The volatile anesthetic sevoflurane is
degra
de
d to fluoromethyl2,2-
difluoro-1-(trifluoromethyl)vinyl ether (FDVE), a potent rat nephrotoxin. In rats
in vivo, FDVE un
dergoesglutathione conjugation an
d metabolism to cysteine conjugates, whosebioactivation by renalcysteine conjugate
ddle">-lyase has been implicate
d by the protectiveeffects of (aminooxy)aceticaci
d, an inhibitor of cysteine conjugate
ddle">-lyase. Wespecifically teste
d the hypothesis thatFDVE is metabolize
d via the
ddle">-lyase pathway to yiel
d3,3,3-trifluoro-2-(fluoromethoxy)propanoicaci
d. Urine of rats a
dministere
d FDVE (0.3 mmol/kg) was extracte
dan
d derivatize
d with
diazomethane. Hea
dspace GC/MS analysis
demonstrate
d a peak whoseretention time an
dmass spectrum were i
dentical to those of synthetic methyl3,3,3-trifluoro-2-(fluoromethoxy)propanoate. Pretreatment of rats with (aminooxy)acetic aci
dsignificantly
decrease
d the amountof 3,3,3-trifluoro-2-(fluoromethoxy)propanoic aci
d detecte
d in theurine of FDVE-treate
danimals. The
19F NMR spectrum of urine from ratsa
dministere
d FDVE was consistent withthe formation of 3,3,3-trifluoro-2-(fluoromethoxy)propanoic aci
d,but coul
d not be
differentiate
dfrom that of FDVE mercapturates, which are also excrete
d in urine.These results suggestthat FDVE un
dergoes biotransformation via the
ddle">-lyase pathway an
dddle">-lyase-catalyze
dmetabolism may me
diate the nephrotoxicity of thiscompoun
d.