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Interlaboratory clinical chemistry parameter variation in seven-day acute hydrazine toxicity studies in the Sprague-Dawley rat. Sprague-Dawley大鼠7天急性肼毒性研究的实验室间临床化学参数变化。
IF 6.9 2区 医学 Q1 TOXICOLOGY Pub Date : 2025-12-05 DOI: 10.1007/s00204-025-04227-5
Janonna Kadyrov, Samuele Sala, Lucy Grigoroff, Reika Masuda, Samantha Lodge, Timothy M Ebbels, Michael D Reily, Donald Robertson, Lois Lehman-McKeeman, John Shockcor, Bruce D Car, Craig Thomas, John C Lindon, Julien Wist, Jeremy K Nicholson, Elaine Holmes

Clinical chemistry retains its position as a cornerstone of toxicological assessment, yet inter-laboratory variability in baseline values remains a challenge for the integration and interpretation of multisite datasets. This study leveraged a publicly available clinical chemistry database to assess the impact of inter-laboratory variability in response to hydrazine-induced steatosis. Seventeen clinical chemistry and physico-chemical parameters were evaluated in response to a single dose of hydrazine (at 30 mg/kg or 90 mg/kg) administered to Sprague-Dawley rats (n = 83) across five different pharmaceutical companies and compared with sham-dosed control animals. Hydrazine exposure produced a distinct and consistent biochemical signature at 48 h post-dose across the combined sample set from all laboratory sites, characterised by increased serum bilirubin and BUN and decreased serum protein concentrations, alongside atypical reductions in ALT and AST due to transaminase inhibition. Despite sizable inter-laboratory differences in response when considering single assays, multivariate analysis of the complete dataset was able to extract a core pathological response signature. Early changes at 24 h post-dose in AST, ALT, total protein, and calcium demonstrated strong predictive value for 48-h toxicity profiles (AUROC 0.98), underscoring the translational potential of early biomarkers. This study highlights both the robustness and contextual limitations of clinical chemistry data in toxicological studies. It underscores the importance of matched-control designs and multivariate approaches for multisite studies and advocates for the integration of early predictive modelling to optimise study design and align with the principles of the Replace, Reduce, and Refine initiative.

临床化学仍然是毒理学评估的基石,但实验室间基线值的差异仍然是多地点数据集整合和解释的挑战。本研究利用公开可用的临床化学数据库来评估实验室间差异对肼诱导脂肪变性的影响。对5家不同制药公司的83只Sprague-Dawley大鼠(n = 83)给予单剂量肼(30mg /kg或90mg /kg)的17种临床化学和理化参数进行了评估,并与假药对照动物进行了比较。联氨暴露在给药后48小时产生了不同且一致的生化特征,其特征是血清胆红素和BUN升高,血清蛋白浓度降低,同时由于转氨酶抑制导致ALT和AST的非典型降低。尽管在考虑单次检测时,实验室间的反应存在相当大的差异,但对完整数据集的多变量分析能够提取核心病理反应特征。给药后24小时AST、ALT、总蛋白和钙的早期变化对48小时毒性谱具有很强的预测价值(AUROC为0.98),强调了早期生物标志物的转化潜力。这项研究强调了毒理学研究中临床化学数据的稳健性和背景局限性。它强调了匹配控制设计和多站点研究的多变量方法的重要性,并倡导整合早期预测模型以优化研究设计,并与替换,减少和改进倡议的原则保持一致。
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引用次数: 0
Insights from a novel in vitro cigarette smoke induction model: comparison of 24 primary human hepatocyte donors of diverse demographics and multiple sources. 一种新的体外香烟烟雾诱导模型的见解:比较24个不同人口统计学和多种来源的原发性人肝细胞供体。
IF 6.9 2区 医学 Q1 TOXICOLOGY Pub Date : 2025-12-01 DOI: 10.1007/s00204-025-04238-2
Ann-Kathrin Lenich, Stephanie Ruez

Cigarette smoking induces cytochrome P450 (CYP) enzymes, causing significant drug interactions. To evaluate such interactions prior to clinical studies, an in vitro model was developed by Lenich and Ruez  (2025) in primary human hepatocytes. Because smoking affects patients worldwide with diverse genetic and environmental backgrounds, it is essential that this model can reflect population variability. This study aimed to apply the smoke induction model to 24 hepatocyte donors from various backgrounds, to validate the model´s reproducibility and enhance its clinical relevance. mRNA expression of CYP1A1, CYP1A2, CYP2C8, CYP2B6, and CYP3A4, along with CYP1A1 and CYP1A enzyme activity, was measured. CYP enzymes were induced (concentration-dependent increase ≥ 2-fold) in all donors, exhibiting a consistent induction pattern, with CYP1A1 mRNA expression and enzyme activity showing the highest response (10-225-fold and 12-334-fold, respectively). CYP1A2 mRNA expression was induced in all donors, CYP1A enzyme activity in 14 donors, CYP2C8 mRNA in 10 donors, CYP2B6 mRNA in 18 donors and CYP3A4 mRNA in 15 donors. Induction capacity was correlated to donor characteristics, including supplier, gender, ethnicity, smoking status, alcohol and drug abuse. No significant correlations were identified with demographic or lifestyle factors. However, a significant difference in CYP1A2 mRNA induction was observed between suppliers, with BioIVT donors exhibiting higher responses. In conclusion, CSE consistently induced CYP enzymes across 24 donors, demonstrating the robustness of the smoke induction model and its suitability to reflect patient variability in clinical studies.

吸烟诱导细胞色素P450 (CYP)酶,引起显著的药物相互作用。为了在临床研究之前评估这种相互作用,Lenich和Ruez(2025)在人原代肝细胞中建立了体外模型。由于吸烟影响的患者在世界范围内具有不同的遗传和环境背景,因此该模型必须能够反映人群的可变性。本研究旨在将烟雾诱导模型应用于24名不同背景的肝细胞供体,以验证该模型的可重复性并增强其临床相关性。检测CYP1A1、CYP1A2、CYP2C8、CYP2B6、CYP3A4 mRNA表达及CYP1A1、CYP1A酶活性。所有供体均诱导CYP酶(浓度依赖性增加≥2倍),表现出一致的诱导模式,其中CYP1A1 mRNA表达和酶活性表现出最高的反应(分别为10-225倍和12-334倍)。所有供体均诱导CYP1A2 mRNA表达,14例供体CYP1A酶活性,10例供体CYP2C8 mRNA表达,18例供体CYP2B6 mRNA表达,15例供体CYP3A4 mRNA表达。诱导能力与供体特征相关,包括供体、性别、种族、吸烟状况、酒精和药物滥用。与人口统计学或生活方式因素无显著相关性。然而,在供应商之间观察到CYP1A2 mRNA诱导的显着差异,BioIVT供体表现出更高的反应。综上所述,CSE在24个供体中一致诱导CYP酶,证明了烟雾诱导模型的稳健性及其在临床研究中反映患者变异性的适用性。
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引用次数: 0
The silent threat: PM2.5-associated challenges in male reproductive health. 无声的威胁:男性生殖健康中与pm2.5相关的挑战。
IF 6.9 2区 医学 Q1 TOXICOLOGY Pub Date : 2025-12-01 DOI: 10.1007/s00204-025-04232-8
Yuan Gao, Jie Wu, Jinmei Cheng, Chen Chen, Xuhui Zeng, Pengyuan Dai

Global fertility rates have exhibited a concerning decline, paralleling the public health challenges posed by fine particulate matter 2.5 (PM2.5) pollution. This comprehensive review synthesizes current evidence on the multiple impacts of PM2.5 exposure on male reproductive health, including epidemiological findings, mechanistic insights, and potential mitigation strategies, which have not been thoroughly evaluated in previous literature. Epidemiological evidence indicates a significant association between PM2.5 exposure and adverse male reproductive outcomes, including reduced fertility and adverse semen quality. The detrimental effects of PM2.5 are mediated through multiple biological pathways, particularly oxidative stress induction, disruption of mitochondrial and endoplasmic reticulum homeostasis, interference with endocrine signaling especially testosterone synthesis, and the promotion of harmful epigenetic modifications. These molecular and cellular alterations collectively impair spermatogenesis and overall reproductive function. Furthermore, this review discusses promising intervention approaches aimed at reducing the reproductive risks associated with PM2.5 exposure. By integrating epidemiological, experimental, and mechanistic evidence, the review underscores the critical connection between ambient air pollution and male reproductive dysfunction, highlighting the urgent need to enhance public awareness of the adverse effects of PM2.5 on male fertility and to promote effective protective measures.

全球生育率呈现出令人担忧的下降趋势,与细颗粒物2.5 (PM2.5)污染带来的公共卫生挑战同时出现。本综述综合了PM2.5暴露对男性生殖健康多重影响的现有证据,包括流行病学发现、机制见解和潜在的缓解策略,这些在以前的文献中尚未得到全面评估。流行病学证据表明,PM2.5暴露与男性不良生殖结果之间存在显著关联,包括生育力下降和精液质量不良。PM2.5的有害影响是通过多种生物学途径介导的,特别是氧化应激诱导、线粒体和内质网稳态的破坏、内分泌信号(尤其是睾酮合成)的干扰,以及促进有害的表观遗传修饰。这些分子和细胞的改变共同损害精子发生和整体生殖功能。此外,本综述讨论了旨在降低PM2.5暴露相关生殖风险的有希望的干预方法。通过综合流行病学、实验和机制证据,该综述强调了环境空气污染与男性生殖功能障碍之间的重要联系,强调了迫切需要提高公众对PM2.5对男性生育能力不利影响的认识,并促进有效的保护措施。
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引用次数: 0
Microplastics and nanoplastics in human health: a comprehensive review of exposure pathways, cellular mechanisms, and toxicological implications. 微塑料和纳米塑料对人类健康的影响:接触途径、细胞机制和毒理学影响的综合综述。
IF 6.9 2区 医学 Q1 TOXICOLOGY Pub Date : 2025-11-22 DOI: 10.1007/s00204-025-04233-7
Thodhal Yoganandham Suman, Keerthiga Rajendiran, Ihn-Sil Kwak
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引用次数: 0
Mechanistic study of the cytotoxicity of cannabidiol and its metabolites in HepG2 cells. 大麻二酚及其代谢物对HepG2细胞毒性的机制研究。
IF 6.9 2区 医学 Q1 TOXICOLOGY Pub Date : 2025-11-22 DOI: 10.1007/s00204-025-04236-4
Si Chen, Yuxi Li, Montserrat Puig, Frederic Moulin, Supratim Choudhuri, Jeremy Gingrich, Lei Guo

The cannabidiol (CBD)-based drug, Epidiolex, received approval from the U.S. Food and Drug Administration (FDA) for treating seizures in certain childhood-onset epileptic disorders. CBD-associated liver toxicity is a serious side effect listed on the drug label. Our previous studies demonstrated cytotoxicity in primary human hepatocytes and HepG2 cells induced by CBD, 7-hydroxy-CBD, and 7-carboxy-CBD, with cell cycle disturbances, endoplasmic reticulum (ER) stress, and apoptosis identified as the underlying mechanisms. In this study, using a transcriptomic approach with mRNA-sequencing analysis, we found that downregulation of genes associated with oxidative phosphorylation and upregulation of genes associated with mitochondrial dysfunction, autophagy, and ER stress were among the top 10 canonical pathways consistently affected across different CBD concentrations. Direct measurement of the activity of the mitochondrial respiratory complexes that compose the oxidative phosphorylation process, demonstrated that CBD strongly inhibited Complexes IV and V and moderately inhibited Complexes II and III. CBD-induced mitochondrial dysfunction was indicated by a classic glucose-galactose assay, and the loss of mitochondrial membrane potential was confirmed by a JC-1 assay. Additionally, CBD induced autophagy, as evidenced by autophagosome formation and enhanced autophagic flux. Similar to CBD, 7-hydroxy-CBD induced a strong inhibition of Complexes IV and V, mitochondrial dysfunction, and autophagy, while 7-carboxy-CBD induced autophagy, with marginal inhibition on the respiratory complexes and no identified mitochondrial dysfunction. In summary, autophagy emerges as the common mechanism underlying CBD-, 7-hydroxy-CBD-, and 7-carboxy-CBD-induced cytotoxicity. Inhibition of mitochondrial respiratory complexes and mitochondrial dysfunction were observed with CBD and 7-hydroxy-CBD, but not with 7-carboxy-CBD.

以大麻二酚(CBD)为基础的药物Epidiolex获得了美国食品和药物管理局(FDA)的批准,用于治疗某些儿童期癫痫疾病的癫痫发作。cbd相关的肝毒性是药物标签上列出的严重副作用。我们之前的研究证实了CBD、7-羟基-CBD和7-羧基-CBD诱导的原代人肝细胞和HepG2细胞的细胞毒性,细胞周期紊乱、内质网(ER)应激和细胞凋亡是其潜在机制。在这项研究中,使用转录组学方法和mrna测序分析,我们发现与氧化磷酸化相关基因的下调和与线粒体功能障碍、自噬和内质网应激相关基因的上调是不同CBD浓度持续影响的十大典型途径之一。直接测量组成氧化磷酸化过程的线粒体呼吸复合物的活性,表明CBD强烈抑制复合物IV和V,适度抑制复合物II和III。经典的葡萄糖-半乳糖实验证实了cbd诱导的线粒体功能障碍,而JC-1实验证实了线粒体膜电位的丧失。此外,CBD诱导自噬,自噬体的形成和自噬通量的增强证明了这一点。与CBD类似,7-羟基-CBD诱导了复合物IV和V的强烈抑制,线粒体功能障碍和自噬,而7-羧基-CBD诱导自噬,对呼吸复合物有轻微抑制,未发现线粒体功能障碍。综上所述,自噬是CBD-、7-羟基-CBD-和7-羧基-CBD诱导的细胞毒性的共同机制。观察到CBD和7-羟基-CBD对线粒体呼吸复合物和线粒体功能障碍的抑制作用,但7-羧基-CBD没有。
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引用次数: 0
Genetic variants in VEGF gene family enhance colorectal cancer susceptibility via modulating metabolic pathways. VEGF基因家族的遗传变异通过调节代谢途径提高结直肠癌的易感性。
IF 6.9 2区 医学 Q1 TOXICOLOGY Pub Date : 2025-11-22 DOI: 10.1007/s00204-025-04237-3
Yutao Zhou, Zhutao Ding, Yichu Chen, Qian Gong, Bingxin Liu, Yu Shao, Silu Chen, Meilin Wang, Dongying Gu, Junyi Xin

The genes belonging to vascular endothelial growth factor (VEGF) family played critical roles in tumor angiogenesis and the activation of signaling pathways associated with cancer promotion. However, it remains unclear whether genetic variants within VEGF gene family could influence the development of colorectal cancer. Here, we utilized the genotyping data from 1150 colorectal cancer patients and 1342 healthy controls to evaluate the associations between single nucleotide polymorphisms (SNPs) within VEGF gene family and the risk of colorectal cancer. Notably, the C allele of VEGFA rs6899540 was significantly associated with an increased colorectal cancer risk after false discovery rate (FDR) adjustment [odds ratio (OR) = 1.61, 95% confidence interval (CI): 1.25-2.06, P = 1.80 × 10-4; PFDR = 0.015]. Furthermore, rs6899540 (A > C) could enhance VEGFA expression and exacerbate malignant phenotypes in colorectal cancer cells, as demonstrated through multiple biological experiments. Intriguingly, an integrated analysis using weighted gene co-expression network analysis (WGCNA) indicated that increased VEGFA expression may influence metabolic pathways, thereby increasing the risk of developing colorectal cancer. In conclusion, our findings demonstrated that genetic variants in VEGF family significantly contributed to susceptibility to colorectal cancer, which could provide new mechanistic insights into the molecular pathogenesis of colorectal cancer.

血管内皮生长因子(vascular endothelial growth factor, VEGF)家族基因在肿瘤血管生成和促癌相关信号通路的激活中发挥着关键作用。然而,VEGF基因家族内的遗传变异是否会影响结直肠癌的发生尚不清楚。本研究利用来自1150名结直肠癌患者和1342名健康对照者的基因分型数据来评估VEGF基因家族内的单核苷酸多态性(snp)与结直肠癌风险之间的关系。值得注意的是,在错误发现率(FDR)调整后,VEGFA rs6899540的C等位基因与结直肠癌风险增加显著相关[优势比(OR) = 1.61, 95%可信区间(CI): 1.25-2.06, P = 1.80 × 10-4;pfdr = 0.015]。此外,多项生物学实验证明,rs6899540 (A > C)可以增强结直肠癌细胞中VEGFA的表达,并加剧恶性表型。有趣的是,一项使用加权基因共表达网络分析(WGCNA)的综合分析表明,VEGFA表达增加可能影响代谢途径,从而增加患结直肠癌的风险。综上所述,我们的研究结果表明VEGF家族的遗传变异与结直肠癌的易感性有显著关系,这可能为结直肠癌的分子发病机制提供新的认识。
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引用次数: 0
Correction: Identification of small GTPases as potential target proteins of the mycotoxin and renal carcinogen ochratoxin A 修正:鉴定小gtpase作为真菌毒素和肾致癌物赭曲霉毒素A的潜在靶蛋白。
IF 6.9 2区 医学 Q1 TOXICOLOGY Pub Date : 2025-10-25 DOI: 10.1007/s00204-025-04225-7
Johannes Borchers, Florinda Perugino, Andreas Schlosser, Stephanie Lamer, Leonie Lutz, Lorenzo Pedroni, Luca Dellafiora, Angela Mally
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引用次数: 0
Challenges and advances in the development of antidotes against A-series nerve agents a系列神经毒剂解毒剂的挑战与进展。
IF 6.9 2区 医学 Q1 TOXICOLOGY Pub Date : 2025-10-06 DOI: 10.1007/s00204-025-04216-8
Rajan K. Tripathy, Khushi Goyal, Prakash Y. Khandave, Janek Bzdrenga, Xavier Brazzolotto, Florian Nachon, Abhay H. Pande

A novel series of toxic nerve agents called Novichok agents (A-agents and their binary form) was developed in the Soviet Union during the 70s–90s under the FOLIANT program. These agents, including A-230, A-232, and A-234, are structurally distinct from earlier G- and V-series agents and pose significant challenges due to their high environmental persistence, poor aqueous degradation, and rapid irreversible inhibition of acetylcholinesterase (AChE). Current medical countermeasures, such as atropine and oxime reactivators, show limited efficacy against A-agents, particularly due to the low reactivity of A-agent–AChE conjugates. Surrogate-based studies have provided partial insights into the reactivation and decontamination strategies, but they do not fully replicate the behavior of actual A-agents. Developing efficient reactivators against A-agents appears challenging. Emerging skin decontamination strategies, including Reactive Skin Decontamination Lotion and metal–organic framework catalysts, show some success. In this context, enzymatic biocatalysts such as engineered variants of paraoxonase (PON1) and phosphotriesterase (PTE) are valuable antidotes, although their catalytic efficiencies against A-agents remain suboptimal. The development of broad-spectrum bioscavengers with prolonged circulatory half-life, like butyrylcholinesterase, or other recombinant enzyme candidates, enhanced through fusion protein engineering and mutagenesis, represents a promising avenue. However, significant knowledge gaps persist due to limited availability and high-risk handling of these agents. Advancing countermeasures requires continued integration of computational modeling, biochemical engineering, and surrogate validation strategies to overcome these biochemical and therapeutic challenges.

上世纪70年代至90年代,苏联在FOLIANT计划下开发了一系列名为诺维乔克(Novichok)的新型有毒神经毒剂(A型毒剂及其二元形式)。这些药物,包括A-230、A-232和A-234,在结构上不同于早期的G系列和v系列药物,由于其高环境持久性、水降解性差和对乙酰胆碱酯酶(AChE)的快速不可逆抑制,构成了重大挑战。目前的医学对策,如阿托品和肟再活化剂,对a -制剂的疗效有限,特别是由于a -制剂-乙酰胆碱酯缀合物的反应性较低。基于替代物的研究已经提供了部分关于再激活和去污策略的见解,但它们并不能完全复制实际a -agent的行为。开发针对a -试剂的高效活化剂似乎具有挑战性。新兴的皮肤去污策略,包括反应性皮肤去污洗剂和金属有机框架催化剂,显示出一些成功。在这种情况下,酶促生物催化剂,如对氧磷酶(PON1)和磷酸三酯酶(PTE)的工程变体是有价值的解毒剂,尽管它们对a剂的催化效率仍然不理想。开发具有延长循环半衰期的广谱生物清除剂,如丁基胆碱酯酶或其他重组酶候选物,通过融合蛋白工程和诱变增强,代表了一条有前途的途径。然而,由于这些药物的有限可用性和高风险处理,重大的知识差距仍然存在。推进对策需要持续整合计算建模、生化工程和替代验证策略,以克服这些生化和治疗挑战。
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引用次数: 0
Mapping the ethical and sustainable transition in toxicology: a bibliometric analysis and a review of new approach methodologies 绘制伦理和可持续过渡的毒理学:一个文献计量分析和新方法方法的审查。
IF 6.9 2区 医学 Q1 TOXICOLOGY Pub Date : 2025-10-02 DOI: 10.1007/s00204-025-04209-7
Ruxandra Malina Petrescu-Mag, Mathieu Vinken, Dacinia Crina Petrescu

Toxicology is undergoing a paradigm shift, driven by the ethical imperative to reduce animal testing, the pursuit of sustainability, and regulatory transitions toward new approach methodologies (NAMs). This study systematically maps the integration of ethics and sustainability into NAMs-related toxicological research, using a mixed-methods design that combines bibliometric analysis with a review of scientific and policy literature. Our findings reveal a steep increase in NAMs publications since 2015, with in vitro and in silico approaches at the forefront. Bibliometric clustering identified three dominant thematic domains—regulatory testing, methodological performance factors, and human cell culture innovation—each reflecting varying degrees of engagement with ethical, scientific, and sustainability principles. A qualitative matrix was also developed to link the bibliometric clusters to key ethical and methodological dimensions, highlighting the growing centrality of themes such as the 3Rs, sustainability, and regulatory reform. Notably, the scientific and political discourse is shifting from merely “symbolic” ethics, used primarily to signal alignment with funding priorities or public expectations, toward more deeply embedded and actionable ethical frameworks. Initiatives emphasize operational ethics through concepts such as the fourth R (responsibility), with more expanded models including 12Rs, the 3C model (cell culture, computer simulation, and clinical trials), and ethics-driven AI tools. These developments signal a maturing field where ethics is becoming a methodological imperative. By mapping these shifts, the study offers an integrated perspective on how ethical values shape scientific innovation in toxicology. It provides evidence-based directions for accelerating a responsible transition to animal-free, human-relevant, and resource-efficient risk assessment.

在减少动物实验的道德要求、对可持续性的追求以及向新方法方法(NAMs)的监管转变的推动下,毒理学正在经历范式转变。本研究采用文献计量分析与科学和政策文献综述相结合的混合方法设计,系统地将伦理和可持续性整合到nams相关毒理学研究中。我们的研究结果显示,自2015年以来,NAMs出版物急剧增加,体外和计算机方法处于最前沿。文献计量聚类确定了三个主要的主题领域——监管测试、方法学性能因素和人类细胞培养创新——每个领域都反映了不同程度地参与伦理、科学和可持续性原则。还开发了一个定性矩阵,将文献计量学集群与关键的伦理和方法维度联系起来,突出了3r、可持续性和监管改革等主题日益增长的中心地位。值得注意的是,科学和政治话语正在从仅仅是“象征性”的伦理(主要用于表明与资助优先事项或公众期望的一致性)转向更深入和可操作的伦理框架。该计划通过诸如第四个R(责任)之类的概念来强调操作伦理,并扩展了包括12r、3C模型(细胞培养、计算机模拟和临床试验)和伦理驱动的人工智能工具在内的更多模型。这些发展标志着一个成熟的领域,伦理学正在成为方法论上的必要条件。通过绘制这些变化,该研究提供了一个关于伦理价值观如何影响毒理学科学创新的综合视角。它为加速向无动物、与人类相关和资源高效的风险评估负责任过渡提供了循证方向。
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引用次数: 0
In vivo and in vitro metabolism of the designer benzodiazepine, bretazenil: a comparison of pooled human hepatocytes and liver microsomes with postmortem urine and blood samples 苯二氮卓类药物bretazenil的体内和体外代谢:人肝细胞和肝微粒体与死后尿液和血液样本的比较
IF 6.9 2区 医学 Q1 TOXICOLOGY Pub Date : 2025-10-01 DOI: 10.1007/s00204-025-04213-x
Prince S. Gameli, Johannes Kutzler, Laura M. Huppertz, Diletta Berardinelli, Livio Tronconi, Giuseppe Basile, Jeremy Carlier, Francesco P. Busardò, Volker Auwärter

Benzodiazepines are often used with other drugs like opioids, potentially leading to severe intoxications. Bretazenil, an imidazo-tetrahydropyrrolo-1,4-benzodiazepine, developed in the 1980s but never marketed as a medicine, has recently appeared on the illicit drug market. Given its high potency, short elimination half-life, and potential for rapid metabolism, it is essential to identify markers for bretazenil consumption for clinical and forensic purposes. Our study aimed to thoroughly explore bretazenil’s metabolism using web-based in silico prediction tools, in vitro incubation with pooled human liver microsomes and hepatocytes, and to compare these results with authentic postmortem blood and urine samples. The in silico prediction revealed 16 metabolites, mainly formed by hydroxylation (phase I) and further O-glucuronidation, sulfation, and methylation (phase II) reactions. High-resolution mass spectrometry and software-aided data processing of in vitro and in vivo samples identified a total of 26 metabolites. Eight metabolites were detected in vitro, 15 in postmortem urine, and 11 in postmortem blood. Hydroxylation on the pyrrolidine ring was predominant. Other phase I reactions, including combinations of dihydroxylation, hydroxylation, reduction, and carboxylation as well as phase II glucuronidation and sulfation on the pyrrolidine ring, imidazole ring, or the tert-butyl chain, were also identified. Additionally, we discovered a new benzodiazepine biotransformation pathway via hydroxylation and cysteine conjugation in both human hepatocytes and blood. Due to bretazenil’s extensive metabolism, we recommend hydroxy-bretazenil (B14), reduced hydroxy-bretazenil (B6), and reduced dihydroxy-bretazenil (B1) as significant markers for detecting bretazenil use.

苯二氮卓类药物通常与阿片类药物等其他药物一起使用,可能导致严重的中毒。Bretazenil是一种咪唑-四氢吡咯-1,4-苯二氮卓类药物,于1980年代开发,但从未作为药物销售,最近出现在非法药物市场上。鉴于其效力高、消除半衰期短和潜在的快速代谢,确定用于临床和法医目的的bretazenil消耗标记物至关重要。我们的研究旨在利用基于网络的计算机预测工具,在体外与人类肝微粒体和肝细胞孵育,并将这些结果与真实的死后血液和尿液样本进行比较,彻底探索bretazenil的代谢。计算机预测显示了16种代谢物,主要由羟基化(phase I)和进一步的o -葡萄糖醛酸化、磺化和甲基化(phase II)反应形成。体外和体内样品的高分辨率质谱和软件辅助数据处理共鉴定出26种代谢物。在体外检测到8种代谢物,在死后尿液中检测到15种,在死后血液中检测到11种。吡咯烷环上的羟基化是主要的。其他I相反应,包括二羟基化、羟基化、还原和羧化的组合,以及吡咯烷环、咪唑环或叔丁基链上的II相葡萄糖醛酸化和磺化,也被确定。此外,我们发现了一种新的苯二氮卓类药物通过羟基化和半胱氨酸结合在人肝细胞和血液中的生物转化途径。由于bretazenil的广泛代谢,我们推荐羟基-bretazenil (B14),还原羟基-bretazenil (B6)和还原二羟基-bretazenil (B1)作为检测bretazenil使用的重要标志物。
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引用次数: 0
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Archives of Toxicology
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