Evidence map›Paper›PMID 23386599›Full record

ReviewPharmacotherapy2013

The role of human carboxylesterases in drug metabolism: have we overlooked their importance?

S Casey Laizure, Vanessa Herring, Zheyi Hu, Kevin Witbrodt, Robert B Parker

Open access · bronzeAbstract readReview
In one paragraph

Review in Pharmacotherapy, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 174 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
174citing papers in PubMed, 1 pooled it
18.6field-weighted citation impact, top 1% 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

174 citing papers in PubMed, 1 synthesis or guideline pooled it, 430 citations in OpenAlex.

  1. Association betweenFrontiers in cardiovascular medicine · 2022
    Pooled it
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  8. Hepatocyte-SpecificAntioxidants (Basel, Switzerland) · 2026
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114 more citing papers are in PubMed but not listed here.

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

5 authors at 1 institution in 1 country.

S Casey LaizureDepartment of Clinical Pharmacy, College of Pharmacy, University of Tennessee Health Science Center, Memphis, Tennessee 38163, USA. claizure@uthsc.edu
Vanessa Herring
Zheyi Hu
Kevin Witbrodt
Robert B Parker
University of Tennessee Health Science Center · US

Funding

Inhibition of Carboxylesterase Metabolism by EthanolR15GM096074 · NIGMS · UNIVERSITY OF TENNESSEE HEALTH SCI CTR · PI LAIZURE, STEVEN CASEY, PARKER, ROBERT B · 2011 to 2011
$300k
NIGMS NIH HHS 1R15GM096074-01A1NIGMS NIH HHS R15 GM096074
6 · The paper itself

Abstract

Carboxylesterases are a multigene family of mammalian enzymes widely distributed throughout the body that catalyze the hydrolysis of esters, amides, thioesters, and carbamates. In humans, two carboxylesterases, hCE1 and hCE2, are important mediators of drug metabolism. Both are expressed in the liver, but hCE1 greatly exceeds hCE2. In the intestine, only hCE2 is present and highly expressed. The most common drug substrates of these enzymes are ester prodrugs specifically designed to enhance oral bioavailability by hydrolysis to the active carboxylic acid after absorption from the gastrointestinal tract. Carboxylesterases also play an important role in the hydrolysis of some drugs to inactive metabolites. It has been widely believed that drugs undergoing hydrolysis by hCE1 and hCE2 are not subject to clinically significant alterations in their disposition, but evidence exists that genetic polymorphisms, drug-drug interactions, drug-disease interactions and other factors are important determinants of the variability in the therapeutic response to carboxylesterase-substrate drugs. The implications for drug therapy are far-reaching, as substrate drugs include numerous examples from widely prescribed therapeutic classes. Representative drugs include angiotensin-converting enzyme inhibitors, angiotensin receptor blockers, antiplatelet drugs, statins, antivirals, and central nervous system agents. As research interest increases in the carboxylesterases, evidence is accumulating of their important role in drug metabolism and, therefore, the outcomes of pharmacotherapy.

Indexed as

Angiotensin-Converting Enzyme InhibitorsAnimalsAntiviral AgentsCarboxylic Ester HydrolasesHumansMetabolic Networks and PathwaysPharmaceutical PreparationsPlatelet Aggregation InhibitorsProdrugsAngiotensin-Converting Enzyme InhibitorsAntiviral AgentsCarboxylic Ester HydrolasesPharmaceutical PreparationsPlatelet Aggregation InhibitorsProdrugs

Identifiers

PMID23386599
PMCPMC4572478
OpenAlexW2131257415

What OpenQuestion holds

Textmetadata
LicenceTDM
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.