Pham Chuong, Nagar Swati, Korzekwa Ken
Department of Pharmaceutical Sciences, Temple University School of Pharmacy, Philadelphia, PA, USA.
Xenobiotica. 2020 Nov;50(11):1301-1310. doi: 10.1080/00498254.2017.1345020. Epub 2020 Aug 24.
Time-dependent inhibition (TDI) may confound drug interaction predictions. Recently, models were generated for an array of TDI kinetic schemes using numerical analysis of microsomal assays. Additionally, a distinct terminal inactivation step was identified for certain mechanism based inhibitors (MBI) following reversible metabolite intermediate complex (MIC) formation. Longer hepatocyte incubations potentially allow analysis of slow TDI and terminal inactivation. In the experiments presented here, we compared the quality of TDI parameterization by numerical analysis between hepatocyte and microsomal data. Rat liver microsomes (RLM), suspended rat hepatocytes (SRH) and sandwich-cultured rat hepatocytes (SCRH) were incubated with the prototypical CYP3A MBI troleandomycin and the substrate midazolam. Data from RLM provided a better model fit as compared to SRH. Increased CYP3A expression after dexamethasone (DEX) induction improved the fit for RLM and SRH. A novel sequential kinetic scheme, defining inhibitor metabolite production prior to MIC formation, improved the fit compared to direct MIC formation. Furthermore, terminal inactivation rate constants were parameterized for RLM and SRH samples with DEX-induced CYP3A. The low expression of CYP3A and experimental error in SCRH resulted in poor data for model fitting. Overall, RLM generated data better suited for elucidation of TDI mechanisms by numerical analysis.
时间依赖性抑制(TDI)可能会混淆药物相互作用的预测。最近,通过微粒体试验的数值分析,针对一系列TDI动力学方案生成了模型。此外,在可逆代谢物中间体复合物(MIC)形成后,确定了某些基于机制的抑制剂(MBI)存在一个独特的终末失活步骤。较长时间的肝细胞孵育可能有助于分析缓慢的TDI和终末失活。在本文介绍的实验中,我们通过数值分析比较了肝细胞和微粒体数据在TDI参数化方面的质量。将大鼠肝微粒体(RLM)、悬浮大鼠肝细胞(SRH)和夹心培养大鼠肝细胞(SCRH)与典型的CYP3A MBI三乙酰竹桃霉素和底物咪达唑仑一起孵育。与SRH相比,RLM的数据提供了更好的模型拟合。地塞米松(DEX)诱导后CYP3A表达增加改善了RLM和SRH的拟合。与直接形成MIC相比,一种定义在MIC形成之前抑制剂代谢物产生的新型顺序动力学方案改善了拟合。此外,对DEX诱导CYP3A的RLM和SRH样本的终末失活速率常数进行了参数化。SCRH中CYP3A的低表达和实验误差导致模型拟合的数据较差。总体而言,RLM生成的数据更适合通过数值分析阐明TDI机制。