Suppr超能文献

替扎尼定在体外主要由细胞色素P450 1A2代谢。

Tizanidine is mainly metabolized by cytochrome p450 1A2 in vitro.

作者信息

Granfors Marika T, Backman Janne T, Laitila Jouko, Neuvonen Pertti J

机构信息

Department of Clinical Pharmacology, University of Helsinki and Helsinki University Central Hospital, Helsinki, Finland.

出版信息

Br J Clin Pharmacol. 2004 Mar;57(3):349-53. doi: 10.1046/j.1365-2125.2003.02028.x.

Abstract

AIMS

To identify the cytochrome p450 (CYP) enzyme(s) that catalyze the metabolism of tizanidine in vitro.

METHODS

The effect of CYP isoform inhibitors on the elimination of tizanidine was studied using pooled human liver microsomes. The metabolism of the drug by a range of human recombinant CYP isoforms was then investigated.

RESULTS

Incubation of tizanidine (80 nm) with human liver microsomes resulted in time- and NADPH-dependent substrate consumption with a half-life of 50 min, initial reaction velocity of 1.1 pmol x min-1 x mg-1 protein and intrinsic clearance of 17 ml x min-1 x kg-1. The predicted in vivo hepatic clearance (CLh) of tizanidine using the well-stirred and parallel-tube model was close (68% and 82%, respectively) to its estimated in vivo CLh. Fluvoxamine and furafylline strongly inhibited tizanidine metabolism. Inhibitors specific to isoforms other than CYP1A2 had no substantial effect. Recombinant CYP1A2 metabolized tizanidine to a substantial degree (35% in 45 min), but other recombinant CYPs had little metabolic capacity for the drug.

CONCLUSIONS

CYP1A2 is primarily responsible for the metabolism of tizanidine. CYP1A2 inhibitors may inhibit its metabolism also in vivo.

摘要

目的

鉴定在体外催化替扎尼定代谢的细胞色素P450(CYP)酶。

方法

使用人肝微粒体池研究CYP同工酶抑制剂对替扎尼定消除的影响。然后研究一系列人重组CYP同工酶对该药物的代谢情况。

结果

替扎尼定(80 nM)与人肝微粒体孵育导致底物消耗呈时间和NADPH依赖性,半衰期为50分钟,初始反应速度为1.1 pmol·min⁻¹·mg⁻¹蛋白,内在清除率为17 ml·min⁻¹·kg⁻¹。使用充分搅拌和平行管模型预测的替扎尼定体内肝清除率(CLh)与其估计的体内CLh接近(分别为68%和82%)。氟伏沙明和呋拉茶碱强烈抑制替扎尼定代谢。对CYP1A2以外的同工酶具有特异性的抑制剂没有实质性影响。重组CYP1A2能大量代谢替扎尼定(45分钟内代谢35%),但其他重组CYP对该药物的代谢能力很小。

结论

CYP1A2是替扎尼定代谢的主要负责酶。CYP1A2抑制剂在体内也可能抑制其代谢。

相似文献

1
Tizanidine is mainly metabolized by cytochrome p450 1A2 in vitro.
Br J Clin Pharmacol. 2004 Mar;57(3):349-53. doi: 10.1046/j.1365-2125.2003.02028.x.
2
Evaluation of tizanidine as a marker of canine CYP1A2 activity.
J Vet Pharmacol Ther. 2016 Apr;39(2):122-30. doi: 10.1111/jvp.12256. Epub 2015 Jul 30.
6
Use of heterologously expressed human cytochrome P450 1A2 to predict tacrine-fluvoxamine drug interaction in man.
Pharmacogenetics. 1998 Apr;8(2):101-8. doi: 10.1097/00008571-199804000-00002.
7
Variation in the Response of Clozapine Biotransformation Pathways in Human Hepatic Microsomes to CYP1A2- and CYP3A4-selective Inhibitors.
Basic Clin Pharmacol Toxicol. 2018 Apr;122(4):388-395. doi: 10.1111/bcpt.12933. Epub 2017 Dec 15.
9
Cytochrome P450 isoform selectivity in human hepatic theobromine metabolism.
Br J Clin Pharmacol. 1999 Mar;47(3):299-305. doi: 10.1046/j.1365-2125.1999.00890.x.
10
Rifampicin is only a weak inducer of CYP1A2-mediated presystemic and systemic metabolism: studies with tizanidine and caffeine.
Eur J Clin Pharmacol. 2006 Jun;62(6):451-61. doi: 10.1007/s00228-006-0127-x. Epub 2006 Apr 27.

引用本文的文献

1
A severe tremor caused by a beta2 agonist in a patient with asthma-chronic obstructive pulmonary disease overlap.
Clin Case Rep. 2024 Jul 31;12(8):e9137. doi: 10.1002/ccr3.9137. eCollection 2024 Aug.
2
Tizanidine-Induced Bradycardia Without Concomitant Medications: A Case Report.
Cureus. 2024 May 19;16(5):e60581. doi: 10.7759/cureus.60581. eCollection 2024 May.
3
Syncope Secondary to Concomitant Ingestion of Tizanidine and Alcohol in a Patient With Alcohol Use Disorder.
Cureus. 2024 Mar 30;16(3):e57249. doi: 10.7759/cureus.57249. eCollection 2024 Mar.
5
Co-Prescription of Strong CYP1A2 Inhibitors and the Risk of Tizanidine-Associated Hypotension: A Retrospective Cohort Study.
Clin Pharmacol Ther. 2019 Mar;105(3):703-709. doi: 10.1002/cpt.1233. Epub 2018 Oct 18.
6
Irreversible profound symptomatic bradycardia requiring pacemaker after tizanidine/loxoprofen combination therapy: a case report.
J Int Med Res. 2018 Jun;46(6):2466-2469. doi: 10.1177/0300060518765009. Epub 2018 Mar 27.
7
P450 Pharmacogenetics in Indigenous North American Populations.
J Pers Med. 2018 Feb 1;8(1):9. doi: 10.3390/jpm8010009.
9
Pharmacokinetic Drug Interactions with Tobacco, Cannabinoids and Smoking Cessation Products.
Clin Pharmacokinet. 2016 Nov;55(11):1353-1368. doi: 10.1007/s40262-016-0400-9.
10
Sucralose, a synthetic organochlorine sweetener: overview of biological issues.
J Toxicol Environ Health B Crit Rev. 2013;16(7):399-451. doi: 10.1080/10937404.2013.842523.

本文引用的文献

1
Chronic headache: New advances in treatment strategies.
Neurology. 2002 Sep 10;59(5 Suppl 2):S8-13. doi: 10.1212/wnl.59.5_suppl_2.s8.
2
3
Trimethoprim and sulfamethoxazole are selective inhibitors of CYP2C8 and CYP2C9, respectively.
Drug Metab Dispos. 2002 Jun;30(6):631-5. doi: 10.1124/dmd.30.6.631.
6
Effects of fluconazole and fluvoxamine on the pharmacokinetics and pharmacodynamics of glimepiride.
Clin Pharmacol Ther. 2001 Apr;69(4):194-200. doi: 10.1067/mcp.2001.114229.
8
Effect of erythromycin and itraconazole on the pharmacokinetics of oral lignocaine.
Pharmacol Toxicol. 1999 Mar;84(3):143-6. doi: 10.1111/j.1600-0773.1999.tb00890.x.
9
Effect of erythromycin and itraconazole on the pharmacokinetics of intravenous lignocaine.
Eur J Clin Pharmacol. 1998 Sep;54(7):561-5. doi: 10.1007/s002280050513.
10
Differential selectivity of cytochrome P450 inhibitors against probe substrates in human and rat liver microsomes.
Br J Clin Pharmacol. 1998 Feb;45(2):107-14. doi: 10.1046/j.1365-2125.1998.00679.x.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验