Inhibition of chlorzoxazone metabolism, a clinical probe for CYP2E1, by a single ingestion of watercress

Clin Pharmacol Ther. 1998 Aug;64(2):144-9. doi: 10.1016/S0009-9236(98)90147-3.

Abstract

To investigate the effect of watercress on the metabolism of chlorzoxazone, an in vivo probe for CYP2E1, the oral pharmacokinetics of chlorzoxazone was studied in 10 healthy volunteers before and after a single ingestion of a watercress homogenate (50 gm). A third chlorzoxazone pharmacokinetic study was performed after a 1-week treatment with isoniazid (300 mg/day), a well-known CYP2E1 inhibitor. Ingestion of watercress or isoniazid did not affect the oral absorption of chlorzoxazone. The area under the chlorzoxazone plasma concentration-time curve was significantly increased by 56% (p < 0.05) after watercress ingestion and by 135% (p < 0.001) with isoniazid treatment. Similarly, chlorzoxazone elimination half-life was prolonged after watercress (53%; p < 0.05) and isoniazid (104%; p < 0.01) administration. These results show that a single ingestion of watercress inhibits the hydroxylation of chlorzoxazone, an in vivo probe for CYP2E1.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Antitubercular Agents / blood
  • Antitubercular Agents / pharmacology*
  • Chlorzoxazone / blood
  • Chlorzoxazone / pharmacokinetics*
  • Cytochrome P-450 CYP2E1 Inhibitors*
  • Drug Interactions
  • Enzyme Inhibitors / blood
  • Enzyme Inhibitors / pharmacology*
  • Female
  • Humans
  • Isoniazid / blood
  • Isoniazid / pharmacology*
  • Isothiocyanates / blood
  • Isothiocyanates / pharmacology*
  • Male
  • Middle Aged
  • Muscle Relaxants, Central / blood
  • Muscle Relaxants, Central / pharmacokinetics*
  • Reference Values

Substances

  • Antitubercular Agents
  • Cytochrome P-450 CYP2E1 Inhibitors
  • Enzyme Inhibitors
  • Isothiocyanates
  • Muscle Relaxants, Central
  • phenethyl isothiocyanate
  • Chlorzoxazone
  • Isoniazid