Studies in vitro with liver microsomes isolated from vitamin C deficient guinea pigs have indicated a significant decrease in over-all drug oxidation, as typified by aniline hydroxylation, aminopyrine N-demethylation and p-nitroanisole O-demethylation. Concommitant with decreased over-all drug oxidation, the quantity of cytochrome P-450 and cytochrome b 5, and the activity of NADPH cytochrome P-450 reductase and NADPH cytochrome c reductase also decreased significantly. It was not until the quantity of liver microsomal ascorbic acid had reached 30 per cent of normal values (11 μg/g wet weight compared to 3.5 μg/g wet weight) that a marked decrease in over-all drug oxidation activity, as well as the level and activity of individual electron transport components, occurred. In addition, the decrease in drug enzyme activities was not due to a calorie deficiency in the vitamin C deficient guinea pigs, since studies with fasted animals indicated normal or greater than normal drug enzyme activities. K m studies with microsomes isolated from normal and vitamin C deficient guinea pigs did not indicate a correlation in the apparent affinity of drug substrates such as aniline, aminopyrine, and p-nitroanisole with decreased microsomal enzyme activities in the vitamin C deficient guinea pigs. The K m value of aniline hydroxylase for aniline was approximately four times higher in normal guinea pig microsomes while the K m value of N-demethylase for aminopyrine and O-demethylase for p-nitroanisole was in the order of four times higher in the vitamin C deficient guinea pig microsomes. Studies concerned with aniline-cytochrome P-450 binding spectra indicated an atypical altered spectrum with microsomes isolated from vitamin C deficient animals. The usual trough of the spectrum shifted from 390 to 405 nm and the usual peak of the spectrum shifted from 430 to 440 nm. Also, the intensity of the trough and peak was at least 50 per cent lower than normal. Administration in vivo of ascorbic acid to vitamin C deficient animals was followed by reversal of over-all drug oxidation activities, quantity of cytochrome P-450, NADPH cytochrome P-450 reductase activity and altered aniline-cytochrome P-450 binding, but these changes required at least 6 days of treatment to return to normal even though normal levels of liver ascorbic acid were established within 3 days. Phenobarbital induction studies indicated that the microsomal protein-synthesizing system responds to such treatment in vitamin C deficient guinea pigs, and the increase in drug enzyme activities and the level and activity of electron transport components are equal to, if not greater than, those observed in normal animals. Alternative pathways involving an ascorbic acid dependent NADH oxidase system, which has been shown to be capable of metabolizing drugs in the absence of a microsomal NADPH P-450 reductase system, have been considered. The significance of vitamin C deficiency in human drug therapy has been discussed.
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