Abstract:
:Cytochrome P450 3A (CYP3A) enzymes metabolize a wide variety of xenobiotics including many drugs. Because CYP3A is localized in both the liver and intestine, it can make a major contribution to the presystemic elimination of substrate drugs after oral administration ('first-pass metabolism'). However, assessments of the relative importance of intestinal versus hepatic CYP3A-mediated first-pass metabolism have been difficult to make and are subject to extensive discussion. To assess systematically the relative contributions of the intestine and liver to first-pass metabolism in vivo, Cyp3a knockout mice expressing human CYP3A4 in the liver or intestine have recently been generated. Analysis of these mice, together with previous observations in humans, substantiates that intestinal CYP3A4 can operate independently of the liver as a highly efficient metabolic barrier during the uptake of various drugs from the intestine. We expect that the insights obtained with these mouse models will contribute to the development of better oral drugs and treatment regimens.
journal_name
Trends Pharmacol Scijournal_title
Trends in pharmacological sciencesauthors
van Herwaarden AE,van Waterschoot RA,Schinkel AHdoi
10.1016/j.tips.2009.02.003subject
Has Abstractpub_date
2009-05-01 00:00:00pages
223-7issue
5eissn
0165-6147issn
1873-3735pii
S0165-6147(09)00038-8journal_volume
30pub_type
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