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. 1981 Apr;11(4):345–351. doi: 10.1111/j.1365-2125.1981.tb01131.x

Further evidence for an acetylator phenotype difference in the metabolism of hydralazine in man.

V Facchini, J A Timbrell
PMCID: PMC1401654  PMID: 7259927

Abstract

1 The 0-24 h urine from hypertensive patients treated with hydralazine (100 mg twice daily) has been analysed by gas chromatography and high pressure liquid chromatography. 2 4-N-Acetylhydrazinophthalazine-1-one (NAcHPZ), s-triazolo [3, 4-a] phthalazine (TP), phthalazinone (PZ) and hydralazine (free, H; acid-labile hydrazones, HH) were detected and assayed. 3 The results indicate that slow acetylators excrete less NAcHPZ and TP than rapid acetylators but more PZ and HH. 4 Free hydralazine was present in low levels and was only detected in some urine samples. 5 The ratios of the metabolites NAcHPZ/HH; TP/HH; NAcHPZ/PZ and PZ/TP are different in the two acetylator phenotypes. 6 It is possible the ratio PZ/TP may be used for determination of acetylator phenotype. 7 It is concluded that hydralazine metabolism is dependent on the acetylator phenotype.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Evans D. A. An improved and simplified method of detecting the acetylator phenotype. J Med Genet. 1969 Dec;6(4):405–407. doi: 10.1136/jmg.6.4.405. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Facchini V., Streeter A. J., Timbrell J. A. Determination of hydralazine and its acetylated metabolites in urine by gas chromatography and high-pressure liquid chromatography. J Chromatogr. 1980 Jan 4;187(1):218–223. doi: 10.1016/s0021-9673(00)87889-9. [DOI] [PubMed] [Google Scholar]
  3. Facchini V., Timbrell J. A. Determination of hydralazine metabolites: 4-hydrazino-phthalazin-1-one and n-acetylhydrazinophthalazin-1-one by gas chromatography and s-triazolo[3,4-alpha]phthalazine and phthalazinone by high-performance liquid chromatography. J Chromatogr. 1980 Aug 8;183(2):167–173. doi: 10.1016/s0378-4347(00)81690-4. [DOI] [PubMed] [Google Scholar]
  4. Israili Z. H., Dayton P. G. Metabolism of hydralazine. Drug Metab Rev. 1977;6(2):283–305. doi: 10.3109/03602537708997482. [DOI] [PubMed] [Google Scholar]
  5. Koch-Weser J. The comeback of hydralazine. Am Heart J. 1978 Jan;95(1):1–3. doi: 10.1016/0002-8703(78)90391-5. [DOI] [PubMed] [Google Scholar]
  6. MCISAAC W. M., KANDA M. THE METABOLISM OF 1-HYDRAZINOPHTHALAZINE. J Pharmacol Exp Ther. 1964 Jan;143:7–13. [PubMed] [Google Scholar]
  7. PERRY H. M., Jr, SCHROEDER H. A. Syndrome simulating collagen disease caused by hydralazine (Apresoline). J Am Med Assoc. 1954 Feb 20;154(8):670–673. doi: 10.1001/jama.1954.02940420032009. [DOI] [PubMed] [Google Scholar]
  8. Perry H. M., Jr Late toxicity to hydralazine resembling systemic lupus erythematosus or rheumatoid arthritis. Am J Med. 1973 Jan;54(1):58–72. doi: 10.1016/0002-9343(73)90084-3. [DOI] [PubMed] [Google Scholar]
  9. Perry H. M., Jr, Tan E. M., Carmody S., Sakamoto A. Relationship of acetyl transferase activity to antinuclear antibodies and toxic symptoms in hypertensive patients treated with hydralazine. J Lab Clin Med. 1970 Jul;76(1):114–125. [PubMed] [Google Scholar]
  10. Smith K. M., Johnson R. N., Kho B. T. Determination of hydralazine in tablets by gas chromatography. J Chromatogr. 1977 Jul 21;137(2):431–437. doi: 10.1016/s0021-9673(00)81365-5. [DOI] [PubMed] [Google Scholar]
  11. Stubley C., Stell J. G., Mathieson D. W. The oxidation of azaheterocycles with mammalian liver aldehyde oxidase. Xenobiotica. 1979 Aug;9(8):475–484. doi: 10.3109/00498257909087261. [DOI] [PubMed] [Google Scholar]
  12. Talseth T. Studies on hydralazine. III. Bioavailability of hydralazine in man. Eur J Clin Pharmacol. 1976;10(6):395–401. doi: 10.1007/BF00563075. [DOI] [PubMed] [Google Scholar]
  13. Timbrell J. A., Harland S. J., Facchini V. Polymorphic acetylation of hydralazine. Clin Pharmacol Ther. 1980 Sep;28(3):350–355. doi: 10.1038/clpt.1980.173. [DOI] [PubMed] [Google Scholar]
  14. Wagner J., Faigle J. W., Imhof P., Liehr G. Metabolism of hydralazine in man. Arzneimittelforschung. 1977;27(12):2388–2395. [PubMed] [Google Scholar]
  15. Zak S. B., Gilleran T. G., Karliner J., Lukas G. Identification of two new metabolites of hydralazine from human urine. J Med Chem. 1974 Mar;17(3):381–382. doi: 10.1021/jm00249a035. [DOI] [PubMed] [Google Scholar]
  16. Zimmer H., McManus J., Novinson T., Hess E. V., Litwin A. H. A major metabolite of 1-hydrazinophthalazine. Arzneimittelforschung. 1970 Oct;20(10):1586–1587. [PubMed] [Google Scholar]

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