Publication Type Journal Article
Title Monitoring abacavir bioactivation in humans: Screening for an aldehyde metabolite
Authors Nadia M. Grilo Alexandra Maria Moita Antunes Umbelina Caixas Aline T. Marinho Catarina Sofia Romão Charneira M. Conceição Oliveira Emlia C. Monteiro M. Matilde Marques Sofia A. Pereira
Groups BioMol
Journal TOXICOLOGY LETTERS
Year 2013
Month May
Volume 219
Number 1
Pages 59-64
Abstract The anti-HIV drug abacavir is associated with idiosyncratic hypersensitivity reactions and cardiotoxicity. Although the mechanism underlying abacavir-toxicity is not fully understood, drug bioactivation to reactive metabolites may be involved. This work was aimed at identifying abacavir-protein adducts in the hemoglobin of HIV patients as biomarkers of abacavir bioactivation and protein modification. The protocol received prior approval from the Hospital Ethics Committee, patients gave their written informed consent and adherence was controlled through a questionnaire. Abacavir-derived Edman adducts with the N-terminal valine of hemoglobin were analyzed by an established liquid chromatography-electrospray ionization-tandem mass spectrometry method. Abacavir-valine adducts were detected in three out of ten patients. This work represents the first evidence of abacavir-protein adduct formation in humans. The data confirm the ability of abacavir to modify self-proteins and suggest that the molecular mechanism(s) of some abacavir-induced adverse reactions may require bioactivation. (C) 2013 Elsevier Ireland Ltd. All rights reserved.
DOI http://dx.doi.org/10.1016/j.toxlet.2013.02.021
ISBN
Publisher
Book Title
ISSN 0378-4274
EISSN
Conference Name
Bibtex ID ISI:000317348100008
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