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A. E. Jones et al. / Tetrahedron Letters 50 (2009) 4973–4977
CO H
2
XHN
R
O
HO
HO
+
X-NH
Transacylation
2
OH
O
HO
CO H
CO H
2
O
O
4
2
O
HO
2
X-NH
2
HO
HO
Acyl
migration
3
R
RCO
OH
2
Glycation
HO
(Also 2- and
4-O-acyl isomers)
HO
O
CO H
2
OH
CO H
OH
NH-X
2
Rearrangement
HO
2
HO
2
RCO
NX
RCO
HO
O
NaCNBH
3
CO H
2
OH
NH-X
HO
2
RCO
HO
Scheme 6. Rearrangement and reduction of acyl glucuronide–protein adducts. Here X–NH2 is a protein Lys side-chain.
solid organ transplantation.28 The immunosuppressant action of 1
resides in the uncompetitive, selective and reversible inhibition of
inosine-50-monophosphate dehydrogenase (IMPDH), resulting in a
decreased de novo synthesis of guanine nucleotides with conse-
quent impairment of nucleic acid synthesis.28 MPA 1 is primarily
metabolised in the liver to the inactive metabolite 2, but also to a
lesser extent to the chemically reactive metabolite 3.29 Covalent
binding of acyl glucuronides to proteins is considered an initiat-
ing event for the organ toxicity of drugs containing a carboxylic
acid group.14,15 In a previous study we showed that 3 is an inhib-
itor of IMPDH,12 a key enzyme in the de novo synthesis of purine
nucleotides, and is also capable of forming protein adducts in
vivo.13,30,31
pounds 2–4. The value of pure synthetic 3 in studying protein
reactivity is clearly shown. These procedures will be most valuable
in providing analytical standards for all who are engaged in
research on the therapeutic and toxic effects of mycophenolic acid
1 and add to our understanding of the important topic of acyl
glucuronide–protein reactivity and potential toxicity.15
Acknowledgements
We are most grateful to Analytical Services International Ltd.
for financial support to A.E.J., H.K.W. and P.M.; to Novartis plc for
a generous gift of mycophenolic acid; and to Roche Palo Alto LLC
for a biochemical sample of mycophenolic acid acyl glucuronide.
Using a previously described method32 for the analysis and
characterisation of 3, the above synthetic material was compared
with a biochemically synthesised sample regarding their modifi-
cation of IMPDH. By HPLC analysis, the two samples of 3 had
virtually identical purity (1–1.5% aglycone present). We have
previously shown8 that the acyl glucuronide isolated from trans-
plant recipients treated with mycophenolate mofetil, although
apparently homogeneous according to HPLC, is in fact a mixture
of acyl isomers by ester group migration to O-2, 3 and 4. It is
feasible to improve the stability of 3 by acidification,33 in com-
mon with other O-acyl glucuronides.15 The synthetic material
showed a superior ability to conjugate with protein in the
absence of NaCNBH3 trapping, but the two showed very similar,
concentration-dependent responses with NaCNBH3 present
[Table 1; see Supplementary data for the Western blot analysis
(figure)].
Supplementary data
Supplementary data associated with this article can be found, in
References and notes
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3. Gilliver, K. Ann. Botany 1946, 10, 271.
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In conclusion, we have achieved convenient high-yielding prep-
arations of the phase 2 metabolites of mycophenolic acid, com-
16. Shipkova, M.; Strassburg, C. P.; Braun, F.; Streit, F.; Grone, H. J.; Armstrong, V.
W.; Tukey, R. H.; Oellerich, M.; Wieland, E. Brit. J. Pharmacol. 2001, 132, 1027.