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EFFECT OF TROGLITAZONE ON CYP 3A4 & ON DEXAMETHASONE SUPPRESSION TEST

EFFECT OF TROGLITAZONE ON CYP 3A4 & ON DEXAMETHASONE SUPPRESSION TEST
曲格列酮对 CYP 3A4 的影响
批准号:
6303498
负责人:
CRAIG A JAFFE
金额:
$0.02万
依托单位国家:
美国
项目类别:
财政年份:
1999
资助国家:
美国
项目状态:
已结题
起止时间:
1999-12-01 至 2001-02-28

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中文摘要
翻译
我们最近发现了一位低剂量地塞米松抑制试验(DST)假阳性的患者,这可能是由于使用一种新的胰岛素增敏剂曲格列酮(Rezulin)治疗所致。临床研究数据表明,曲格列酮可诱导肝脏CYP3A4,这是肝脏中最常见的药物代谢酶,也是地塞米松代谢的酶。我们认为,随着曲格列酮的使用越来越频繁,其适应症也越来越广泛,曲格列酮治疗患者的DST假阳性将变得普遍。拟议的研究将确定曲格列酮是否通过增加CYP3A4活性来改变DST。
英文摘要
We have recently identified a patient who had a false positive low dose dexamethasone suppression test (DST) that likely resulted from treatment with a new insulin sensitizing agent, troglitazone (Rezulin). Data from clinical studies suggest that troglitazone induces hepatic CYP3A4, the most prevalent drug metabolizing enzyme in the liver and the enzyme that is also responsible for the metabolism of dexamethasone. We suggest that as troglitazone becomes more frequently used and as its indications for use broaden, false positive DST in patients treated with troglitazone will become common. The proposed investigations will establish whether troglitazone does alter DST via an increase in CYP3A4 activity.
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