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基因敲除对大鼠华法林药代动力学和药效学的影响。

Effects of gene knockout on the pharmacokinetics and pharmacodynamics of warfarin in rats.

作者信息

Ye Huanying, Sui Danjuan, Liu Wei, Yuan Yuannan, Ouyang Zhen, Wei Yuan

机构信息

School of Pharmacy, Jiangsu University , Zhenjiang , PR China.

出版信息

Xenobiotica. 2019 Dec;49(12):1478-1484. doi: 10.1080/00498254.2019.1579006. Epub 2019 Feb 27.

DOI:10.1080/00498254.2019.1579006
PMID:30724651
Abstract
  1. CYP2C11 is the most abundant isoform of cytochrome P450s (CYPs) in male rats and is considered the main enzyme for warfarin metabolism. 2. To further access the function of CYP2C11 in warfarin metabolism and efficacy, a -null rat model was used to study warfarin metabolism with both and approaches. Prothrombin time (PT) of warfarin was also determined. 3. The maximum rate of metabolism (V) and intrinsic clearance (CL) of liver microsomes from -null males were reduced by 37 and 64%, respectively, compared to those in Sprague Dawley (S-D) rats. The K of liver microsomes from -null males was increased by 73% compared to that of S-D rats. The time to reach the maximum plasma concentration (T) of warfarin in -null males was significantly delayed compared to that in S-D males, and the CL rate was also reduced. The PT of -null rats was moderately longer than that of S-D rats. 4. In conclusion, the clearance rate of warfarin was mildly decreased and its anticoagulant effect was moderately increased in male rats following gene knockout. CYP2C11 played a certain role in the clearance and efficacy of warfarin, while it did not seem to be essential.
摘要
  1. CYP2C11是雄性大鼠体内细胞色素P450(CYPs)中含量最丰富的亚型,被认为是华法林代谢的主要酶。2. 为了进一步研究CYP2C11在华法林代谢及疗效中的作用,利用一种基因敲除大鼠模型,采用体内和体外方法研究华法林的代谢情况。同时还测定了华法林的凝血酶原时间(PT)。3. 与Sprague Dawley(S-D)大鼠相比,基因敲除雄性大鼠肝脏微粒体的最大代谢速率(V)和内在清除率(CL)分别降低了37%和64%。基因敲除雄性大鼠肝脏微粒体的米氏常数(K)比S-D大鼠增加了73%。基因敲除雄性大鼠达到华法林最大血浆浓度(T)的时间比S-D雄性大鼠显著延迟,清除率也降低。基因敲除大鼠的PT比S-D大鼠适度延长。4. 总之,基因敲除后的雄性大鼠中,华法林的清除率轻度降低,其抗凝作用适度增强。CYP2C11在华法林的清除和疗效中发挥了一定作用,但似乎并非必不可少。

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