A Computational Study of the Substrate Conversion and Selective Inhibition of Aldosterone Synthase
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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. -
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. -
Studies on CYP1A1, CYP1B1 and CYP3A4 Gene Polymorphisms in Breast Cancer Patients
Ginekol Pol. 2009, 80, 819-823 PRACE ORYGINALNE ginekologia Studies on CYP1A1, CYP1B1 and CYP3A4 gene polymorphisms in breast cancer patients Badania polimorfizmów genów CYP1A1, CYP1B1 i CYP3A4 u chorych z rakiem piersi Ociepa-Zawal Marta1, Rubiś Błażej2, Filas Violetta3, Bręborowicz Jan3, Trzeciak Wiesław H1. 1 Department of Biochemistry and Molecular Biology, Poznan University of Medical Sciences 2 Department of Clinical Chemistry and Molecular Diagnostics, 3Department of Tumor Pathology, Poznan University of Medical Sciences Abstract Background: The role of CYP1A1, CYP1B1 and CYP3A4 polymorphism in pathogenesis of breast cancer has not been fully elucidated. From three CYP1A1 polymorphisms *2A (3801T>C), *2C (2455A>G), and *2B variant, which harbors both polymorphisms, the *2A variant is potentially carcinogenic in African Americans and the Taiwanese, but not in Caucasians, and the CYP1B1*2 (355G>T) and CYP1B1*3 (4326C>G) variants might increase breast cancer risk. Although no association of any CYP3A4 polymorphisms and breast cancer has been documented, the CYP3A4*1B (392A>G) variant, correlates with earlier menarche and endometrial cancer secondary to tamoxifen therapy. Objective: The present study was designed to investigate the frequency of CYP1A1, CYP1B1 and CYP3A4 po- lymorphisms in a sample of breast cancer patients from the Polish population and to correlate the results with the clinical and laboratory findings. Material and methods: The frequencies of CYP1A1*2A; CYP1A1*2C; CYP1B1*3; CYP3A4*1B CYP3A4*2 polymorphisms were determined in 71 patients aged 36-87, with primary breast cancer and 100 healthy indi- viduals. Genomic DNA was extracted from the tumor, and individual gene fragments were PCR-amplified. -
Compositions Comprising Drospirenone Molecularly
(19) & (11) EP 1 748 756 B1 (12) EUROPEAN PATENT SPECIFICATION (45) Date of publication and mention (51) Int Cl.: of the grant of the patent: A61K 9/00 (2006.01) A61K 9/107 (2006.01) 29.04.2009 Bulletin 2009/18 A61K 9/48 (2006.01) A61K 9/16 (2006.01) A61K 9/20 (2006.01) A61K 9/14 (2006.01) (2006.01) (2006.01) (21) Application number: 05708751.2 A61K 9/70 A61K 31/565 (22) Date of filing: 10.03.2005 (86) International application number: PCT/IB2005/000665 (87) International publication number: WO 2005/087194 (22.09.2005 Gazette 2005/38) (54) COMPOSITIONS COMPRISING DROSPIRENONE MOLECULARLY DISPERSED ZUSAMMENSETZUNGEN AUS DROSPIRENON IN MOLEKULARER DISPERSION DES COMPOSITIONS CONTENANT DROSPIRENONE A DISPERSION MOLECULAIRE (84) Designated Contracting States: (72) Inventors: AT BE BG CH CY CZ DE DK EE ES FI FR GB GR • FUNKE, Adrian HU IE IS IT LI LT LU MC NL PL PT RO SE SI SK TR D-14055 Berlin (DE) Designated Extension States: • WAGNER, Torsten AL BA HR MK YU 13127 Berlin (DE) (30) Priority: 10.03.2004 EP 04075713 (74) Representative: Wagner, Kim 10.03.2004 US 551355 P Plougmann & Vingtoft a/s Sundkrogsgade 9 (43) Date of publication of application: P.O. Box 831 07.02.2007 Bulletin 2007/06 2100 Copenhagen Ø (DK) (60) Divisional application: (56) References cited: 08011577.7 / 1 980 242 EP-A- 1 260 225 EP-A- 1 380 301 WO-A-01/52857 WO-A-20/04022065 (73) Proprietor: Bayer Schering Pharma WO-A-20/04041289 US-A- 5 569 652 Aktiengesellschaft US-A- 5 656 622 US-A- 5 789 442 13353 Berlin (DE) Note: Within nine months of the publication of the mention of the grant of the European patent in the European Patent Bulletin, any person may give notice to the European Patent Office of opposition to that patent, in accordance with the Implementing Regulations. -
Identification and Developmental Expression of the Full Complement Of
Goldstone et al. BMC Genomics 2010, 11:643 http://www.biomedcentral.com/1471-2164/11/643 RESEARCH ARTICLE Open Access Identification and developmental expression of the full complement of Cytochrome P450 genes in Zebrafish Jared V Goldstone1, Andrew G McArthur2, Akira Kubota1, Juliano Zanette1,3, Thiago Parente1,4, Maria E Jönsson1,5, David R Nelson6, John J Stegeman1* Abstract Background: Increasing use of zebrafish in drug discovery and mechanistic toxicology demands knowledge of cytochrome P450 (CYP) gene regulation and function. CYP enzymes catalyze oxidative transformation leading to activation or inactivation of many endogenous and exogenous chemicals, with consequences for normal physiology and disease processes. Many CYPs potentially have roles in developmental specification, and many chemicals that cause developmental abnormalities are substrates for CYPs. Here we identify and annotate the full suite of CYP genes in zebrafish, compare these to the human CYP gene complement, and determine the expression of CYP genes during normal development. Results: Zebrafish have a total of 94 CYP genes, distributed among 18 gene families found also in mammals. There are 32 genes in CYP families 5 to 51, most of which are direct orthologs of human CYPs that are involved in endogenous functions including synthesis or inactivation of regulatory molecules. The high degree of sequence similarity suggests conservation of enzyme activities for these CYPs, confirmed in reports for some steroidogenic enzymes (e.g. CYP19, aromatase; CYP11A, P450scc; CYP17, steroid 17a-hydroxylase), and the CYP26 retinoic acid hydroxylases. Complexity is much greater in gene families 1, 2, and 3, which include CYPs prominent in metabolism of drugs and pollutants, as well as of endogenous substrates. -
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. -
OCA) Is Controlled
DMD Fast Forward. Published on November 5, 2020 as DOI: 10.1124/dmd.120.000240 This article has not been copyedited and formatted. The final version may differ from this version. Title page Regulation of intestinal UGT1A1 by the FXR agonist obeticholic acid (OCA) is controlled by CAR through intestinal maturation Downloaded from André A. Weber1, Elvira Mennillo1, Xiaojing Yang1, Lori W.E. van der Schoor2, Johan W. Jonker2, Shujuan Chen1, Robert H. Tukey1,* dmd.aspetjournals.org 1Laboratory of Environmental Toxicology, Department of Pharmacology, University of California, San Diego, La Jolla, CA 92093, USA. at ASPET Journals on September 25, 2021 2Center for Liver, Digestive and Metabolic Diseases, Department of Pediatrics, University of Groningen, University Medical Center Groningen, 9713 GZ Groningen, The Netherlands. Address correspondence to: Robert H. Tukey, Department of Pharmacology, University of California, San Diego 92093-0722. E-mail: [email protected] 1 DMD Fast Forward. Published on November 5, 2020 as DOI: 10.1124/dmd.120.000240 This article has not been copyedited and formatted. The final version may differ from this version. Running title page Running title: CAR activation by OCA induces UGT1A1 and IEC maturation Corresponding author: Robert H. Tukey, Department of Pharmacology, University of California, San Diego 9500 Gilman Drive, La Jolla, California, 92093-0722. E-mail: [email protected] Text pages: 16 (Abstract – Discussion, not including references and figure legends) Downloaded from Tables: 1 Figures: 7 -
Cholesterol Metabolites 25-Hydroxycholesterol and 25-Hydroxycholesterol 3-Sulfate Are Potent Paired Regulators: from Discovery to Clinical Usage
H OH metabolites OH Review Cholesterol Metabolites 25-Hydroxycholesterol and 25-Hydroxycholesterol 3-Sulfate Are Potent Paired Regulators: From Discovery to Clinical Usage Yaping Wang 1, Xiaobo Li 2 and Shunlin Ren 1,* 1 Department of Internal Medicine, McGuire Veterans Affairs Medical Center, Virginia Commonwealth University, Richmond, VA 23249, USA; [email protected] 2 Department of Physiology and Pathophysiology, School of Basic Medical Sciences, Fudan University, Shanghai 200032, China; [email protected] * Correspondence: [email protected]; Tel.: +1-(804)-675-5000 (ext. 4973) Abstract: Oxysterols have long been believed to be ligands of nuclear receptors such as liver × recep- tor (LXR), and they play an important role in lipid homeostasis and in the immune system, where they are involved in both transcriptional and posttranscriptional mechanisms. However, they are increas- ingly associated with a wide variety of other, sometimes surprising, cell functions. Oxysterols have also been implicated in several diseases such as metabolic syndrome. Oxysterols can be sulfated, and the sulfated oxysterols act in different directions: they decrease lipid biosynthesis, suppress inflammatory responses, and promote cell survival. Our recent reports have shown that oxysterol and oxysterol sulfates are paired epigenetic regulators, agonists, and antagonists of DNA methyl- transferases, indicating that their function of global regulation is through epigenetic modification. In this review, we explore our latest research of 25-hydroxycholesterol and 25-hydroxycholesterol 3-sulfate in a novel regulatory mechanism and evaluate the current evidence for these roles. Citation: Wang, Y.; Li, X.; Ren, S. Keywords: oxysterol sulfates; oxysterol sulfation; epigenetic regulators; 25-hydroxysterol; Cholesterol Metabolites 25-hydroxycholesterol 3-sulfate; 25-hydroxycholesterol 3,25-disulfate 25-Hydroxycholesterol and 25-Hydroxycholesterol 3-Sulfate Are Potent Paired Regulators: From Discovery to Clinical Usage. -
Identification of Novel CYP2E1 Inhibitor to Investigate Cellular and Exosomal CYP2E1-Mediated Toxicity
University of Tennessee Health Science Center UTHSC Digital Commons Theses and Dissertations (ETD) College of Graduate Health Sciences 6-2019 Identification of Novel CYP2E1 Inhibitor to Investigate Cellular and Exosomal CYP2E1-Mediated Toxicity Mohammad Arifur Rahman University of Tennessee Health Science Center Follow this and additional works at: https://dc.uthsc.edu/dissertations Part of the Pharmacy and Pharmaceutical Sciences Commons Recommended Citation Rahman, Mohammad Arifur (0000-0002-5589-0114), "Identification of Novel CYP2E1 Inhibitor to Investigate Cellular and Exosomal CYP2E1-Mediated Toxicity" (2019). Theses and Dissertations (ETD). Paper 482. http://dx.doi.org/10.21007/etd.cghs.2019.0474. This Dissertation is brought to you for free and open access by the College of Graduate Health Sciences at UTHSC Digital Commons. It has been accepted for inclusion in Theses and Dissertations (ETD) by an authorized administrator of UTHSC Digital Commons. For more information, please contact [email protected]. Identification of Novel CYP2E1 Inhibitor to Investigate Cellular and Exosomal CYP2E1-Mediated Toxicity Abstract Cytochrome P450 2E1 (CYP2E1)-mediated hepatic and extra-hepatic toxicity is of significant clinical importance. Diallyl sulfide (DAS) has been shown to prevent xenobiotics such as alcohol- (ALC/ETH), acetaminophen- (APAP) induced toxicity and disease (e.g. HIV-1) pathogenesis. DAS imparts its beneficial effect by inhibiting CYP2E1-mediated metabolism of xenobiotics, especially at high concentration. However, DAS also causes toxicity at relatively high dosages and with long exposure times. The objective of the first project was to find potent ASD analogs which can replace DAS as a research tool or as potential adjuvant therapy in CYP2E1-mediated pathologies. -
Genetic Polymorphisms in Steroid Hormone Metabolizing Enzymes In
TurkJMedSci 32(2002)217-221 ©TÜB‹TAK NeslihanAYGÜNKOCABAfi GeneticPolymorphismsinSteroidHormone MetabolizingEnzymesinHumanBreastCancer Abstract: Epidemiologicstudiesindicatethat metabolism(i.e., CYP17,CYP19,CYP1A1, Received:July04,2001 mostriskfactorsforbreastcancerarerelated CYP1B1,MnSOD,COMT,andGST)thatmay toreproductiveandhormonalfactors.The accountforaproportionofenzymatic evaluationofassociationsbetweenbreast variability.Anevaluationofassociations cancerriskandgeneticpolymorphismsin betweenbreastcancerriskandgenetic enzymesinvolvedinhormonemetabolism polymorphismsinenzymesinvolvedin maybeacosteffectivemannerinwhichto hormonemetabolismisdescribedinthisbrief determineindividualbreastcancer review. susceptibility.Anumberofmolecular DepartmentofToxicology,Facultyof epidemiologicstudieshavebeenconductedto evaluateassociationsbetweenpolymorphic KeyWords : Breastcancer,Genetic Pharmacy,GaziUniversity06330Hipodrom polymorphism,Steroidhormonemetabolism Ankara,Turkey genesinvolvedinsteroidhormone Breastcanceristhemostcommonlyoccurringcancer Metabolicactivationof17 β-estradiol(E2)hasbeen amongwomen,andthemorbidityrateofthisdisease postulatedtobeafactorinmammarycarcinogenesis.E2 continuestorise,whereasthemortalityrateisdeclining ismetabolizedviatwomajorpathways:formationof duetomoreadvanceddiagnosisandtreatment catecholestrogens,the2-OHand4-OHderivates;andC- techniques(1).Fewerbreastcancercasescanbe 16α hydroxylation(Figure).The2-OHand4-OHcatechol explainedbyrare,highlypenetrantgenessuchasBRCA1, estrogensareoxidizedtosemiquinonesandquinones. BRCA2 -
TRANSLATIONALLY by AMPK a Dissertation
CHOLESTEROL 7 ALPHA-HYDROXYLASE IS REGULATED POST- TRANSLATIONALLY BY AMPK A dissertation submitted to Kent State University in partial fulfillment of the requirements for the Degree of Doctor of Philosophy By Mauris E.C. Nnamani May 2009 Dissertation written by Mauris E. C. Nnamani B.S, Kent State University, 2006 Ph.D., Kent State University, 2009 Approved by Diane Stroup Advisor Gail Fraizer Members, Doctoral Dissertation Committee S. Vijayaraghavan Arne Gericke Jennifer Marcinkiewicz Accepted by Robert Dorman , Director, School of Biomedical Science John Stalvey , Dean, Collage of Arts and Sciences ii TABLE OF CONTENTS LIST OF FIGURES……………………………………………………………..vi ACKNOWLEDGMENTS……………………………………………………..viii CHAPTER I: INTRODUCTION……………………………………….…........1 a. Bile Acid Synthesis…………………………………………….……….2 i. Importance of Bile Acid Synthesis Pathway………………….….....2 ii. Bile Acid Transport..…………………………………...…...………...3 iii. Bile Acid Synthesis Pathway………………………………………...…4 iv. Classical Bile Acid Synthesis Pathway…..……………………..…..8 Cholesterol 7 -hydroxylase (CYP7A1)……..........………….....8 Transcriptional Regulation of Cholesterol 7 -hydroxylase by Bile Acid-activated FXR…………………………….....…10 CYP7A1 Transcriptional Repression by SHP-dependant Mechanism…………………………………………………...10 CYP7A1 Transcriptional Repression by SHP-independent Mechanism……………………………………..…………….…….11 CYP7A1 Transcriptional Repression by Activated Cellular Kinase…….…………………………...…………………….……12 v. Alternative/ Acidic Bile Acid Synthesis Pathway…………......…….12 Sterol 27-hydroxylase (CYP27A1)……………….…………….12