Title : Induction of CYP3A4 by vinblastine: Role of the nuclear receptor NR1I2.

Pub. Date : 2010 Nov

PMID : 20959500






6 Functional Relationships(s)
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1 Induction of CYP3A4 by vinblastine: Role of the nuclear receptor NR1I2. Vinblastine cytochrome P450 family 3 subfamily A member 4 Homo sapiens
2 OBJECTIVE: To evaluate the CYP3A4 induction potential of vinblastine both clinically and in vitro and determine the involvement of the nuclear receptors NR1I2 and the constitutive androstane receptor (NR1I3). Vinblastine cytochrome P450 family 3 subfamily A member 4 Homo sapiens
3 RESULTS: In 6 patients with cancer, vinblastine increased the median (95% CI) clearance of the CYP3A4 phenotyping probe midazolam from 21.7 L/h (12.6 to 28.1) to 32.3 L/h (17.3 to 53.9) (p = 0.0156, Wilcoxon signed-rank test). Vinblastine cytochrome P450 family 3 subfamily A member 4 Homo sapiens
4 In vitro, vinblastine induced CYP3A4 protein. Vinblastine cytochrome P450 family 3 subfamily A member 4 Homo sapiens
5 CONCLUSIONS: Collectively, these findings suggest that vinblastine is able to induce CYP3A4, at least in part, via an NR1I2-dependent mechanism, and thus has the potential to facilitate its own elimination and cause interactions with other CYP3A4 substrates. Vinblastine cytochrome P450 family 3 subfamily A member 4 Homo sapiens
6 CONCLUSIONS: Collectively, these findings suggest that vinblastine is able to induce CYP3A4, at least in part, via an NR1I2-dependent mechanism, and thus has the potential to facilitate its own elimination and cause interactions with other CYP3A4 substrates. Vinblastine cytochrome P450 family 3 subfamily A member 4 Homo sapiens