CYP3A4 drug interactions: correlation of 10 in vitro probe substrates

• Published in: British journal of clinical pharmacology Vol. 48; no. 5; pp. 716 - 727
• Main Authors: KENWORTHY, K. E, BLOOMER, J. C, CLARKE, S. E, HOUSTON, J. B
• Format: Journal Article Conference Proceeding
• Language: English
• Published: Oxford, UK Blackwell Science Ltd 01.11.1999; Blackwell Science; Blackwell Science Inc
• Subjects: allostery; Biological and medical sciences; CYP3A4; Cytochrome P-450 CYP1A1 - metabolism; Cytochrome P-450 CYP3A; Cytochrome P-450 Enzyme Inhibitors; Cytochrome P-450 Enzyme System - metabolism; cytochrome P450 inhibition; Enzyme Inhibitors - pharmacology; General pharmacology; Humans; in vitro probes; Kinetics; Medical sciences; Mixed Function Oxygenases - antagonists & inhibitors; Mixed Function Oxygenases - metabolism; Original; Pharmaceutical Preparations - metabolism; Pharmacokinetics. Pharmacogenetics. Drug-receptor interactions; Pharmacology. Drug treatments; Recombinant Proteins - antagonists & inhibitors; Recombinant Proteins - metabolism; Substrate; Drug combination; Enzymatic activity; Isozyme; Cytochrome P450; Enzyme inhibitor; Drug interaction; Inhibition; Measurement method; Metabolism; Pharmacokinetics; In vitro
• ISSN: 0306-5251; 1365-2125
• DOI: 10.1046/j.1365-2125.1999.00073.x

Aims Many substrates of cytochrome P450 (CYP) 3A4 are used for in vitro investigations of drug metabolism and potential drug–drug interactions. The aim of the present study was to determine the relationship between 10 commonly used CYP3A4 probes using modifiers with a range of inhibitory potency. Methods The effects of 34 compounds on CYP3A4‐mediated metabolism were investigated in a recombinant CYP3A4 expression system. Inhibition of erythromycin, dextromethorphan and diazepam N‐demethylation, testosterone 6β‐hydroxylation, midazolam 1‐hydroxylation, triazolam 4‐hydroxylation, nifedipine oxidation, cyclosporin oxidation, terfenadine C‐hydroxylation and N‐dealkylation and benzyloxyresorufin O‐dealkylation was evaluated at the apparent Km or S50 (for substrates showing sigmoidicity) value for each substrate and at an inhibitor concentration of 30 μm. Results While all CYP3A4 probe substrates demonstrate some degree of similarity, examination of the coefficients of determination, together with difference and cluster analysis highlighted that seven substrates can be categorized into two distinct substrate groups. Erythromycin, cyclosporin and testosterone form the most closely related group and dextromethorphan, diazepam, midazolam and triazolam form a second group. Terfenadine can be equally well placed in either group, while nifedipine shows a distinctly different relationship. Benzyloxyresorufin shows the weakest correlation with all the other CYP3A4 probes. Modifiers that caused negligible inhibition or potent inhibition are generally comparable in all assays, however, the greatest variability is apparent with compounds causing, on average, intermediate inhibition. Modifiers of this type may cause substantial inhibition, no effect or even activation depending on the substrate employed. Conclusions It is recommended that multiple CYP3A4 probes, representing each substrate group, are used for the in vitro assessment of CYP3A4‐mediated drug interactions.