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Hepatic Cytochrome P450 Regulation in Disease States

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Hepatic cytochrome P450 (P450) enzyme activities and gene expression can be profoundly altered in disease states. In general the levels of affected hepatic P450 enzymes are depressed by diseases, causing potential and documented impairment of drug clearance and clinical drug toxicity. However, modulation of P450s is enzyme selective and this selectivity differs among different diseases. This review will concentrate on regulation of P450s in diabetes, obesity and infectious and inflammatory disease, conditions that affect millions of people worldwide every day.

Keywords: AhR-Regulated Genes; Aryl hydrocarbon receptor; CYP2E1; CYP4A; DIABETES AND OBESITY; Hepatic P450s; Hepatic cytochrome P450; INFLAMMATION AND INFECTION; Interferon; Interleukin; LIVER DISEASES; Napthoflavone; Nitric Oxide; Nitric oxide synthase; Onstitutive androstane receptor; Peroxisome proliferator activated receptor; Pregnane X receptor; Tumor necrosis factor

Document Type: Review Article

Publication date: 01 June 2001

More about this publication?
  • Current Drug Metabolism aims to cover all the latest and outstanding developments in drug metabolism and disposition. The journal serves as an international forum for the publication of timely reviews in drug metabolism. Current Drug Metabolism is an essential journal for academic, clinical, government and pharmaceutical scientists who wish to be kept informed and up-to-date with the latest and most important developments. The journal covers the following areas:

    In vitro systems including CYP-450; enzyme induction and inhibition; drug-drug interactions and enzyme kinetics; pharmacokinetics, toxicokinetics, species scaling and extrapolations; P-glycoprotein and transport carriers; target organ toxicity and interindividual variability; drug metabolism and disposition studies; extrahepatic metabolism; phase I and phase II metabolism; recent developments for the identification of drug metabolites and adducts.
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