1993
DOI: 10.1038/clpt.1993.124
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A population and family study N-acetyltransferase using caffeine urinary metabolites

Abstract: Population and family studies were undertaken to validate caffeine as a probe drug to establish the genetic status of rapid acetylators and slow acetylators. The acetylator status was established from the urinary metabolic ratio of 5-acetylamino-6-formylamino-3-methyluracil to 1-methylxanthine (AFMU/1X) after oral administration of caffeine. We confirmed a bimodal distribution (chi 2(1) = 229.48; p << 10(-9)) of the AFMU/1X ratio in 245 unrelated subjects. A third distribution did not significantly improve the… Show more

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Cited by 50 publications
(32 citation statements)
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“…Caffeine is metabolized by several enzymes: it is demethylated by CYP enzymes, it forms uric acid metabolites via xanthine oxidase; and it is acetylated by N-acetyltransferase (Bechtel et al, 1993;Yuan et al, 2002). All three demethylation reactions are predominantly catalyzed by CYP1A2 and 2E1 (Yuan et al, 2002).…”
Section: Discussionmentioning
confidence: 99%
“…Caffeine is metabolized by several enzymes: it is demethylated by CYP enzymes, it forms uric acid metabolites via xanthine oxidase; and it is acetylated by N-acetyltransferase (Bechtel et al, 1993;Yuan et al, 2002). All three demethylation reactions are predominantly catalyzed by CYP1A2 and 2E1 (Yuan et al, 2002).…”
Section: Discussionmentioning
confidence: 99%
“…Reduced urinary excretion of these three metabolites in the previous oral study strongly supports the idea of further metabolism (Noh et al, 2011). In fact, caffeine would be metabolized by CYP enzymes (i.e., N-demethylation), xanthine oxidase (i.e., formation of uric acid metabolites) and/or N-acetyltransferase (i.e., N-acetylation) (Bechtel et al, 1993;Yuan et al, 2002). Among these, three demethylation reactions are predominantly catalyzed by CYP1A2 and 2E1 (Yuan et al, 2002).…”
Section: Discussionmentioning
confidence: 60%
“…All demethylation reactions are predominantly catalysed by CYP1A2. This CYP isoform is exclusively responsible for the N3-demethylation of caffeine (formation of paraxanthine), but the N1-and N7-demethylation (formation of theobromine and theophylline) are also catalysed by CYP2E1 (Bechtel et al 1993;Yuan et al 2002). As all dimethylxanthines are predominantly formed through CYP1A2 catalysed reactions, the formation rate constants are expected to be correlated.…”
Section: Discussionmentioning
confidence: 99%