Evidence map›Paper›PMID 33438174›Full record

ArticleThe AAPS journal2021

Human Fetal Liver Metabolism of Oxycodone Is Mediated by CYP3A7.

Sara Shum, Nina Isoherranen

Open access · greenAbstract read
In one paragraph

Article in The AAPS journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.4field-weighted citation impact, top 21% 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

6 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. In vitro liver models for toxicological research.Drug metabolism and pharmacokinetics · 2025
    Review
  3. Review
  4. Review
  5. Review
  6. 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

2 authors at 1 institution in 1 country.

Sara ShumDepartment of Pharmaceutics, University of Washington, Seattle, Washington, USA.
Nina IsoherranenDepartment of Pharmaceutics, University of Washington, Seattle, Washington, USA. ni2@uw.edu.ORCID 0000-0002-9548-3126
University of Washington · US

Funding

Understanding Fetal Exposure to Cannabinoids Through In Vitro and In Vivo StudiesP01DA032507 · NIDA · UNIVERSITY OF WASHINGTON · PI UNADKAT, JASHVANT D · 2013 to 2023
$12.4M
NRSA Training CoreTL1TR002318 · NCATS · UNIVERSITY OF WASHINGTON · PI Megan Moore · 2017 to 2026
$8.4M
The role of CYP3A7 in the disposition and toxicity of HIV inhibitors in the developing infantR01AI150494 · NIAID · UNIVERSITY OF COLORADO DENVER · PI LAMPE, JED NOAH · 2020 to 2022
$1.2M
NCATS NIH HHS TL1 TR002318NIAID NIH HHS R01 AI150494NIDA NIH HHS P01 DA032507
6 · The paper itself

Abstract

Oxycodone is an opioid analgesic that is commonly prescribed to pregnant women to treat moderate-to-severe pain. It has been shown to cross the placenta and distribute to the fetus. Oxycodone is mainly metabolized by CYP3A4 in the adult liver. Since CYP3A7 is abundantly expressed in the fetal liver and has overlapping substrate specificity with CYP3A4, we hypothesized that the fetal liver may significantly limit fetal exposure to oxycodone. This study showed that oxycodone is metabolized by CYP3A7 to noroxycodone in fetal liver microsomes (FLMs). The measured CYP3A7 expression was 191-409 pmol/mg protein in 14 FLMs, and an intersystem extrapolation factor (ISEF) for CYP3A7 was 0.016-0.066 in the panel of fetal livers using 6β-OH-testosterone formation as the probe reaction. Noroxycodone formation in the fetal liver was predicted from formation rate by recombinant CYP3A7, CYP3A7 expression level and the established ISEF value with average fold error of 1.25. Based on the intrinsic clearance of oxycodone measured in FLM, the fetal hepatic clearance (CL

Indexed as

AdultCytochrome P-450 CYP3AEnzyme AssaysFemaleFetusHepatobiliary EliminationHumansLiverMaleMaternal-Fetal ExchangeMicrosomes, LiverMorphinansOxycodonePlacentaPregnancyPrimary Cell CultureCYP3A7 protein, humanCytochrome P-450 CYP3AMorphinansnoroxycodoneOxycodoneRecombinant ProteinsCYP3A7fetal hepatic clearanceintersystem extrapolation factor (ISEF)in vitro-to-in vivo extrapolation (IVIVE)oxycodone

Identifiers

PMID33438174
PMCPMC8106324
OpenAlexW3119219974

What OpenQuestion holds

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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.