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Clinical Pharmacology & Therapeutics
Article . 2018 . Peer-reviewed
License: Wiley Online Library User Agreement
Data sources: Crossref
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Common Polymorphisms ofCYP2B6Influence Stereoselective Bupropion Disposition

Authors: Evan D, Kharasch; Amanda, Crafford;

Common Polymorphisms ofCYP2B6Influence Stereoselective Bupropion Disposition

Abstract

Bupropion hydroxylation is a bioactivation and metabolic pathway, and the standard clinical CYP2B6 probe. This investigation determined the influence ofCYP2B6allelic variants on clinical concentrations and metabolism of bupropion enantiomers. Secondary objectives evaluated the influence ofCYP2C19and P450 oxidoreductase variants. Healthy volunteers in specific cohorts (CYP2B6*1/*1, CYP2B6*1/*6, CYP2B6*6/*6, and alsoCYP2B6*4carriers) received single‐dose oral bupropion. Plasma and urine bupropion and hydroxybupropion was quantified. Subjects were also genotyped forCYP2C19and P450 oxidoreductase variants. Hydroxylation of both bupropion enantiomers, assessed by plasma hydroxybupropion/bupropion AUC ratios and urine hydroxybupropion formation clearances, was lower inCYP2B6*6/*6but notCYP2B6*1/*6compared withCYP2B6*1/*1genotypes, and numerically greater inCYP2B6*4carriers.CYP2C19and P450 oxidoreductase variants did not influence bupropion enantiomers hydroxylation or plasma concentrations. The results show that clinical hydroxylation of both bupropion enantiomers was equivalently influenced byCYP2B6allelic variation.CYP2B6polymorphisms affect S‐bupropion bioactivation, which may affect therapeutic outcomes.

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Keywords

Adult, Male, Administration, Oral, Stereoisomerism, Polymorphism, Single Nucleotide, Cytochrome P-450 CYP2B6, Cytochrome P-450 CYP2D6 Inhibitors, Antidepressive Agents, Second-Generation, Humans, Female, Tissue Distribution, Bupropion

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    selected citations
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    This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    20
    popularity
    This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
    Top 10%
    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    Average
    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
    Top 10%
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
20
Top 10%
Average
Top 10%
bronze