Evidence map›Paper›PMID 25511794›Full record

Trial reportClinical pharmacokinetics2015

Effects of alcohol on human carboxylesterase drug metabolism.

Robert B Parker, Zhe-Yi Hu, Bernd Meibohm, S Casey Laizure

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Clinical pharmacokinetics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
1.4field-weighted citation impact, top 20% 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

19 citing papers in PubMed, 44 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Review
  4. Article
  5. An in vitro evaluation of common botanical extracts on carboxylesterase 1 catalytic activity.Drug metabolism and disposition: the biological fate of chemicals · 2025
    Article
  6. In vitro hydrolysis of areca nut xenobiotics in human liver.Drug metabolism and pharmacokinetics · 2025
    Article
  7. Review
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. ArylACS omega · 2021
    Article
  16. Review
  17. Carboxylesterase 1 and Precision Pharmacotherapy: Pharmacogenetics and Nongenetic Regulators.Drug metabolism and disposition: the biological fate of chemicals · 2020
    Review
  18. Review
  19. 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

4 authors at 1 institution in 1 country.

Robert B ParkerDepartment of Clinical Pharmacy, College of Pharmacy, University of Tennessee Health Science Center, 881 Madison Avenue, Room 346, Memphis, TN, 38163, USA, rparker@uthsc.edu.
Zhe-Yi Hu
Bernd Meibohm
S Casey Laizure
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 R15 GM096074NIGMS NIH HHS R15GM096074
6 · The paper itself

Abstract

BACKGROUND AND

objectiveHuman carboxylesterase-1 (CES1) and human carboxylesterase-2 (CES2) play an important role in metabolizing many medications. Alcohol is a known inhibitor of these enzymes but the relative effect on CES1 and CES2 is unknown. The aim of this study was to determine the impact of alcohol on the metabolism of specific probes for CES1 (oseltamivir) and CES2 (aspirin).

methodsThe effect of alcohol on CES1- and CES2-mediated probe drug hydrolysis was determined in vitro using recombinant human carboxylesterase. To characterize the in vivo effects of alcohol, healthy volunteers received each probe drug alone and in combination with alcohol followed by blood sample collection and determination of oseltamivir, aspirin, and respective metabolite pharmacokinetics.

resultsAlcohol significantly inhibited oseltamivir hydrolysis by CES1 in vitro but did not affect aspirin metabolism by CES2. Alcohol increased the oseltamivir area under the plasma concentration-time curve (AUC) from 0 to 6 h (AUC0 → 6 h) by 27% (range 11-46%, p = 0.011) and decreased the metabolite/oseltamivir AUC0 → 6 h ratio by 34% (range 25-41%, p < 0.001). Aspirin pharmacokinetics were not affected by alcohol.

conclusionsAlcohol significantly inhibited the hydrolysis of oseltamivir by CES1 both in vitro and in humans, but did not affect the hydrolysis of aspirin to salicylic acid by CES2. These results suggest that alcohol's inhibition of CES1 could potentially result in clinically significant drug interactions with other CES1-substrate drugs, but it is unlikely to significantly affect CES2-substrate drug hydrolysis.

Indexed as

AdultAnti-Inflammatory Agents, Non-SteroidalAntiviral AgentsAspirinCarboxylesteraseCarboxylic Ester HydrolasesCross-Over StudiesEnzyme InhibitorsEthanolFemaleHumansHydrolysisMaleMiddle AgedOseltamivirAnti-Inflammatory Agents, Non-SteroidalAntiviral AgentsAspirinCarboxylesteraseCarboxylic Ester HydrolasesCES1 protein, humanCES2 protein, humanEnzyme InhibitorsEthanolOseltamivir

Identifiers

PMID25511794
PMCPMC4450114
OpenAlexW1996833529

What OpenQuestion holds

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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.