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Primaquine-Induced Oxidative Stress in Isolated Hepatocytes as a Result of Reductive Activation

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Biological Reactive Intermediates IV

Part of the book series: Advances in Experimental Medicine and Biology ((AEMB,volume 283))

Abstract

Primaquine,6-methoxy-8-(4-amino-l-methylbutylamino)quinoline, is one of the most effective antimarial agents but because of its low therapeutic index its use is limited. Unlike the 4-aminoquinolines it is believed to act on the liver schizont stage and not the erythrocyte stage of the parasites life cycle. However the drug is reported to cause hemolytic anemia, especially in individuals whose erythrocytes are deficient in glucose-6-phosphate dehydrogenase (Beutler, 1969). In erythrocytes, primaquine or its liver metabolite 5-OH-primaquine is reported to cause intraerythrocytic superoxide and hydrogen peroxide formation, methemoglobinemia, the formation of Heinz bodies, and occasionally the induction of hemolysis (Cohen and Hochstein, 1964; Summerfield and Tudhope, 1978).

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Abbreviations

GSH:

reduced glutathione

GSSG:

oxidised glutathione

Hepes:

4-(2- hydroxyethyl)-1-piperazine-ethane-sulphonic acid

HPLC:

high performance liquid chromatography

DETAPAC:

Diethylenetriamine penta-acetic acid

H2O2 :

hydrogen peroxide.

References

  • Augusto, O., Weingrill, C. L., Schreier, S. and Amemiya,H. (1986). Hydroxyl radical formation as a result of the interaction between primaquine and reduced pyridine nucleotides. Arch. Biochem. Biophys. 244, 147–155.

    Article  CAS  PubMed  Google Scholar 

  • Beutler, E. (1969). Drug-induced hemolytic anemia. Pharmacol. Rev. 21, 73–97.

    CAS  PubMed  Google Scholar 

  • Bisby, R. H. (1988). One-electron reduction of the antimalarial drug primaquine, studied by pulse radiolysis. Free Rad. Res. Comms. 5, 117–124.

    Article  CAS  Google Scholar 

  • Cohen, G. and Hochstein, P. (1964). Glutathione peroxidase:The primary agent for the elimination of hydrogen peroxide in erythrovytes by hemolytic agents. Biochem. 3, 895–903.

    Article  CAS  Google Scholar 

  • Gutierrez, P. L. (1988). The influence of ascorbic acid on the free-radical metabolism of xenobiotics: The example ofdiaziquone. Drug Metab. Rev. 19, 319–343.

    CAS  Google Scholar 

  • Hopkins, J. and Tudhope, G. R. (1978). Studies with primaquine in vitro: superoxide radical formation and oxidation of haemoglobin. Br. J. Clin. Pharmacol. 6, 319–323.

    Google Scholar 

  • Moldeus, P., Hogberg, J. and Orrenius, S. (1978). Isolation and use of liver cells. Methods. Enzymol. 52, 60–71.

    Article  CAS  PubMed  Google Scholar 

  • Reed, D. J., Babson, J. R., Beatty, P. W., Brodie, A. F.,Ellis, W. W. and Potter, D. W. (1980). High-performance liquid chromatogrophy analysis of nanomole levels of glutathione, glutathione disulfide, and related thiols and disulfides. Anal. Biochem. 106, 55–62.

    Article  CAS  PubMed  Google Scholar 

  • Rossi, L., Silva, J. M., McGirr, L. and O’Brien, P. J.,(1988). Nitrofurantoin-mediated oxidative stress cytotoxicity in isolated hepatocytes. Biochem. Pharmacol. 37, 3109–3117.

    Article  CAS  PubMed  Google Scholar 

  • Strother, A., Allahyari, R., Buchholz, J., Fraser, I.M. and Tilton, B. E. (1984). In vitro metabolism of the antimalarial agent primaquine by mouse liver enzymes and identification of a methemoglobin-forming metabolite. Drug Metab. Dispos. 12, 35–44.

    CAS  PubMed  Google Scholar 

  • Summerfield, M. and Tudhope, G. R. (1978). Primaquine and oxidation of hemoglobin. Br. J. Pharmacol. 6, 319–323.

    CAS  Google Scholar 

  • Thornalley, P.J.,Stern, A. and Bannister, J. V. (1983). A mechanism for primaquine mediated oxidation of NADPH in red blood cells. Biochem. Pharmacol. 32, 3571–3575.

    Article  CAS  PubMed  Google Scholar 

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© 1991 Plenum Press, New York

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Silva, J.M., O’Brien, P.J. (1991). Primaquine-Induced Oxidative Stress in Isolated Hepatocytes as a Result of Reductive Activation. In: Witmer, C.M., Snyder, R.R., Jollow, D.J., Kalf, G.F., Kocsis, J.J., Sipes, I.G. (eds) Biological Reactive Intermediates IV. Advances in Experimental Medicine and Biology, vol 283. Springer, Boston, MA. https://doi.org/10.1007/978-1-4684-5877-0_47

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  • DOI: https://doi.org/10.1007/978-1-4684-5877-0_47

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4684-5879-4

  • Online ISBN: 978-1-4684-5877-0

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