2005
DOI: 10.1038/nrd1851
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Predicting in vivo drug interactions from in vitro drug discovery data

Abstract: In vitro screening for drugs that inhibit cytochrome P450 enzymes is well established as a means for predicting potential metabolism-mediated drug interactions in vivo. Given that these predictions are based on enzyme kinetic parameters observed from in vitro experiments, the miscalculation of the inhibitory potency of a compound can lead to an inaccurate prediction of an in vivo drug interaction, potentially precluding a safe drug from advancing in development or allowing a potent inhibitor to 'slip' into the… Show more

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Cited by 787 publications
(603 citation statements)
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“…Competitive inhibition, which was demonstrated by caffeic acid and p‐coumaric acid towards cotinine formation, is characterized by reversible binding of the inhibitor to the substrate‐binding site, with the potential for this inhibition to be overcome by high concentrations of the substrate (i.e . nicotine) 36. Quercetin exhibited characteristics of a mixed inhibitor, suggesting that this compound binds to the vacant, or already substrate‐bound, enzyme with greater affinity for one state or the other 37.…”
Section: Discussionmentioning
confidence: 99%
“…Competitive inhibition, which was demonstrated by caffeic acid and p‐coumaric acid towards cotinine formation, is characterized by reversible binding of the inhibitor to the substrate‐binding site, with the potential for this inhibition to be overcome by high concentrations of the substrate (i.e . nicotine) 36. Quercetin exhibited characteristics of a mixed inhibitor, suggesting that this compound binds to the vacant, or already substrate‐bound, enzyme with greater affinity for one state or the other 37.…”
Section: Discussionmentioning
confidence: 99%
“…5) It is estimated that CYP enzymes are responsible for the metabolism of approximately three-quarters of the most prescribed drugs that are cleared by metabolism, including antiretroviral agents used to treat HIV. [6][7][8] Unwanted drug-drug interactions often result from the inhibition or induction of one or more CYP isoforms by a first drug, resulting in increased or decreased exposure, respectively, of a second drug that is metabolized by the same isoforms. 9,10) Unintended alterations in the exposure to drugs or their metabolites may have significant effects including increased toxicities or therapeutic failure.…”
mentioning
confidence: 99%
“…Because no significant inhibition of P450 was observed, and based on the low plasma concentration of compound 5 observed (i.e., 2-8 ng/ml; Table 1) it is unlikely that compound 5 inhibits P450 and alcohol metabolism in vivo at the doses used in this study. This is based on the well recognized relationship (i.e., I/K i ) that predicts the potential for in vivo interactions (Wienkers and Heath, 2005). If I/K i is greater than 1, then a significant interaction is predicted.…”
Section: Resultsmentioning
confidence: 99%