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Polymorphic formation of morphine from codeine in poor and extensive metabolizers of dextromethorphan: Relationship to the presence of immunoidentified cytochrome P‐450IID1

 

作者: Örjan Mortimer,   Kerstin Persson,   Margarita G Ladona,   David Spalding,   Urs M Zanger,   Urs A Meyer,   Anders Rane,  

 

期刊: Clinical Pharmacology&Therapeutics  (WILEY Available online 1990)
卷期: Volume 47, issue 1  

页码: 27-35

 

ISSN:0009-9236

 

年代: 1990

 

DOI:10.1038/clpt.1990.4

 

数据来源: WILEY

 

摘要:

We studied the oxidation capacity in liver biopsies of a series of extensive metabolizers (n= 10) and poor metabolizers (n= 2) as identified by in vivo phenotyping with dextromethorphan. Codeine and dextromethorphan were used as probe drugs in vitro. The data were compared with the contents of cytochrome P‐450IID1 as quantitated by Western immunoblotting by use of a specific monoclonal antibody (MAb 114/2). TheO‐demethylation of codeine was highly correlated with theO‐demethylation of dextromethorphan (r= 0.90). TheN‐demethylation of codeine was catalyzed at a considerably higher rate than theO‐demethylation. TheN‐demethylation toO‐demethylation ratio of codeine was 46 in the poor metabolizer and, on average, 6.2 (range, 2.6 to 11) in the extensive metabolizers, respectively. The band intensity in Western blots correlated with the rate ofO‐demethylation of codeine (r= 0.95) and of dextromethorphan (r= 0.88) in the extensive metabolizers. The comeasurement of theO‐demethylation andN‐demethylation of codeine may provide a tool with which to phenotype individuals in vitro with respect to the polymorphism of the cytochrome P‐450IID1.Clinical Pharmacology and Therapeutics(1990)47,27–35;

 

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