CYP2C9
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Cytochrome P450 2C9 (abbreviated CYP2C9), a member of the cytochrome P450 mixed-function oxidase system, is involved in the metabolism of xenobiotics in the body. It is involved in the metabolism of several important groups of drugs including many non-steroidal anti-inflammatory drugs (NSAIDs) and sulfonylureas.
Genetic polymorphism exists for CYP2C9 expression, with approximately 1–3% of Caucasian populations being poor metabolisers with no CYP2C9 function.
[edit] CYP2C9 Ligands
Selected inducers, inhibitors and substrates of CYP2C91 | |
Type | Agent |
inducers | rifampicin, secobarbital, hyperforin (constituent of St Johns Wort) |
inhibitors | amiodarone, fenofibrate, fluconazole, fluvastatin, fluvoxamine, isoniazid, lovastatin, probenecid, sertraline, sulfamethoxazole, teniposide, voriconazole, zafirlukast |
substrates | amitriptyline, certain angiotensin II receptor antagonists (losartan, irbesartan), fluoxetine, fluvastatin, NSAIDs (incl. celecoxib, diclofenac, ibuprofen, meloxicam, naproxen, piroxicam), pitavastatin, phenytoin, rosiglitazone, sulfonylureas (incl. glibenclamide, glipizide, glimepiride, tolbutamide), tamoxifen, warfarin |
Notes:
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