Percentage change in inhibition of human P450 enzymes with a 30-min incubation of inactivator, human liver microsomes, and NADPH
Inactivator | Enzyme Known to Be Inactivated | Percentage Decrease in Activity at IC25 | ||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
CYP1A2 | CYP2B6 | CYP2C8 | CYP2C9 | CYP2C19 | CYP2D6 | CYP3A(M)a | CYP3A(T)a | |||||||||
Furafylline | CYP1A2 | 55 | —b | — | — | 25 | 28 | — | — | |||||||
Zileuton | CYP1A2 | 41 | — | — | — | — | — | — | — | |||||||
PPP | CYP2B6 | — | 54 | — | — | — | — | — | — | |||||||
thioTEPA | CYP2B6 | — | 46 | 38 | 16 | 13 | — | 50 | 32 | |||||||
Desethylamiodarone | CYP2C8 | — | 21 | 30 | 36 | — | 21 | 29 | 25 | |||||||
Tienilic acid | CYP2C9 | — | — | — | 59 | — | — | — | — | |||||||
Ticlopidine | CYP2C19 | 21 | 43 | — | — | 11 | — | 35 | 19 | |||||||
MDMA | CYP2D6 | 25 | 25 | — | — | — | 59 | — | — | |||||||
Paroxetine | CYP2D6 | — | — | — | — | — | 62 | 24 | 29 | |||||||
Diltiazem | CYP3A | — | — | — | — | — | — | 37 | 43 | |||||||
Erythromycin | CYP3A | — | — | — | — | — | — | 43 | 67 | |||||||
Ritonavirc | CYP3A | — | — | — | — | — | — | — | — | |||||||
Verapamil | CYP3A | — | — | — | — | — | — | 49 | 63 | |||||||
Montelukast | None | — | — | — | — | — | — | — | — |
↵ a CYP3A(M) and CYP3A(T) refer to midazolam and testosterone hydroxylase activities, respectively.
↵ b —, the decrease in activity was less than 15%, except for CYP2C19, which was <10%.
↵ c It should be noted that ritonavir shows less than 15% in activity with preincubation. This is likely because of the extremely potent reversible inhibition caused by this compound.