Alette Ramos Brinth Thesis 2012
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Guideline for CYP2D6 and Tamoxifen Therapy
CPIC GUIDELINES Clinical Pharmacogenetics Implementation Consortium (CPIC) Guideline for CYP2D6 and Tamoxifen Therapy Matthew P. Goetz1, Katrin Sangkuhl2, Henk-Jan Guchelaar3, Matthias Schwab4,5,6, Michael Province7, Michelle Whirl-Carrillo2, W. Fraser Symmans8, Howard L. McLeod9, Mark J. Ratain10, Hitoshi Zembutsu11, Andrea Gaedigk12, Ron H. van Schaik13,14, James N. Ingle1, Kelly E. Caudle15 and Teri E. Klein2 Tamoxifen is biotransformed by CYP2D6 to 4-hydroxytamoxifen gene/CYP2D6; CYP2D6 Allele Definition Table in Ref. 1). and 4-hydroxy N-desmethyl tamoxifen (endoxifen), both with CYP2D6 alleles have been extensively studied in multiple geo- greater antiestrogenic potency than the parent drug. Patients with graphically, racially, and ethnically diverse groups and significant certain CYP2D6 genetic polymorphisms and patients who receive differences in allele frequencies have been observed (CYP2D6 strong CYP2D6 inhibitors exhibit lower endoxifen concentrations Frequency Table1). The most commonly reported alleles are cate- and a higher risk of disease recurrence in some studies of tamoxi- gorized into functional groups as follows: normal function (e.g., fen adjuvant therapy of early breast cancer. We summarize CYP2D6*1 and *2), decreased function (e.g., CYP2D6*9, *10, evidence from the literature and provide therapeutic recommenda- 2,3 tions for tamoxifen based on CYP2D6 genotype. *17, and *41), and no function (e.g., CYP2D6*3, *4, *5, *6). Because CYP2D6 is subject to gene deletions, duplications, or The purpose of this guideline is to provide clinicians information multiplications, many clinical laboratories also report copy num- that will allow the interpretation of clinical CYP2D6 genotype ber variations. CYP2D6*5 represents a gene deletion (no func- tests so that the results can be used to guide prescribing of tamoxi- fen. -
The Role of Vitamin D in Autoimmune Hepatitis
Elmer ress Review J Clin Med Res • 2013;5(6):407-415 The Role of Vitamin D in Autoimmune Hepatitis Khanh vinh quoc Luonga, b, Lan Thi Hoang Nguyena disease is classified into 2 distinct types according to the na- Abstract ture of autoantibodies [1, 2]. Type 1 AIH is characterized by anti-nuclear antibodies and/or smooth muscle antibodies Autoimmune hepatitis is an inflammation of the liver characterized in serum of northern European and American adults. Type 2 by the presence of peri-portal hepatitis, hypergammaglobulinemia, AIH is characterized by antibodies to the liver-kidney mi- and the serum autoantibodies. The disease is classified into 2 dis- crosome type 1 (anti-LKM1) and primarily affects children tinct types according to the nature of auto-antibodies. Disturbances between the ages of 2 and 14 years. Disturbances of the cal- of the calcium-parathyroid hormone-vitamin D axis are frequently cium-parathyroid hormone-vitamin D axis are frequently as- associated with chronic liver disease. Patients with AIH have a high sociated with chronic liver disease [3]. Vitamin D deficiency prevalence of vitamin D deficiency. Genetic studies have provided the opportunity to determine which proteins link vitamin D to AIH is common in non-cholestatic liver disease and correlates pathology, namely, the major histocompatibility complex class II with disease severity [4]. AIH patients have low of vitamin D molecules, vitamin D receptors, toll-like receptors, cytotoxic T levels compared with control group [5]. Many studies have lymphocyte antigen-4, cytochrome P450 CYP2D6, regulatory T shown a significant effect of calcitriol on liver cell physiol- cells (Tregs) and the forkhead/winged helix transcription factor 3. -
Cytochrome P450 Enzymes in Oxygenation of Prostaglandin Endoperoxides and Arachidonic Acid
Comprehensive Summaries of Uppsala Dissertations from the Faculty of Pharmacy 231 _____________________________ _____________________________ Cytochrome P450 Enzymes in Oxygenation of Prostaglandin Endoperoxides and Arachidonic Acid Cloning, Expression and Catalytic Properties of CYP4F8 and CYP4F21 BY JOHAN BYLUND ACTA UNIVERSITATIS UPSALIENSIS UPPSALA 2000 Dissertation for the Degree of Doctor of Philosophy (Faculty of Pharmacy) in Pharmaceutical Pharmacology presented at Uppsala University in 2000 ABSTRACT Bylund, J. 2000. Cytochrome P450 Enzymes in Oxygenation of Prostaglandin Endoperoxides and Arachidonic Acid: Cloning, Expression and Catalytic Properties of CYP4F8 and CYP4F21. Acta Universitatis Upsaliensis. Comprehensive Summaries of Uppsala Dissertations from Faculty of Pharmacy 231 50 pp. Uppsala. ISBN 91-554-4784-8. Cytochrome P450 (P450 or CYP) is an enzyme system involved in the oxygenation of a wide range of endogenous compounds as well as foreign chemicals and drugs. This thesis describes investigations of P450-catalyzed oxygenation of prostaglandins, linoleic and arachidonic acids. The formation of bisallylic hydroxy metabolites of linoleic and arachidonic acids was studied with human recombinant P450s and with human liver microsomes. Several P450 enzymes catalyzed the formation of bisallylic hydroxy metabolites. Inhibition studies and stereochemical analysis of metabolites suggest that the enzyme CYP1A2 may contribute to the biosynthesis of bisallylic hydroxy fatty acid metabolites in adult human liver microsomes. 19R-Hydroxy-PGE and 20-hydroxy-PGE are major components of human and ovine semen, respectively. They are formed in the seminal vesicles, but the mechanism of their biosynthesis is unknown. Reverse transcription-polymerase chain reaction using degenerate primers for mammalian CYP4 family genes, revealed expression of two novel P450 genes in human and ovine seminal vesicles. -
Physiologic and Pathophysiologic Roles of Extra Renal Cyp27b1: Case Report T and Review ⁎ Daniel D
Bone Reports 8 (2018) 255–267 Contents lists available at ScienceDirect Bone Reports journal homepage: www.elsevier.com/locate/bonr Physiologic and pathophysiologic roles of extra renal CYP27b1: Case report T and review ⁎ Daniel D. Bikle , Sophie Patzek, Yongmei Wang Department of Medicine, Endocrine Research Unit, Veterans Affairs Medical Center, University of California San Francisco, United States ARTICLE INFO ABSTRACT Keywords: Although the kidney was initially thought to be the sole organ responsible for the production of 1,25(OH)2D via CYP27b1 the enzyme CYP27b1, it is now appreciated that the expression of CYP27b1 in tissues other than the kidney is Immune function wide spread. However, the kidney is the major source for circulating 1,25(OH)2D. Only in certain granulomatous Cancer diseases such as sarcoidosis does the extra renal tissue produce sufficient 1,25(OH)2D to contribute to the cir- Keratinocytes culating levels, generally associated with hypercalcemia, as illustrated by the case report preceding the review. Macrophages Therefore the expression of CYP27b1 outside the kidney under normal circumstances begs the question why, and in particular whether the extra renal production of 1,25(OH)2D has physiologic importance. In this chapter this question will be discussed. First we discuss the sites for extra renal 1,25(OH)2D production. This is followed by a discussion of the regulation of CYP27b1 expression and activity in extra renal tissues, pointing out that such regulation is tissue specific and different from that of CYP27b1 in the kidney. Finally the physiologic significance of extra renal 1,25(OH)2D3 production is examined, with special focus on the role of CYP27b1 in regulation of cellular proliferation and differentiation, hormone secretion, and immune function. -
Regulation of Vitamin D Metabolizing Enzymes in Murine Renal and Extrarenal Tissues by Dietary Phosphate, FGF23, and 1,25(OH)2D3
Zurich Open Repository and Archive University of Zurich Main Library Strickhofstrasse 39 CH-8057 Zurich www.zora.uzh.ch Year: 2018 Regulation of vitamin D metabolizing enzymes in murine renal and extrarenal tissues by dietary phosphate, FGF23, and 1,25(OH)2D3 Kägi, Larissa ; Bettoni, Carla ; Pastor-Arroyo, Eva M ; Schnitzbauer, Udo ; Hernando, Nati ; Wagner, Carsten A Abstract: BACKGROUND: The 1,25-dihydroxyvitamin D3 (1,25(OH)2D3) together with parathyroid hormone (PTH) and fibroblast growth factor 23 (FGF23) regulates calcium (Ca2+) and phosphate (Pi) homeostasis, 1,25(OH)2D3 synthesis is mediated by hydroxylases of the cytochrome P450 (Cyp) family. Vitamin D is first modified in the liver by the 25-hydroxylases CYP2R1 and CYP27A1 and further acti- vated in the kidney by the 1-hydroxylase CYP27B1, while the renal 24-hydroxylase CYP24A1 catalyzes the first step of its inactivation. While the kidney is the main organ responsible for circulating levelsofac- tive 1,25(OH)2D3, other organs also express some of these enzymes. Their regulation, however, has been studied less. METHODS AND RESULTS: Here we investigated the effect of several Pi-regulating factors including dietary Pi, PTH and FGF23 on the expression of the vitamin D hydroxylases and the vitamin D receptor VDR in renal and extrarenal tissues of mice. We found that with the exception of Cyp24a1, all the other analyzed mRNAs show a wide tissue distribution. High dietary Pi mainly upregulated the hep- atic expression of Cyp27a1 and Cyp2r1 without changing plasma 1,25(OH)2D3. FGF23 failed to regulate the expression of any of the studied hydroxylases at the used dosage and treatment length. -
Synonymous Single Nucleotide Polymorphisms in Human Cytochrome
DMD Fast Forward. Published on February 9, 2009 as doi:10.1124/dmd.108.026047 DMD #26047 TITLE PAGE: A BIOINFORMATICS APPROACH FOR THE PHENOTYPE PREDICTION OF NON- SYNONYMOUS SINGLE NUCLEOTIDE POLYMORPHISMS IN HUMAN CYTOCHROME P450S LIN-LIN WANG, YONG LI, SHU-FENG ZHOU Department of Nutrition and Food Hygiene, School of Public Health, Peking University, Beijing 100191, P. R. China (LL Wang & Y Li) Discipline of Chinese Medicine, School of Health Sciences, RMIT University, Bundoora, Victoria 3083, Australia (LL Wang & SF Zhou). 1 Copyright 2009 by the American Society for Pharmacology and Experimental Therapeutics. DMD #26047 RUNNING TITLE PAGE: a) Running title: Prediction of phenotype of human CYPs. b) Author for correspondence: A/Prof. Shu-Feng Zhou, MD, PhD Discipline of Chinese Medicine, School of Health Sciences, RMIT University, WHO Collaborating Center for Traditional Medicine, Bundoora, Victoria 3083, Australia. Tel: + 61 3 9925 7794; fax: +61 3 9925 7178. Email: [email protected] c) Number of text pages: 21 Number of tables: 10 Number of figures: 2 Number of references: 40 Number of words in Abstract: 249 Number of words in Introduction: 749 Number of words in Discussion: 1459 d) Non-standard abbreviations: CYP, cytochrome P450; nsSNP, non-synonymous single nucleotide polymorphism. 2 DMD #26047 ABSTRACT Non-synonymous single nucleotide polymorphisms (nsSNPs) in coding regions that can lead to amino acid changes may cause alteration of protein function and account for susceptivity to disease. Identification of deleterious nsSNPs from tolerant nsSNPs is important for characterizing the genetic basis of human disease, assessing individual susceptibility to disease, understanding the pathogenesis of disease, identifying molecular targets for drug treatment and conducting individualized pharmacotherapy. -
Cytochrome P450
COVID-19 is an emerging, rapidly evolving situation. Get the latest public health information from CDC: https://www.coronavirus.gov . Get the latest research from NIH: https://www.nih.gov/coronavirus. Share This Page Search Health Conditions Genes Chromosomes & mtDNA Classroom Help Me Understand Genetics Cytochrome p450 Enzymes produced from the cytochrome P450 genes are involved in the formation (synthesis) and breakdown (metabolism) of various molecules and chemicals within cells. Cytochrome P450 enzymes Learn more about the cytochrome play a role in the synthesis of many molecules including steroid hormones, certain fats (cholesterol p450 gene group: and other fatty acids), and acids used to digest fats (bile acids). Additional cytochrome P450 enzymes metabolize external substances, such as medications that are ingested, and internal substances, such Biochemistry (Ofth edition, 2002): The as toxins that are formed within cells. There are approximately 60 cytochrome P450 genes in humans. Cytochrome P450 System is Widespread Cytochrome P450 enzymes are primarily found in liver cells but are also located in cells throughout the and Performs a Protective Function body. Within cells, cytochrome P450 enzymes are located in a structure involved in protein processing Biochemistry (fth edition, 2002): and transport (endoplasmic reticulum) and the energy-producing centers of cells (mitochondria). The Cytochrome P450 Mechanism (Figure) enzymes found in mitochondria are generally involved in the synthesis and metabolism of internal substances, while enzymes in the endoplasmic reticulum usually metabolize external substances, Indiana University: Cytochrome P450 primarily medications and environmental pollutants. Drug-Interaction Table Common variations (polymorphisms) in cytochrome P450 genes can affect the function of the Human Cytochrome P450 (CYP) Allele enzymes. -
Aripiprazole Therapy and CYP2D6 Genotype
NLM Citation: Dean L. Aripiprazole Therapy and CYP2D6 Genotype. 2016 Sep 22. In: Pratt VM, Scott SA, Pirmohamed M, et al., editors. Medical Genetics Summaries [Internet]. Bethesda (MD): National Center for Biotechnology Information (US); 2012-. Bookshelf URL: https://www.ncbi.nlm.nih.gov/books/ Aripiprazole Therapy and CYP2D6 Genotype Laura Dean, MD1 Created: September 22, 2016. Introduction Aripiprazole is an atypical antipsychotic used in the management of schizophrenia, bipolar disorder, major depressive disorder, irritability associated with autistic disorder, and treatment of Tourette’s disorder. The metabolism and elimination of aripiprazole is mainly mediated through two enzymes, CYP2D6 and CYP3A4. Approximately 8% of Caucasians, 3–8% of Black/African Americans and up to 2% of Asians cannot metabolize CYP2D6 substrates and are classified as “poor metabolizers” (1). The FDA-approved drug label for aripiprazole states that in CYP2D6 poor metabolizers, half of the usual dose should be administered. In CYP2D6 poor metabolizers who are taking concomitant strong CYP3A4 inhibitors (e.g., itraconazole, clarithromycin), a quarter of the usual dose should be used (Table 1) (2). Table 1. The FDA-recommended dose adjustments for aripiprazole in patients who are known CYP2D6 poor metabolizers and patients taking concomitant CYP2D6 inhibitors, CYP3A4 inhibitors, and/or CYP3A4 inducers (2016) Factors Dosage Adjustments for ABILIFY Known CYP2D6 Poor Metabolizers Administer half of usual dose Known CYP2D6 Poor Metabolizers taking concomitant strong CYP3A4 inhibitors (e.g., Administer a quarter of usual dose itraconazole, clarithromycin) Strong CYP2D6 (e.g., quinidine, fluoxetine, paroxetine) or CYP3A4 inhibitors (e.g., Administer half of usual dose itraconazole, clarithromycin) Strong CYP2D6 and CYP3A4 inhibitors Administer a quarter of usual dose Strong CYP3A4 inducers (e.g., carbamazepine, rifampin) Double usual dose over 1 to 2 weeks Table is adapted from a FDA-approved drug label for aripiprazole (2). -
Simulation of Physicochemical and Pharmacokinetic Properties of Vitamin D3 and Its Natural Derivatives
pharmaceuticals Article Simulation of Physicochemical and Pharmacokinetic Properties of Vitamin D3 and Its Natural Derivatives Subrata Deb * , Anthony Allen Reeves and Suki Lafortune Department of Pharmaceutical Sciences, College of Pharmacy, Larkin University, Miami, FL 33169, USA; [email protected] (A.A.R.); [email protected] (S.L.) * Correspondence: [email protected] or [email protected]; Tel.: +1-224-310-7870 or +1-305-760-7479 Received: 9 June 2020; Accepted: 20 July 2020; Published: 23 July 2020 Abstract: Vitamin D3 is an endogenous fat-soluble secosteroid, either biosynthesized in human skin or absorbed from diet and health supplements. Multiple hydroxylation reactions in several tissues including liver and small intestine produce different forms of vitamin D3. Low serum vitamin D levels is a global problem which may origin from differential absorption following supplementation. The objective of the present study was to estimate the physicochemical properties, metabolism, transport and pharmacokinetic behavior of vitamin D3 derivatives following oral ingestion. GastroPlus software, which is an in silico mechanistically-constructed simulation tool, was used to simulate the physicochemical and pharmacokinetic behavior for twelve vitamin D3 derivatives. The Absorption, Distribution, Metabolism, Excretion and Toxicity (ADMET) Predictor and PKPlus modules were employed to derive the relevant parameters from the structural features of the compounds. The majority of the vitamin D3 derivatives are lipophilic (log P values > 5) with poor water solubility which are reflected in the poor predicted bioavailability. The fraction absorbed values for the vitamin D3 derivatives were low except for calcitroic acid, 1,23S,25-trihydroxy-24-oxo-vitamin D3, and (23S,25R)-1,25-dihydroxyvitamin D3-26,23-lactone each being greater than 90% fraction absorbed. -
Impaired Hepatic Drug and Steroid Metabolism in Congenital Adrenal
European Journal of Endocrinology (2010) 163 919–924 ISSN 0804-4643 CLINICAL STUDY Impaired hepatic drug and steroid metabolism in congenital adrenal hyperplasia due to P450 oxidoreductase deficiency Dorota Tomalik-Scharte1, Dominique Maiter2, Julia Kirchheiner3, Hannah E Ivison, Uwe Fuhr1 and Wiebke Arlt School of Clinical and Experimental Medicine, Centre for Endocrinology, Diabetes and Metabolism (CEDAM), University of Birmingham, Birmingham B15 2TT, UK, 1Department of Pharmacology, University Hospital, University of Cologne, 50931 Cologne, Germany, 2Department of Endocrinology, University Hospital Saint Luc, 1200 Brussels, Belgium and 3Department of Pharmacology of Natural Products and Clinical Pharmacology, University of Ulm, 89019 Ulm, Germany (Correspondence should be addressed to W Arlt; Email: [email protected]) Abstract Objective: Patients with congenital adrenal hyperplasia due to P450 oxidoreductase (POR) deficiency (ORD) present with disordered sex development and glucocorticoid deficiency. This is due to disruption of electron transfer from mutant POR to microsomal cytochrome P450 (CYP) enzymes that play a key role in glucocorticoid and sex steroid synthesis. POR also transfers electrons to all major drug- metabolizing CYP enzymes, including CYP3A4 that inactivates glucocorticoid and oestrogens. However, whether ORD results in impairment of in vivo drug metabolism has never been studied. Design: We studied an adult patient with ORD due to homozygous POR A287P, the most frequent POR mutation in Caucasians, and her clinically unaffected, heterozygous mother. The patient had received standard dose oestrogen replacement from 17 until 37 years of age when it was stopped after she developed breast cancer. Methods: Both subjects underwent in vivo cocktail phenotyping comprising the oral administration of caffeine, tolbutamide, omeprazole, dextromethorphan hydrobromide and midazolam to assess the five major drug-metabolizing CYP enzymes. -
CYP11A1 Expression in Bone Is Associated with Aromatase Inhibitor-Related Bone Loss
M RODRI´GUEZ-SANZ and others CYP11A1 is associated with 55:1 69–79 Research AI-related bone loss CYP11A1 expression in bone is associated with aromatase inhibitor-related bone loss M Rodrı´guez-Sanz1, N Garcı´a-Giralt1, D Prieto-Alhambra1,3,4,5, S Servitja6, S Balcells7, R Pecorelli1,2,ADı´ez-Pe´rez1,2, D Grinberg7, I Tusquets6 and X Nogue´s1,2 1IMIM (Hospital del Mar Research Institute), Red Tema´ tica de Investigacio´ n Cooperativa en Envejecimiento y Fragilidad (RETICEF), ISCIII, Carrer del Doctor Aiguader 88, 08003 Barcelona, Spain 2Internal Medicine Department, Hospital del Mar, Universitat Auto` noma de Barcelona, Barcelona, Spain 3IDIAP Jordi Gol Primary Care Research Institute, Universitat Auto` noma de Barcelona, Barcelona, Spain 4Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, Oxford NIHR Musculoskeletal Biomedical Research Unit, University of Oxford, Oxford, UK 5MRC Lifecourse Epidemiology Unit, University of Southampton, Southampton, UK Correspondence 6Medical Oncology Department, IMIM (Hospital del Mar Research Institute), Hospital del Mar, Universitat should be addressed Auto` noma de Barcelona, Barcelona, Spain to N Garcı´a-Giralt 7Departament de Gene` tica, Universitat de Barcelona, IBUB, Centro de Investigacio´ n Biome´ dica en Red de Email Enfermedades Raras (CIBERER), ISCIII, Barcelona, Spain [email protected] Abstract Aromatase inhibitors (AIs) used as adjuvant therapy in postmenopausal women with Key Words hormone receptor-positive breast cancer cause diverse musculoskeletal side effects that " CYP11A1 include bone loss and its associated fracture. About half of the 391 patients treated with " aromatase inhibitors AIs in the Barcelona–Aromatase induced bone loss in early breast cancer cohort suffered " bone loss a significant bone loss at lumbar spine (LS) and/or femoral neck (FN) after 2 years on " breast cancer Journal of Molecular Endocrinology AI-treatment. -
Bioactivity of Curcumin on the Cytochrome P450 Enzymes of the Steroidogenic Pathway
International Journal of Molecular Sciences Article Bioactivity of Curcumin on the Cytochrome P450 Enzymes of the Steroidogenic Pathway Patricia Rodríguez Castaño 1,2, Shaheena Parween 1,2 and Amit V Pandey 1,2,* 1 Pediatric Endocrinology, Diabetology, and Metabolism, University Children’s Hospital Bern, 3010 Bern, Switzerland; [email protected] (P.R.C.); [email protected] (S.P.) 2 Department of Biomedical Research, University of Bern, 3010 Bern, Switzerland * Correspondence: [email protected]; Tel.: +41-31-632-9637 Received: 5 September 2019; Accepted: 16 September 2019; Published: 17 September 2019 Abstract: Turmeric, a popular ingredient in the cuisine of many Asian countries, comes from the roots of the Curcuma longa and is known for its use in Chinese and Ayurvedic medicine. Turmeric is rich in curcuminoids, including curcumin, demethoxycurcumin, and bisdemethoxycurcumin. Curcuminoids have potent wound healing, anti-inflammatory, and anti-carcinogenic activities. While curcuminoids have been studied for many years, not much is known about their effects on steroid metabolism. Since many anti-cancer drugs target enzymes from the steroidogenic pathway, we tested the effect of curcuminoids on cytochrome P450 CYP17A1, CYP21A2, and CYP19A1 enzyme activities. When using 10 µg/mL of curcuminoids, both the 17α-hydroxylase as well as 17,20 lyase activities of CYP17A1 were reduced significantly. On the other hand, only a mild reduction in CYP21A2 activity was observed. Furthermore, CYP19A1 activity was also reduced up to ~20% of control when using 1–100 µg/mL of curcuminoids in a dose-dependent manner. Molecular docking studies confirmed that curcumin could dock onto the active sites of CYP17A1, CYP19A1, as well as CYP21A2.