To refer to or to cite this work, please use the citation to the published version:De Kesel P., Lambert W. , Stove C. (2015). Paraxanthine/caffeine concentration ratios in hair: an alternative for plasma-based phenotyping of cytochrome P450 1A2? Clinical Pharmacokinetics, 54, 771-781. DOI 10.1007/s40262-015-0237-7 Paraxanthine/caffeine concentration ratios in hair: an alternative for plasma-based phenotyping of
Abstract
Background and ObjectiveAlthough metabolite-to-parent drug concentration ratios in hair have been suggested as a possible tool to study the metabolism of drugs in a non-invasive way, no studies are available that evaluate this in a systematic way. Cytochrome P450 (CYP) 1A2 is a drug metabolizing enzyme characterized by large inter-individual differences in its activity. The standard approach for CYP1A2 phenotyping is to determine the paraxanthine/caffeine ratio in plasma, at a fixed time point after intake of a dose of the CYP1A2 substrate caffeine. The aim of this study was to evaluate whether paraxanthine/caffeine ratios measured in hair samples reflect the plasma-based CYP1A2 phenotype.
MethodsCaffeine and paraxanthine concentrations were measured in proximal 3-cm segments of hair samples from 60 healthy volunteers and resulting paraxanthine/caffeine ratios were correlated with CYP1A2 phenotyping indices in plasma.
ResultsParaxanthine/caffeine ratios in hair ranged from 0.12 to 0.93 (median 0.41), corresponding ratios in plasma ranged from 0.09 to 0.95 (median 0.40). A statistically significant correlation was found between ratios in hair and plasma (r = 0.41, p = 0.0011). However, large deviations between ratios in both matrices were found in individual cases. Although the influence of several factors on paraxanthine/caffeine ratios and hair-plasma deviations was investigated, no evident factors explaining the observed variability could be identified.
ConclusionThe variability between hair and plasma ratios complicates the interpretation of hair ratios on an individual basis and, therefore, compromises their practical usefulness as alternative CYP1A2 phenotyping metrics.
Key Points For the first time, the usefulness of paraxanthine/caffeine molar concentrations ratios in hair for CYP1A2 phenotyping was evaluated by comparing hair ratios from 60 healthy volunteers with reference, plasma-based CYP1A2 phenotyping indices . Although ratios in hair and plasma showed a statistically significant correlation, large deviations were found in individual cases. Investigating the influence of several factors did not provide a clear explanation for the observed deviations, complicating the interpretation of hair ratios on an individual basis.