In order to evaluate the drug metabolism capacity of individual patients, selective substrate probes have been used in vivo to identify the cytochrome P450 (CYP) isozymes involved in a variety of drug metabolism processes. 1) It has been suggested that the in vivo intrinsic clearance by hepatic metabolism can be predicted from in vitro metabolism data by the use of either liver microsomes or a recombinant system of human CYP isozymes. 2,3) Previously, we developed a novel method for determining drug metabolism capacity based on a pharmacokinetic estimation of the quantity of CYP in vivo (PKCYP-test). By using a specific probe, the drug metabolism capacity of each CYP isozyme can be estimated from the PKCYP-test incorporating the apparent liver-to-blood free concentration gradient in vivo (qg). 4) In rats whose CYP1A2 level has been induced by the administration of 3-methylcholanthrene (MCtreated rats), the amount of CYP1A2 could be predicted by the PKCYP-test using acetanilide as the probe. Furthermore, caffeine clearance could also be predicted by using the predicted amount of CYP1A2. However, there were some differences between observed and predicted values as far as the amount of CYP1A2 and caffeine clearance were concerned.Both acetanilide and caffeine have been reported to be metabolized mainly by CYP1A2 in rats. 5,6) However, there is a contradictory report that another CYP isozyme is also involved in the metabolism of caffeine. 7) Since CYP1A2 participates mainly in the metabolism of both acetanilide and caffeine in MC-treated rats, the error in predicting the amount of CYP1A2 and caffeine clearance may be negligible. It is anticipated that the role of other CYP isozymes in their metabolism might have little effect on the prediction of the amount of CYP1A2 and caffeine clearance in other models in which the CYP1A2 enzyme level is reduced. Since there are many patients with reduced CYP levels, there is a need to investigate the application of the PKCYP-test to the reduced CYP model. Moreover, it is still unclear if the PKCYP-test can be applied to drugs that are metabolized by multiple CYP isozymes.It has been reported that the amount of CYP is reduced both in rats fed a choline-deficient diet and in aged rats, and the amount of CYP in these rat models is regulated differently by each CYP isozyme. [8][9][10][11] In order to examine the application of the PKCYP-test to drugs that are metabolized by multiple CYP isozymes and/or in models with reduced CYP levels, we examined the application of the PKCYP-test to the clearance of acetanilide and caffeine mediated by CYP1A2 using rats fed a choline-deficient diet and aged rats.
MATERIALS AND METHODSMaterials Chemicals were obtained from the following sources: acetanilide, p-hydroxyacetanilide, caffeine, theobromine, and theophylline were from Wako Pure Chemicals (Osaka, Japan); 3-methylcholanthrene (MC), 1,7-dimethylxanthine and 1,3,7-trimethyluric acid were from Sigma Chemical Co. (St. Louis, MO, U.S.A.); [8-14 C] caffeine was from American Radiolabeled Chemica...