Shen Yue, Eades William, Yan Bingfang
Division of Pharmaceutical Sciences, James L. Winkle College of Pharmacy, University of Cincinnati, Cincinnati, OH, USA.
Fundam Clin Pharmacol. 2021 Apr;35(2):432-434. doi: 10.1111/fcp.12643. Epub 2021 Jan 6.
Remdesivir was recently approved to treat COVID-19. While this antiviral agent delivers clinical benefits, several safety concerns in many cases have been raised. This study reports that remdesivir at nanomolar concentrations inhibits carboxylesterase-2 (CES2) through covalent modifications. CES2 is a major drug-metabolizing enzyme. The combination of high potency with irreversible inhibition concludes that cautions must be exercised when remdesivir is used along with drugs hydrolyzed by CES2.
瑞德西韦最近被批准用于治疗新冠肺炎。虽然这种抗病毒药物带来了临床益处,但在许多情况下也引发了一些安全问题。本研究报告称,纳摩尔浓度的瑞德西韦通过共价修饰抑制羧酸酯酶-2(CES2)。CES2是一种主要的药物代谢酶。高效力与不可逆抑制的结合表明,当瑞德西韦与由CES2水解的药物联合使用时必须谨慎。