Application of substrate depletion assay to evaluation of CYP isoforms responsible for stereoselective metabolism of carvedilol.

Article Details

Citation

Iwaki M, Niwa T, Bandoh S, Itoh M, Hirose H, Kawase A, Komura H

Application of substrate depletion assay to evaluation of CYP isoforms responsible for stereoselective metabolism of carvedilol.

Drug Metab Pharmacokinet. 2016 Dec;31(6):425-432. doi: 10.1016/j.dmpk.2016.08.007. Epub 2016 Sep 2.

PubMed ID
27836712 [ View in PubMed
]
Abstract

To evaluate the relative contribution of cytochrome P450 (CYP) isoforms responsible for carvedilol (CAR) oxidation, enantioselective metabolism of CAR was investigated in human liver microsomes (HLMs) and recombinant human CYPs by using the substrate depletion assay. CYP2D6 exhibited the highest contribution to the metabolism of R-CAR, followed by CYP3A4, CYP1A2, and CYP2C9, whereas the metabolism of the S-enantiomer was mainly mediated by CYP1A2, followed by CYP2D6 and CYP3A4. In HLMs, metabolism of R- and S-CAR was markedly inhibited by quinidine; R-CAR metabolism (57-61% decrease) was more inhibited than S-CAR metabolism (37-43% decrease), and furafylline and ketoconazole almost equally inhibited metabolism of both enantiomers by 25-32% and 30-50%, respectively. The absence of CYP2D6 in a mixture of five major recombinant CYP isoforms at the approximate ratio as in HLMs resulted in a 42% and 25% decrease in the metabolic activities for R- and S-CAR, respectively. Moreover, the absence of CYP1A2 in the mixture resulted in a 16% and 39% decrease in the metabolic activities for R- and S-CAR, respectively. Our results suggest the stereoselective metabolism of CAR is determined by not only the activity of CYP2D6 but also of CYP1A2 and CYP3A4.

DrugBank Data that Cites this Article

Drug Enzymes
DrugEnzymeKindOrganismPharmacological ActionActions
AcebutololCytochrome P450 2D6ProteinHumans
Unknown
Substrate
Inhibitor
Details
AnisodamineCytochrome P450 2D6ProteinHumans
No
Substrate
Details
ArotinololCytochrome P450 2D6ProteinHumans
No
Substrate
Details
BefunololCytochrome P450 2D6ProteinHumans
No
Substrate
Details
BevantololCytochrome P450 2D6ProteinHumans
No
Substrate
Details
BopindololCytochrome P450 2D6ProteinHumans
No
Substrate
Details
BucindololCytochrome P450 2D6ProteinHumans
No
Substrate
Details
BupranololCytochrome P450 2D6ProteinHumans
No
Substrate
Details
CeliprololCytochrome P450 2D6ProteinHumans
No
Substrate
Details
CloranololCytochrome P450 2D6ProteinHumans
No
Substrate
Details
EpanololCytochrome P450 2D6ProteinHumans
No
Substrate
Details
EsatenololCytochrome P450 2D6ProteinHumans
No
Substrate
Details
EsmololCytochrome P450 2D6ProteinHumans
No
Substrate
Details
IndenololCytochrome P450 2D6ProteinHumans
No
Substrate
Details
LandiololCytochrome P450 2D6ProteinHumans
No
Substrate
Details
LevobetaxololCytochrome P450 2D6ProteinHumans
No
Substrate
Details
LevobunololCytochrome P450 2D6ProteinHumans
No
Substrate
Details
MepindololCytochrome P450 2D6ProteinHumans
No
Substrate
Details
MetipranololCytochrome P450 2D6ProteinHumans
No
Substrate
Details
OxprenololCytochrome P450 2D6ProteinHumans
Unknown
Substrate
Inhibitor
Details
PenbutololCytochrome P450 2D6ProteinHumans
No
Substrate
Details
PractololCytochrome P450 2D6ProteinHumans
No
Substrate
Details
SotalolCytochrome P450 2D6ProteinHumans
No
Substrate
Details
TalinololCytochrome P450 2D6ProteinHumans
No
Substrate
Details
TertatololCytochrome P450 2D6ProteinHumans
No
Substrate
Details