Modulation of CYP3A4 and CYP2C9 activity by Bulbine natalensis and its constituents: An assessment of HDI risk of B. natalensis containing supplements

Phytomedicine ◽  
2021 ◽  
Vol 81 ◽  
pp. 153416
Author(s):  
Islam Husain ◽  
Vamshi Manda ◽  
Manal Alhusban ◽  
Olivia R. Dale ◽  
Ji-Yeong Bae ◽  
...  
Keyword(s):  
2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Ferenc Fekete ◽  
Katalin Mangó ◽  
Máté Déri ◽  
Evelyn Incze ◽  
Annamária Minus ◽  
...  

AbstractCYP2C9, one of the most abundant hepatic cytochrome P450 enzymes, is involved in metabolism of 15–20% of clinically important drugs (warfarin, sulfonylureas, phenytoin, non-steroid anti-inflammatory drugs). To avoid adverse events and/or impaired drug-response, CYP2C9 pharmacogenetic testing is recommended. The impact of CYP2C9 polymorphic alleles (CYP2C9*2, CYP2C9*3) and phenoconverting non-genetic factors on CYP2C9 function and expression was investigated in liver tissues from Caucasian subjects (N = 164). The presence of CYP2C9*3 allele was associated with CYP2C9 functional impairment, and CYP2C9*2 influenced tolbutamide 4′-hydroxylase activity only in subjects with two polymorphic alleles, whereas the contribution of CYP2C8*3 was not confirmed. In addition to CYP2C9 genetic polymorphisms, non-genetic factors (co-medication with CYP2C9-specific inhibitors/inducers and non-specific factors including amoxicillin + clavulanic acid therapy or chronic alcohol consumption) contributed to the prediction of hepatic CYP2C9 activity; however, a CYP2C9 genotype–phenotype mismatch still existed in 32.6% of the subjects. Substantial variability in CYP2C9 mRNA levels, irrespective of CYP2C9 genotype, was demonstrated; however, CYP2C9 induction and non-specific non-genetic factors potentially resulting in liver injury appeared to modify CYP2C9 expression. In conclusion, complex implementation of CYP2C9 genotype and non-genetic factors for the most accurate estimation of hepatic CYP2C9 activity may improve efficiency and safety of medication with CYP2C9 substrate drugs in clinical practice.


2007 ◽  
Vol 63 (4) ◽  
pp. 477-487 ◽  
Author(s):  
N. K. Zgheib ◽  
R. F. Frye ◽  
T. S. Tracy ◽  
M. Romkes ◽  
R. A. Branch
Keyword(s):  

2003 ◽  
Vol 73 (2) ◽  
pp. P14-P14 ◽  
Author(s):  
M. Kim ◽  
J. LaCourse ◽  
A.N. Nafziger ◽  
A.L. Wallace ◽  
A.D. Kashuba ◽  
...  

2016 ◽  
Vol 75 (Suppl 2) ◽  
pp. 965.3-966
Author(s):  
E.K. Ozer ◽  
I. Albayrak ◽  
M.T. Goktas

2006 ◽  
Vol 62 (6) ◽  
pp. 431-436 ◽  
Author(s):  
Myong-Jin Kim ◽  
Anne N. Nafziger ◽  
Angela D. M. Kashuba ◽  
Julia Kirchheiner ◽  
Steffen Bauer ◽  
...  

2002 ◽  
Vol 27 (3) ◽  
pp. 229-230 ◽  
Author(s):  
Han-Jing Xie ◽  
Umit Yasar ◽  
Mia Sandberg ◽  
Anders Rane

2003 ◽  
Vol 43 (1) ◽  
pp. 84-91 ◽  
Author(s):  
Craig R. Lee ◽  
John A. Pieper ◽  
Alan L. Hinderliter ◽  
Reginald F. Frye ◽  
Joyce A. Blaisdell ◽  
...  
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