Effect of Ethanol on S-Warfarin and Diclofenac Metabolism by Recombinant Human CYP2C9.1

被引:12
作者
Tatsumi, Akitoshi [1 ,3 ]
Ikegami, Yuki [2 ]
Morii, Ryoko [2 ]
Sugiyama, Masatoshi [1 ]
Kadobayashi, Muneo [3 ]
Iwakawa, Seigo [2 ]
机构
[1] Kobe Pharmaceut Univ, Educ Ctr Clin Pharm, Higashinada Ku, Kobe, Hyogo 6588558, Japan
[2] Kobe Pharmaceut Univ, Dept Pharmaceut, Higashinada Ku, Kobe, Hyogo 6588558, Japan
[3] Hosp Hyogo Coll Med, Dept Pharm, Nishinomiya, Hyogo 6638501, Japan
关键词
warfarin; ethanol; cytochrome P450 2C9.1 microsome; diclofenac; drug interaction; metabolism; HUMAN LIVER-MICROSOMES; DRUG-INTERACTIONS; ACETONITRILE; ALCOHOL; SERUM;
D O I
10.1248/bpb.32.517
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
The effect of ethanol on the metabolism of S-warfarin and diclofenac by recombinant cytochrome P450 2C9.1 microsomes (CYP2C9.1) was studied. The 7-hydroxylation metabolism of S-warfarin was inhibited by as low as 0.1 vol% (17 mm) ethanol. Ethanol decreased the V-max/K-m and V-max values of S-warfarin metabolism in a concentration-dependent manner, but the K-m value was unchanged by ethanol. The inhibitory effect of ethanol on the 4'-hydroxylation metabolism of diclofenac was not observed even at 1.0 vol% (170 mM) ethanol. Ethanol at a concentration of 3.0 vol% (510 mM) increased the K-m value of diclofenac metabolism without changes in the V-max, which indicates that diclofenac 4'-hydroxylation by CYP2C9.1 was competitively inhibited by ethanol. S-Warfarin metabolism by CYP2C9.1 was more sensitive to ethanol than diclofenac metabolism. These results suggest that ethanol inhibits the metabolism by CYP2C9.1 in a substrate-dependent manner.
引用
收藏
页码:517 / 519
页数:3
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