Title : Minimal Physiologically Based Pharmacokinetic Model of Intravenously and Orally Administered Delta-9-Tetrahydrocannabinol in Healthy Volunteers.

Pub. Date : 2019 Oct

PMID : 31114948






6 Functional Relationships(s)
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Compound Name
Protein Name
Organism
1 Cytochrome P450 (CYP) 2C9, the primary enzyme responsible for THC metabolism, has two single nucleotide polymorphisms-Arg144Cys (*2) and Ile359Leu (*3). Dronabinol cytochrome P450 family 2 subfamily C member 9 Homo sapiens
2 We therefore sought to characterize the pharmacokinetics of THC and its major metabolites 11-hydroxy-delta-9-tetrahydrocannabinol (THC-OH) and 11-nor-9-carboxy-delta-9-tetrahydrocannabinol (THC-COOH) in healthy volunteers with known CYP2C9 status by non-compartmental analysis (NCA), compartmental modeling (CM) and minimal physiologically based pharmacokinetic (mPBPK) modeling. Dronabinol cytochrome P450 family 2 subfamily C member 9 Homo sapiens
3 THC hepatic clearance is dependent on the CYP2C9 genetic variant in the population. Dronabinol cytochrome P450 family 2 subfamily C member 9 Homo sapiens
4 THC-COOH is glucuronidated and renally cleared; subjects homozygous for CYP2C9*3 have reduced exposure to this metabolite as a result of the polymorphism reducing THC production, the hepatic diffusional barrier impeding egress from the hepatocyte, and increased renal clearance. Dronabinol cytochrome P450 family 2 subfamily C member 9 Homo sapiens
5 THC-COOH is glucuronidated and renally cleared; subjects homozygous for CYP2C9*3 have reduced exposure to this metabolite as a result of the polymorphism reducing THC production, the hepatic diffusional barrier impeding egress from the hepatocyte, and increased renal clearance. Dronabinol cytochrome P450 family 2 subfamily C member 9 Homo sapiens
6 CONCLUSION: It has recently been reported that the terminal metabolite THC-COOH is active, implying the exposure difference in individuals homozygous for CYP2C9*3 may become therapeutically relevant. Dronabinol cytochrome P450 family 2 subfamily C member 9 Homo sapiens