TABLE 2

Single-enzyme kinetic parameters for the N-demethylation of (S)- and (R)-ketamine in insect cell–expressed CYP2B6 and CYP3A4 enzymes and COS-1 cell–expressed CYP2B6 variants

CLint = Vmax/Km, data are medians (range).

(S)-Ketamine(R)-Ketamine
VariableVmaxKmCLintVmaxKmCLint
pmol/min/pmol CYP (P450)μMml/min/pmol CYP (P450)pmol/min/pmol CYP (P450)μMml/min/pmol CYP (P450)
Baculovirus-insect cell–expressed CYP (P450) isoforms with coexpression of Cyt b5
 CYP2B688 (83–90)51 (50–54)1752 (1567–1797)92 (68–101)70 (51–78)1278 (1248–1415)
 CYP3A4100 (99–132)453 (324–949)221 (139–305)107 (105–111)536 (447–772)199 (144–234)
COS-1 cell–expressed CYP2B6 variants
 CYP2B6.1a75 (68–86)50 (38–63)1466 (1374–1862)81 (76–83)53 (48–59)1519 (1380–1592)
 CYP2B6.6b47 (45–49)71 (64–79)663 (626–711)49 (46–50)69 (66–76)699 (647–751)
  • a CYP2B6.1: CYP2B6 wild type protein.

  • b CYP2B6.6: variant carrying amino acid changes Q172H and K262R.

  • Significant difference compared with corresponding values for CYP2B6.1 group Mann-Whitney U test, P < 0.05. Significant difference compared with corresponding values for (S)-ketamine group, Wilcoxon signed-rank test, P < 0.05.