Evidence map›Paper›PMID 21821736›Full record

ArticleDrug metabolism and disposition: the biological fate of chemicals2011

Q172H replacement overcomes effects on the metabolism of cyclophosphamide and efavirenz caused by CYP2B6 variant with Arg262.

Noritaka Ariyoshi, Miyuki Ohara, Mayumi Kaneko, Sakino Afuso, Takuya Kumamoto, Hiroyoshi Nakamura, Itsuko Ishii, Tsutomu Ishikawa, Mitsukazu Kitada

Abstract read
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In one paragraph

Article in Drug metabolism and disposition: the biological fate of chemicals, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
8.6field-weighted citation impact, top 3% 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

29 citing papers in PubMed, 1 synthesis or guideline pooled it, 57 citations in OpenAlex.

  1. Guideline
  2. Trial
  3. Trial
  4. Observational
  5. Article
  6. Article
  7. Review
  8. Designing cytochrome P450 enzymes for use in cancer gene therapy.Frontiers in bioengineering and biotechnology · 2024
    Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. PharmVar GeneFocus: CYP2B6.Clinical pharmacology and therapeutics · 2021
    Review
  14. Review
  15. Sources of Interindividual Variability.Methods in molecular biology (Clifton, N.J.) · 2021
    Article
  16. Article
  17. Article
  18. Efavirenz Metabolism: Influence of Polymorphic CYP2B6 Variants and Stereochemistry.Drug metabolism and disposition: the biological fate of chemicals · 2019
    Review
  19. Review
  20. Insights into CYP2B6-mediated drug-drug interactions.Acta pharmaceutica Sinica. B · 2016
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 1 institution in 1 country.

Noritaka AriyoshiDivision of Pharmacy, University Hospital, Chiba University School of Medicine, 1-8-1 Inohana, Chuo-ku, Chiba 260-8677, Japan. ariyoshi@faculty.chiba-u.jp
Miyuki Ohara
Mayumi Kaneko
Sakino Afuso
Takuya Kumamoto
Hiroyoshi Nakamura
Itsuko Ishii
Tsutomu Ishikawa
Mitsukazu Kitada
Chiba University Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

There are a number of reports indicating that CYP2B6*6 (c.516G>T and c.785A>G) is responsible for decreased clearance of efavirenz (EFV), although increased disposition of cyclophosphamide (CPA) in individuals with this polymorphism was observed. Thus, we hypothesized that the effects of the two single nucleotide polymorphisms (SNPs) of CYP2B6*6 on the metabolism of drugs might be considerably different between these two agents. To clarify this possibility, we expressed two major variants of this enzyme, CYP2B6.6 (Q172H and K262R) and CYP2B6.4 (K262R), and investigated metabolic activities of these variants toward EFV and CPA. Kinetic analyses clearly indicated that CYP2B6.4 possessed enhanced metabolic activity toward EFV compared with that of the wild-type enzyme (CYP2B6.1), whereas CPA was metabolized less efficiently by CYP2B6.4 than by CYP2B6.1. On the other hand, CYP2B6.6 showed a completely opposite character, suggesting that Q172H gives inverse effects on metabolic activities of CYP2B6 affected by K262R. Although it is recognized that effects of amino acid change in cytochrome P450 on the metabolic activity depend on substrates, this study revealed SNPs giving an opposite effect on the metabolism of two clinically important drugs currently used. Furthermore, this study provides the first evidence that Q172H can reverse the direction of the effect caused by K262R in CYP2B6 on the metabolism of certain drugs.

Indexed as

AlkynesAnimalsAryl Hydrocarbon HydroxylasesBenzoxazinesCyclophosphamideCyclopropanesCytochrome P-450 CYP2B6Cytochrome P-450 Enzyme SystemHumansInactivation, MetabolicLiverMixed Function OxygenasesOxidoreductases, N-DemethylatingPharmacokineticsPolymorphism, Single NucleotideProtein Processing, Post-TranslationalAlkynesAryl Hydrocarbon HydroxylasesBenzoxazinesCyclophosphamideCyclopropanesCYP2B6 protein, humanCytochrome P-450 CYP2B6Cytochrome P-450 Enzyme SystemefavirenzMixed Function OxygenasesOxidoreductases, N-Demethylating

Identifiers

PMID21821736
OpenAlexW2156428129

What OpenQuestion holds

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Registered trials

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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.