Perazine at therapeutic drug concentrations inhibits human cytochrome P450 isoenzyme 1A2 (CYP1A2) and caffeine metabolism - an in vitro study

The aim of the present study was to estimate the inhibitory effect of perazine, a phenothiazine neuroleptic with piperazine structure in aside chain, oil human CYP1A2 activity measured as a rate of caffeine 3-N- and 1-N-demethylation. Moreover, the influence of perazine oil other caffeine metabolic pathways such as 7-N-demethylation (CYP1A2, CYP2C8/9, CYP3A4) and 8-hydroxylation (CYP3A4, CYP1A2, CYP2C8/9) was also determined. The Dixon analysis showed that in both human liver microsomes and Supersomes CYP1A2 perazine potently and to a similar degree inhibited caffeine 3-N-demethylation (K-I = 3.5 mu M) and 1-N-demethylation (K-I = 5 mu M) Perazine moderately diminished the rate of caffeine 7-N-demethylation in Supersomes CYP1A2 (K-I = 11.5 mu M) and liver microsomes (K-I = 20 mu M),aiidatteiiiiatedC-8-hydroxyliti on (K-I= 15.5 mu M) in SupersoinesCYP1A2 On the other hand, perazine weakly inhibited caffeine C-8-hydroxylation in liver microsomes (K-i = 98 mu M) About 80% of basal CYP1A2 activity was reduced by the therapeutic concentrations of perazine (5-10 mu M) The obtained results show that perazine at its therapeutic concentrations is a potent inhibitor of human CYP1A2 Hence, taking account of CYP1A2 contribution to the metabolism of endogenous substances (steroids), drugs (xanthine derivatives, phenacetin, propranolol, imipramine, phenothiazine neuroleptics, clozapine) and carcinogenic compounds, the inhibition of CYP1A2 by perazine may be of physiological, pharmacological and toxicological importance