SpringerPlus · 2016 · 11 citations · 23 references
MedicineMedicinal ChemistryPharmacologyDrug DiscoveryDrug MetabolismMetabolismCytochrome P450 EnzymesCytochrome P450 InteractionsCytochrome P450-mediated MetabolismDrug-metabolizing EnzymesEnzyme InhibitionMetabolite IdentificationCyp450-mediated InteractionsCytochrome P450 2C9Cytochrome P450 Enzyme ActivityCytochrome P450 Enzyme InhibitionCytochrome P450 InhibitionCytochrome P450 Metabolic PathwaysMetabolic Enzyme InhibitionMetabolic Pathway Inhibition
Specific inhibitors of Cytochrome P4502C9 enzyme (CYP2C9) viz. clopidogrel, fenofibrate fluvoxamine and sertraline at concentration of 50, 100, 150 and 200 µM were employed to investigate the nature of enzyme involved in bioconversion of meloxicam to its main metabolite 5-OH methyl meloxicam by Cunninghamella blakesleeana. Virtual screening for interaction of specific CYP2C9 inhibitors with human CYP2C9 enzyme was performed by molecular docking using Auto dock vina 4.2 version. The in silico studies were further substantiated by in vitro studies, which indicated fenofibrate to be a potent inhibitor of CYP2C9 enzyme followed by sertraline, clopidogrel and fluvoxamine, respectively. Two-stage fermentation protocol was followed to study metabolism of meloxicam and its inhibition by different CYP2C9 inhibitors. Meloxicam metabolites were identified using HPLC, LC-MS analysis and based on previous reports, as 5-OH methyl meloxicam (M1), 5-carboxy meloxicam (M2) and an unidentified metabolite (M3). All the inhibitors tested in the study showed a clear concentration dependent inhibition of meloxicam metabolism. The results suggest that the enzymes involved in metabolism of meloxicam in C. blakesleeana are akin to mammalian metabolism. Hence, C. blakesleeana can be used as a model organism in studying drug interactions and also in predicting mammalian drug metabolism.
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Torsades de pointes occurring in association with terfenadine use
B. P. Monahan · JAMA · 1990 · 554 citations
Torsades de Pointes Occurring in Association With Terfenadine Use
Brian P. Monahan · JAMA · 1990 · 524 citations
Lydiane Pichard, Isabelle Fabre, Gérard Fabre et al. · Drug Metabolism and Disposition · 1990 · 437 citations
Medicine, Pharmacology, Toxicology +17
Pharmacokinetics of meloxicam in animals and the relevance to humans.
Ulrich Busch, Jochen Schmid, G. Heinzel et al. · PubMed · 1998 · 252 citations