Evidence map›Paper›PMID 24973543›Full record

ArticleBiochemical pharmacology2014

Investigating the contribution of CYP2J2 to ritonavir metabolism in vitro and in vivo.

Rüdiger Kaspera, Brian J Kirby, Tariku Sahele, Ann C Collier, Evan D Kharasch, Jashvant D Unadkat, Rheem A Totah

Open access · greenAbstract read
In one paragraph

Article in Biochemical pharmacology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 12% 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

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 42 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. The Mechanism-Based Inactivation of CYP3A4 by Ritonavir: What Mechanism?International journal of molecular sciences · 2022
    Review
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Review
  15. Role of Arginine 117 in Substrate Recognition by Human Cytochrome P450 2J2.International journal of molecular sciences · 2018
    Article
  16. Article
  17. Regulation of CYP2J2 and EET Levels in Cardiac Disease and Diabetes.International journal of molecular sciences · 2018
    Review
  18. Antiretroviral Drug Metabolism in Humanized PXR-CAR-CYP3A-NOG Mice.The Journal of pharmacology and experimental therapeutics · 2018
    Article
  19. Article
  20. 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

7 authors at 2 institutions in 1 country.

Rüdiger KasperaDepartment of Medicinal Chemistry, School of Pharmacy, University of Washington, Box 357610, Seattle, WA 98195-7610, USA. Electronic address: kaspera@uw.edu.
Brian J KirbyDepartment of Pharmaceutics, School of Pharmacy, University of Washington, Box 357630, Seattle, WA 98195-7630, USA. Electronic address: brian.kirby@gilead.com.
Tariku SaheleDepartment of Medicinal Chemistry, School of Pharmacy, University of Washington, Box 357610, Seattle, WA 98195-7610, USA. Electronic address: tarikucs@gmail.com.
Ann C CollierDepartment of Medicine, University of Washington, Box 359929, Seattle, WA 98195-9929, USA. Electronic address: acollier@u.washington.edu.
Evan D KharaschDepartment of Anesthesiology, School of Medicine, Washington University, 660 South Euclid Avenue, Campus Box 8054, St. Louis, MO 63110, USA. Electronic address: kharasch@wustl.edu.
Jashvant D UnadkatDepartment of Pharmaceutics, School of Pharmacy, University of Washington, Box 357630, Seattle, WA 98195-7630, USA. Electronic address: jash@uw.edu.
Rheem A TotahDepartment of Medicinal Chemistry, School of Pharmacy, University of Washington, Box 357610, Seattle, WA 98195-7610, USA. Electronic address: rtotah@uw.edu.
University of Washington · USWashington University in St. Louis · US

Funding

TOXIC DRUG INTERACTIONS WITH VALPROIC ACIDP01GM032165 · NIGMS · UNIVERSITY OF WASHINGTON · PI ATKINS, WILLIAM M · 1985 to 2012
$18.3M
Pharmacological Sciences SupplementT32GM007750 · NIGMS · UNIVERSITY OF WASHINGTON · PI ATKINS, WILLIAM M · 1985 to 2023
$12.6M
METHADONE AND HIV DRUG INTERACTIONSR01DA014211 · NIDA · WASHINGTON UNIVERSITY · PI KHARASCH, EVAN D. · 2001 to 2012
$4.8M
Novel noninvasive assessment of cytochrome P450 activityR01GM063674 · NIGMS · WASHINGTON UNIVERSITY · PI KHARASCH, EVAN D. · 2001 to 2009
$1.8M
ADDICTION THERAPY: METABOLISM AND TRANSPORT-MEDIATED DRUG INTERACTIONSR01DA025931 · NIDA · WASHINGTON UNIVERSITY · PI KHARASCH, EVAN D. · 2008 to 2012
$1.7M
Role of CYP2J2 in Xenobiotic Induced QT-prolongationR01HL096706 · NHLBI · UNIVERSITY OF WASHINGTON · PI TOTAH, RHEEM ANGELA · 2010 to 2014
$1.7M
OPIOIDS IN CANCER PAIN &DRUG ABUSE--OPTIMIZING THERAPYK24DA000417 · NIDA · WASHINGTON UNIVERSITY · PI KHARASCH, EVAN D. · 1999 to 2010
$1.4M
NHLBI NIH HHS R01 HL096706NHLBI NIH HHS R01-HL096706NIDA NIH HHS K24 DA000417NIDA NIH HHS K24-DA00417NIDA NIH HHS R01 DA014211NIDA NIH HHS R01 DA025931NIDA NIH HHS R01-DA0293NIDA NIH HHS R01-DA14211NIGMS NIH HHS GM032165NIGMS NIH HHS P01 GM032165NIGMS NIH HHS R01 GM063674NIGMS NIH HHS T32 GM007750
6 · The paper itself

Abstract

Ritonavir, an HIV protease inhibitor, is successfully used for the prevention and treatment of HIV infections. Ritonavir pharmacokinetics are complicated by inhibition, induction and pharmacogenetics of cytochrome P450 (CYP) enzymes mediating its clearance. This investigation revealed that CYP2J2, along with CYP3A4/5 and CYP2D6, efficiently metabolizes ritonavir, and to a CYP2J2-specific (minor) metabolite. Chemical inhibition of ritonavir metabolism, clearance, KI/kinact and abundance of CYP2J2 in liver microsomes were evaluated and then applied to an in vitro-in vivo static scaling model to estimate the contribution of each isozyme, as a function of CYP abundance, activity, and genotype. Disposition of the CYP2J2-specific metabolite was also evaluated in vivo. In plasma, metabolite abundance was well above previously reported levels with circulating concentrations measured at 2 μM for the main hydroxylisopropyl metabolite. Ritonavir and metabolite plasma profiles were simulated using Simcyp(®). A modest (2-6%) contribution of CYP2J2 to ritonavir clearance is predicted which increases to more than 20% in subjects carrying CYP2D6 poor metabolizer polymorphisms and CYP3A4 irreversible inhibition. These results indicate that minor drug metabolizing enzymes could become quantitatively important in RTV clearance if main metabolic pathways are impeded.

Indexed as

Cytochrome P-450 CYP2J2Cytochrome P-450 Enzyme InhibitorsCytochrome P-450 Enzyme SystemDextromethorphanHumansInactivation, MetabolicMicrosomes, LiverModels, BiologicalRitonavirCYP2J2 protein, humanCytochrome P-450 CYP2J2Cytochrome P-450 Enzyme InhibitorsCytochrome P-450 Enzyme SystemDextromethorphanRitonavirCYP2D6CYP2J2CYP3A4In vivoRitonavirSimcypTime dependent inhibition

Identifiers

PMID24973543
PMCPMC4169885
OpenAlexW2068966161

What OpenQuestion holds

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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.