“…Additional intricacies of this enzyme include apparent donor-to-donor variability in activity in humans (Al-Salmy, 2001;Sahi et al, 2008) and across preclinical species and strains, where rats generally have low activity and dogs are completely devoid of activity Garattini et al, 2008). Interest in this drug-metabolizing enzyme by the pharmaceutical industry has increased recently (Pryde et al, 2010;Garattini and Terao, 2011), with the recognition that extensive AO metabolism has led to severe clinical implications, either because of toxicological outcomes (Diamond et al, 2010) or higher-than-predicted clearance in humans (Kaye et al, 1984;Rosen et al, 1999;Dittrich et al, 2002;Akabane et al, 2011;Zhang et al, 2011), yielding unacceptable pharmacokinetic properties. In most of these cases, either metabolic pathways were only evaluated in liver microsomes or predictions of human clearance were extrapolated from preclinical species that possessed significantly lower AO activity compared with humans.…”