Identification of human cytochrome P450 enzymes involved in the formation of 4-hydroxyestazolam from estazolam.

Article Details

Citation

Miura M, Otani K, Ohkubo T

Identification of human cytochrome P450 enzymes involved in the formation of 4-hydroxyestazolam from estazolam.

Xenobiotica. 2005 May;35(5):455-65.

PubMed ID
16012077 [ View in PubMed
]
Abstract

To predict drug interactions with estazolam, the biotransformation of estazolam to its major hydoxylated metabolite, 4-hydroxyestazolam was studied in vitro using pooled human liver microsomes and individual expressed human cytochrome P450 (CYP) enzymes. Estazolam was metabolized to 4-hydroxyestazolam according to the Hill kinetic model in pooled human liver microsomes. The Km value for the 4-hydroxylation of estazolam was 24.1 microM, and the Vmax value was 52.6 pmol min(-1)mg(-1) protein. The formation of 4-hydroxyestazolam from estazolam in pooled human liver microsomes was significantly inhibited by itraconazole and erythromycin, specific CYP3A4 inhibitors, in a dose-dependent manner, with IC50 values of 1.1 and 12.8 microM, respectively. When estazolam was incubated with expressed human CYP enzymes (CYP1A2, CYP2A6, CYP2C9, CYP2C19, CYP2D6, CYP2E1 and CYP3A4), it was metabolized only by CYP3A4. In conclusion, the biotransformation of estazolam to 4-hydroxyestazolam was catalyzed by CYP3A4.

DrugBank Data that Cites this Article

Drug Enzymes
DrugEnzymeKindOrganismPharmacological ActionActions
EstazolamCytochrome P450 3A4ProteinHumans
Unknown
Substrate
Details
Drug Interactions
DrugsInteraction
Estazolam
Erythromycin
The serum concentration of Estazolam can be increased when it is combined with Erythromycin.
Estazolam
Sirolimus
The serum concentration of Estazolam can be increased when it is combined with Sirolimus.
Estazolam
Dirithromycin
The serum concentration of Estazolam can be increased when it is combined with Dirithromycin.
Estazolam
Telithromycin
The serum concentration of Estazolam can be increased when it is combined with Telithromycin.
Estazolam
Candicidin
The serum concentration of Estazolam can be increased when it is combined with Candicidin.