Interrelationship Between Substrates and Inhibitors of Human CYP3A and P-Glycoprotein
Interrelationship Between Substrates and Inhibitors of Human CYP3A and P-Glycoprotein
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DOI：
10.1023/a:1018877803319
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发表时间：
1999-03
影响因子：
3.7
通讯作者：
Richard B. Kirn;C. Wandel;B. Leake;M. Cvetković;M. Fromm;P. Dempsey;Mark M. Roden;F. Belas;A. Chaudhary;D. Roden;A. Wood;G. Wilkinson
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文献类型：
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作者：
Richard B. Kirn;C. Wandel;B. Leake;M. Cvetković;M. Fromm;P. Dempsey;Mark M. Roden;F. Belas;A. Chaudhary;D. Roden;A. Wood;G. Wilkinson
Purpose. CYP3A and P-gp both function to reduce the intracellular concentration of drug substrates, one by metabolism and the other by transmembrane efflux. Moreover, it has been serendipitously noted that the two proteins have many common substrates and inhibitors. In order to test this notion more fully, systematic studies were undertaken to determine the P-gp-mediated transport and inhibitory characteristics of prototypical CYP substrates.Methods. L-MDR1, LLC-PK1, and Caco-2 cells were used to evaluate established CYP substrates as potential P-gp substrates and inhibitorsin vitro, andmdrladeficient mice were used to assess thein vivorelevance of P-gp-mediated transport.Results. Some (terfenadine, erythromycin and lovastatin) but not all (nifedipine and midazolam) CYP3A substrates were found to be P-gp substrates. Except for debrisoquine, none of the prototypical substrates of other common human CYP isoforms were transported by P-gp. Studies inmdrladisrupted mice confirmed that erythromycin was a P-gp substrate but the CYP3A inhibitor ketoconazole was not. In addition, CYP3A substrates and inhibitors varied widely in their ability to inhibit the P-gp-mediated transport of digoxin.Conclusions. These results indicate that the overlap in substrate specificities of CYP3A and P-gp appears to be fortuitous rather than indicative of a more fundamental relationship.
