TABLE 2

Enzyme kinetic parameters of marker reactions of CYP2C9, 2C19, 2D6, and 3A4 in HLM


Marker Reaction

P450

Km

Vmax
μM pmol/min/mg protein
Diclofenac 4′-hydroxylation 2C9 5.3 1396
S-Mephenytoin 4′-hydroxylation 2C19 20 30
R-Omeprazole 5-hydroxylation 2C19 1.1* 29
Bufuralol 1′-hydroxylation 2D6 23 70
Midazolam 1′-hydroxylation
3A4
4.1
636
  • * R-Omeprazole 5-hydroxylation was catalyzed by two enzyme systems in HLM: a high-affinity enzyme system with Km1 = 1.1 μM and a low-affinity enzyme system with Km2 = 14 μM, respectively