TABLE 3

Correlation analysis (r) of the relationship between the rates of metronidazole conversion to 2-hydroxymetronidazole with the sample-to-sample variation in cytochrome P450 activity in human liver microsomes

Values in bold indicate significant correlations between P450 activity and 2-hydroxymetronidazole formation at P < 0.05. Coumarin 7-hydroxlation was significantly correlated (r, P value) with S-mephenytoin N-hydroxylation (0.703, 0.001) and bupropion hydroxylation (0.576, 0.018).

2-Hydroxymetronidazole Formation
Enzymatic Reaction (Enzyme)100-μM Metronidazole a300-μM Metronidazole a
rPrP
7-Ethoxyresorufin O-deethylation (CYP1A2)0.0320.9060.0680.801
Phenacetin O-deethylation (CYP1A2)0.1070.6920.1280.635
Coumarin 7-hydroxylation (CYP2A6)0.9709.19 × 10−110.9725.17 × 10−11
S-Mephenytoin N-hydroxylation (CYP2B6)0.7420.0010.7030.002
Bupropion hydroxylation (CYP2B6)0.6480.0060.6180.010
Paclitaxel 6α-hydroxylation (CYP2C8)0.4210.1020.3950.127
Diclofenac 4′-hydroxylation (CYP2C9)0.1810.5020.1650.540
S-Mephenytoin 4′-hydroxylation (CYP2C19)0.4190.0100.3750.149
Dextromethorphan O-demethylation (CYP2D6)−0.0720.791−0.1120.679
Chlorzoxazone 6-hydroxylation (CYP2E1)−0.1060.695−0.1020.706
Testosterone 6β-hydroxylation (CYP3A4/5)0.2820.2880.2210.410
Midazolam 1′-hydroxylation (CYP3A4/5)0.2980.2600.2450.359
Lauric acid 12-hydroxylation (CYP4A9/11)−0.2180.415−0.2140.424
  • r, Correlation coefficient.

  • a Concentration of metronidazole present in microsomal incubations.