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New insights into ethionamide metabolism: influence of oxidized methionine on its degradation path.

Abstract
Ethionamide (ETH) is a commercial drug, used as a second-line resource to neutralize Mycobacterium tuberculosis infections. It is proven that its metabolization in the organism leads to the formation of the active form of the drug, but some metabolic pathways may lead to the loss of its activity. Our work proved that the presence of oxidized methionine in cells could influence ETH's degradation, leading to the appearance of an inactive metabolite that is detectable by HPLC and mass spectrometry. In addition, it was found this process increases with the degree of methionine oxidation. This study contributes to a better understanding of ethionamide's metabolism in living organisms, and can help in the design of new drugs or ethionamide boosters for the combat of multidrug resistant tuberculosis.
AuthorsNuno Vale, Diana Duarte, Alexandra Correia, Cláudia Alves, Patrícia Figueiredo, Hélder A Santos
JournalRSC medicinal chemistry (RSC Med Chem) Vol. 11 Issue 12 Pg. 1423-1428 (Dec 17 2020) ISSN: 2632-8682 [Electronic] England
PMID34095849 (Publication Type: Journal Article)
CopyrightThis journal is © The Royal Society of Chemistry.

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