TABLE 2

Kinetic parameters of paroxetine biotransformation by CP450 isoforms and HLMs

Kinetic data for the P450 isoforms and PM CYP2D6 sdHLMs(1) using paroxetine-catechol formation are estimated by eq. 4 or eq. 6. Kinetic data for pHLMs are estimated by eq. 5. pHLMs(1) and pHLMs(2) refer to the two different terms in eq. 5. Kinetic data for paroxetine depletion were estimated by eq. 2. S.E. was estimated by nonlinear regression. Units of measure are as follows: Km and Ks, micromolar concentrations; Vmax (P450), picomoles per minute per picomole of P450, Vmax (HLMs), picomoles per minute per milligram of protein; and Clint, nanoliter per minute per picomoles of P450.

CYP1A2CYP2C19CYP2D6CYP3A4CYP3A5pHLMs(1)pHLMs(2)PM CYP2D6 sdHLMs(1)
Paroxetine-catechol formation
    Km (best fit value ± S.E.)8.8 ± 1.926.0 ± 4.90.028 ± 0.00213.3 ± 1.1108 ± 100.24 ± 0.188 ± 631 ± 3
    Vmax (best fit value ± S.E.)0.63 ± 0.062.43 ± 0.299.7 ± 0.15.32 ± 0.221.6 ± 0.165 ± 2381 ± 21300 ± 8
    Ks (best fit value ± S.E.)141 ± 38131 ± 34298 ± 48
    Assay protein concentration (mg/ml)0.450.100.0120.240.450.200.200.20
    Km corrected by fua2.014.80.0264.7250.0963.212.4
    Ks corrected by fua3275106
    Clint (Vmax/Km) (free concentration)320164373,000113064
Paroxetine depletion
    Km (best fit value ± S.E.)0.36 ± 0.130.057 ± 0.033
    Vmax (best fit value ± S.E.)0.23 ± 0.063.29 ± 1.09
    Assay protein concentration (mg/ml)0.100.0178b
    Km corrected by fua0.200.050
    Clint(Vmax/Km) (free concentration)115065,800
  • —, Not estimated.

  • a fu calculated by extrapolation of results by Hemeryk et al. (2001).

  • b The protein concentration at 0.03 to 0.2 μM paroxetine.