Inducibility of CYP1A2 by orneprazole in vivo related to the genetic polymorphism of CYP1A2

被引:74
作者
Han, XM [1 ]
Ouyang, DS [1 ]
Chen, XP [1 ]
Shu, Y [1 ]
Jiang, CH [1 ]
Tan, ZR [1 ]
Zhou, HH [1 ]
机构
[1] Cent S Univ, Xiang Ya Sch Med, Pharmacogenet Res Inst, Changsha 410078, Hunan, Peoples R China
关键词
caffeine; CYP1A2; genetic polymorphism; induction;
D O I
10.1046/j.1365-2125.2002.01686.x
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
Aims To evaluate the effect of the CYP1A2*1C and CYP1A2*1F polymorphisms on the inducibility of CYP1A2 by omeprazole in healthy subjects. Methods Mutations of CYP2C19 and CYP1A2 were identified by PCR-RFLP. Omeprazole, 120 mg day(-1), was given to 12 extensive metabolizers (EM) with respect to CYP2C19 (six CYP1A2*1F/CYP1A2*1F and six CYP1A2*1C/CYP1A2*1F of CYP1A2) for 7 days. CYP1A2 activity was determined on three occasions, namely on day 1, day 9 and day 16 using the caffeine plasma index (the ratio of the concentrations of paraxanthine to caffeine), 6 h after oral administration of 200 mg caffeine. Results There was a significant difference (P = 0.002) between the caffeine ratios for CYP1A2*1F/CYP1A2*1F and CYP1A2*1C/CYP1A2*1F genotypes on day 9, but not on day 1 or day 16 (P > 0.05). The changes in the ratios from day 9 to day 1 (48% +/- 20% vs 19% +/- 20%) and from day 9 to day 16 (50% +/- 31% vs 15% +/- 22%) were significantly different (P < 0.05) between the CYP1A2*1F/CYP1A2*1F and CYP1A2*1C/CYP1A2*1F genotypes. Conclusion The CYP1A2*1C and CYP1A2*1F genetic polymorphisms influenced the induction of CYP1A2 activity in vivo by omeprazole.
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收藏
页码:540 / 543
页数:4
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