The aim of this study is to evaluate the association of the CYP3A4*18B genotype with the cyclosporine metabolism in healthy subjects. We employed PCR-RFLP assays for analysis of the CYP3A4*18B genotype. Each of 26 subjects, comprising 12 CYP3A4*1/*1, 12 CYP3A4*1/*18B and 2 CYP3A4*18B/*18B, was given a single oral dose of cyclosporine (4 mgkg(-1)). The plasma concentrations of cyclosporine were measured for up to 24 h post dose by high-performance liquid chromatography-electrospray mass spectrometry. We found that the mean Cmax (95% confidence intervals) of cyclosporine were 2237 (2905, 1859) (*1/*1), 2247 (2916, 1869) (*1/*18B), and 905 (1192, 506) ng ml(-1) (*18B/*18B)(p = 0.037) and the mean AUCO-4 were 5026 (6181, 4372) (*1/*1), 4434 (5481, 3841) (*1/*18B) and 2561 (3155, 1736) ng ml(-1) h (*18B/*18B) (p=0.021). The CL in the *18B/*18B group was significantly higher than in the *1/*1 group. However, Tmax exhibited no difference among the three genotypes. *18B/*18B group showed 50% reduction in concentration at 2 h post dose compared with *1/*18B (p = 0.062) or *1/*1 (p = 0.047), but no statistical significance was detected between*1/*1 and *1/*18B groups (p > 0.05). The data suggest that the CYP3A4*18B genotype affects cyclosporine pharmacokinetics probably resulting from a higher enzymatic activity of this mutation in healthy subjects.

High-resolution variable-energy photoelectron spectra of M(CO)5X [M = Re, X = Re(CO)5, Cl, Br, and I; and M = Mn, X = Mn(CO)5 and Br] are reported. Tunable synchrotron radiation is used to distinguish the Re 5d and Br 4p orbital based peaks for the controversial Re(CO)5Br. Our results provide firm molecular orbital assignments for all of these molecules. The valence orbital in the ordering of ionization energies for M(CO)5Cl (M = Mn and Re) and Mn(CO)5Br is a 1(M-X) > e(X) > b2(M) > e(M); but for M(CO)5I (M = Mn and Re) and Re(CO)5Br the ordering is a1(M-X) > e(M) > b2(M) > e(X). The crossover of the HOMO in the Re molecules due to the change in the halogen electronegativities occurs at Re(CO)5Br. The metal np-->nd resonance is observed for all of these molecules. For molecules like M2(CO)10 (M = Re and Mn) and Mn(CO)5Br, the observation of this np-->nd resonance is useful in assigning the metal nd based orbitals in their valence level spectra. However, for molecules like Re(CO)5X (X = Br and Cl), a np-->nd type resonance is observed on bands arising from both Re 5d and halogen mp based orbitals. This new resonant effect on the ligand-based orbitals is shown to be mainly due to the interatomic resonant effect. The core and valence level chemical shifts of these compounds are treated using Jolly's approach to confirm the assignments for the valence level spectra of some of these molecules. The high-resolution inner valence and core level spectra of these compounds are reported. Broadening of Re 4f, Br 3d, and I 4d core level spectra is discussed. The Auger peaks are observed in the high-resolution, high-intensity Br 3d of Re(CO)5Br and I 4d of Re(CO)5I spectra.