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Vol. 30, Issue 8, 883-891, August 2002
Department of Drug Disposition, Lilly Research Laboratories, Eli
Lilly and Company, Indianapolis, Indiana (J.A.W., B.J.R., V.E.C., J.E.,
K.R., S.A.W.); and Department of Clinical Pharmacology, Indiana
University School of Medicine, Indianapolis, Indiana (D.R.J., M.A.H.,
S.D.H.)
The human cytochromes P450 (P450) CYP3A contribute to the
biotransformation of 50% of oxidatively metabolized drugs. The
predominant hepatic form is CYP3A4, but recent evidence indicates that
CYP3A5 contributes more significantly to the total liver CYP3A than was originally thought. CYP3A7 is the major fetal form and is rarely expressed in adults. To compare the metabolic capabilities of CYP3A
forms for 10 substrates, incubations were performed using a consistent
molar ratio (1:7:9) of recombinant CYP3A, P450 reductase, and
cytochrome b5. A wide range of substrate concentrations was examined to
determine the best fit to kinetic models for metabolite formation. In
general, Km or
S50 values for the substrates were 3 to 4 times lower for CYP3A4 than for CYP3A5 or CYP3A7. For a more direct
comparison of these P450 forms, clearance to the metabolites was
determined as a linear relationship of rate of metabolite formation for
the lowest substrate concentrations examined. The clearance for
1'-hydroxy midazolam formation at low substrate concentrations was
similar for CYP3A4 and CYP3A5. For CYP3A5 versus CYP3A4, clearance
values at low substrate concentrations were 2 to 20 times lower for the
other biotransformations. The clearance values for CYP3A7-catalyzed
metabolite formation at low substrate concentrations were substantially
lower than for CYP3A4 or CYP3A5, except for clarithromycin, 4-OH
triazolam, and N-desmethyl diltiazem (CYP3A5
CYP3A7). The CYP3A forms demonstrated regioselective differences in
some of the biotransformations. These results demonstrate an equal or
reduced metabolic capability for CYP3A5 compared with CYP3A4 and a
significantly lower capability for CYP3A7.
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