Clotrimazole Identified as a Selective UGT2B4 Inhibitor Using Canagliflozin-2'-O-Glucuronide Formation as a Selective UGT2B4 Probe Reaction .

UGT2B4 is a highly expressed drug metabolizing enzyme in the liver contributing to the glucuronidation of several drugs. To enable quantitatively assessing UGT2B4 contribution toward metabolic clearance, a potent and selective UGT2B4 inhibitor that can be used for reaction phenotyping was sought. Initially, a canagliflozin-2´- O -glucuronyl transferase activity assay was developed in recombinant UGT2B4 and human liver microsomes (HLM) ({plus minus} 2% bovine serum albumin; BSA). Canagliflozin-2´- O -glucuronidation (C2OG) K M values in recombinant UGT2B4 and HLM were similar. C2OG formation intrinsic clearance was 5- to 7-fold higher in incubations containing 2% BSA, suggesting UGT2B4 susceptibility to the inhibitory unsaturated long-chain fatty acids released during the incubation. Monitoring for C2OG formation, 179 compounds were evaluated for UGT2B4 inhibition. Compounds that exhibited an apparent UGT2B4 IC 50 of <1 µM in HLM with 2% BSA were evaluated for inhibition of UGT1A1, UGT1A3, UGT1A4, UGT1A6, UGT1A9, UGT2B7, UGT2B10, UGT2B15, and UGT2B17 catalytic activities to establish selectivity suitable for supporting UGT reaction phenotyping. In this study clotrimazole was identified as a potent UGT2B4 inhibitor (HLM apparent IC 50 of 11 to 35 nM {plus minus} 2% BSA). Moreover, clotrimazole exhibited selectivity for UGT2B4 inhibition (>24-fold) over the other UGT enzymes evaluated. Additionally, during this study it was discovered that the previously described UGT2B7 inhibitors 16α- and 16β-phenyllongifolol are not selective for UGT2B7. In 2% BSA, they are nearly equipotent inhibitors of UGT2B4. Clotrimazole, a potent and selective UGT2B4 inhibitor, will prove essential during UGT reaction phenotyping. Significance Statement To mechanistically evaluate drug interactions, it is essential to understand the contribution of individual enzymes to the metabolic clearance of a drug. The present study describes the development of a UGT2B4 activity assay that enabled the discovery of the highly selective and potent UGT2B4 inhibitor clotrimazole. Clotrimazole can be used in UGT reaction phenotyping studies to estimate fractional contribution of UGT2B4.