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Drug-drug and drug-food interactions of cytochrome P4503A4

Authors: SADEGHI, JILA; GILARDI, Gianfranco;

Drug-drug and drug-food interactions of cytochrome P4503A4

Abstract

The adverse effects of drug-drug interactions are costly both in terms of human life and investment (withdrawal of drugs from the market). Inhibition of CYP-mediated (cytochrome P450) drug metabolism by a concomitantly administered second drug is one of the major causes of drug–drug interactions in humans and can lead to serious adverse reactions or toxic side effects. Although less publicised, drug-food interactions can also cause an increase or decrease in the oral drug bioavailability when co-administered, the most well known case being that of grapefruit juice and the short-acting calcium channel blocker, nifedipine. One major limitation of these types of studies is the lack of fast and reliable tests for measuring such phenomena. Here we report the first in vitro characterisation of drug-drug and drug-food interactions of CYP enzymes using an electrochemical platform devised in our group. The use of in vitro data to predict the CYP inhibition by a co-administered drug/food is attractive because of the rapid and simple experimental procedures involved. In terms of drug-drug and drug-food interactions, data will be presented on CYP3A4 inhibition by both strong and weak inhibitors of this enzyme; ketoconazole (anti-fungal), cimetidine (histamine H2-receptor antagonist), grapefruit juice, curcumin (curry spice turmeric) and resveratrol (red wine).

Country
Italy
Related Organizations
Keywords

Cytochrome P450; protein engineering; Drug-drug interactions

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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!
0
Average
Average
Average
Green