1. Pirfenidone 5-hydroxylation is mainly catalysed by CYP1A2 and partly catalysed by CYP2C19 and CYP2D6 in the human liver
- Author
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Yongjie Zhang, Rei Sato, Masataka Nakano, Miki Nakajima, and Tatsuki Fukami
- Subjects
CYP2D6 ,CYP2B6 ,Pyridones ,Health, Toxicology and Mutagenesis ,Pharmacology ,Toxicology ,Hydroxylation ,Biochemistry ,Catalysis ,chemistry.chemical_compound ,Idiopathic pulmonary fibrosis ,Cytochrome P-450 CYP1A2 ,medicine ,Humans ,CYP2A6 ,CYP1A2 ,General Medicine ,Pirfenidone ,medicine.disease ,Cytochrome P-450 CYP2C19 ,chemistry ,Cytochrome P-450 CYP2D6 ,Liver ,Phenacetin ,Microsomes, Liver ,Cytochromes ,medicine.drug - Abstract
Pirfenidone is a first-line drug for the treatment of idiopathic pulmonary fibrosis. The primary metabolic pathways of pirfenidone in humans are 5-hydroxylation and subsequent oxidation to 5-carboxylpirfenidone. The aims of this study were to determine the cytochrome P450 isoforms responsible for pirfenidone 5-hydroxylation and to evaluate their contributions in human liver microsomes (HLM).Among the recombinant P450 isoforms, CYP1A2, CYP2D6, CYP2C19, CYP2A6, and CYP2B6 were shown to catalyse the 5-hydroxylation of pirfenidone. Pirfenidone 5-hydroxylase activity by HLM was inhibited by α-naphthoflavone (by 45%), 8-methoxypsolaren (by 84%), tranylcypromine (by 53%), and quinidine (by 15%), which are CYP1A2, CYP1A2/CYP2A6/CYP2C19, CYP2A6/CYP2C19, and CYP2D6 inhibitors, respectively.In 17 individual HLM donors, pirfenidone 5-hydroxylase activity was significantly correlated with phenacetin O-deethylase (r = 0.89, P
- Published
- 2021