Kitaoka Satoshi, Hatogai Jo, Ochiai Wataru, Sugiyama Kiyoshi
Department of Clinical Pharmacokinetics, Hoshi University.
Department of Functional Molecule Kinetics Hoshi University.
J Toxicol Sci. 2018;43(3):223-227. doi: 10.2131/jts.43.223.
The drug-metabolizing enzyme CYP3A is a heterogeneous enzyme found in the liver that displays local characteristics referred to as "zonation." Zonation contributes to improved energy efficiency in metabolism. The objective of this study was to determine a scientific basis for the safety of fetuses and nursing infants in cases in which the use of pharmaceuticals by pregnant and nursing mothers is unavoidable. In addition, we analyzed CYP3A zonation in the liver using mice from the fetus stage to the nursing stage. The livers of mice ranging from day 13.5 of the fetal stage to day 7 of the nursing stage were resected and immunostained using rabbit anti-rat CYP3A2 Ab, which can detect CYP3A11, CYP3A13, CYP3A16, CYP3A25, CYP3A41 and CYP3A44. The results indicated that zonation did not begin in the fetus stage up to day 3 of the nursing stage, and began on day 7 of infancy. This study revealed that changes in the metabolic activity of CYP3A in the liver between the fetal and nursing stages are partly related to zonation. Further studies are needed to establish standards for the proper use of pharmaceuticals by pregnant and nursing mothers.
药物代谢酶CYP3A是一种存在于肝脏中的异质性酶,具有被称为“区域化”的局部特征。区域化有助于提高代谢中的能量效率。本研究的目的是确定在孕妇和哺乳期母亲不可避免地使用药物的情况下,胎儿和哺乳期婴儿安全性的科学依据。此外,我们使用从胎儿期到哺乳期的小鼠分析了肝脏中CYP3A的区域化情况。切除从胎儿期第13.5天到哺乳期第7天的小鼠肝脏,并用兔抗大鼠CYP3A2抗体进行免疫染色,该抗体可检测CYP3A11、CYP3A13、CYP3A16、CYP3A25、CYP3A41和CYP3A44。结果表明,直到哺乳期第3天,胎儿期都未开始区域化,而在婴儿期第7天开始。本研究表明,胎儿期和哺乳期肝脏中CYP3A代谢活性的变化部分与区域化有关。需要进一步研究以建立孕妇和哺乳期母亲合理用药的标准。