We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
CYP-mediated therapeutic protein-drug interactions: clinical findings, proposed mechanisms and regulatory implications.
- Authors
Lee JI; Zhang L; Men AY; Kenna LA; Huang SM; Lee, Jang-Ik; Zhang, Lei; Men, Angela Y; Kenna, Leslie A; Huang, Shiew-Mei
- Abstract
Therapeutic proteins (TPs) may affect the disposition of drugs that are metabolized by cytochrome P450 (CYP) enzymes, as is evident from a review of data in recently published literature and approved Biologic License Applications. Many TPs belonging to the cytokine class appear to differentially affect CYP activities. Cytokine modulators may affect CYP enzyme activities by altering cytokine effects on CYP enzymes. The alteration in CYP enzyme activities seems to result from changes in transcription factor activity for CYP enzyme expression or changes in CYP enzyme stability, which have been observed during altered immunological states such as infection and inflammation. Human growth hormone also appears to differentially affect CYP activities through unknown mechanisms. Because TP-drug interaction research is an evolving area, limited information is available during drug development on TP-drug interactions mediated by CYP inhibition or induction. The authors of this review suggest that effort be made to understand TP-drug interactions for the safe and effective use of TPs in combination with small-molecule drugs.
- Publication
Clinical Pharmacokinetics, 2010, Vol 49, Issue 5, p295
- ISSN
0312-5963
- Publication type
journal article
- DOI
10.2165/11319980-000000000-00000