TABLE 2

Inhibition constant (Ki, mean ± S.D., micromolar) of S-[13C7]omeprazole and R-omeprazole to each other's 5′-O-demethylation, 5- and 3-hydroxylation, and sulfoxidation in human liver microsomes, recombinant CYP2C19, and CYP3A4 All inhibitions were best described by the competitive inhibition model.



R-Omeprazole (Substrate)

S-[13C7]Omeprazole (Substrate)
Metabolic Reaction S-[13C7]Omeprazole (Inhibitor)
R-Omeprazole (Inhibitor)

HLM
rCYP2C19
rCYP3A4
HLM
rCYP2C19
rCYP3A4
5-Hydroxylation 11.3 ± 0.57 11.6 ± 0.8 64.9 ± 3.5 42.1 ± 3.8 1.23 ± 0.10 118.6 ± 8.9
5′-O-Demethylation 27.9 ± 1.5 13.3 ± 0.8 121.9 ± 7.3 28.9 ± 2.2 1.34 ± 0.11 175.5 ± 14.9
3-Hydroxylation 20.3 ± 0.88 36.9 ± 2.0 38.1 ± 2.6 47.8 ± 3.4
Sulfone formation
15.6 ± 0.63

41.6 ± 2.3
91.0 ± 10.6

97.7 ± 7.9