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Mechanism-based inactivation of human aldehyde oxidase by erlotinib: Mechanistic insights from structural analogs and molecular docking

Jia Rong Kweh, Nicholas Kai Ming Ng, Le Min Ngoh, Cynthia Jing Yan Li, Bao Jie Tan, Wee Kiat Tan Orcid Logo, Vijaya Saradhi Mettu, Karl Austin-Muttitt, Jonathan Mullins Orcid Logo, Aik Jiang Lau Orcid Logo

Molecular Pharmacology, Volume: 108, Issue: 1, Start page: 100097

Swansea University Authors: Karl Austin-Muttitt, Jonathan Mullins Orcid Logo

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Abstract

Aldehyde oxidase (AOX1) is a cytosolic molybdo-flavoenzyme that metabolizes azaheterocyclic drugs. Erlotinib and gefitinib are azaheterocyclic drugs. We deployed structural analogs to investigate the molecular interaction between these drugs and AOX1. Erlotinib, O-desmethylerlotinib, and O-didesmeth...

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Published in: Molecular Pharmacology
ISSN: 0026-895X
Published: Elsevier BV 2026
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URI: https://cronfa.swan.ac.uk/Record/cronfa71215
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We deployed structural analogs to investigate the molecular interaction between these drugs and AOX1. Erlotinib, O-desmethylerlotinib, and O-didesmethylerlotinib, but not gefitinib, O-desmethylgefitinib, or O-desmorpholinopropylgefitinib, decreased carbazeran 4-oxidation by liver cytosol (human, rat, and mouse) and human recombinant AOX1. Erlotinib, O-desmethylerlotinib, and O-didesmethylerlotinib exhibited time- and concentration-dependent inactivation with unbound inactivation potency (KI,u) of 1.52, 4.41, and 1.67 &#x3BC;M, respectively. The inactivation was not reversed after dialysis, not protected by nucleophilic trapping agents or scavengers of reactive oxygen species, not affected by an oxidizing or reducing agent, but was attenuated by an alternative AOX1 substrate (O6-benzylguanine) and competitive AOX1 inhibitor (gefitinib). The terminal alkyne group of erlotinib was essential for AOX1 inactivation, as suggested by the findings for 3-vinylerlotinib (less potent inactivator) and tetrahydroerlotinib (no inactivation). Molecular docking results predicted covalent binding of erlotinib, O-desmethylerlotinib, and O-didesmethylerlotinib to the molybdenum cofactor. Adding a 4&#x2032;-methyl group to erlotinib increased the inactivation potency but decreased inactivation efficiency, whereas blocking the C2-position of erlotinib with a hydroxy group or a methyl group decreased inactivation potency and efficiency, suggesting that the C2-position of erlotinib plays a role in AOX1 inactivation. In mice, erlotinib increased carbazeran (Aox substrate) and decreased 4-oxo-carbazeran (metabolite) levels in blood, liver, and kidneys. Overall, our study provides molecular insights into the mechanism-based inactivation of AOX1 by erlotinib, O-desmethylerlotinib, and O-didesmethylerlotinib and the irreversible AOX1 inactivation by erlotinib on the pharmacokinetics of AOX1-metabolized drugs. 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spelling 2026-01-08T14:36:12.3473731 v2 71215 2026-01-08 Mechanism-based inactivation of human aldehyde oxidase by erlotinib: Mechanistic insights from structural analogs and molecular docking fafc0917b48af4eaec154646854867f8 Karl Austin-Muttitt Karl Austin-Muttitt true false 4cf2dddedbe1dacb506ec925fdbd5b40 0000-0003-0144-2962 Jonathan Mullins Jonathan Mullins true false 2026-01-08 MEDS Aldehyde oxidase (AOX1) is a cytosolic molybdo-flavoenzyme that metabolizes azaheterocyclic drugs. Erlotinib and gefitinib are azaheterocyclic drugs. We deployed structural analogs to investigate the molecular interaction between these drugs and AOX1. Erlotinib, O-desmethylerlotinib, and O-didesmethylerlotinib, but not gefitinib, O-desmethylgefitinib, or O-desmorpholinopropylgefitinib, decreased carbazeran 4-oxidation by liver cytosol (human, rat, and mouse) and human recombinant AOX1. Erlotinib, O-desmethylerlotinib, and O-didesmethylerlotinib exhibited time- and concentration-dependent inactivation with unbound inactivation potency (KI,u) of 1.52, 4.41, and 1.67 μM, respectively. The inactivation was not reversed after dialysis, not protected by nucleophilic trapping agents or scavengers of reactive oxygen species, not affected by an oxidizing or reducing agent, but was attenuated by an alternative AOX1 substrate (O6-benzylguanine) and competitive AOX1 inhibitor (gefitinib). The terminal alkyne group of erlotinib was essential for AOX1 inactivation, as suggested by the findings for 3-vinylerlotinib (less potent inactivator) and tetrahydroerlotinib (no inactivation). Molecular docking results predicted covalent binding of erlotinib, O-desmethylerlotinib, and O-didesmethylerlotinib to the molybdenum cofactor. Adding a 4′-methyl group to erlotinib increased the inactivation potency but decreased inactivation efficiency, whereas blocking the C2-position of erlotinib with a hydroxy group or a methyl group decreased inactivation potency and efficiency, suggesting that the C2-position of erlotinib plays a role in AOX1 inactivation. In mice, erlotinib increased carbazeran (Aox substrate) and decreased 4-oxo-carbazeran (metabolite) levels in blood, liver, and kidneys. Overall, our study provides molecular insights into the mechanism-based inactivation of AOX1 by erlotinib, O-desmethylerlotinib, and O-didesmethylerlotinib and the irreversible AOX1 inactivation by erlotinib on the pharmacokinetics of AOX1-metabolized drugs. Significance Statement: This study shows that erlotinib and select metabolites are mechanism-based inactivators of AOX1, provides insights into the mechanism of the inactivation by deploying structural analogs and molecular docking, and demonstrates the in vivo impact on AOX1-mediated drug metabolism. Journal Article Molecular Pharmacology 108 1 100097 Elsevier BV 0026-895X Aldehyde oxidase; Erlotinib; Structural analogs; Mechanism-based inactivation; Molecular docking; Pharmacokinetics 1 1 2026 2026-01-01 10.1016/j.molpha.2025.100097 COLLEGE NANME Medical School COLLEGE CODE MEDS Swansea University Another institution paid the OA fee This research was supported in part by the Natural Sciences and Engineering Research Council of Canada (NSERC) [Grant RGPIN-2022-03342] and in part by the Singapore Ministry of Education and the Singapore Ministry of Health’s National Medical Research Council [Grant NMRC/BNIG/2044/2016]. The molecular docking was undertaken at the Supercomputing Wales research facility, Swansea University. 2026-01-08T14:36:12.3473731 2026-01-08T14:26:53.2688902 Faculty of Medicine, Health and Life Sciences Swansea University Medical School - Biomedical Science Jia Rong Kweh 1 Nicholas Kai Ming Ng 2 Le Min Ngoh 3 Cynthia Jing Yan Li 4 Bao Jie Tan 5 Wee Kiat Tan 0009-0002-8146-3498 6 Vijaya Saradhi Mettu 7 Karl Austin-Muttitt 8 Jonathan Mullins 0000-0003-0144-2962 9 Aik Jiang Lau 0000-0003-0742-5223 10 71215__35925__32bdfbabf8c140cebe4cfa8aa482eea5.pdf 71215.VOR.pdf 2026-01-08T14:33:47.3778050 Output 7025917 application/pdf Version of Record true © 2025 The Authors. Published by Elsevier Inc. on behalf of American Society for Pharmacology and Experimental Therapeutics. This is an open access article under the CC BY license. true eng http://creativecommons.org/licenses/by/4.0/
title Mechanism-based inactivation of human aldehyde oxidase by erlotinib: Mechanistic insights from structural analogs and molecular docking
spellingShingle Mechanism-based inactivation of human aldehyde oxidase by erlotinib: Mechanistic insights from structural analogs and molecular docking
Karl Austin-Muttitt
Jonathan Mullins
title_short Mechanism-based inactivation of human aldehyde oxidase by erlotinib: Mechanistic insights from structural analogs and molecular docking
title_full Mechanism-based inactivation of human aldehyde oxidase by erlotinib: Mechanistic insights from structural analogs and molecular docking
title_fullStr Mechanism-based inactivation of human aldehyde oxidase by erlotinib: Mechanistic insights from structural analogs and molecular docking
title_full_unstemmed Mechanism-based inactivation of human aldehyde oxidase by erlotinib: Mechanistic insights from structural analogs and molecular docking
title_sort Mechanism-based inactivation of human aldehyde oxidase by erlotinib: Mechanistic insights from structural analogs and molecular docking
author_id_str_mv fafc0917b48af4eaec154646854867f8
4cf2dddedbe1dacb506ec925fdbd5b40
author_id_fullname_str_mv fafc0917b48af4eaec154646854867f8_***_Karl Austin-Muttitt
4cf2dddedbe1dacb506ec925fdbd5b40_***_Jonathan Mullins
author Karl Austin-Muttitt
Jonathan Mullins
author2 Jia Rong Kweh
Nicholas Kai Ming Ng
Le Min Ngoh
Cynthia Jing Yan Li
Bao Jie Tan
Wee Kiat Tan
Vijaya Saradhi Mettu
Karl Austin-Muttitt
Jonathan Mullins
Aik Jiang Lau
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container_title Molecular Pharmacology
container_volume 108
container_issue 1
container_start_page 100097
publishDate 2026
institution Swansea University
issn 0026-895X
doi_str_mv 10.1016/j.molpha.2025.100097
publisher Elsevier BV
college_str Faculty of Medicine, Health and Life Sciences
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hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str Swansea University Medical School - Biomedical Science{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}Swansea University Medical School - Biomedical Science
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description Aldehyde oxidase (AOX1) is a cytosolic molybdo-flavoenzyme that metabolizes azaheterocyclic drugs. Erlotinib and gefitinib are azaheterocyclic drugs. We deployed structural analogs to investigate the molecular interaction between these drugs and AOX1. Erlotinib, O-desmethylerlotinib, and O-didesmethylerlotinib, but not gefitinib, O-desmethylgefitinib, or O-desmorpholinopropylgefitinib, decreased carbazeran 4-oxidation by liver cytosol (human, rat, and mouse) and human recombinant AOX1. Erlotinib, O-desmethylerlotinib, and O-didesmethylerlotinib exhibited time- and concentration-dependent inactivation with unbound inactivation potency (KI,u) of 1.52, 4.41, and 1.67 μM, respectively. The inactivation was not reversed after dialysis, not protected by nucleophilic trapping agents or scavengers of reactive oxygen species, not affected by an oxidizing or reducing agent, but was attenuated by an alternative AOX1 substrate (O6-benzylguanine) and competitive AOX1 inhibitor (gefitinib). The terminal alkyne group of erlotinib was essential for AOX1 inactivation, as suggested by the findings for 3-vinylerlotinib (less potent inactivator) and tetrahydroerlotinib (no inactivation). Molecular docking results predicted covalent binding of erlotinib, O-desmethylerlotinib, and O-didesmethylerlotinib to the molybdenum cofactor. Adding a 4′-methyl group to erlotinib increased the inactivation potency but decreased inactivation efficiency, whereas blocking the C2-position of erlotinib with a hydroxy group or a methyl group decreased inactivation potency and efficiency, suggesting that the C2-position of erlotinib plays a role in AOX1 inactivation. In mice, erlotinib increased carbazeran (Aox substrate) and decreased 4-oxo-carbazeran (metabolite) levels in blood, liver, and kidneys. Overall, our study provides molecular insights into the mechanism-based inactivation of AOX1 by erlotinib, O-desmethylerlotinib, and O-didesmethylerlotinib and the irreversible AOX1 inactivation by erlotinib on the pharmacokinetics of AOX1-metabolized drugs. Significance Statement: This study shows that erlotinib and select metabolites are mechanism-based inactivators of AOX1, provides insights into the mechanism of the inactivation by deploying structural analogs and molecular docking, and demonstrates the in vivo impact on AOX1-mediated drug metabolism.
published_date 2026-01-01T05:33:31Z
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