TABLE 2

Kinetic parameters (mean ± S.D.) for the formation of 8-hydroxyefavirenz from efavirenz in 15 human liver microsomal samples with CYP2B6*1/*1, CYP2B6*1/*6, and CYP2B6*6/*6 genotypes (n = 5 HLMs for each genotype)

Efavirenz (1–200 μM) was incubated with human liver microsomal samples (0.25 mg/ml) with CYP2B6*1/*1, CYP2B6*1/*6, and CYP2B6*6/*6 genotypes (n = 5 HLM for each genotype) and a NADPH-generating system at 37°C for 15 min in duplicate. Kinetic parameters (Vmax and Km) for the formation of 8-hydroxyefavirenz were estimated by fitting the velocity versus efavirenz concentrations to the simple single-site Michaelis-Menten equation. In vitro Clint was calculated as Vmax/Km. The kinetic parameters (Vmax, Km, and Clint) for each genotype group are listed in Supplemental Table 1. The data presented here are mean ± S.D. calculated from five individual HLM values for each genotype.

HLMs8-Hydroxyefavirenz
VmaxKmClint
pmol · min1 · mg protein1μMμl · min1 · mg protein1
CYP2B6*1/*187.1 ± 87.411.2 ± 6.714.5 ± 22.6
CYP2B6*1/*6100.6 ± 143.715.2 ± 8.06.4 ± 7.8
CYP2B6*6/*625.0 ± 6.724.0 ± 31.32.4 ± 1.6