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生理药动学模型定量预测依诺沙星/环丙沙星对茶碱/咖啡因代谢的影响

Physiologically based pharmacokinetic model of mechanism-based inhibition of theophylline/caffeine by enoxacin/ciprofloxacin

  • 摘要: 将依诺沙星/环丙沙星在混合人肝微粒体中与非那西丁共温孵,以非那西丁的去乙基反应表示CYP1A2的活性,估算相应的酶动力学参数,并建立基于机制性抑制生理药动学模型,定量预测依诺沙星/环丙沙星与茶碱/咖啡因的体内相互作用。结果显示,依诺沙星/环丙沙星为弱的CYP1A2可逆性抑制剂,但在与NADPH预温孵的条件下,依诺沙星/环丙沙星明显抑制非那西丁代谢,且抑制呈NADPH、预温孵时间、依诺沙星/环丙沙星浓度依赖性,符合机制性抑制的特征,进一步用建立的基于机制性抑制生理药动学能较好的模型预测依诺沙星/环丙沙星与茶碱/咖啡因的相互作用,预测值与观察值基本吻合。

     

    Abstract: To characterize the mechanism-based inhibition of CYP1A2 activity by enoxacin (ENX) or ciprofloxacin (CPFX) and develop a physiologically based pharmacokinetic (PBPK) model to predict the interactions between theophylline (TP) or caffeine (CAF) and enoxacin or ciprofloxacin using in vitro study from phenacetin.CYP1A2 activity in pooled human hepatic microsomes was assessed using phenacetin O-deethylation following incubation with ENX or CPFX,respectively.A PBPK model characterizing mechanism-based inhibition was developed to clarify the interaction between TP or CAF and ENX or CPFX.The results showed that ENX and CPFX themselves were weakly reversible inhibitors of CYP1A2 in pooled human hepatic microsomes,but following pre-incubation with NADPH system and ENX or CPFX in pooled human hepatic microsomes,the inhibitory effects on phenacetin O-deethylation were significantly enhanced.The inhibition was NADPH-,pre-incubation time-,and ENX or CPFX concentration-dependent,characterizing mechanism-based inhibition.The developed PBPK model for characterizing mechanism-based inhibition was successful applied to predict the interaction between TP or CAF and ENX or CPFX.Enoxacin and ciprofloxacin are mechanism-based inhibitors of CYP1A2.The interactions between TP or CAF and ENX or CPFX may be predicted using PBPK model characterizing mechanism-based inhibition of CYP1A2 and in vitro study from phenacetin.

     

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