Abstract
In vitro studies examining the metabolic transformation of prostaglandin D2 (PGD2) by human liver were conducted. PGD2 was found to be converted by a NADPH-dependent enzyme in the 100,000 .times. g supernatant of human liver exclusively to a single more polar compound that had a mass spectrum essentially the same as that of prostaglandin F2.alpha. (PGF2.alpha.). However, this compound could be chromatographically separated from PGF2.alpha. and failed to form a butylboronate derivative. The structure of this compound was established as 9.alpha.,11.beta.-(15S)-trihydroxyprosta-(5Z,13E)-dien-1-oic acid (9.alpha.,11.beta.-PGF2) by comparison of its chromatographic and mass spectra characteristics with authentic 9.alpha.,11.beta.-PGF2. This compound was found to be biologically active by demonstrating increases in blood pressure in rats in a dose-related fashion following intravenus administration. By using a mass spectrometic assay, levels of this compound in plasma and urine from a normal volunteer were 6 pg/ml and 982 ng/24 hr, respectively. In a patient with systemic mastocytosis associated with overproduction of PGD2, urinary excretion of 9.alpha.,11.beta.-PGF2 was 6634 ng/24 hr and a circulating plasma level as high as 490 ng/ml was found during a severe episode of systemic mast cell activation. 9.alpha.,11.beta.-PGF2 is structurally a unique prostaglandin, is enzymatically formed, is produced in vivo in humans, and is biologically active.