in CYP3A substrate specificity Due to high intraspecific variability, differences among species
between trout and mammals that can lead to an apparent absence could not be demonstrated. Generally, however, fluoxetine
of CYP3A4-like activity in trout, depending on the compound of metabolism by trout microsomes was slow or undetectable
interest. Alternatively, trout and other fish species may unless the animals were induced by preexposure to
metabolize some, but not all, mammalian CYP3A substrates carbamazepine [25]. Additionally, the predominant fluoxetine
utilizing enzymes that belong to a different CYP family (e.g., biotransformation product in mammals, norfluoxetine, was often
CYP1A). not detected. These findings are thus consistent with our results
Trout S9 fractions also exhibited a lack of activity toward the and highlight the potential pitfalls of presuming the presence of
prototypical human CYP2C9 substrates celecoxib, sulfameth- common metabolic pathways across species. It is important to
oxazole, and warfarin (Figure 2). Metabolism of ibuprofen, note that the Smith et al. [25] experiments were conducted at
which occurs through CYP2C9 and UGT enzymes in humans, 25 8C despite several study fish species having been reared and
was previously described in trout and catfish liver and gill S9 held at lower temperatures. Though the authors described fish
fractions [23,24]. Both phase I and phase II ibuprofen microsomes as appearing to be not “as sensitive to temperature
metabolites were observed in liver S9 studies [24]. However, differences as mammalian microsomal proteins [25], it is
experiments with selective inducers and inhibitors of CYP possible that differences in experimental temperature between
activity indicated that this metabolism occurs through a CYP1A Smith et al.’s work and the present studies may have influenced
homolog [24]. The results of the present study, combined with CYP activity.
those of previous efforts, suggest that CYP2C9-like activity is Contrary to observations for acetaminophen, diphenhydra-
low or absent in trout, except when metabolism is catalyzed by a mine, and fluoxetine, significant (p < 0.05) metabolism was
non–CYP2 family enzyme. observed for diclofenac and propranolol (Figure 2). Both of these
In the present study, methylphenidate, a typical human pharmaceuticals were shown previously to be metabolized by
CYP2D6 substrate, displayed a slow trend toward depletion; fish. Alderton et al. [47] observed diclofenac metabolism in
however, the slope of the log-linear depletion curve was not larval zebrafish resulting in hydroxylated metabolites. Addition-
significantly different (p > 0.05) from that of heat-inactivated ally, phase I and phase II metabolites of diclofenac have been
controls (Figure 2). Also, no significant depletion was observed described in biotransformation experiments with juvenile
for the human CYP2D6 substrate paroxetine (Figure 2). By rainbow trout [51,52]. In the present study, diclofenac displayed

Table 3. In vitro intrinsic clearance (CLIN VITRO, INT) rate of pharmaceuticals by rainbow trout liver S9 fractions and human hepatocytes and microsomes

Trout S9 CLIN VITRO, INT Human hepatocyte Human microsome


Substrate (mL/h/g liver) CLIN (mL/h/g liver)
VITRO, INT CLIN (mL/h/g liver)
VITRO, INT References

Major CYP3A4 substrates


Diltiazem NM 48.96, 72, 64.8, 93.6, 93.6 93, 117, <21 [60–63]
Carbamazepine NM NM, 3.312, 14.4 1.47 [60,61,64,65]
Major human CYP2C9 substrates
Celecoxib NM
Sulfamethoxazole NM
Warfarin NM <LOQ 6.6, <21 [62,63]
Major human CYP2D6 substrates
Methylphenidate NM
Paroxetine NM 10.08 150 [64,65]
General human CYP substrates
Acetaminophen NM NM, 7.2 24.3, 10.8 [63–65]
Diclofenac 9.5 115.2, 316.8, 338.4 534, 426, 144 [60,62,64,65]
Diphenhydramine NM 5.976, 14.4, 43.2 28.8, <21, 23.4 [60,62–65]
Fluoxetine NM 7.2 [60]
Propranolol 137 38.16, 56.16, 72, 108, 136.8 66, 39 [60,63–65]
Pyrene 472

CYP ¼ cytochrome P450; NM ¼ no metabolism observed; LOQ ¼ limit of quantitation.


Comparative pharmaceutical metabolism by rainbow trout Environ Toxicol Chem 32, 2013 1815

0.2 0.2 0.2


0.0 0.0 0.0
-0.2 -0.2
-0.2
-0.4 -0.4
-0.6 -0.6 -0.4
-0.8 -0.8 -0.6
-1.0 -1.0
-0.8
-1.2 -1.2
-1.0
-1.4
A -1.4
B C
-1.6 -1.6 -1.2
0 50 100 150 0 50 100 150 0 50 100 150
0.2 0.2 0.2
0.0 0.0 0.0
-0.2 -0.2 -0.2
log pharmaceutical concentration (uM)

-0.4 -0.4 -0.4


-0.6 -0.6 -0.6
-0.8 -0.8 -0.8
-1.0 -1.0 -1.0
D E F
-1.2 -1.2 -1.2
0 50 100 150 0 50 100 150 0 50 100 150
0.2 0.2 0.2
0.0 0.0 0.0
-0.2 -0.2 -0.2
-0.4 -0.4 -0.4
-0.6 -0.6 -0.6
-0.8 -0.8 -0.8
-1.0 -1.0 -1.0
G H I
-1.2 -1.2 -1.2
0 50 100 150 0 50 100 150 0 50 100 150
0.2 0.2 0.2
0.0 0.0 0.0
-0.2
-0.2 -0.2
-0.4
-0.4 -0.4 -0.6
-0.6 -0.6 -0.8
-1.0
-0.8 -0.8
-1.2
-1.0 -1.0
J K -1.4
L
-1.2 -1.2 -1.6
0 50 100 150 0 50 100 150 0 20 40 60

Time (min)
Figure 2. Biotransformation of select pharmaceuticals by trout liver S9 fraction. Major human CYP3A4 substrates (A) diltiazem and (B) carbamazepine; major
human CYP2C9 substrates (C) celecoxib, (D) sulfamethoxazole, and (E) warfarin; major human CYP2D6 substrates (F) methylphenidate and (G) paroxetine; and
general human CYP substrates (H) acetaminophen, (I) diclofenac, (J) diphenhydramine, (K) fluoxetine, and (L) propranolol. Closed circles denote heat-inactive
S9; open circles denote active S9 (n ¼ 2 at each time point).

a modest rate of intrinsic clearance (9.5 mL/h/g liver; Table 3). ences in intrinsic clearance rate may result from the use of
Because liver S9 fractions contain both phase I and II different trout subspecies, S9 fraction protein concentrations,
metabolizing enzymes, it is not possible to attribute the observed and starting substrate concentrations. For comparison, Gomez
diclofenac depletion to any specific enzymatic processes. et al. [23] measured propranolol depletion using a starting
Propranolol is a substrate for CYP1A2 and CYP2D6 in substrate concentration of 10 mM, which is 20 times higher than
humans (Table 1). Given the demonstrated CYP1A-like activity levels used in the present study.
of trout S9 fractions (Table 2), it is not surprising that we During the drug-development process, intrinsic clearance
observed a comparatively large intrinsic clearance rate for this rates are often measured using microsomes and hepatocytes
compound. Gomez et al. [23] employed a substrate-depletion obtained from human livers. In general, microsomes are used to
approach to measure propranolol metabolism in trout and characterize phase I metabolism while hepatocytes possess both
catfish, gill and liver S9 fractions. The intrinsic clearance rate for phase I and phase II metabolic activity. A literature review was
trout liver determined by these authors was 0.3 mL/hr/mg performed to obtain human clearance rates for drugs examined in
protein to 0.5 mL/hr/mg protein (due to a unit conversion error, the present effort, measured using a substrate-depletion
the value of 180 mL/hr/mg protein given in Figure 2 and Table 3 approach (Table 3). To provide a basis for comparing these
of Gomez et al. [23] was incorrect; D.B. Huggett, University of values to our calculated trout clearance rates, we converted all
North Texas, Denton, TX, USA, personal communication). This literature values to milliliters per hour per gram of liver using the
rate is considerably lower than that measured in the present study extrapolation factors 120  106 hepatocyte cells/g liver and
(2.74 mL/h/mg protein or 137 mL/h/g liver; Table 3). Differ- 50 mg microsomal protein/g liver [41,53].
1816 Environ Toxicol Chem 32, 2013 K.A. Connors et al.

The compounds in Table 3 possessing the highest rates of Aquatic Systems Research, the Institute of Biomedical Studies, and the
clearance in humans are diltiazem, diclofenac, and propranolol. Department of Environmental Science at Baylor University provided
additional support. We thank J. Berninger for useful discussions.
Of these, only diclofenac and propranolol exhibited measurable
metabolism in trout. As indicated previously, both compounds
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