Drug metabolism profoundly affects drug action, because almost all drugs are metabolised in the body and thus their concentrations and elimination rates are dependent on metabolic activity. Drug metabolism contributes substantially to interindividual differences in drug response and is also often involved in drug interactions, resulting in either therapeutic failure or adverse effects. Knowledge about the metabolism of a new chemical entity and its affinity to drugmetabolising enzymes helps in the drug development process by providing important information for the selection of a lead compound from among a number of substances pharmacologically equally effective in their therapeutic response. In drug development protocols, metabolism characteristics should be assessed very early during the development process. This has been made possible by the advances made especially in analytical capabilities and in in vitro technologies that are employed to predict in vivo metabolite profile, pharmacokinetic parameters and drug-drug interaction potential.The principal route of elimination of drugs from the body is enzymatic biotransformation. The oxidative reactions are mainly catalysed by cytochrome P450 (CYP) enzymes (phase I metabolism) (Rendic & DiCarlo 1997;Guengerich & Rendic 2002) and, after that, by conjugating enzymes (phase II metabolism). Especially glucuronidation, catalysed by the several UDP-glucuronosyltransferase isoforms is an important route of phase II drug metabolism in humans. Some prodrugs need to be metabolically activated before they are pharmacologically active. This activation usually occurs via hydrolytic enzymes, or in some cases, by CYP enzymes.Many drug-metabolizing enzymes constitute extensive and complex families, even superfamilies, with many individual members exhibiting distinct, but often overlapping selectivities towards substrates and inhibitors. Furthermore, expression of most drug-metabolizing enzymes varies between individuals due to genetic, host and environmental factors and some diseases (Pacifici & Pelkonen 2001). These factors produce huge inter-individual variation in the rate and metabolic pathways of drugs. One example of genetic factors influencing the inter-individual and inter-population variation is the polymorphic expression of many P450 and glucuronosyl transferase enzymes in the population (Ingelman-Sundberg et al. 1999). The frequency of poor and ultrarapid metabolisers varies markedly between ethnic Author for correspondence: Olavi Pelkonen, Department of Pharmacology & Toxicology, University of Oulu, POB 5000, FIN-90014 Oulu, Finland (fax π358 8537 5247, e-mail olavi.pelkonen/oulu.fi).groups. Some external factors, such as dietary compounds, cigarette smoking, alcohol and drugs may cause induction or repression of the expression of certain P450s. However, in vitro systems for predicting induction are not covered here to any extent and a reader is referred to recent reviews (Pelkonen et al. 2002b;Honkakoski 2003).
The need to assess metabolism in early drug d...