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Dietary salt does not influence the disposition of verapamil enantiomers in relation to efflux transporter ABCB1 genetic polymorphism in healthy Korean subjects
Authors:W. Pan  J. Y. Ryu  J. H. Shon  I. S. Song  K. H. Liu  Y. E. Sunwoo
Affiliation:1. Department of Pharmacology and PharmacoGenomics Research Center, Inje University College of Medicine, BusanKorea;2. Pharmacogenetics Research Institute, Institute of Clinical Pharmacology, Central South University, ChangshaChina;3. Department of Clinical Pharmacology, Busan Paik Hospital, BusanKorea
Abstract:
  1. To evaluate the effects of dietary salt on the stereoselective disposition of verapamil enantiomers in relation to the transporter ABCB1 2677GG/3435CC and 2677TT/3435TT haplotypes, ten healthy subjects were asked to take diets of three different salt levels for 7 days in a randomized, three-way crossover manner.

  2. The plasma concentrations of verapamil and norverapamil enantiomers were determined after a single oral dose of 240 mg verapamil on the last day of each phase. Pharmacokinetic parameters were calculated by non-compartmental analysis techniques and compared among the three different dietary salt phases.

  3. Compared with the medium salt diet, the high and low salt diets had no significant effect on the disposition of verapamil enantiomers. Moreover, the ABCB1 haplotypes did not alter the impact of dietary salt, although ABCB1 2677TT/3435TT subjects had slightly, but not significantly, higher Cmax and area under the curve (AUC) and lower Tmax for the verapamil enantiomers than did 2677GG/3435CC subjects in each salt phase.

Keywords:Verapamil  norverapamil  dietary salt  ABCB1 haplotypes  pharmacokinetics  P-glycoprotein
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