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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
5
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pubmed:dateCreated |
1991-4-25
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pubmed:abstractText |
Oxidative metabolism of diltiazem (DTZ), a calcium channel blocker, was investigated in rabbit and human liver microsomes as well as in primary cultures of human hepatocytes. DTZ N-demethylation, the major metabolic pathway in man, was strongly increased by treatment of animals, patients, and hepatocyte cultures with rifampicin and other inducers of the P-450IIIA subfamily. In a reconstituted system with purified forms of P-450 and NADPH cytochrome P-450 reductase, P-450IIIA7 exhibited the highest DTZ N-demethylase activity. In both rabbit and human liver microsomes, this activity was highly correlated with erythromycin demethylase, a characteristic substrate of P-450IIIA, or with an immunoquantitated level of P-450IIIA, and was specifically inhibited by anti-P-450IIIA7 polyclonal and monoclonal antibodies. Cyclosporin A, another specific substrate of P-450IIIA in rabbit and human, competitively inhibited DTZ N-demethylase in both species. In primary cultures of human hepatocytes treated with various inducers, including rifampicin, dexamethasone, phenobarbital, phenylbutazone or beta-naphthoflavone, the rate of release of N-demethyl-DTZ in the extracellular medium was highly correlated with the intracellular level of P-450IIIA, which appeared to be strongly induced by rifampicin and phenobarbital and to a lesser extent by dexamethasone and phenylbutazone. In aggregate, these results are consistent with the view that in both rabbit and human, cytochromes P-450 from the P-450IIIA subfamily are the major enzymes involved in the N-demethylation of DTZ. Accordingly, drugs which may be specific substrates or inducers of this P-450 are likely to influence both the side effects and the efficacy of this molecule.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical |
http://linkedlifedata.com/resource/pubmed/chemical/Aryl Hydrocarbon Hydroxylases,
http://linkedlifedata.com/resource/pubmed/chemical/Cyclosporins,
http://linkedlifedata.com/resource/pubmed/chemical/Cytochrome P-450 CYP3A,
http://linkedlifedata.com/resource/pubmed/chemical/Cytochrome P-450 Enzyme System,
http://linkedlifedata.com/resource/pubmed/chemical/Diltiazem,
http://linkedlifedata.com/resource/pubmed/chemical/Isoenzymes,
http://linkedlifedata.com/resource/pubmed/chemical/Mixed Function Oxygenases,
http://linkedlifedata.com/resource/pubmed/chemical/NADPH-Ferrihemoprotein Reductase,
http://linkedlifedata.com/resource/pubmed/chemical/Oxidoreductases, N-Demethylating
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pubmed:status |
MEDLINE
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pubmed:issn |
0090-9556
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
18
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
711-9
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:1981725-Adult,
pubmed-meshheading:1981725-Aged,
pubmed-meshheading:1981725-Animals,
pubmed-meshheading:1981725-Aryl Hydrocarbon Hydroxylases,
pubmed-meshheading:1981725-Blotting, Western,
pubmed-meshheading:1981725-Cells, Cultured,
pubmed-meshheading:1981725-Chromatography, High Pressure Liquid,
pubmed-meshheading:1981725-Cyclosporins,
pubmed-meshheading:1981725-Cytochrome P-450 CYP3A,
pubmed-meshheading:1981725-Cytochrome P-450 Enzyme System,
pubmed-meshheading:1981725-Dealkylation,
pubmed-meshheading:1981725-Diltiazem,
pubmed-meshheading:1981725-Enzyme Induction,
pubmed-meshheading:1981725-Female,
pubmed-meshheading:1981725-Humans,
pubmed-meshheading:1981725-Isoenzymes,
pubmed-meshheading:1981725-Liver,
pubmed-meshheading:1981725-Male,
pubmed-meshheading:1981725-Middle Aged,
pubmed-meshheading:1981725-Mixed Function Oxygenases,
pubmed-meshheading:1981725-NADPH-Ferrihemoprotein Reductase,
pubmed-meshheading:1981725-Oxidoreductases, N-Demethylating,
pubmed-meshheading:1981725-Rabbits
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pubmed:articleTitle |
Identification of the rabbit and human cytochromes P-450IIIA as the major enzymes involved in the N-demethylation of diltiazem.
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pubmed:affiliation |
Institut National de la Santé et de la Recherche Médicale, Centre National de la Recherche Scientifique, Montpellier, France.
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pubmed:publicationType |
Journal Article,
In Vitro,
Research Support, Non-U.S. Gov't
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