Inhibition and induction of CYP enzymes in humans: an update.

Inhibition and induction of CYP enzymes in humans: an update.
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DOI:
10.1007/s00204-020-02936-7
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发表时间:
2020-11
影响因子:
6.1
通讯作者:
Pelkonen O
Pelkonen O
中科院分区:
医学2区
文献类型:
--
作者:
Hakkola J;Hukkanen J;Turpeinen M;Pelkonen O

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细胞色素P450(CYP 450)酶家族是最重要的酶系统,催化药物和其他外源性物质(如草药和环境中的有毒化合物)的第1阶段代谢。CYP的抑制和诱导是引起药代动力学药物相互作用的主要机制。本文综述了人类特异性β-内酰胺酶的抑制剂和诱导剂的最新研究进展。重点是自2008年发表关于该主题的上一篇综述以来,最近的人体体外和体内研究结果。除了一般介绍的抑制性药物和诱导剂的人凝血酶的药物,草药和有毒化合物,深入了解酪氨酸激酶抑制剂和抗逆转录病毒HIV药物作为受害者和肇事者的药物药物相互作用的例子,提供了在该领域的当前趋势。此外,一个简明的概述的机制,诱导的诱导,以帮助理解的现象。
The cytochrome P450 (CYP) enzyme family is the most important enzyme system catalyzing the phase 1 metabolism of pharmaceuticals and other xenobiotics such as herbal remedies and toxic compounds in the environment. The inhibition and induction of CYPs are major mechanisms causing pharmacokinetic drug–drug interactions. This review presents a comprehensive update on the inhibitors and inducers of the specific CYP enzymes in humans. The focus is on the more recent human in vitro and in vivo findings since the publication of our previous review on this topic in 2008. In addition to the general presentation of inhibitory drugs and inducers of human CYP enzymes by drugs, herbal remedies, and toxic compounds, an in-depth view on tyrosine-kinase inhibitors and antiretroviral HIV medications as victims and perpetrators of drug–drug interactions is provided as examples of the current trends in the field. Also, a concise overview of the mechanisms of CYP induction is presented to aid the understanding of the induction phenomena.
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