Effect of gender and CYP2C9 and CYP2C8 polymorphisms on the pharmacokinetics of ibuprofen enantiomers

被引:30
作者
Ochoa, Dolores [1 ]
Prieto-Perez, Rocio [1 ]
Roman, Manuel [1 ]
Talegon, Maria [1 ]
Rivas, Angela [1 ]
Galicia, Ignacio [2 ]
Abad-Santos, Francisco [1 ,3 ]
Cabaleiro, Teresa [1 ,3 ]
机构
[1] Hosp Univ Princesa, Clin Pharmacol Serv, Inst Teofilo Hernando, Inst Invest Sanitaria Princesa IP, Madrid 28006, Spain
[2] Fdn Teofilo Hernando, Madrid 28049, Spain
[3] Inst Salud Carlos III, CIBERehd, Madrid 28029, Spain
关键词
CYP2C8; CYP2C9; ibuprofen; pharmacokinetics; polymorphisms; CYTOCHROME P4502C9 POLYMORPHISMS; IN-VITRO; FUNCTIONAL-CHARACTERIZATION; HEALTHY-VOLUNTEERS; METABOLISM; PHARMACODYNAMICS; GENOTYPES; ACID; (R)-IBUPROFEN; VARIABILITY;
D O I
10.2217/pgs.15.40
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
Aim: To evaluate the effect of polymorphisms in CYP2C9 and CYP2C8 and gender on the pharmacokinetics of the enantiomeric forms of ibuprofen. Materials & methods: 122 healthy volunteers were genotyped for polymorphisms in CY2C8 and CYP2C9 using real-time PCR. Results:CYP2C8 polymorphisms affected neither R- nor S-ibuprofen. CYP2C9*3 and CYP2C9*2 carriers had a lower S-ibuprofen clearance and a higher S-ibuprofen AUC and half-life. R-ibuprofen clearance was decreased in CYP2C9*3 carriers. Gender affected R-ibuprofen and S-ibuprofen pharmacokinetics. Multiple regression analysis showed that CYP2C9*2, CYP2C9*3 and gender were associated with S-ibuprofen clearance, but only CYP2C9*3 was associated with R-ibuprofen clearance. Conclusion: The pharmacokinetics of S-ibuprofen and R-ibuprofen is affected by CYP2C9 polymorphisms and gender. CYP2C8 polymorphisms do not have a significant role. Original submitted 6 February 2015; Revision submitted 1 April 2015
引用
收藏
页码:939 / 948
页数:10
相关论文
共 42 条
[1]  
Arnaldo P, 2013, MALAYS J MED SCI, V20, P13
[2]   Evaluation of the Relationship between Sex, Polymorphisms in CYP2C8 and CYP2C9, and Pharmacokinetics of Angiotensin Receptor Blockers [J].
Cabaleiro, Teresa ;
Roman, Manuel ;
Ochoa, Dolores ;
Talegon, Maria ;
Prieto-Perez, Rocio ;
Wojnicz, Aneta ;
Lopez-Rodriguez, Rosario ;
Novalbos, Jesus ;
Abad-Santos, Francisco .
DRUG METABOLISM AND DISPOSITION, 2013, 41 (01) :224-229
[3]   Confirmation That Cytochrome P450 2C8 (CYP2C8) Plays a Minor Role in (S)-(+)- and (R)-(+)-Ibuprofen Hydroxylation in Vitro [J].
Chang, Shu-Ying ;
Li, Wenying ;
Traeger, Sarah C. ;
Wang, Bei ;
Cui, Donghui ;
Zhang, Hongjian ;
Wen, Bo ;
Rodrigues, A. David .
DRUG METABOLISM AND DISPOSITION, 2008, 36 (12) :2513-2522
[4]   Pharmacokinetic analysis of bioequivalence trials: Implications for sex-related issues in clinical pharmacology and biopharmaceutics [J].
Chen, ML ;
Lee, SC ;
Ng, MJ ;
Schuirmann, DJ ;
Lesko, LJ ;
Williams, RL .
CLINICAL PHARMACOLOGY & THERAPEUTICS, 2000, 68 (05) :510-521
[5]   An Ethinyl Estradiol-Levonorgestrel Containing Oral Contraceptive Does Not Alter Cytochrome P4502C9 In Vivo Activity [J].
Cherala, Ganesh ;
Pearson, Jacob ;
Maslen, Cheryl ;
Edelman, Alison .
DRUG METABOLISM AND DISPOSITION, 2014, 42 (03) :323-325
[6]   Isoform-Specific Regulation of Cytochromes P450 Expression by Estradiol and Progesterone [J].
Choi, Su-Young ;
Koh, Kwi Hye ;
Jeong, Hyunyoung .
DRUG METABOLISM AND DISPOSITION, 2013, 41 (02) :263-269
[7]   Polymorphisms in human CYP2C8 decrease metabolism of the anticancer drug paclitaxel and arachidonic acid [J].
Dai, D ;
Zeldin, DC ;
Blaisdell, JA ;
Chanas, B ;
Coulter, SJ ;
Ghanayem, BI ;
Goldstein, JA .
PHARMACOGENETICS, 2001, 11 (07) :597-607
[8]   Clinical pharmacokinetics of ibuprofen - The first 30 years [J].
Davies, NM .
CLINICAL PHARMACOKINETICS, 1998, 34 (02) :101-154
[9]   Relationship between CYP2C8 genotypes and diclofenac 5-hydroxylation in healthy Spanish volunteers [J].
Dorado, P. ;
Cavaco, I. ;
Caceres, M. C. ;
Piedade, R. ;
Ribeiro, V. ;
LLerena, A. .
EUROPEAN JOURNAL OF CLINICAL PHARMACOLOGY, 2008, 64 (10) :967-970
[10]   CYP2C9 genotypes and diclofenac metabolism in Spanish healthy volunteers [J].
Dorado, P ;
Berecz, R ;
Norberto, MJ ;
Yasar, Ü ;
Dahl, ML ;
LLerena, A .
EUROPEAN JOURNAL OF CLINICAL PHARMACOLOGY, 2003, 59 (03) :221-225