Evidence map›Paper›PMID 18545703›Full record

ArticlePloS one2008

Drug metabolism in human brain: high levels of cytochrome P4503A43 in brain and metabolism of anti-anxiety drug alprazolam to its active metabolite.

Varsha Agarwal, Reddy P Kommaddi, Khader Valli, Daniel Ryder, Thomas M Hyde, Joel E Kleinman, Henry W Strobel, Vijayalakshmi Ravindranath

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
7.1field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 74 citations in OpenAlex.

  1. Trial
  2. Review
  3. Review
  4. Article
  5. Article
  6. Review
  7. Article
  8. Human Orphan Cytochromes P450: An Update.Current drug metabolism · 2022
    Article
  9. Article
  10. Review
  11. Seeking Nonspecific Binding: Assessing the Reliability of Tissue Dilutions for Calculating Fraction Unbound.Drug metabolism and disposition: the biological fate of chemicals · 2020
    Article
  12. The Interplay between the Endocannabinoid System, Epilepsy and Cannabinoids.International journal of molecular sciences · 2019
    Review
  13. Role of vitamin D receptor in the regulation ofActa pharmaceutica Sinica. B · 2019
    Review
  14. Article
  15. Article
  16. CYP3A5 Mediates Effects of Cocaine on Human Neocorticogenesis: Studies using an In Vitro 3D Self-Organized hPSC Model with a Single Cortex-Like Unit.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2017
    Article
  17. Genetic variation in CYP3A43 is associated with response to antipsychotic medication.Journal of neural transmission (Vienna, Austria : 1996) · 2015
    Review
  18. The potential effect of gender in CYP1A1 and GSTM1 genotype-specific associations with pediatric brain tumor.Tumour biology : the journal of the International Society for Oncodevelopmental Biology and Medicine · 2013
    Article
  19. Article
  20. Oxygen regulates tissue nitrite metabolism.Antioxidants & redox signaling · 2012
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 2 countries.

Varsha AgarwalDivision of Molecular and Cellular Neuroscience, National Brain Research Centre, Nainwal Mode, Manesar, India.
Reddy P Kommaddi
Khader Valli
Daniel Ryder
Thomas M Hyde
Joel E Kleinman
Henry W Strobel
Vijayalakshmi Ravindranath
National Brain Research Centre · INThe University of Texas at Austin · USNational Institute of Mental Health · USNational Institutes of Health · US

Funding

Procurement and Characterization of Postmortem Brain TissueZICMH002903 · NIMH · NATIONAL INSTITUTE OF MENTAL HEALTH · PI MARENCO, STEFANO · 2009 to 2025
$56.0M
Procurement and Characterization of Postmortem Brain TissueZ01MH002903 · NIMH · NATIONAL INSTITUTE OF MENTAL HEALTH · PI KLEINMAN, JOEL · 2007 to 2008
$4.0M
Human Brain CYP P450s and Psychoactive Drug MetabolismR01MH070054 · NIMH · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI STROBEL, HENRY W · 2004 to 2007
$1.5M
NIMH NIH HHS MH 70054NIMH NIH HHS R01 MH070054
6 · The paper itself

Abstract

Cytochrome P450 (P450) is a super-family of drug metabolizing enzymes. P450 enzymes have dual function; they can metabolize drugs to pharmacologically inactive metabolites facilitating their excretion or biotransform them to pharmacologically active metabolites which may have longer half-life than the parent drug. The variable pharmacological response to psychoactive drugs typically seen in population groups is often not accountable by considering dissimilarities in hepatic metabolism. Metabolism in brain specific nuclei may play a role in pharmacological modulation of drugs acting on the CNS and help explain some of the diverse response to these drugs seen in patient population. P450 enzymes are also present in brain where drug metabolism can take place and modify therapeutic action of drugs at the site of action. We have earlier demonstrated an intrinsic difference in the biotransformation of alprazolam (ALP) in brain and liver, relatively more alpha-hydroxy alprazolam (alpha-OHALP) is formed in brain as compared to liver. In the present study we show that recombinant CYP3A43 metabolizes ALP to both alpha-OHALP and 4-hydroxy alprazolam (4-OHALP) while CYP3A4 metabolizes ALP predominantly to its inactive metabolite, 4-OHALP. The expression of CYP3A43 mRNA in human brain samples correlates with formation of relatively higher levels of alpha-OH ALP indicating that individuals who express higher levels of CYP3A43 in the brain would generate larger amounts of alpha-OHALP. Further, the expression of CYP3A43 was relatively higher in brain as compared to liver across different ethnic populations. Since CYP3A enzymes play a prominent role in the metabolism of drugs, the higher expression of CYP3A43 would generate metabolite profile of drugs differentially in human brain and thus impact the pharmacodynamics of psychoactive drugs at the site of action.

Indexed as

AlprazolamAnti-Anxiety AgentsAryl Hydrocarbon HydroxylasesBrainHumansIn Situ Hybridization, FluorescenceReverse Transcriptase Polymerase Chain ReactionRNA, MessengerAlprazolamAnti-Anxiety AgentsAryl Hydrocarbon HydroxylasesCYP3A43 protein, humanRNA, Messenger

Identifiers

PMID18545703
PMCPMC2408964
OpenAlexW2170996095

What OpenQuestion holds

Textmetadata
LicenceCC0
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.