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Mechanism-based inactivation of human aldehyde oxidase by erlotinib: Mechanistic insights from structural analogs and molecular docking
Molecular Pharmacology, Volume: 108, Issue: 1, Start page: 100097
Swansea University Authors:
Karl Austin-Muttitt, Jonathan Mullins
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DOI (Published version): 10.1016/j.molpha.2025.100097
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...
| Published in: | Molecular Pharmacology |
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| ISSN: | 0026-895X |
| Published: |
Elsevier BV
2026
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| URI: | https://cronfa.swan.ac.uk/Record/cronfa71215 |
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2026-01-08T14:34:47Z |
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2026-01-09T05:32:19Z |
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<?xml version="1.0"?><rfc1807><datestamp>2026-01-08T14:36:12.3473731</datestamp><bib-version>v2</bib-version><id>71215</id><entry>2026-01-08</entry><title>Mechanism-based inactivation of human aldehyde oxidase by erlotinib: Mechanistic insights from structural analogs and molecular docking</title><swanseaauthors><author><sid>fafc0917b48af4eaec154646854867f8</sid><firstname>Karl</firstname><surname>Austin-Muttitt</surname><name>Karl Austin-Muttitt</name><active>true</active><ethesisStudent>false</ethesisStudent></author><author><sid>4cf2dddedbe1dacb506ec925fdbd5b40</sid><ORCID>0000-0003-0144-2962</ORCID><firstname>Jonathan</firstname><surname>Mullins</surname><name>Jonathan Mullins</name><active>true</active><ethesisStudent>false</ethesisStudent></author></swanseaauthors><date>2026-01-08</date><deptcode>MEDS</deptcode><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-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.</abstract><type>Journal Article</type><journal>Molecular Pharmacology</journal><volume>108</volume><journalNumber>1</journalNumber><paginationStart>100097</paginationStart><paginationEnd/><publisher>Elsevier BV</publisher><placeOfPublication/><isbnPrint/><isbnElectronic/><issnPrint/><issnElectronic>0026-895X</issnElectronic><keywords>Aldehyde oxidase; Erlotinib; Structural analogs; Mechanism-based inactivation; Molecular docking; Pharmacokinetics</keywords><publishedDay>1</publishedDay><publishedMonth>1</publishedMonth><publishedYear>2026</publishedYear><publishedDate>2026-01-01</publishedDate><doi>10.1016/j.molpha.2025.100097</doi><url/><notes/><college>COLLEGE NANME</college><department>Medical School</department><CollegeCode>COLLEGE CODE</CollegeCode><DepartmentCode>MEDS</DepartmentCode><institution>Swansea University</institution><apcterm>Another institution paid the OA fee</apcterm><funders>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.</funders><projectreference/><lastEdited>2026-01-08T14:36:12.3473731</lastEdited><Created>2026-01-08T14:26:53.2688902</Created><path><level id="1">Faculty of Medicine, Health and Life Sciences</level><level id="2">Swansea University Medical School - Biomedical Science</level></path><authors><author><firstname>Jia Rong</firstname><surname>Kweh</surname><order>1</order></author><author><firstname>Nicholas Kai Ming</firstname><surname>Ng</surname><order>2</order></author><author><firstname>Le Min</firstname><surname>Ngoh</surname><order>3</order></author><author><firstname>Cynthia Jing Yan</firstname><surname>Li</surname><order>4</order></author><author><firstname>Bao Jie</firstname><surname>Tan</surname><order>5</order></author><author><firstname>Wee Kiat</firstname><surname>Tan</surname><orcid>0009-0002-8146-3498</orcid><order>6</order></author><author><firstname>Vijaya Saradhi</firstname><surname>Mettu</surname><order>7</order></author><author><firstname>Karl</firstname><surname>Austin-Muttitt</surname><order>8</order></author><author><firstname>Jonathan</firstname><surname>Mullins</surname><orcid>0000-0003-0144-2962</orcid><order>9</order></author><author><firstname>Aik Jiang</firstname><surname>Lau</surname><orcid>0000-0003-0742-5223</orcid><order>10</order></author></authors><documents><document><filename>71215__35925__32bdfbabf8c140cebe4cfa8aa482eea5.pdf</filename><originalFilename>71215.VOR.pdf</originalFilename><uploaded>2026-01-08T14:33:47.3778050</uploaded><type>Output</type><contentLength>7025917</contentLength><contentType>application/pdf</contentType><version>Version of Record</version><cronfaStatus>true</cronfaStatus><documentNotes>© 2025 The Authors. 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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 |
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fafc0917b48af4eaec154646854867f8 4cf2dddedbe1dacb506ec925fdbd5b40 |
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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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Journal article |
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Molecular Pharmacology |
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108 |
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100097 |
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2026 |
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0026-895X |
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10.1016/j.molpha.2025.100097 |
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Elsevier BV |
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Faculty of Medicine, Health and Life Sciences |
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Faculty of Medicine, Health and Life Sciences |
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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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1856805810094473216 |
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11.09611 |

