Title : Interaction of terfenadine and its primary metabolites with cytochrome P450 2D6.

Pub. Date : 1998 Sep

PMID : 9733666






10 Functional Relationships(s)
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1 Interaction of terfenadine and its primary metabolites with cytochrome P450 2D6. Terfenadine cytochrome P450 family 2 subfamily D member 6 Homo sapiens
2 The substrate structure-activity relationships described for the major human drug-metabolizing cytochrome P450 (P450 or CYP) enzymes suggest that the H1 receptor antagonist terfenadine could interact with CYP2D6 either as a substrate or as an inhibitor, in addition to its known ability to act as a substrate for CYP3A4. Terfenadine cytochrome P450 family 2 subfamily D member 6 Homo sapiens
3 Based on this substrate structure-activity relationship, computer modeling studies were undertaken to explore the likely interactions of terfenadine with CYP2D6. Terfenadine cytochrome P450 family 2 subfamily D member 6 Homo sapiens
4 An overlay of terfenadine and dextromethorphan, a known substrate of CYP2D6, showed that it was possible to superimpose the site of hydroxylation (t-butyl group) and the nitrogen atom of terfenadine with similar regions in dextromethorphan. Terfenadine cytochrome P450 family 2 subfamily D member 6 Homo sapiens
5 An overlay of terfenadine and dextromethorphan, a known substrate of CYP2D6, showed that it was possible to superimpose the site of hydroxylation (t-butyl group) and the nitrogen atom of terfenadine with similar regions in dextromethorphan. Terfenadine cytochrome P450 family 2 subfamily D member 6 Homo sapiens
6 These observations were substantiated by the ease of docking of terfenadine into a protein model of CYP2D6. Terfenadine cytochrome P450 family 2 subfamily D member 6 Homo sapiens
7 Experimentally, terfenadine inhibited CYP2D6 activity in human liver microsomes with an IC50 of 14-27 microM, depending on the CYP2D6 substrate used. Terfenadine cytochrome P450 family 2 subfamily D member 6 Homo sapiens
8 Experimentally, terfenadine inhibited CYP2D6 activity in human liver microsomes with an IC50 of 14-27 microM, depending on the CYP2D6 substrate used. Terfenadine cytochrome P450 family 2 subfamily D member 6 Homo sapiens
9 The inhibition of CYP2D6 was further defined by determining the Ki for terfenadine against bufuralol 1"-hydroxylase activity in four human livers. Terfenadine cytochrome P450 family 2 subfamily D member 6 Homo sapiens
10 These data indicate that, as predicted from modeling studies, terfenadine has the structural features necessary for interaction with CYP2D6. Terfenadine cytochrome P450 family 2 subfamily D member 6 Homo sapiens