1. Chapter 26 Mechanism-Based Inhibition of CYP3A4 and Other Cytochromes P450
- Author
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Bernard P. Murray
- Subjects
chemistry.chemical_classification ,Enzyme ,chemistry ,CYP3A4 ,Biochemistry ,Mechanism (biology) ,In vivo ,biology.protein ,Substrate (chemistry) ,Cytochrome P450 ,Metabolism ,Biology ,In vitro - Abstract
Publisher Summary Compounds that inactivate cytochromes P450 in a selective manner require metabolism by the enzyme and are most commonly known as “mechanism-based inhibitors (MBIs)/inactivators,” but they may also be termed as “suicide inhibitors” or “time-dependent inhibitors (TDIs).” The metabolism of a substrate can lead to the inhibition of an enzyme in various ways. While it is theoretically possible for a cytochrome P450 substrate to be metabolized to a form that interacts more potently with the enzyme, there are no clear examples of such an agent. This is likely because the products of metabolism by a cytochrome P450 are generally less hydrophobic than the substrate, and therefore binds less strongly to the enzyme. In addition, recent advances in the understanding of MBIs of cytochromes P450 have provided a framework for the prediction of in vivo effects from in vitro data and have given insight into the biology of the turnover of the proteins. The potent, long-lasting effects of MBIs of enzymes such as CYP3A4 continue to be a liability for some drugs and a positive advantage for others, and therefore a thorough understanding of the mechanism and kinetics of inhibition is important.
- Published
- 2009
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