Zhang Ji Y, Wang Yuefen, Prakash Chandra
Ri-CEDD Drug Metabolism and Pharmacokinetics, GlaxoSmithKline, 709 Swedeland Road, King of Prussia, PA19406, USA.
Curr Drug Metab. 2006 Dec;7(8):939-48. doi: 10.2174/138920006779010575.
Human lung is a major target organ for all inhaled drugs, environmental toxicants and carcinogens. Recent hypotheses suggesting a role for environmental toxicants in the pathogenesis of lung diseases, such as lung cancer and chronic obstructive pulmonary disease have stimulated interest in research on the xenobiotic metabolizing capability of the lung. Many of the compounds associated with these diseases require enzymatic activation to exert their deleterious effects on pulmonary cells. Interindividual differences in in situ activation and inactivation of xenobiotics may contribute to the risk of developing of lung diseases associated with these compounds. The major xenobiotic metabolizing enzymes, including both phase I and phase II enzymes, have been detected in animal and human lung tissues. Although the lung cytochrome P450 (CYP) and other xenobiotic metabolizing enzymes share many common features with those present in other tissues such as liver, kidney and gut, there are some distinctive differences. It is evident from the studies carried out to date CYP1A1, 1B1, 2A13, 2F1, 2S1 and 4B1 are preferentially expressed in the lung together with CYP2E1 and 3A5. This review provides a detailed picture of major xenobiotic-metabolizing phase I (CYPs, epoxide hydrolases, flavin monooxygenases, etc.) and phase II enzymes (conjugation enzymes, including several transferases) expressed in human lung. The roles of individual metabolizing enzymes and their genetic polymorphisms are also discussed.
人类肺部是所有吸入性药物、环境毒物和致癌物的主要靶器官。最近有假说认为环境毒物在肺癌和慢性阻塞性肺疾病等肺部疾病的发病机制中起作用,这激发了人们对肺部异生物质代谢能力研究的兴趣。与这些疾病相关的许多化合物需要酶促激活才能对肺细胞产生有害影响。异生物质原位激活和失活的个体差异可能会增加患与这些化合物相关的肺部疾病的风险。在动物和人类肺组织中已检测到主要的异生物质代谢酶,包括Ⅰ相酶和Ⅱ相酶。尽管肺细胞色素P450(CYP)和其他异生物质代谢酶与肝脏、肾脏和肠道等其他组织中的酶有许多共同特征,但也存在一些明显差异。从迄今为止的研究中可以明显看出,CYP1A1、1B1、2A13、2F1、2S1和4B1与CYP2E1和3A5一起在肺中优先表达。本综述详细介绍了人类肺中表达的主要异生物质代谢Ⅰ相酶(CYP、环氧化物水解酶、黄素单加氧酶等)和Ⅱ相酶(结合酶,包括几种转移酶)。还讨论了个体代谢酶的作用及其基因多态性。