Impact of infectious and inflammatory disease on cytochrome P450-mediated drug metabolism and pharmacokinetics.

Impact of infectious and inflammatory disease on cytochrome P450-mediated drug metabolism and pharmacokinetics.
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DOI:
10.1038/clpt.2008.302
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发表时间:
2009-04
影响因子:
6.7
通讯作者:
--
中科院分区:
医学2区
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--
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感染和炎症与肝和肝外细胞色素P450以及其他药物代谢酶和转运蛋白的下调有关。我们将回顾炎症反应的发生,并讨论P450酶的炎症调节与临床药物-疾病和药物-药物相互作用的相关性。从机制上讲,了解酶的特异性和调节机制将使我们能够在患者炎症状态发生变化时更好地决定药物剂量方案。
Infection and inflammation are associated with down-regulations of hepatic and extrahepatic cytochrome P450s, as well as other drug metabolizing enzymes and transporters. We will review the genesis of inflammatory reactions, and discuss the relevance of the inflammatory regulation of P450 enzymes observations to clinical drug-disease and drug-drug interactions. Mechanistically, understanding the enzyme specificity and mechanisms of regulation will allow us to make better decisions about drug dosage regimens when a patient’s inflammatory status changes.
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