![]() |
|
|
Vol. 290, Issue 1, 1-8, July 1999
Department of Pharmacokinetics and Drug Metabolism, Boehringer
Ingelheim Pharma KG, Biberach an der Riss, Germany
In humans, meloxicam is metabolized mainly by cytochrome P-450
(CYP)-dependent hydroxylation of the 5'-methyl group. The predominant P-450 enzyme involved in meloxicam metabolism is CYP 2C9, with a
minor contribution of CYP 3A4. Quinidine, a CYP 3A4 substrate commonly
used as a selective in vitro inhibitor of CYP 2D6, was found to
markedly increase the rate of meloxicam hydroxylation during in vitro
experiments with human liver microsomes. A similar activation was
observed with other compounds that are structurally related to
quinidine. Besides quinidine, quinine and hydroquinidine were the most
potent activators of meloxicam hydroxylation. Using expressed
cytochrome P-450 enzymes and selective chemical inhibitors of CYP 2C9
and CYP 3A4, it was found that quinidine markedly increased the rate of
CYP 3A4-mediated meloxicam hydroxylation but was virtually without
effect on CYP 2C9. Kinetic analysis was performed to obtain insight
into the possible mechanism of activation of CYP 3A4 and into the
mutual interaction of quinidine/hydroquinidine and meloxicam. Quinidine
and hydroquinidine decreased Km and
increased Vmax of meloxicam hydroxylation,
which was consistent with a mixed-type nonessential activation.
Meloxicam, in turn, decreased both Km and
Vmax of quinidine metabolism by CYP 3A4,
indicating an uncompetitive inhibition mechanism. These results support
the assumption that CYP 3A4 possesses at least two different
substrate-binding sites. A clinically relevant effect on meloxicam drug
therapy is not expected, because the most likely outcome in practice is
moderately decreased meloxicam plasma concentrations.
This article has been cited by other articles:
![]() |
C. Lu, G. T. Miwa, S. R. Prakash, L.-S. Gan, and S. K. Balani A Novel Model for the Prediction of Drug-Drug Interactions in Humans Based on in Vitro Cytochrome P450 Phenotypic Data Drug Metab. Dispos., January 1, 2007; 35(1): 79 - 85. [Abstract] [Full Text] [PDF] |
||||
![]() |
K.-H. Liu, M.-J. Kim, W. M. Jung, W. Kang, I.-J. Cha, and J.-G. Shin LANSOPRAZOLE ENANTIOMER ACTIVATES HUMAN LIVER MICROSOMAL CYP2C9 CATALYTIC ACTIVITY IN A STEREOSPECIFIC AND SUBSTRATE-SPECIFIC MANNER Drug Metab. Dispos., February 1, 2005; 33(2): 209 - 213. [Abstract] [Full Text] [PDF] |
||||
![]() |
L. Shen, J. F. Fitzloff, and C. S. Cook DIFFERENTIAL ENANTIOSELECTIVITY AND PRODUCT-DEPENDENT ACTIVATION AND INHIBITION IN METABOLISM OF VERAPAMIL BY HUMAN CYP3AS Drug Metab. Dispos., February 1, 2004; 32(2): 186 - 196. [Abstract] [Full Text] [PDF] |
||||
![]() |
A. Galetin, S. E. Clarke, and J. B. Houston MULTISITE KINETIC ANALYSIS OF INTERACTIONS BETWEEN PROTOTYPICAL CYP3A4 SUBGROUP SUBSTRATES: MIDAZOLAM, TESTOSTERONE, AND NIFEDIPINE Drug Metab. Dispos., September 1, 2003; 31(9): 1108 - 1116. [Abstract] [Full Text] [PDF] |
||||
![]() |
G. B. J. Smith, J. R. Bend, L. L. Bedard, K. R. Reid, D. Petsikas, and T. E. Massey BIOTRANSFORMATION OF 4-(METHYLNITROSAMINO)-1-(3-PYRIDYL)-1-BUTANONE (NNK) IN PERIPHERAL HUMAN LUNG MICROSOMES Drug Metab. Dispos., September 1, 2003; 31(9): 1134 - 1141. [Abstract] [Full Text] [PDF] |
||||
![]() |
A. Galetin, S. E. Clarke, and J. B. Houston Quinidine and Haloperidol as Modifiers of CYP3A4 Activity: Multisite Kinetic Model Approach Drug Metab. Dispos., December 1, 2002; 30(12): 1512 - 1522. [Abstract] [Full Text] [PDF] |
||||
![]() |
Y. Masubuchi, A. Ose, and T. Horie Diclofenac-Induced Inactivation of CYP3A4 and Its Stimulation by Quinidine Drug Metab. Dispos., October 1, 2002; 30(10): 1143 - 1148. [Abstract] [Full Text] [PDF] |
||||
![]() |
J. M. Hutzler and T. S. Tracy Atypical Kinetic Profiles in Drug Metabolism Reactions Drug Metab. Dispos., April 1, 2002; 30(4): 355 - 362. [Full Text] [PDF] |
||||
![]() |
K. E. Kenworthy, S. E. Clarke, J. Andrews, and J. B. Houston Multisite Kinetic Models for CYP3A4: Simultaneous Activation and Inhibition of Diazepam and Testosterone Metabolism Drug Metab. Dispos., December 1, 2001; 29(12): 1644 - 1651. [Abstract] [Full Text] [PDF] |
||||
![]() |
J. S. Ngui, Q. Chen, M. Shou, R. W. Wang, R. A. Stearns, T. A. Baillie, and W. Tang In Vitro Stimulation of Warfarin Metabolism by Quinidine: Increases in the Formation of 4'- and 10-Hydroxywarfarin Drug Metab. Dispos., June 1, 2001; 29(6): 877 - 886. [Abstract] [Full Text] |
||||
![]() |
T. L. Domanski, Y.-A. He, G. R. Harlow, and J. R. Halpert Dual Role of Human Cytochrome P450 3A4 Residue Phe-304 in Substrate Specificity and Cooperativity J. Pharmacol. Exp. Ther., May 1, 2000; 293(2): 585 - 591. [Abstract] [Full Text] |
||||