The Role of Human CYP2C8 and CYP2C9 Variants in Pioglitazone Metabolism In Vitro |
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| Authors: | Eugen Muschler Jawahar Lal Alexander Jetter Anke Rattay Ulrich Zanger Gregor Zadoyan Uwe Fuhr Julia Kirchheiner |
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| Affiliation: | 1. Department of Pharmacology, Clinical Pharmacology Unit, University of Cologne, Cologne, Germany;2. Pharmacokinetics & Metabolism Division, Central Drug Research Institute, Lucknow, India;3. Division of Clinical Pharmacology and Toxicology, Department of Internal Medicine, University Hospital Zurich, Zürich, Switzerland;4. Dr. Margarete Fischer‐Bosch‐Institut für Klinische Pharmakologie, Stuttgart, Germany;5. Department of Pharmacology of Natural Products & Clinical Pharmacology, University of Ulm, Ulm, Germany |
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| Abstract: | Abstract: The cytochrome P450 enzyme CYP2C8 appears to have a major role in pioglitazone metabolism. The present study was conducted to further clarify the role of individual CYPs and of the CYP2C8/9 polymorphisms in the primary metabolism of pioglitazone in vitro. Pioglitazone (2–400 μM) was incubated with isolated cytochrome P450 enzymes or human liver microsomes, some of them carrying either the CYP2C8*3/*3 genotype (and also the CYP2C9*2/*2 genotype) or the CYP2C8*1/*1 genotype (five samples each). The formation of the primary pioglitazone metabolite M‐IV was monitored by HPLC. Enzyme kinetics were estimated assuming a single binding site. Mean intrinsic clearance of pioglitazone to the metabolite M‐IV was highest for CYP2C8 and CYP1A2 with 58 pmol M‐IV/min/nmol CYP P450/μM pioglitazone each, 53 for CYP2D6*1, 40 for CYP2C19*1, and 34 for CYP2C9*2, respectively. CYP2A6, CYP2B6, CYP2C9*1, CYP2C9*3, CYP2E1, CYP3A4 and CYP3A5 did not form quantifiable amounts of M‐IV. CYP2C8*1/*1 microsomes (25 ± 4 pmol M‐IV/min/mg protein/μM pioglitazone) showed lower intrinsic clearance of pioglitazone than CYP2C8*3/*3 microsomes (35 ± 9, p = 0.04). In all samples, metabolite formation showed substrate inhibition, while pioglitazone did not inhibit CYP2C8‐mediated paclitaxel metabolism. CYP2C8, CYP1A2 and CYP2D6 are major CYPs forming M‐IV in vitro. The higher activity of CYP2C8*3/CYP2C9*2 microsomes may result from a contribution of CYP2C9*2, or from differences in CYP2C8 expression. The evidence for substrate‐specific inhibitory effects of pioglitazone on CYP2C‐mediated metabolism needs to be tested in further studies. |
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