Time-course of toxicity of reactive sulfonamide metabolites.

Abstract:

:It has been suggested, on the basis of work in cell-free systems, that sulfonamide hydroxy-lamines are metabolized to nitroso metabolites which may be the proximate toxins mediating sulfonamide hypersensitivity reactions. We performed time-course experiments investigating the toxicity of the hydroxylamine and nitroso derivatives of sulfamethoxazole to investigate this hypothesis. The nitroso derivative of sulfamethoxazole was significantly more toxic than the hydroxylamine derivative (P < 0.05). When the LC50 was compared over time, there was a significant decrease in the LC50 of the hydroxylamine of sulfamethoxazole over time, while there was no change in the LC50 of the nitroso derivative. There was an equivalent reduction in toxicity demonstrated when the hydroxylamine or nitroso derivatives were co-incubated with glutathione. This supports the role of the nitroso as a proximate toxin mediating sulfonamide hypersensitivity reactions and suggests an explanation for the high rate of adverse reactions to sulfonamides among patients with AIDS.

journal_name

Toxicology

journal_title

Toxicology

authors

Rieder MJ,Krause R,Bird IA

doi

10.1016/0300-483x(94)02900-f

subject

Has Abstract

pub_date

1995-01-06 00:00:00

pages

141-6

issue

1-3

eissn

0300-483X

issn

1879-3185

pii

0300-483X(94)02900-F

journal_volume

95

pub_type

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