PT - JOURNAL ARTICLE AU - A. H. Conney AU - M. M. Reidenberg TI - Cigarette Smoking, Coffee Drinking, and Ingestion of Charcoal-Broiled Beef as Potential Modifiers of Drug Therapy and Confounders of Clinical Trials AID - 10.1124/jpet.112.193193 DP - 2012 Jul 01 TA - Journal of Pharmacology and Experimental Therapeutics PG - 9--14 VI - 342 IP - 1 4099 - http://jpet.aspetjournals.org/content/342/1/9.short 4100 - http://jpet.aspetjournals.org/content/342/1/9.full SO - J Pharmacol Exp Ther2012 Jul 01; 342 AB - A pathway of research is described, leading from the finding of an inhibitory effect of 3-methylcholanthrene on the carcinogenicity of an aminoazo dye, to the induction of drug-metabolizing enzymes by 3-methylcholanthrene, benzo[a]pyrene, and other polycyclic aromatic hydrocarbons, to the demonstration of enhanced drug metabolism in cigarette smokers, coffee drinkers, and people who eat charcoal-broiled beef. The results of these studies indicate that cigarette smoking, coffee drinking, and the ingestion of charcoal-broiled beef (all resulting in exposure to polycyclic aromatic hydrocarbons) can influence the dosing regimen needed for proper drug therapy and are potential confounders of clinical trials with drugs metabolized by polycyclic aromatic hydrocarbon-inducible enzymes.