In Vitro Metabolic Fate of the Synthetic Cannabinoid Receptor Agonists QMPSB and QMPCB (SGT-11) Including Isozyme Mapping and Esterase Activity
Department of Experimental and Clinical Toxicology, Institute of Experimental and Clinical Pharmacologyand Toxicology, Center for Molecular Signaling (PZMS), Saarland University, 66421 Homburg, Germany; Matthias.Richter@uks.eu (M.J.R.); Lea.Wagmann@uks.eu (L.W.); Tanja.Gampfer@uks.eu (T.M.G.)
School of Pharmacy and Biomolecular Sciences, Liverpool John Moores University, Liverpool L3 3AF, UK; s.brandt@ljmu.ac.uk
Abstract
Quinolin-8-yl 4-methyl-3-(piperidine-1-sulfonyl)benzoate (QMPSB) and quinolin-8-yl 4-methyl-3-(piperidine-1-carbonyl)benzoate (QMPCB, SGT-11) are synthetic cannabinoid receptor agonists (SCRAs). Knowing their metabolic fate is crucial for the identification of toxicological screening targets and to predict possible drug interactions. The presented study aimed to identify the in vitro phase I/II metabolites of QMPSB and QMPCB and to study the contribution of different monooxygenases and human carboxylesterases by using pooled human liver S9 fraction (pHLS9), recombinant human monooxygenases, three recombinant human carboxylesterases, and pooled human liver microsomes. Analyses were carried out by liquid chromatography high-resolution tandem mass spectrometry. QMPSB and QMPCB showed ester hydrolysis, and hydroxy and carboxylic acid products were detected in both cases. Mono/dihydroxy metabolites were formed, as were corresponding glucuronides and sulfates. Most of the metabolites could be detected in positive ionization mode with the exception of some QMPSB metabolites, which could only be found in negative mode. Monooxygenase activity screening revealed that CYP2B6/CYP2C8/CYP2C9/CYP2C19/CYP3A4/CYP3A5 were involved in hydroxylations. Esterase screening showed the involvement of all investigated isoforms. Additionally, extensive non-enzymatic ester hydrolysis was observed. Considering the results of the in vitro experiments, inclusion of the ester hydrolysis products and their glucuronides and monohydroxy metabolites into toxicological screening procedures is recommended.
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Keywords: QMPSB, QMPCB, synthetic cannabinoid receptor agonists, SCRA, NPS, metabolism, LC-HRMS/MS
Article notes
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Received 2021 Jun 25; Accepted 2021 Jul 29; Collection date 2021 Aug.
1. Introduction
Synthetic cannabinoids, also known as synthetic cannabinoid receptor agonists (SCRAs), represent one of the largest groups of the so-called new psychoactive substances (NPSs) [1,2]. SCRAs are often sold on the drug market after being sprayed on plant material [3]. Continuous changes in the chemical structures lead to a continuous introduction of new SCRAs in an attempt to circumvent legislation [3]. Even though the number of new SCRAs detected annually in the EU decreased in recent years, they continue to represent an important group of newly occurring NPSs alongside cathinones and opioids [2].
In 2007, quinolin-8-yl 4-methyl-3-(piperidine-1-sulfonyl)benzoate (QMPSB) was identified as a potent SCRA as a result of a high-throughput screening [4]. Further investigations revealed that QMPSB is a potent full agonist at the CB1 and CB2 receptors with moderate selectivity for the CB2 receptor [4,5]. In Queensland (Australia), QMPSB was found in a large number of plant materials seized in 2011 and 2012 and published in 2016 [6]. QMPSB was also the template for a new group of SCRAs based on a sulfamoyl benzoate structure and/or a quinolin-8-yl ester head group. In 2012, the company Stargate International started research on this new SCRA group which included the amide analog of QMPSB, quinolin-8-yl 4-methyl-3-(piperidine-1-carbonyl)benzoate (QMPCB, SGT-11). Chemical structures of QMPSB and QMPCB can be found in Figure 1. By replacing the sulfamoyl tail group linker with a carbonyl linker, the influence of the linker group on the pharmacological properties was further investigated. However, tests on human volunteers showed that the amide analog QMPCB had a lower potency than QMPSB [7]. Further structural modifications led to a combination of the quinolin-8-yl ester head group with an N-alkyl-1H-indole core, which resulted in the development and appearance of PB-22 (QUPIC), and BB-22 (QUCHIC) amongst others [7,8].
In the context of clinical and forensic toxicology, data on the metabolism of emerging NPSs are important, particularly for developing analytical screening procedures in urine. To our knowledge, no data on the metabolism of QMPSB and QMPCB are available in the literature. Therefore, the aim of the study was to identify the metabolites of these substances as potential targets for toxicological screenings by liquid chromatography coupled to high-resolution tandem mass spectrometry (LC-HRMS/MS). In vitro incubations using pooled human liver S9 fraction (pHLS9) were performed to identify phase I and II metabolites. Incubations with pHLS9 have been shown to generate the main human metabolites compared to human primary hepatocytes and are therefore appropriate alternatives to incubations with human primary hepatocytes [9].
An in vitro monooxygenase activity assay should clarify the involvement of individual monooxygenases in the initial metabolic steps. Due to the instability of the ester bond already described in the literature [5,6], the additional influence of human esterases on ester hydrolysis was investigated.
2. Results and Discussion
2.5. Monooxygenase Activity Screening of QMPSB and QMPCB
The monooxygenase activity screening revealed the involvement of several monooxygenases in the metabolism of QMPSB and QMPCB (Tables S3 and S4 in the ESM). CYP2B6, CYP2C8, CYP2C9, CYP2C19, CYP3A4, and CYP3A5 were involved in most metabolic reactions of both SCRAs. Although the quantitative involvement of each isoform was no investigated, it is quite unlikely that a drug-drug interaction causing the inhibition of a single CYP isozyme will lead to a significant change in hepatic clearance given that several isoforms were involved. The same can be assumed for poor metabolizers of single CYP isozymes.
2.6. Esterases Activity Screening with Recombinant hCES1b, hCES1c, hCES2, pHLM, and pHLS9
QMPSB and QMPCB both contain a quinolin-8-yl ester head group. According to previous reports, the chemical instability of this ester head group was already described in form of hydrolysis [5] and trans-esterification with solvents such as methanol and ethanol [6]. This must be considered when extracting them from seized plant material or human samples like plasma or urine. To avoid trans-esterification during storage, the stock solution for all experiments was therefore made with acetonitrile instead of methanol.
Different human carboxylesterase (hCES) isoforms catalyze the hydrolysis of ester-containing drugs [13,14]. The isoforms hCES1b and hCES1c are primarily expressed in the liver, and hCES2 is mainly expressed in the gastrointestinal tract [13]. In addition to the recombinant isoforms, the substrates were incubated with pHLM and pHLS9, which represent the natural hCES spectrum of the human liver. Negative control incubations (without enzyme) were conducted to evaluate non-enzymatic ester hydrolysis.
The ester hydrolysis product (carboxylic acid part) was measured to investigate the extent of ester hydrolysis. Therefore, the increase in the carboxylic acid product peak area normalized to the internal standard (trimipramine-d3) between 0 and 60 min of incubation time was determined. Results are shown in Figure 6. The control incubations of QMPSB and QMPCB show an increase in the ester hydrolysis products that must be the result of non-enzymatic ester hydrolysis. The increase in the carboxylic acid product of the control incubations was set to 100%, and all the other incubations were normalized (Figure 6).
Incubations with hCES1b, hCES1c, and hCES2 revealed a remarkable increase in ester hydrolysis rate of both SCRAs relative to non-enzymatic hydrolysis of the control incubations. For QMPSB, hCES1b showed the highest activity of all three isoforms. For QMPCB, there was no detectable difference between the three isoforms. This was mostly due to almost complete degradation of the parent molecule after 60 min incubation time. Incubations with pHLM and pHLS9 revealed an increase in ester hydrolysis rate of both SCRAs in comparison to the control incubations, but the increase was greater with QMPCB than with QMPSB. Since the carboxylesterase activities of pHLS9 and pHLM were not tested by the manufacturer, a quantitative comparison of their esterase activity with the isozymes was not possible, and the current incubations were primarily intended to provide qualitative evidence that the hydrolysis of the two SCRAs is catalyzed by the tested hCES isoforms and by the esterases contained in pHLM and pHLS9. The results of the human carboxylesterases are in agreement with a previous study on the related SCRAs BB-22 and PB-22, in which ester hydrolysis catalyzed by hCES1 and hCES2 could be demonstrated for both substances [15]. In this study, however, no non-enzymatic ester hydrolysis could be determined at physiological pH, which was possibly due to the shorter incubation time of 20 min [15].
These findings indicate that ester hydrolysis plays an important role in phase I metabolism of QMPSB and QMPCB. During sampling and handling, the non-enzymatic ester degradation should always be taken into account. To reduce substrate degradation, both SCRAs should be kept in solvents that cannot cause hydrolysis or transesterification.
3. Materials and Methods
3.1. Chemicals and Reagents
QMPSB and QMPCB were obtained from the library of Stargate International (Auckland, New Zealand) [7]. Stock solutions of QMPSB and QMPCB were prepared in acetonitrile (1 mg/mL) and stored at −18 °C. Trimipramine-d3 was obtained from LGC (Wesel, Germany). Isocitrate, isocitrate dehydrogenase, superoxide dismutase, 3′-phosphoadenosine-5′phosphosulfate (PAPS), S-(5′-adenosyl)-L-methionine (SAM), dithiothreitol, reduced glutathione, acetyl coenzyme A, magnesium chloride (MgCl2), potassium dihydrogen phosphate (KH2PO4), dipotassium hydrogen phosphate (K2HPO4), and Tris hydrochloride were obtained from Sigma-Aldrich (Taufkirchen, Germany). NADP+ was from Biomol (Hamburg, Germany). Baculovirus-infected insect cell microsomes (Supersomes) containing the human cDNA-expressed cytochrome P450 isozymes CYP1A2 (1 nmol/mL), CYP2A6 (2 nmol/mL), CYP2B6 (1 nmol/mL), CYP2C8 (1 nmol/mL), CYP2C9 (2 nmol/mL), CYP2C19 (1 nmol/mL), CYP2D6 (1 nmol/mL), CYP2E1 (2 nmol/mL), CYP3A4 (1 nmol/mL), CYP3A5 (1 nmol/mL), or flavin-containing monooxygenase 3 (FMO3, 5 mg/mL), as well as pooled human liver microsomes (pHLM, 20 mg protein/mL, 360 pmol total CYP/mg, 26 donors), pHLS9 (20 mg protein/mL, 8 donors), recombinant human carboxylesterase hCES1b (5 mg/mL), hCES1c (5 mg/mL), hCES2 (5 mg/mL), UGT reaction mixture solution A (25 mM UDP-glucuronic acid), and UGT reaction mixture solution B (250 mM Tris HCl, 40 mM MgCl2, and 125 μg alamethicin/mL) were obtained from Corning (Amsterdam, The Netherlands). After delivery, the enzymes were thawed at 37 °C, aliquoted, snap-frozen in liquid nitrogen, and stored at −80 °C until use. Acetonitrile (LC-MS grade), methanol (LC-MS grade), ammonium formate (analytical grade), formic acid (LC-MS grade), and all other reagents and chemicals (analytical grade) were bought from VWR (Darmstadt, Germany).
3.3. Monooxygenase Activity Screening
Incubations with monooxygenases were performed in accordance with a previous study with minor modifications [17]. QMPSB or QMPCB (25 µM each) was incubated with CYP1A2, CYP2A6, CYP2B6, CYP2C8, CYP2C9, CYP2C19, CYP2D6, CYP2E1, CYP3A4, CYP3A5 (50 pmol/mL each), or FMO3 (0.25 mg protein/mL), as well as 90 mM phosphate buffer (pH 7.4), 5 mM Mg2+, 5 mM isocitrate, 1.2 mM NADP+, 0.5 U/mL isocitrate dehydrogenase, and 200 U/mL superoxide dismutase, for 30 min at 37 °C. For incubations with CYP2A6 and CYP2C9, 90 mM Tris buffer (pH 7.4) was used instead of phosphate buffer, according to the recommendations of the manufacturer. All given concentrations are concentrations in the final incubation mixture (final incubation volume: 50 µL). Reactions were started by adding the substrate (QMPSB or QMPCB). After 30 min, reactions were terminated by adding 50 µL of ice-cold acetonitrile containing 2.5 µM trimipramine-d3. The samples were centrifuged at 18,407× g for 2 min, and the supernatants were transferred to autosampler vials, and analyzed using LC-HRMS/MS. A negative control sample (without enzyme) was incubated to identify non-metabolically formed compounds. Furthermore, pHLM (1 mg/mL) positive control samples were incubated. All incubations were performed in duplicates (n = 2).
3.4. Esterase Activity Screening with Recombinant hCES1b, hCES1c, hCES2, pHLM, and pHLS9
Incubations with esterases were carried out as described in a previous publication with minor modifications [18]. QMPSB and QMPCB (10 µM final concentration) were incubated with hCES1b, hCES1c, hCES2 (0.2 µg/µL final concentration each), pHLM, and pHLS9 (2 µg/µL final concentration each) in phosphate buffer 100 mM pH 7.4 for 60 min at 37 °C. The total volume of the incubations was 150 μL. The incubations were started by adding the substrates. Negative control incubations (without enzyme) were conducted to evaluate non-enzymatic ester hydrolysis. At 0 and 60 min, 40 µL samples were taken. These samples were stopped immediately with 120 µL ice-cold acetonitrile containing trimipramine-d3 (2.5 µM). After centrifugation for 2 min at 18,407× g, 50 µL of the supernatant was transferred to an autosampler vial, and analyzed using LC-HRMS/MS. All incubations were performed in duplicates (n = 2).
3.5. LC-HRMS/MS Settings
A Thermo Fisher Scientific (TF, Dreieich, Germany) Dionex UltiMate 3000 RS LC system consisting of a degasser, a quaternary pump, and an HTC PAL autosampler (CTC Analytics AG, Zwingen, Switzerland) coupled to a TF Q-Exactive mass spectrometer with heated electrospray ionization (HESI)-II source was used. An external mass calibration was done prior to analysis according to the manufacturer’s recommendations. An injection volume of 5 µL was used for all samples. Gradient elution was implemented on a TF Accucore Phenyl-Hexyl column (100 mm × 2.1 mm, 2.6 µm) at 40 °C in accordance with previous work [19]. The mobile phases for gradient elution consisted of 2 mM aqueous ammonium formate containing formic acid (0.1%, v/v, pH 3, eluent A) and 2 mM ammonium formate solution with acetonitrile:methanol (1:1, v/v), water (1%, v/v), and formic acid (0.1%, v/v, eluent B). The following gradient settings were used: 0–1 min hold 99% A, 1–10 min to 1% A, 10–11.5 min hold 1% A, and 11.5–13.5 min hold 99% A. The flow rate was 500 μL/min (0–10 min) and 800 µL/min (10–13.5 min). The following HESI-II source settings were used: heater temperature, 320 °C; ion transfer capillary temperature, 320 °C; spray voltage, 4.0 kV; ionization mode, positive or negative; sheath gas, 60 arbitrary units (AU); auxiliary gas, 10 AU; sweep gas, 0 AU; S-lens RF level, 60.0. Mass spectrometry was carried out in full scan mode with subsequent data-dependent acquisition of MS2 (ddMS2) with priority to mass to charge ratios (m/z) of the parent compound and expected metabolites. The following full scan data acquisition settings were used: resolution, 35,000 FWHM at m/z 200; microscans, 1; automatic gain control (AGC) target, 1E6; maximum injection time (maxIT), 120 ms; scan range, m/z 80–850. An inclusion list containing m/z values of QMPSB or QMPCB and of expected metabolites such as hydrolysis products, dealkyl and hydroxy metabolites (phase I), as well as sulfates, and glucuronides (phase II), was used for ddMS2 mode. The following ddMS2 mode settings were used: option “pick others”, enabled; dynamic exclusion, feature not used; resolution, 17,500 FWHM at m/z 200; microscans, 1; isolation window, m/z 1.0; loop count, 5; AGC target, 2E5; maxIT, 250 ms; high collision dissociation cell with stepped normalized collision energy, 17.5, 35.0, 52.5; exclude isotopes, on; spectrum data type, profile. ChemSketch 2020.1.1 (ACD/Labs, Toronto, ON, Canada) was used to draw chemical structures of QMPSB, QMPCB, and their expected metabolites, and to calculate the exact masses. TF Xcalibur Qual Browser 4.1.31.9 was used for MS data analysis.
4. Conclusions
In total, 21 metabolites of QMPSB and 34 metabolites of QMPCB were tentatively identified using in vitro tools. All three tested human carboxylesterase isoforms (hCES1b, hCES1c, and hCES2) catalyzed the hydrolysis. The esterase activity screening also revealed a rapid non-enzymatic ester hydrolysis of both compounds. It is thus questionable, whether metabolites with an intact ester bond might be detectable in toxicological screenings. The ester hydrolysis products and their glucuronides and monohydroxy metabolites are thus recommended as targets for toxicological screenings for both substances. In the case of QMPSB, some of these targets could only be detected in negative ionization mode. Therefore, negative ionization mode is recommended for appropriate screenings. Different CYP isoforms were involved in the phase I metabolism of both substances, mainly CYP2B6, CYP2C8, CYP2C9, CYP2C19, CYP3A4, and CYP3A5. Due to the involvement of several CYP isozymes, the inhibition of a single CYP isozyme by a drug-drug interaction is unlikely to have a significant effect on hepatic clearance.
Acknowledgments
The authors like to thank Selina Hemmer, Cathy M. Jacobs, Aline C. Vollmer, Gabriele Ulrich, Thomas P. Bambauer, Sascha K. Manier, Fabian Frankenfeld, Matt Bowden, Philip Schippers, Carsten Schröder, and Armin A. Weber for their support and/or helpful discussions.
Supplementary Materials
The following are available online at https://www.mdpi.com/article/10.3390/metabo11080509/s1, Table S1: List of QMPSB and all detected QMPSB metabolites with incubation type and the ESI mode they were detected in, precursor ion (PI) and characteristic fragment ions (FI) masses in MS2, relative intensities in MS2, calculated exact masses, elemental composition, and deviation from measured to calculated masses, and retention time (RT), Table S2: List of QMPCB and all detected QMPCB metabolites with incubation type and the ESI mode they were detected in, precursor ion (PI) and characteristic fragment ions (FI) masses in MS2, relative intensities in MS2, calculated exact masses, elemental composition, and deviation from measured to calculated masses, and retention time (RT), Table S3: Detection of QMPSB metabolites in pHLS9 and monooxygenases activity screening incubations, Table S4: Detection of QMPCB metabolites in pHLS9 and monooxygenases activity screening incubations, Figure S1: Chromatograms of QMPSB and its five most abundant metabolites in pHLS9 incubation (6 h sample) in positive or negative ionization mode, Figure S2: Chromatograms of QMPCB and its five most abundant metabolites in pHLS9 incubation (6 h sample) in positive ionization mode, Figure S3: High-resolution MS2 spectra of QMPSB metabolites detected in pHLS9 and monooxygenases activity screening, Figure S4: High-resolution MS2 spectra of QMPCB metabolites detected in pHLS9 and monooxygenases activity screening.
Funding
This research received no external funding.
Institutional Review Board Statement
Not applicable.
Informed Consent Statement
Not applicable.
Data Availability Statement
The data presented in this study are available in this paper and the corresponding Electronic Supplementary Material.
Conflicts of Interest
The authors declare no conflict of interest.
Footnotes
Footnote Group
References
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References
- 1.UNODC Current NPS Threats. [(accessed on 15 June 2021)];2020 Volume III Available online: https://www.unodc.org/documents/scientific/Current_NPS_Threats_Vol.3.pdf.
- 2.EMCDDA European Drug Report. [(accessed on 15 June 2021)];2020 Available online: https://www.emcdda.europa.eu/system/files/publications/13236/TDAT20001ENN_web.pdf.
- 3.EMCDDA Perspectives on Drugs, Synthetic Cannabinoids in Europe. [(accessed on 15 June 2021)]; Available online: https://www.emcdda.europa.eu/system/files/publications/2753/POD_Synthetic%20cannabinoids_0.pdf.
- 4.Lambeng N., Lebon F., Christophe B., Burton M., De Ryck M., Quere L. Arylsulfonamides as a new class of cannabinoid CB1 receptor ligands: Identification of a lead and initial SAR studies. Bioorg. Med. Chem. Lett. 2007;17:272–277. doi: 10.1016/j.bmcl.2006.09.049.
- 5.Ermann M., Riether D., Walker E.R., Mushi I.F., Jenkins J.E., Noya-Marino B., Brewer M.L., Taylor M.G., Amouzegh P., East S.P., et al. Arylsulfonamide CB2 receptor agonists: SAR and optimization of CB2 selectivity. Bioorg. Med. Chem. Lett. 2008;18:1725–1729. doi: 10.1016/j.bmcl.2008.01.042.
- 6.Blakey K., Boyd S., Atkinson S., Wolf J., Slottje P.M., Goodchild K., McGowan J. Identification of the novel synthetic cannabimimetic 8-quinolinyl 4-methyl-3-(1-piperidinylsulfonyl)benzoate (QMPSB) and other designer drugs in herbal incense. Forensic Sci. Int. 2016;260:40–53. doi: 10.1016/j.forsciint.2015.12.001.
- 7.Brandt S.D., Kavanagh P.V., Westphal F., Dreiseitel W., Dowling G., Bowden M.J., Williamson J.P.B. Synthetic cannabinoid receptor agonists: Analytical profiles and development of QMPSB, QMMSB, QMPCB, 2F-QMPSB, QMiPSB, and SGT-233. Drug Test Anal. 2021;13:175–196. doi: 10.1002/dta.2913.
- 8.Uchiyama N., Matsuda S., Kawamura M., Kikura-Hanajiri R., Goda Y. Two new-type cannabimimetic quinolinyl carboxylates, QUPIC and QUCHIC, two new cannabimimetic carboxamide derivatives, ADB-FUBINACA and ADBICA, and five synthetic cannabinoids detected with a thiophene derivative α-PVT and an opioid receptor agonist AH-7921 identified in illegal products. Forensic Toxicol. 2013;31:223–240. doi: 10.1007/s11419-013-0182-9.
- 9.Richter L.H.J., Maurer H.H., Meyer M.R. New psychoactive substances: Studies on the metabolism of XLR-11, AB-PINACA, FUB-PB-22, 4-methoxy-alpha-PVP, 25-I-NBOMe, and meclonazepam using human liver preparations in comparison to primary human hepatocytes, and human urine. Toxicol. Lett. 2017;280:142–150. doi: 10.1016/j.toxlet.2017.07.901.
- 10.Diao X., Scheidweiler K.B., Wohlfarth A., Pang S., Kronstrand R., Huestis M.A. In vitro and in vivo human metabolism of synthetic cannabinoids FDU-PB-22 and FUB-PB-22. AAPS J. 2016;18:455–464. doi: 10.1208/s12248-016-9867-4.
- 11.Holsztynska E.J., Domino E.F. Biotransformation of phencyclidine. Drug Metab. Rev. 1985;16:285–320. doi: 10.3109/03602538508991437.
- 12.Michely J.A.A., Manier S.K., Caspar A.T., Brandt S.D., Wallach J., Maurer H.H. New psychoactive substances 3-methoxyphencyclidine (3-MeO-PCP) and 3-methoxyrolicyclidine (3-MeO-PCPy): Metabolic fate elucidated with rat urine and human liver preparations and their detectability in urine by GC-MS, “LC-(High Resolution)-MSn” and “LC-(High Resolution)-MS/MS”. Curr. Neuropharmacol. 2017;15:692–712. doi: 10.2174/1570159x14666161018151716.
- 13.Wang J., Williams E.T., Bourgea J., Wong Y.N., Patten C.J. Characterization of recombinant human carboxylesterases: Fluorescein diacetate as a probe substrate for human carboxylesterase 2. Drug Metab. Dispos. 2011;39:1329–1333. doi: 10.1124/dmd.111.039628.
- 14.Thomsen R., Rasmussen H.B., Linnet K., Consortium I. In vitro drug metabolism by human carboxylesterase 1: Focus on angiotensin-converting enzyme inhibitors. Drug Metab. Dispos. 2014;42:126–133. doi: 10.1124/dmd.113.053512.
- 15.Thomsen R., Nielsen L.M., Holm N.B., Rasmussen H.B., Linnet K., Consortium I. Synthetic cannabimimetic agents metabolized by carboxylesterases. Drug Test. Anal. 2015;7:565–576. doi: 10.1002/dta.1731.
- 16.Chauret N., Gauthier A., Nicoll-Griffith D.A. Effect of common organic solvents on in vitro cytochrome P450-mediated metabolic activities in human liver microsomes. Drug Metab. Dispos. 1998;26:1–4.
- 17.Wagmann L., Meyer M.R., Maurer H.H. What is the contribution of human FMO3 in the N-oxygenation of selected therapeutic drugs and drugs of abuse? Toxicol. Lett. 2016;258:55–70. doi: 10.1016/j.toxlet.2016.06.013.
- 18.Meyer M.R., Schutz A., Maurer H.H. Contribution of human esterases to the metabolism of selected drugs of abuse. Toxicol. Lett. 2015;232:159–166. doi: 10.1016/j.toxlet.2014.10.026.
- 19.Helfer A.G., Michely J.A., Weber A.A., Meyer M.R., Maurer H.H. Orbitrap technology for comprehensive metabolite-based liquid chromatographic-high resolution-tandem mass spectrometric urine drug screening—Exemplified for cardiovascular drugs. Anal. Chim. Acta. 2015;891:221–233. doi: 10.1016/j.aca.2015.08.018.
Associated Data
Supplementary Materials
Data Availability Statement
The data presented in this study are available in this paper and the corresponding Electronic Supplementary Material.