scholarly journals Tobacco Smoke Extract Modulates Activity and Expression of Monoamine Oxidase and μ Opioid Receptor in Cultured Human Neuroblastoma Cells

2021 ◽  
Author(s):  
◽  
Amy Jane Lewis
Keyword(s):  
Gene Expression ◽  
Monoamine Oxidase ◽  
Opioid Receptor ◽  
Tobacco Smoke ◽  
Human Neuroblastoma ◽  
Tobacco Products ◽  
Mao B ◽  
Tobacco Addiction ◽  
Mao A ◽  
Mao Activity

<p>Tobacco addiction is a major public health concern and is responsible for approximately five million deaths globally each year. Although most current smokers express a desire to quit, few are successful in their attempts. Nicotine is the primary neurobiologically active component in tobacco smoke and acts through the nicotinic acetylcholine receptor (nAChR) to sustain addiction. However, nicotine replacement therapies have proven to be remarkably ineffective at helping smokers quit. This indicates that nicotine alone cannot fully account for the intense and enduring nature of tobacco addiction. Previous research has provided strong evidence that monoamine oxidase (MAO) enzymes and the endogenous opioid system may also play a role in tobacco dependence. The present study compared and contrasted the influence of nicotine and the non-nicotine components of tobacco smoke on the enzyme activity of MAO-A and MAO-B. Gene expression of MAO and the mu opioid receptor (MOR) in SH-SY5Y human neuroblastoma and U-118 MG glioma cell lines was also investigated. Using a kynuramine-based enzymatic assay adapted and optimised for this study, the MAO inhibitory activity of tobacco-based samples were tested, including total particulate matter (TPM) extracts from a range of New Zealand tobacco products, Quest(R) nicotine-free cigarettes, and fluid from the RUYAN(R) Electronic cigarette. TPM from both standard tobacco and Quest(R) significantly inhibited MAO-A and MAO-B activity in vitro and in cultured cells. Differences between the types and brands of tobacco products were observed. TPM derived from loose-leaf tobacco inhibited MAO enzymes more potently than samples from manufactured cigarettes. This difference was attributed to a significantly higher tar:nicotine ratio in loose-leaf tobacco. Standard TPM and Quest(R) TPM also inhibited total MAO activity in SH-SY5Y cells treated for 24 hours; whereas the weak activity in U-118 MG remained unchanged. However, MAO activity was highly dependent on the cell culture conditions, with activity increasing in SH-SY5Y cells when treated with a 5-day exposure regimen. This finding was unique to the present study. The gene expression of MAO-A, MAO-B, and MOR was examined using a qRT-PCR assay. All three genes were significantly up-regulated by standard and denicotinized TPM extracts after a 5-day treatment regimen. This finding was correlated with an increase in protein abundance for MOR, but not MAO-A or MAO-B, as assayed by Western blot. Up-regulation of MAO and MOR gene expression was abolished when cells were treated with TPM extracts in conjunction with the nAChR antagonist mecamylamine, suggesting that up-regulation of MAO and MOR genes was dependent, at least in part, on nAChR signalling. Both standard TPM and TPM from denicotinized Quest(R) cigarettes induced inhibition of MAO and up-regulation of MAO and MOR gene expression. This demonstrates that non-nicotine compounds within tobacco smoke can significantly influence the behaviour of cultured neuronal cells. Further research is required to fully elucidate the mechanisms behind the MAO and MOR gene response, and a better understanding of these mechanisms may provide a framework for the development of novel smoking cessation therapies.</p>

scholarly journals Tobacco smoke extract modulates activity and expression of monoamine oxidase and μ opioid receptor in cultured human neuroblastoma cells

2021 ◽  
Author(s):  
◽  
Amy Jane Lewis
Keyword(s):  
Gene Expression ◽  
Monoamine Oxidase ◽  
Opioid Receptor ◽  
Tobacco Smoke ◽  
Human Neuroblastoma ◽  
Tobacco Products ◽  
Mao B ◽  
Tobacco Addiction ◽  
Mao A ◽  
Mao Activity

<p>Tobacco addiction is a major public health concern and is responsible for approximately five million deaths globally each year. Although most current smokers express a desire to quit, few are successful in their attempts. Nicotine is the primary neurobiologically active component in tobacco smoke and acts through the nicotinic acetylcholine receptor (nAChR) to sustain addiction. However, nicotine replacement therapies have proven to be remarkably ineffective at helping smokers quit. This indicates that nicotine alone cannot fully account for the intense and enduring nature of tobacco addiction. Previous research has provided strong evidence that monoamine oxidase (MAO) enzymes and the endogenous opioid system may also play a role in tobacco dependence. The present study compared and contrasted the influence of nicotine and the non-nicotine components of tobacco smoke on the enzyme activity of MAO-A and MAO-B. Gene expression of MAO and the mu opioid receptor (MOR) in SH-SY5Y human neuroblastoma and U-118 MG glioma cell lines was also investigated. Using a kynuramine-based enzymatic assay adapted and optimised for this study, the MAO inhibitory activity of tobacco-based samples were tested, including total particulate matter (TPM) extracts from a range of New Zealand tobacco products, Quest(R) nicotine-free cigarettes, and fluid from the RUYAN(R) Electronic cigarette. TPM from both standard tobacco and Quest(R) significantly inhibited MAO-A and MAO-B activity in vitro and in cultured cells. Differences between the types and brands of tobacco products were observed. TPM derived from loose-leaf tobacco inhibited MAO enzymes more potently than samples from manufactured cigarettes. This difference was attributed to a significantly higher tar:nicotine ratio in loose-leaf tobacco. Standard TPM and Quest(R) TPM also inhibited total MAO activity in SH-SY5Y cells treated for 24 hours; whereas the weak activity in U-118 MG remained unchanged. However, MAO activity was highly dependent on the cell culture conditions, with activity increasing in SH-SY5Y cells when treated with a 5-day exposure regimen. This finding was unique to the present study. The gene expression of MAO-A, MAO-B, and MOR was examined using a qRT-PCR assay. All three genes were significantly up-regulated by standard and denicotinized TPM extracts after a 5-day treatment regimen. This finding was correlated with an increase in protein abundance for MOR, but not MAO-A or MAO-B, as assayed by Western blot. Up-regulation of MAO and MOR gene expression was abolished when cells were treated with TPM extracts in conjunction with the nAChR antagonist mecamylamine, suggesting that up-regulation of MAO and MOR genes was dependent, at least in part, on nAChR signalling. Both standard TPM and TPM from denicotinized Quest(R) cigarettes induced inhibition of MAO and up-regulation of MAO and MOR gene expression. This demonstrates that non-nicotine compounds within tobacco smoke can significantly influence the behaviour of cultured neuronal cells. Further research is required to fully elucidate the mechanisms behind the MAO and MOR gene response, and a better understanding of these mechanisms may provide a framework for the development of novel smoking cessation therapies.</p>

scholarly journals Tobacco Smoke Extract Modulates Activity and Expression of Monoamine Oxidase and μ Opioid Receptor in Cultured Human Neuroblastoma Cells

2021 ◽  
Author(s):  
◽  
Amy Jane Lewis
Keyword(s):  
Gene Expression ◽  
Monoamine Oxidase ◽  
Opioid Receptor ◽  
Tobacco Smoke ◽  
Human Neuroblastoma ◽  
Tobacco Products ◽  
Mao B ◽  
Tobacco Addiction ◽  
Mao A ◽  
Mao Activity

<p>Tobacco addiction is a major public health concern and is responsible for approximately five million deaths globally each year. Although most current smokers express a desire to quit, few are successful in their attempts. Nicotine is the primary neurobiologically active component in tobacco smoke and acts through the nicotinic acetylcholine receptor (nAChR) to sustain addiction. However, nicotine replacement therapies have proven to be remarkably ineffective at helping smokers quit. This indicates that nicotine alone cannot fully account for the intense and enduring nature of tobacco addiction. Previous research has provided strong evidence that monoamine oxidase (MAO) enzymes and the endogenous opioid system may also play a role in tobacco dependence. The present study compared and contrasted the influence of nicotine and the non-nicotine components of tobacco smoke on the enzyme activity of MAO-A and MAO-B. Gene expression of MAO and the mu opioid receptor (MOR) in SH-SY5Y human neuroblastoma and U-118 MG glioma cell lines was also investigated. Using a kynuramine-based enzymatic assay adapted and optimised for this study, the MAO inhibitory activity of tobacco-based samples were tested, including total particulate matter (TPM) extracts from a range of New Zealand tobacco products, Quest(R) nicotine-free cigarettes, and fluid from the RUYAN(R) Electronic cigarette. TPM from both standard tobacco and Quest(R) significantly inhibited MAO-A and MAO-B activity in vitro and in cultured cells. Differences between the types and brands of tobacco products were observed. TPM derived from loose-leaf tobacco inhibited MAO enzymes more potently than samples from manufactured cigarettes. This difference was attributed to a significantly higher tar:nicotine ratio in loose-leaf tobacco. Standard TPM and Quest(R) TPM also inhibited total MAO activity in SH-SY5Y cells treated for 24 hours; whereas the weak activity in U-118 MG remained unchanged. However, MAO activity was highly dependent on the cell culture conditions, with activity increasing in SH-SY5Y cells when treated with a 5-day exposure regimen. This finding was unique to the present study. The gene expression of MAO-A, MAO-B, and MOR was examined using a qRT-PCR assay. All three genes were significantly up-regulated by standard and denicotinized TPM extracts after a 5-day treatment regimen. This finding was correlated with an increase in protein abundance for MOR, but not MAO-A or MAO-B, as assayed by Western blot. Up-regulation of MAO and MOR gene expression was abolished when cells were treated with TPM extracts in conjunction with the nAChR antagonist mecamylamine, suggesting that up-regulation of MAO and MOR genes was dependent, at least in part, on nAChR signalling. Both standard TPM and TPM from denicotinized Quest(R) cigarettes induced inhibition of MAO and up-regulation of MAO and MOR gene expression. This demonstrates that non-nicotine compounds within tobacco smoke can significantly influence the behaviour of cultured neuronal cells. Further research is required to fully elucidate the mechanisms behind the MAO and MOR gene response, and a better understanding of these mechanisms may provide a framework for the development of novel smoking cessation therapies.</p>

scholarly journals Tobacco smoke extract modulates activity and expression of monoamine oxidase and μ opioid receptor in cultured human neuroblastoma cells

2021 ◽  
Author(s):  
◽  
Amy Jane Lewis
Keyword(s):  
Gene Expression ◽  
Monoamine Oxidase ◽  
Opioid Receptor ◽  
Tobacco Smoke ◽  
Human Neuroblastoma ◽  
Tobacco Products ◽  
Mao B ◽  
Tobacco Addiction ◽  
Mao A ◽  
Mao Activity

<p>Tobacco addiction is a major public health concern and is responsible for approximately five million deaths globally each year. Although most current smokers express a desire to quit, few are successful in their attempts. Nicotine is the primary neurobiologically active component in tobacco smoke and acts through the nicotinic acetylcholine receptor (nAChR) to sustain addiction. However, nicotine replacement therapies have proven to be remarkably ineffective at helping smokers quit. This indicates that nicotine alone cannot fully account for the intense and enduring nature of tobacco addiction. Previous research has provided strong evidence that monoamine oxidase (MAO) enzymes and the endogenous opioid system may also play a role in tobacco dependence. The present study compared and contrasted the influence of nicotine and the non-nicotine components of tobacco smoke on the enzyme activity of MAO-A and MAO-B. Gene expression of MAO and the mu opioid receptor (MOR) in SH-SY5Y human neuroblastoma and U-118 MG glioma cell lines was also investigated. Using a kynuramine-based enzymatic assay adapted and optimised for this study, the MAO inhibitory activity of tobacco-based samples were tested, including total particulate matter (TPM) extracts from a range of New Zealand tobacco products, Quest(R) nicotine-free cigarettes, and fluid from the RUYAN(R) Electronic cigarette. TPM from both standard tobacco and Quest(R) significantly inhibited MAO-A and MAO-B activity in vitro and in cultured cells. Differences between the types and brands of tobacco products were observed. TPM derived from loose-leaf tobacco inhibited MAO enzymes more potently than samples from manufactured cigarettes. This difference was attributed to a significantly higher tar:nicotine ratio in loose-leaf tobacco. Standard TPM and Quest(R) TPM also inhibited total MAO activity in SH-SY5Y cells treated for 24 hours; whereas the weak activity in U-118 MG remained unchanged. However, MAO activity was highly dependent on the cell culture conditions, with activity increasing in SH-SY5Y cells when treated with a 5-day exposure regimen. This finding was unique to the present study. The gene expression of MAO-A, MAO-B, and MOR was examined using a qRT-PCR assay. All three genes were significantly up-regulated by standard and denicotinized TPM extracts after a 5-day treatment regimen. This finding was correlated with an increase in protein abundance for MOR, but not MAO-A or MAO-B, as assayed by Western blot. Up-regulation of MAO and MOR gene expression was abolished when cells were treated with TPM extracts in conjunction with the nAChR antagonist mecamylamine, suggesting that up-regulation of MAO and MOR genes was dependent, at least in part, on nAChR signalling. Both standard TPM and TPM from denicotinized Quest(R) cigarettes induced inhibition of MAO and up-regulation of MAO and MOR gene expression. This demonstrates that non-nicotine compounds within tobacco smoke can significantly influence the behaviour of cultured neuronal cells. Further research is required to fully elucidate the mechanisms behind the MAO and MOR gene response, and a better understanding of these mechanisms may provide a framework for the development of novel smoking cessation therapies.</p>

scholarly journals Monoamine Oxidase Inhibitory Activity of Biflavonoids from Branches of Garcinia gardneriana (Clusiaceae)

2017 ◽  
Vol 12 (4) ◽  
pp. 1934578X1701200 ◽  
Author(s):  
Maria Angélica Recalde-Gil ◽  
Luiz Carlos Klein-Júnior ◽  
Carolina dos Santos Passos ◽  
Juliana Salton ◽  
Sérgio Augusto de Loreto Bordignon ◽  
...  
Keyword(s):  
Monoamine Oxidase ◽  
Inhibitory Activity ◽  
Ethanol Extract ◽  
Ethyl Acetate Fraction ◽  
Spectrometric Data ◽  
Mao B ◽  
Inhibitory Compounds ◽  
Mao A ◽  
Mao Activity

Garcinia gardneriana is chemically characterized by the presence of biflavonoids. Taking into account that flavonoids are able to inhibit monoamine oxidase (MAO) activity, in the present study, the chemical composition of the branches’ extract of the plant is described for the first time and the MAO inhibitory activity of the isolated biflavonoids was evaluated. Based on spectroscopic and spectrometric data, it was possible to identify volkesiflavone, morelloflavone (1), Gb-2a (2) and Gb-2a-7- O-glucoside (3) in the ethyl acetate fraction from ethanol extract of the branches. Compounds 1-3 were evaluated in vitro and demonstrated the capacity to inhibit MAO-A activity with an IC50 ranging from 5.05 to 10.7 μM, and from 20.7 to 66.2 μM for MAO-B. These inhibitions corroborate with previous IC50 obtained for monomeric flavonoids, with a higher selectivity for MAO-A isoform. The obtained results indicate that biflavonoids might be promising structures for the identification of new MAO inhibitory compounds.

Thyroid iodide transport is reduced by administration of monoamine oxidase A inhibitors to rats

1994 ◽  
Vol 143 (2) ◽  
pp. 303-308 ◽  
Author(s):  
A M Cabanillas ◽  
A M Masini-Repiso ◽  
M E Costamagna ◽  
C Pellizas ◽  
A H Coleoni
Keyword(s):  
Monoamine Oxidase ◽  
Transport Mechanism ◽  
Monoamine Oxidase A ◽  
Mao Inhibitors ◽  
Iodide Uptake ◽  
Mao B ◽  
Iodide Transport ◽  
Mao A ◽  
Mao Activity

Abstract The present work was addressed to study a possible relationship between monoamine oxidase (MAO) and the thyroid iodide transport mechanism. Normal rats treated with clorgyline (a selective MAO-A inhibitor) or tranylcypromine (a non-selective MAO inhibitor) showed a significantly diminished thyroid MAO activity, while deprenyl and pargyline (MAO-B inhibitors) did not modify the thyroidal enzyme activity with respect to the control group. Under these conditions, in vivo iodide transport was reduced both by clorgyline and tranylcypromine administration whereas it remained unchanged after treatment with MAO-B inhibitors. The effect of MAO inhibitors on thyroid MAO activity and in vivo iodide transport was also evaluated in rats treated with exogenous thyrotrophin (TSH) after endogenous TSH secretion blockade produced by T4 administration. In this condition, thyroid MAO activity was significantly lowered by clorgyline and was not modified by deprenyl. In contrast to the results observed in normal rats, in vivo iodide transport in TSH-treated rats remained unaltered after treatment either with clorgyline or deprenyl. MAO activity evaluated in bovine thyroid follicles in primary culture was highly sensitive to low concentrations of clorgyline (<10 nmol/l) and relatively insensitive to deprenyl, a finding that indicates a predominance of the MAO-A isoform in the follicular cells in culture. When clorgyline (0·1 and 1 μmol/l) or deprenyl (1 μmol/l) were added to the culture medium, no modifications in the active transport of iodide were observed. These results indicate the absence of a direct linkage between thyroid MAO activity and the active iodide transport. MAO inhibitors (particularly MAO-A inhibitors) do not appear to be responsible for an in vivo diminished thyroid iodide uptake through a direct action on the iodide transport mechanism. An indirect effect of MAO-A inhibitors on thyroid iodide transport mediated by the accumulation of monoamines in neuroendocrine areas involved in TSH regulation is suggested. Journal of Endocrinology (1994) 143, 303–308

scholarly journals Microbial Metabolite Urolithin B Inhibits Recombinant Human Monoamine Oxidase A Enzyme

Metabolites ◽  
2020 ◽  
Vol 10 (6) ◽  
pp. 258
Author(s):  
Rajbir Singh ◽  
Sandeep Chandrashekharappa ◽  
Praveen Kumar Vemula ◽  
Bodduluri Haribabu ◽  
Venkatakrishna Rao Jala
Keyword(s):  
Monoamine Oxidase ◽  
Enzyme Inhibitor ◽  
Monoamine Oxidase A ◽  
Mao B ◽  
Functional Activities ◽  
Mao A ◽  
Mao Activity ◽  
Anti Oxidant ◽  
Urolithin B

Urolithins are gut microbial metabolites derived from ellagitannins (ET) and ellagic acid (EA), and shown to exhibit anticancer, anti-inflammatory, anti-microbial, anti-glycative and anti-oxidant activities. Similarly, the parent molecules, ET and EA are reported for their neuroprotection and antidepressant activities. Due to the poor bioavailability of ET and EA, the in vivo functional activities cannot be attributed exclusively to these compounds. Elevated monoamine oxidase (MAO) activities are responsible for the inactivation of monoamine neurotransmitters in neurological disorders, such as depression and Parkinson’s disease. In this study, we examined the inhibitory effects of urolithins (A, B and C) and EA on MAO activity using recombinant human MAO-A and MAO-B enzymes. Urolithin B was found to be a better MAO-A enzyme inhibitor among the tested urolithins and EA with an IC50 value of 0.88 µM, and displaying a mixed mode of inhibition. However, all tested compounds exhibited higher IC50 (>100 µM) for MAO-B enzyme.

scholarly journals Inhibition of Butyrylcholinesterase and Human Monoamine Oxidase-B by the Coumarin Glycyrol and Liquiritigenin Isolated from Glycyrrhiza uralensis

Molecules ◽  
2020 ◽  
Vol 25 (17) ◽  
pp. 3896
Author(s):  
Geum Seok Jeong ◽  
Myung-Gyun Kang ◽  
Joon Yeop Lee ◽  
Sang Ryong Lee ◽  
Daeui Park ◽  
...  
Keyword(s):  
Monoamine Oxidase ◽  
Binding Affinity ◽  
Competitive Inhibitor ◽  
Glycyrrhiza Uralensis ◽  
Form Hydrogen Bond ◽  
Docking Simulations ◽  
Mao B ◽  
Mao A ◽  
Ic50 Values ◽  
Noncompetitive Inhibitor

Eight compounds were isolated from the roots of Glycyrrhiza uralensis and tested for cholinesterase (ChE) and monoamine oxidase (MAO) inhibitory activities. The coumarin glycyrol (GC) effectively inhibited butyrylcholinesterase (BChE) and acetylcholinesterase (AChE) with IC50 values of 7.22 and 14.77 µM, respectively, and also moderately inhibited MAO-B (29.48 µM). Six of the other seven compounds only weakly inhibited AChE and BChE, whereas liquiritin apioside moderately inhibited AChE (IC50 = 36.68 µM). Liquiritigenin (LG) potently inhibited MAO-B (IC50 = 0.098 µM) and MAO-A (IC50 = 0.27 µM), and liquiritin, a glycoside of LG, weakly inhibited MAO-B (>40 µM). GC was a reversible, noncompetitive inhibitor of BChE with a Ki value of 4.47 µM, and LG was a reversible competitive inhibitor of MAO-B with a Ki value of 0.024 µM. Docking simulations showed that the binding affinity of GC for BChE (−7.8 kcal/mol) was greater than its affinity for AChE (−7.1 kcal/mol), and suggested that GC interacted with BChE at Thr284 and Val288 by hydrogen bonds (distances: 2.42 and 1.92 Å, respectively) beyond the ligand binding site of BChE, but that GC did not form hydrogen bond with AChE. The binding affinity of LG for MAO-B (−8.8 kcal/mol) was greater than its affinity for MAO-A (−7.9 kcal/mol). These findings suggest GC and LG should be considered promising compounds for the treatment of Alzheimer’s disease with multi-targeting activities.

Development of Monoamine Oxidase and Aldehyde Dehydrogenase in Reaggregating Cultures of Fetal Rat Brain Cells

1989 ◽  
Vol 16 (3) ◽  
pp. 281-286
Author(s):  
Olof Tottmar ◽  
Maria Söderbäck ◽  
Anders Aspberg
Keyword(s):  
Monoamine Oxidase ◽  
Rat Brain ◽  
Aldehyde Dehydrogenase ◽  
Brain Cells ◽  
Mao B ◽  
Adult Rat ◽  
Fetal Rat ◽  
Adult Rat Brain ◽  
Mao A ◽  
Fetal Rat Brain

The development of monoamine oxidase (MAO) and aldehyde dehydrogenase (ALDH) in reaggregation cultures of fetal rat brain cells was compared with that of enzymatic markers for glial and neuronal cells. Only MAO-A was detected in the cultures during the first week, but, during the following three weeks, the activity of MAO-B increased more rapidly than that of MAO-A. The ratio MAO-A/MAO-B in four-week aggregates was close to that found in the adult rat brain. The activity of ALDH started to increase rapidly after 15 days, and the developmental pattern was intermediate to those of the glial and neuronal markers. The activity after four weeks was close to that found in the adult rat brain. Epidermal growth factor (EGF) caused a slight decrease in the activities of the low-Km ALDH (after four weeks) and the neuronal marker, choline acetyltransferase (after two weeks), whereas the other markers were not affected. By contrast, the activities of MAO-A and MAO-B were greatly increased during almost the entire culture period. It is suggested that this effect of EGF was the result of increased mitotic activity and/or biochemical differentiation of other cell types present in the cell aggregates, e.g. capillary endothelial cells.

scholarly journals In Vitro,In Vivo, and Clinical Studies of Tedizolid To Assess the Potential for Peripheral or Central Monoamine Oxidase Interactions

2013 ◽  
Vol 57 (7) ◽  
pp. 3060-3066 ◽  
Author(s):  
S. Flanagan ◽  
K. Bartizal ◽  
S. L. Minassian ◽  
E. Fang ◽  
P. Prokocimer
Keyword(s):  
Blood Pressure ◽  
Monoamine Oxidase ◽  
Clinical Research ◽  
Systolic Blood Pressure ◽  
Clinical Studies ◽  
Geometric Mean ◽  
Interaction Study ◽  
Mao B ◽  
Mao A

ABSTRACTTedizolid phosphate is a novel oxazolidinone prodrug whose active moiety, tedizolid, has improved potency against Gram-positive pathogens and pharmacokinetics, allowing once-daily administration. Given linezolid warnings for drug-drug and drug-food interactions mediated by monoamine oxidase (MAO) inhibition, including sporadic serotonergic toxicity, these studies evaluated tedizolid for potential MAO interactions.In vitro, tedizolid and linezolid were reversible inhibitors of human MAO-A and MAO-B; the 50% inhibitory concentration (IC50) for tedizolid was 8.7 μM for MAO-A and 5.7 μM for MAO-B and 46.0 and 2.1 μM, respectively, with linezolid. Tedizolid phosphate was negative in the mouse head twitch model of serotonergic activity. Two randomized placebo-controlled crossover clinical studies assessed the potential of 200 mg/day tedizolid phosphate (at steady state) to enhance pressor responses to coadministered oral tyramine or pseudoephedrine. Sensitivity to tyramine was determined by comparing the concentration of tyramine required to elicit a ≥30-mmHg increase in systolic blood pressure (TYR30) when administered with placebo versus tedizolid phosphate. The geometric mean tyramine sensitivity ratio (placebo TYR30/tedizolid phosphate TYR30) was 1.33; a ratio of ≥2 is considered clinically relevant. In the pseudoephedrine study, mean maximum systolic blood pressure was not significantly different when pseudoephedrine was coadministered with tedizolid phosphate versus placebo. In summary, tedizolid is a weak, reversible inhibitor of MAO-A and MAO-Bin vitro. Provocative testing in humans and animal models failed to uncover significant signals that would suggest potential for hypertensive or serotonergic adverse consequences at the therapeutic dose of tedizolid phosphate. Clinical studies are registered atwww.clinicaltrials.govas NCT01539473 (tyramine interaction study conducted at Covance Clinical Research Center, Evansville, IN) and NCT01577459 (pseudoephedrine interaction study conducted at Vince and Associates Clinical Research, Overland Park, KS).

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