Cimetidine: an inhibitor and an inducer of rat liver microsomal cytochrome P-450

Xenobiotica. 1991 Feb;21(2):193-203. doi: 10.3109/00498259109039461.

Abstract

1. Cimetidine pretreatment of male Sprague-Dawley rats caused a significant increase in the specific content of total hepatic cytochrome P-450, supporting the hypothesis that this H2-receptor antagonist has monooxygenase induction effects. 2. Quantitative ultrastructural studies of liver of cimetidine-pretreated animals also supported this hypothesis in showing a significant proliferation of smooth endoplasmic reticulum. These ultrastructural changes were qualitatively similar to those produced by treatment of rats with phenobarbital, a well-characterized monooxygenase-inducing agent whose effects were studied for comparative purposes. 3. Competitive inhibition of metoprolol alpha-hydroxylation by cimetidine in liver microsomes prepared from untreated animals (Ki = 18.8 microM) was also demonstrated. 4. These results allowed testing of the hypothesis (Burnet et al. 1986) that inhibition of a defined monooxygenase should lead to induction of the synthesis of the relevant cytochrome P-450 isozyme. 5. The finding that metoprolol alpha-hydroxylase activity of liver microsomes was lowered, not elevated, by pretreatment of animals with cimetidine argues against the concept of a causal link between monooxygenase inhibition and induction.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Binding, Competitive
  • Cimetidine / pharmacology*
  • Cytochrome P-450 Enzyme Inhibitors
  • Cytochrome P-450 Enzyme System / biosynthesis
  • Cytochrome P-450 Enzyme System / metabolism*
  • Endoplasmic Reticulum / ultrastructure
  • Enzyme Induction / drug effects
  • Hydroxylation
  • Intracellular Membranes / ultrastructure
  • Kinetics
  • Male
  • Metoprolol / metabolism
  • Microscopy, Electron
  • Microsomes, Liver / enzymology*
  • Microsomes, Liver / ultrastructure
  • Oxidation-Reduction
  • Rats
  • Rats, Inbred Strains

Substances

  • Cytochrome P-450 Enzyme Inhibitors
  • Cimetidine
  • Cytochrome P-450 Enzyme System
  • Metoprolol