Zachařová Alice, Siller Michal, Spičáková Alena, Anzenbacherová Eva, Skottová Nina, Anzenbacher Pavel, Večeřa Rostislav
Institute of Pharmacology, Olomouc, Czech Republic.
Xenobiotica. 2012 Aug;42(8):731-6. doi: 10.3109/00498254.2012.661099. Epub 2012 Feb 24.
The aim was to investigate whether rosuvastatin affect rat cytochrome P450 (CYP) 2C11 and CYP2C6. CYP2C11 and CYP2C6 are considered as counterparts of human CYP2C9, which metabolizes many drugs including S-warfarin, diclofenac or ibuprofen. The male Wistar rats were fed standard laboratory diet (STD) or high cholesterol diet (HCD, 1% of cholesterol, 10% of lard fat) for 21 days. Rosuvastatin administration in STD (0.03% w/w) resulted in decreased mRNA expression of CYP2C11 as well as of CYP2C6 (here significant) and in a significant decrease of the respective protein expression as well as of the enzyme activity of both CYP2C forms. When rosuvastatin was administered in the HCD, the mRNA expression of both CYP2C forms was significantly lowered; the protein and activity parameters did not show significant changes. These results suggest that CYP2C11 as well as CYP2C6 expression and activity are negatively affected by rosuvastatin and may be modulated by high cholesterol high fat diet. Therefore, it should be taken into consideration that drugs metabolized by CYP2C9 in human could interact with rosuvastatin, as it has been already suggested for warfarin (rosuvastatin has increased its anticoagulant effect in human), and for telmisartan, sildenafil and glimepiride.
目的是研究瑞舒伐他汀是否会影响大鼠细胞色素P450(CYP)2C11和CYP2C6。CYP2C11和CYP2C6被认为是人类CYP2C9的对应物,CYP2C9可代谢包括S-华法林、双氯芬酸或布洛芬在内的多种药物。雄性Wistar大鼠被喂食标准实验室饮食(STD)或高胆固醇饮食(HCD,1%胆固醇,10%猪油)21天。在STD中给予瑞舒伐他汀(0.03% w/w)导致CYP2C11以及CYP2C6的mRNA表达降低(此处具有显著性),并且两种CYP形式的各自蛋白质表达以及酶活性均显著降低。当在HCD中给予瑞舒伐他汀时,两种CYP形式的mRNA表达均显著降低;蛋白质和活性参数未显示出显著变化。这些结果表明,CYP2C11以及CYP2C6的表达和活性受到瑞舒伐他汀的负面影响,并且可能受到高胆固醇高脂肪饮食的调节。因此,应该考虑到人类中由CYP2C9代谢的药物可能与瑞舒伐他汀相互作用,正如已经有人提出华法林(瑞舒伐他汀在人类中增强了其抗凝作用)、替米沙坦、西地那非和格列美脲的情况一样。