Publication Date:
2012-10-20
Description:
Purpose To examine the effect of the fluoroquinolone DX-619 on CYP3A4 and urinary excretion of 6β-hydroxycortisol, an endogenous probe of hepatic CYP3A4 activity, in healthy subjects. Methods The effect of DX-619 on CYP3A4 was examined in human liver microsomes. The apparent formation and renal clearance of 6β-hydroxycortisol (CL 6β−OHF and CL renal,6β−OHF , respectively) were determined in placebo- and DX-619-treated subjects. 6β-hydroxycortisol uptake was determined in HEK293 cells expressing OAT1, OAT3, OCT2, MATE1, and MATE2-K. Results DX-619 was a mechanism-based inhibitor of CYP3A4, with K I and k inact of 67.9 ± 7.3 μmol/l and 0.0730 ± 0.0033 min −1 , respectively. Pharmacokinetic simulation suggested in vivo relevance of CYP3A4 inhibition by DX-619. CL 6β−OHF and CL renal,6β−OHF were decreased 72% and 70%, respectively, on day 15 in DX-619-treated group compared with placebo ( P 〈 0.05). 6β-hydroxycortisol was a substrate of OAT3 (K m = 183 ± 25 μmol/l), OCT2, MATE1, and MATE2-K. Maximum unbound concentration of DX-619 (9.1 ± 0.4 μmol/l) was above K i of DX-619 for MATE1 (4.32 ± 0.79 μmol/l). Conclusions DX-619 caused a moderate inhibition of hepatic CYP3A4-mediated formation and significant inhibition of MATE-mediated efflux of 6β-hydroxycortisol into urine. Caution is needed in applying CL 6β−OHF as an index of hepatic CYP3A4 activity without evaluating CL renal,6β−OHF . Content Type Journal Article Category Research Paper Pages 1-11 DOI 10.1007/s11095-012-0890-6 Authors Yuichiro Imamura, Drug Metabolism & Pharmacokinetics Research Laboratories, R&D Division, Daiichi Sankyo Co., Ltd, 1-2-58, Hiromachi, Shinagawa-ku, Tokyo 140-8710, Japan Nobuyuki Murayama, Drug Metabolism & Pharmacokinetics Research Laboratories, R&D Division, Daiichi Sankyo Co., Ltd, 1-2-58, Hiromachi, Shinagawa-ku, Tokyo 140-8710, Japan Noriko Okudaira, Drug Metabolism & Pharmacokinetics Research Laboratories, R&D Division, Daiichi Sankyo Co., Ltd, 1-2-58, Hiromachi, Shinagawa-ku, Tokyo 140-8710, Japan Atsushi Kurihara, Drug Metabolism & Pharmacokinetics Research Laboratories, R&D Division, Daiichi Sankyo Co., Ltd, 1-2-58, Hiromachi, Shinagawa-ku, Tokyo 140-8710, Japan Katsuhisa Inoue, Department of Biopharmaceutics Graduate School of Pharmaceutical Sciences, Nagoya City University, 3-1 Tanabe-dori, Mizuho-ku, Nagoya 467-8603, Japan Hiroaki Yuasa, Department of Biopharmaceutics Graduate School of Pharmaceutical Sciences, Nagoya City University, 3-1 Tanabe-dori, Mizuho-ku, Nagoya 467-8603, Japan Takashi Izumi, Drug Metabolism & Pharmacokinetics Research Laboratories, R&D Division, Daiichi Sankyo Co., Ltd, 1-2-58, Hiromachi, Shinagawa-ku, Tokyo 140-8710, Japan Hiroyuki Kusuhara, Laboratory of Molecular Pharmaceutics Graduate School of Pharmaceutical Sciences, University of Tokyo, 7-3-1, Hongo, Bunkyo-ku, Tokyo 113-0033, Japan Yuichi Sugiyama, Sugiyama Laboratory, RIKEN Innovation Center Research Cluster for Innovation, RIKEN, The Institute of Physical and Chemical Research, 1-6 Suehiro-cho, Tsurumi-ku, Yokohama City, Kanagawa 230-0045, Japan Journal Pharmaceutical Research Online ISSN 1573-904X Print ISSN 0724-8741
Print ISSN:
0724-8741
Electronic ISSN:
1573-904X
Topics:
Chemistry and Pharmacology
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