2006
DOI: 10.1124/dmd.106.009738
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Inhibition of Udp-Glucuronosyltransferase 2b7-Catalyzed Morphine Glucuronidation by Ketoconazole: Dual Mechanisms Involving a Novel Noncompetitive Mode

Abstract: ABSTRACT:Glucuronidation of morphine in humans is predominantly catalyzed by UDP-glucuronosyltransferase 2B7 (UGT2B7). Since our recent research suggested that cytochrome P450s (P450s) interact with UGT2B7 to affect its function [Takeda S et al. (2005) Mol Pharmacol 67:665-672], P450 inhibitors are expected to modulate UGT2B7-catalyzed activity. To address this issue, we investigated the effects of P450 inhibitors (cimetidine, sulfaphenazole, erythromycin, nifedipine, and ketoconazole) on the UGT2B7-catalyzed … Show more

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Cited by 61 publications
(53 citation statements)
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“…4B) of pitavastatin glucuronidation. This is consistent with ketoconazole not being a potent inhibitor of OATP1B, UGT1A3, or UGT2B7 at the concentration tested (2 mM) (Takeda et al, 2006). These results suggest that the observed inhibition of pitavastatin glucuronidation by BOC, telaprevir and rifampin (in increasing order) is likely a consequence of their inhibition of the OATP1B-mediated hepatic uptake rather than direct inhibition of UGT-mediated glucuronidation.…”
supporting
confidence: 74%
“…4B) of pitavastatin glucuronidation. This is consistent with ketoconazole not being a potent inhibitor of OATP1B, UGT1A3, or UGT2B7 at the concentration tested (2 mM) (Takeda et al, 2006). These results suggest that the observed inhibition of pitavastatin glucuronidation by BOC, telaprevir and rifampin (in increasing order) is likely a consequence of their inhibition of the OATP1B-mediated hepatic uptake rather than direct inhibition of UGT-mediated glucuronidation.…”
supporting
confidence: 74%
“…Although the triazole itraconazole was without effect on UGT2B10, the imidazole ketoconazole was a relatively potent inhibitor of this enzyme (IC 50 = 11.9 6 1.7 mM). Similar to the inhibition selectivity of fluconazole, ketoconazole has previously been reported to be a relatively potent inhibitor of UGT2B4 (Raungrut et al, 2010) and an inhibitor of UGT2B7 (Takeda et al, 2006).…”
Section: Discussionmentioning
confidence: 96%
“…Immunoprecipitation of CYP3A4 from human liver microsomes resulted in co-immunoprecipitation of UGT2B7, UGT1A1, and UGT1A6 (40). The functional rele-vance of CYP-UGT interaction was tested by co-expressing CYP3A4 and UGT2B7 in COS cells, and it was found that UGT2B7-catalyzed glucuronidation of morphine was altered by the presence of CYP3A4 (41). Studies have also indicated that baculovirus-expressed cytochrome P450 catalytic activity may be altered by the co-expression of different cytochrome P450s (42)(43)(44)(45).…”
Section: Discussionmentioning
confidence: 99%