Identification of Hypoxia-inducible factor (HIF) stabilizer roxadustat and its possible metabolites in thoroughbred horses for doping control.


Journal

Drug testing and analysis
ISSN: 1942-7611
Titre abrégé: Drug Test Anal
Pays: England
ID NLM: 101483449

Informations de publication

Date de publication:
Jun 2021
Historique:
revised: 23 01 2021
received: 02 11 2020
accepted: 04 02 2021
pubmed: 12 2 2021
medline: 15 12 2021
entrez: 11 2 2021
Statut: ppublish

Résumé

Hypoxia-inducible factor (HIF) stabilizer belongs to a novel class of pharmacologically active substances, which are capable of inducing the endogenous erythropoietic system. The transcriptional activator HIF has been shown to significantly increase blood hemoglobin and is well set for the treatment of anemia resulting from chronic kidney disease. This research work reports a comprehensive study of the most popular HIF stabilizer roxadustat and its metabolites in thoroughbred horse urine after oral administration. The plausible structures of the detected metabolites were postulated using liquid chromatography-high-resolution mass spectrometry. Under the experimental condition 13 metabolites (7 phase I, 1 phase II, and 5 conjugates of phase I metabolism) were positively detected (M1-M13). The major phase I metabolites identified were formed by hydroxylation. Dealkylated and hydrolyzed phase I metabolites were also observed in this study. In phase II, a glucuronic acid conjugate of roxadustat was detected as the major metabolite. The sulfonic acid conjugates were observed to be formed from phase I metabolites. The characterized in vivo metabolites can potentially serve as target analytes for doping control analysis; hence, the result is an important tool for assessing its use and abuse in competitive sport.

Identifiants

pubmed: 33569900
doi: 10.1002/dta.3014
doi:

Substances chimiques

Isoquinolines 0
Hypoxia-Inducible Factor-Proline Dioxygenases EC 1.14.11.29
Glycine TE7660XO1C
roxadustat X3O30D9YMX

Types de publication

Journal Article Validation Study

Langues

eng

Sous-ensembles de citation

IM

Pagination

1203-1215

Informations de copyright

© 2021 John Wiley & Sons, Ltd.

Références

Elliott S. Erythropoiesis-stimulating agents and other methods to enhance oxygen transport. Br J Pharmacol. 2008;154(3):529-541.
Jelkmann W, Lundby C. Blood doping and its detection. Blood 201. 118(9):2395-2404.
Jelkmann W. Features of blood doping. Dtsch Z Sportmed. 2016;67:255-262.
WADA (World Anti-Doping Agency). The prohibited list. 2020. Available at: https://www.wada-ama.org/en/content/what-is-prohibited/prohibited-at-all-times
FEI (Fédération Équestre Internationale). The prohibited substances list. 2020. https://inside.fei.org/fei/cleansport/ad-h/prohibited-list
IFHA (International Federation of Horseracing Authorities). International screening limits. 2020. International Federation of Horseracing Authorities (ifhaonline.org)
Thevis M, Geyer H, Thomas A, Schanzer W. Trafficking of drug candidates relevant for sports drug testing: detection of non-approved therapeutics categorized as anabolic and gene doping agents in products distributed via the internet. Drug Test Anal. 2011;3(5):331-336.
Reichel C. Recent developments in doping testing for erythropoietin. Anal Bioanal Chem. 2011;401(2):463-481.
Koury MJ, Haase VH. Anaemia in kidney disease: harnessing hypoxia responses for therapy. Nat Rev Nephrol. 2015;11(7):394-410.
Ge RL, Witkowski S, Zhang Y, et al. Determinants of erythropoietin release in response to short-term hypobaric hypoxia. J Appl Physiol (1985). 2002;92(6):2361-2367.
Levine BD. Intermittent hypoxic training: fact and fancy. High Alt Med Biol. 2002;3(2):177-193.
Bosman DR, Osborne CA, Marsden JT, Macdougall IC, Gardner WN, Watkins PJ. Erythropoietin response to hypoxia in patients with diabetic autonomic neuropathy and non-diabetic chronic renal failure. Diabet Med. 2002;19(1):65-69.
Gupta N, Wish JB. Hypoxia-inducible factor prolyl hydroxylase inhibitors: a potential new treatment for anemia in patients with CKD. Am J Kidney Dis. 2017;69(6):815-826.
Akizawa T, Iwasaki M, Otsuka T, Reusch M, Misumi T. Roxadustat treatment of chronic kidney disease-associated anemia in Japanese patients not on dialysis: a phase 2, randomized, double-blind, placebo-controlled trial. Adv Ther. 2019;36(6):1438-1454.
Besarab A, Chernyavskaya E, Motylev I, et al. Roxadustat (FG-4592): correction of anemia in incident dialysis patients. J am Soc Nephrol. 2016;27(4):1225-1233.
Parmar DV, Kansagra KA, Patel JC, et al. Outcomes of desidustat treatment in people with anemia and chronic kidney disease: a phase 2 study. Am J Nephrol. 2019;49(6):470-478.
Bernhardt WM, Wiesener MS, Scigalla P, et al. Inhibition of prolyl hydroxylases increases erythropoietin production in ESRD. J am Soc Nephrol. 2010;21(12):2151-2156.
Flamme I, Oehme F, Ellinghaus P, Jeske M, Keldenich J, Thuss U. Mimicking hypoxia to treat anemia: HIF-stabilizer BAY 85-3934 (molidustat) stimulates erythropoietin production without hypertensive effects. PLoS One. 2014;9(11):1-14, e111838.
Hansson A, Thevis M, Cox H, et al. Investigation of the metabolites of the HIF stabilizer FG-4592 (roxadustat) in five different in vitro models and in a human doping control sample using high resolution mass spectrometry. J Pharm Biomed Anal. 2017;134:228-236.
Eichner D, Van Wagoner RM, Brenner M, et al. Implementation of the prolyl hydroxylase inhibitor roxadustat (FG-4592) and its main metabolites into routine doping controls. Drug Test Anal. 2017;9:1768-1778(11-12):1768-1778. https://doi.org/10.1002/dta.2202
Subhahar MB, Singh J, Albert PH, Kadry AM. Pharmacokinetics, metabolism and excretion of celecoxib, a selective cyclooxygenase-2 inhibitor, in horse. J Vet Pharmacol Therap. 2019:1-7.
Subhahar MB, Abdul KKK, Philip M, et al. Detection and identification of ACP-105 and its metabolites in equine urine using LC/MS/MS after oral administration. Drug Test Anal. 2020:1-19. https://doi.org/10.1002/dta.2918
Philip M, Mathew B, Tajudheen KK, Zubair P, Subhahar MB, Abdul KKK. Metabolic studies of HIF stabilizers IOX2, IOX3, and IOX4 (in vitro) for doping control. Drug Test Anal. 2021:1-23. https://doi.org/10.1002/dta.3000

Auteurs

Binoy Mathew (B)

Equine Forensic Unit, Central Veterinary Research Laboratory, Dubai, United Arab Emirates.

Moses Philip (M)

Equine Forensic Unit, Central Veterinary Research Laboratory, Dubai, United Arab Emirates.

Zubair Perwad (Z)

Equine Forensic Unit, Central Veterinary Research Laboratory, Dubai, United Arab Emirates.

Tajudheen K Karatt (TK)

Equine Forensic Unit, Central Veterinary Research Laboratory, Dubai, United Arab Emirates.

Marina Rodriguez Caveney (MR)

Equine Forensic Unit, Central Veterinary Research Laboratory, Dubai, United Arab Emirates.

Michael Benedict Subhahar (MB)

Equine Forensic Unit, Central Veterinary Research Laboratory, Dubai, United Arab Emirates.

Abdul Khader Karakka Kal (AK)

Equine Forensic Unit, Central Veterinary Research Laboratory, Dubai, United Arab Emirates.

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