ABSTRACT:Mechanism-based cytochrome P450 inactivation is defined as a time-and NADPH-dependent inactivation that is not reversible upon extensive dialysis. Current methodologies use dilution approaches to estimate the rate of inactivation and offer limited mechanistic insight and are significantly influenced by experimental conditions. We investigated the potential of progress curve analysis because this experimental design allows investigation of both the reversible (K iapp ) and irreversible (K i , K inact ) components of the reaction mechanism. The human liver microsomal CYP1A2 inactivation kinetics of resveratrol, oltipraz, furafylline, and dihydralazine (Fig. 2) ). This range of estimates highlights the potential caveats surrounding the existing methodologies that have been previously discussed in depth. In addition to these inactivation parameters, we have been able to demonstrate a variation in balance of reversible versus irreversible inhibition within these inactivators. Oltipraz and resveratrol have K iapp values similar to their K i , indicating a significant early onset reversible inhibition, whereas furafylline and dihydralazine are dominated by irreversible inactivation. This approach allows a more mechanistic investigation of an inactivator and in the future may improve the prediction of clinical drug-drug interactions.Clinical drug-drug interactions (DDIs) can pose significant challenges to the development of novel chemical entities into marketable agents. Novel chemical entities may become victims to interactions that increase their maximal plasma concentration or plasma area under the curve and reduce their therapeutic index or alternatively cause increases in exposure and erode the therapeutic index of coadministered drugs. The most common DDIs are likely due to reversible inhibition of hepatic cytochrome P450 enzymes (P450s) (Lin and Lu, 1998). Alternatively, a more complex process can occur where drugs are metabolized into intermediates that can irreversibly inactivate P450s. This is known as mechanism-based inactivation (MBI) and results in a dose-and time-dependent loss of P450 activity (Silverman, 1995). Subsequent recovery of P450 activity is entirely due to de novo synthesis of P450 protein. This process leads to a significant delay between withdrawal of the inactivator and recovery of metabolism. An example of a mechanism-based clinical DDI involving CYP1A2 is the interaction between furafylline and caffeine, where coadministration increased the plasma area under the curve of caffeine 7-to 10-fold accompanied by significant incidence of unacceptable side effects (Tarrus et al., 1987).Significant success has been achieved in the prediction of clinical DDI from in vitro analysis of reversible P450 inhibitors (Brown et al., 2005;Ito et al., 2005;Obach et al., 2006). These methodologies allow accurate estimation of the likely magnitude of DDI using relatively simple in vitro techniques and scaling to humans using physiological parameters such as hepatic blood flow and plasma unbound fract...