Summary
-
1.
During the incubation of Dapsone1 with rabbit liver microsomes, NADPH and bovine erythrocytes, rapid haemoglobin oxidation was observed. The velocity increased 2–3 times with liver microsomes of rabbits pretreated with phenobarbital.
-
2.
Liver microsomes of rabbits catalyzed the N-hydroxylation of DDS in the presence of O2 and NADPH. The oxidation was dependent upon microsomal protein, DDS concentration, NADPH concentration and pH. The velocity of N-hydroxylation in incubates with microsomes from rabbits pretreated with phenobarbital was 2–3 times greater than the velocity with microsomes from control animals. Carbon monoxide and metyrapone inhibited the microsomal N-hydroxylation of DDS. The reaction must be included in the cytochrome P-450 dependent N-hydroxylations of primary arylamines.
-
3.
In dogs, very low amounts of free DDS-NOH were found in the urine. 7–10% of an oral dose of 50 mg/kg DDS was excreted in the urine in the form of conjugated DDS-NOH liberated by acid hydrolysis (1 N HCl at 20°C).
-
4.
Human volunteers receiving 200 mg DDS in capsules excreted 0.9–3.4% of the dose as free DDS-NOH and 6–20% as conjugated, acid labile DDS-NOH within 24h. After 72 h 5–7% of the dose was excreted as free DDS-NOH and 25–33% as conjugated, acid labile DDS-NOH. 80–90% of the DDS-NOH conjugates were liberated by treatment with 1 N HCl at 20°C. The total amount of conjugates in the urine was split by glusulase treatment under anaerobic condition. N-Hydroxy metabolites of DDS in the urine can reach 50% of the dose. Dapsone metabolism in humans is the first example in which N-hydroxylation is the principal metabolic pathway.
Similar content being viewed by others
Referneces
Alexander, J. O. D.: Dapsone in the treatment of dermatitis herpetiformis. Lancet 268, 1201–1202 (1955).
Archibald, R. H., Ross, C. M.: A preliminary report on the effect of diaminodiphenylsulphone on malaria in northern nigeria. J. trop. Med. Hyg. 63, 25–27 (1960).
Buttle, G. A. H., Stephenson, D., Smith, S., Dewing, T., Foster, G. E.: The treatment of streptococcal infections in mice with 4,4′-diaminodiphenylsulphone. Lancet 232, 1331–1334 (1937).
Cucinell, S. A., Israili, Z. H., Dayton, P. G.: Microsomal N-oxidation of Dapsone as a cause of methemoglobin formation in human red cells. Amer. J. trop. Med. Hyg. 21, 322–331 (1972).
Cucinell, S. A., Israili, Z. H., Vaught, J., Dayton, P. G.: Studies of Dapsone in man: Conversion to a toxic metabolite, monohydroxylamine Dapsone. Abstr. 11th ICAAC Conf. Atlantic City, N.J., Oct. 19, p. 45 (1971).
Das, M. L., Ziegler, D. M.: Rat liver oxidative N-dealkylase and N-oxidase activities as a function of animal age. Arch. Biochem. Biophys. 140, 300–306 (1970).
Degowin, R. L., Eppes, R. B., Carson, P. E., Powell, R. D.: The effects of diaphenylsulfone (DDS) against chloroquine-resistant plasmodium falciparum. Bull. Wld Hlth Org. 34, 671–681 (1966).
Desforges, J. F., Thayer, W. W., Dawson, J. P.: Hemolytic anemia induced by sulfoxone therapy, with investigations into the mechanisms of its production. Amer. J. Med. 27, 132–136 (1959).
Ellard, G. A.: Absorption, metabolism and excretion of di(p-aminophenyl) sulphone (Dapsone) and di(p-aminophenyl) sulphoxide in man. Brit. J. Pharmacol. 26, 212–217 (1966).
Fromm, E., Wittmann, J.: Derivate des p-Nitrothiophenols. Ber. dtsch. chem. Ges. 41, 2264–2273 (1908).
Gabel, Y. O., Grinberg, F. L.: Synthesis of sulfur containing chemotherapeutic-preparations. I. 4-Nitro-4′-aminodiphenylsulfoxide and 4-nitro-4′-aminodiphenylsulfone. Chem. Abstr. 34, 6244 (1940).
Gelber, R., Peters, J. H., Gordon, G. R., Glazko, A. J., Levy, L.: The polymorphic acetylation of Dapsone in man. Clin. Pharmacol. Ther. 12, 225–238 (1971).
Gordon, G. R., Peters, R., Gelber, R., Levy, L.: Metabolic disposition of Dapsone (4,4′-diaminodiphenylsulfone) in animals and man. Proc. Western Pharm. Soc. 13, 17–24 (1970).
Heinze, E., Hlavica, P., Diese, M., Lipowsky, G.: N-oxygenation of arylamines in microsomes prepared from corpora lutea of the cycle and other tissues of the pig. Biochem. Pharmacol. 19, 641–649 (1970).
Hjelm, M., de Verdier, C. H.: Biochemical effects of aromatic amines. I. Methaemoglobinaemia, haemolysis and Heinz-body formation induced by 4,4′-diaminodiphenylsulphone. Biochem. Pharmacol. 14, 1119–1128 (1965).
Jackson, E. L.: 4-Amino-4′-hydroxylaminodiphenylsulfone, its acetyl and D-glucosyl derivatives. J. Amer. chem. Soc. 68, 1438–1442 (1946).
Kiese, M.: The biochemical production of ferrihemoglobin-forming derivatives from aromatic amines, and mechanisms of ferrihemoglobin formation. Pharmacol. Rev. 18, 1091–1161 (1966).
Kiese, M., Uehleke, H.: Der Ort der N-Oxidation des Anilins im höheren Tier. Naunyn-Schmiedebergs Arch. exp. Path. Pharmak. 242, 117–129 (1961).
Kramer, P. A., Glader, B. E., Li, T. K.: Mechanism of methaemoglobin formation by diphenylsulfones. Biochem. Pharmacol. 21, 1265–1274 (1972).
Levi, A. A., Snow, G. A.: Metabolism and excretion of di(p-aminophenyl)sulphoxide in different animal species. Brit. J. Pharmacol. 15, 160–164 (1960).
Linderstrøm-Lang, C. U., Naylor, R. F.: 4,4′-diaminodiphenylsulphone: Solubility and distribution in blood. Biochem. J. 83, 417–420 (1962).
Lowe, J.: Studies in sulphone therapy. Leprosy Rev. 23, 4–29 (1952).
Lowry, O. H., Rosebrough, N. J., Farr, A. L., Randall, R. J.: Protein measurement with the Folin phenol reagent. J. biol. Chem. 193, 265–275 (1951).
Mather, L. E., Thomas, J.: Metabolism of lidocaine in man. Li. Sci. 11 (1), 915–919 (1972).
Morgan, J. K., Marsden, C. N., Coburn, J. G., Murgavin, J. M.: Dapsone in dermatitis herpetiformis. Lancet 268, 1197–1200 (1955).
Ognibene, A. J.: Agranulocytosis due to Dapsone. Ann. intern. Med. 72, 521–524 (1970).
Pengelly, C. D. R.: Dapsone-induced haemolysis. Brit. med. J. 48, 662–664 (1963).
Peterson, R. E.: Improved spectrophotometric procedure for determination of serum iron. Analyt. Chem. 25, 1337–1339 (1953).
Popoff, I. C., Singhal, G. H., Engle, A. R.: Antimalarial agents. 7. Compounds related to 4,4′-bis(aminophenyl)sulfone. J. med. Chem. 14, 550–551 (1971).
Raiziss, G. W., Clemence, L. W., Severac, M., Moetsch, J. C.: Chemistry and chemotherapy of 4,4′-diaminodiphenylsulfone, 4-amino-4′-hydroxydiphenylsulfone and related compounds. J. Amer. Chem. Soc. 61, 2763–2765 (1939).
Ramanujam, K., Smith, M.: Haemolytic anaemia during treatment of leprosy with diaminodiphenylsulphone by mouth. Lancet 260, 21–22 (1951).
Shephard, C. C.: Chemotherapy in leprosy. Ann. Rev. Pharmacol. 9, 37–50 (1969).
Tabarelli, S., Uehleke, H.: N-Hydroxylation of 4,4′-diaminodiphenylsulphone in liver microsomes and in vivo. Xenobiotica 1, 501–502 (1971).
Tabarelli, S., Uehleke, H.: N-Hydroyxlation of 4,4′-diaminodiphenylsulphone in liver microsomes and in vivo. Naunyn-Schmiedebergs Arch. Pharmacol. 274 (Suppl.) R 113 (1972).
Thauer, R. K., Meiforth, A., Uehleke, H.: Methämoglobinbildung durch Sulfonamide im System Leberhomogenat, Erythrocyten, NADPH und Sauerstoff. Naunyn-Schmiedebergs Arch. exp. Path. Pharmak. 252, 291–296 (1965a).
Thauer, R. K., Stöffler, G., Uehleke, H.: N-Hydroxylierung von Sulfanilamid zu p-Hydroxylaminobenzolsulfonamid durch Lebermikrosomen. Naunyn-Schmiedebergs Arch. exp. Path. Pharmak. 252, 32–42 (1965b).
Uehleke, H.: Biologische Oxidation und Reduktion am Stickstoff aromatischer Amino- und Nitroderivate und ihre Folgen für den Organismus. Fortschr., Arzneimittel-Forsch. 8, 195–260 (1964).
Uehleke, H.: Stimulierung einiger mikrosomaler Fremdstoff-Oxidationen durch Phenobarbital, Methylcholanthren und Chlorphenothan, einzeln und in Kombinationen. Naunyn-Schmiedebergs Arch. Pharmak. exp. Path. 259, 66–90 (1967).
Uehleke, H.: N-Hydroxylation. Xenobiotica 1, 327–338 (1971a).
Uehleke, H.: Stoffwechsel von Arzneimitteln als Ursache von Wirkungen, Nebenwirkungen und Toxizität. Fortschr. Arzneimittel-Forsch. 15, 147–203 (1971b).
Uehleke, H.: Mechanisms of methemoglobin formation by therapeutic and environmental agents. Proc. 5th Int. Congr. Pharmacology, vol. 2. Basel: Karger 1972a) (in press).
Uehleke, H.: The role of cytochrome P-450 in the N-oxidation of individual amines. Drug. Metab. Dispos. 1 (in press) (1972b).
Uehleke, H., Breyer, U., Budczies, B., Tabarelli, S., Hellmer, K. H.: Der Einfluß von Metyrapon auf verschiedene Typen von mikrosomalen N-Oxidationen. Hoppe-Seylers Z. physiol. Chem. 352, 403–411 (1971).
Uehleke, H., Schnitger, F., Hellmer, K. H.: Verhalten verschiedener mikrosomaler Fremdstoff-Oxidationen nach Inaktivierung von Cytochrom P-450 durch UV-Bestrahlung oder durch Desoxycholatbehandlung. Hoppe-Seylers Z. physiol. Chem. 351, 1475–1484 (1970).
Weisburger, J. H., Weisburger, E. K.: N-Oxidation enzymes. In: Handbook of Exp. Pharmacol., Vol. XXVIII/2, pp. 312–333. Berlin-Heidelberg-New York: Springer 1971.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Uehleke, H., Tabarelli, S. N-hydroxylation of 4,4′-diaminodiphenylsulphone (Dapsone) by liver microsomes, and in dogs and humans. Naunyn-Schmiedeberg's Arch. Pharmacol. 278, 55–68 (1973). https://doi.org/10.1007/BF00501863
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF00501863