2012 ©
             Publication
Journal Publication
Title of Article Inhibitory effects of Phyllanthus amarus and its major lignans on human microsomal cytochrome P450 activities: Evidence for CYP3A4 mechanism-based inhibition. 
Date of Acceptance 21 November 2010 
Journal
     Title of Journal Drug Metabolism and Pharmacokinetics 
     Standard  
     Institute of Journal JSSX-The Japannese Society for the Study of Xenobiotics 
     ISBN/ISSN 1347-4367  
     Volume 2011 
     Issue 26 (2) 
     Month
     Year of Publication 2011 
     Page 154-161 
     Abstract Phyllanthus amarus has long been used as a herbal medicine in several countries. Phytochemicals in herbal medicine may interact with cytochromes P450 (CYP) and thus raise the potential of herb-drug interactions; therefore, the inhibitory effects of P. amarus and its major phytochemicals phyllanthin and hypophyllanthin on CYP isoforms were determined using human liver microsomes and selective substrates. Both ethanolic and aqueous extracts of P. amarus inhibited CYP1A2, CYP2D6, CYP2E1 and CYP3A4 in a dose-dependent manner. Compared to known CYP3A inhibitors, the IC50 values of the ethanolic and aqueous extracts on testosterone 6β-hydroxylation were higher than that of ketoconazole but were lower than those of erythromycin and clarithromycin. Both extracts were weak inhibitors of CYP1A2, CYP2D6 and CYP2E1. In addition, phyllanthin and hypophyllanthin were potent mechanism-based inhibitors of CYP3A4 with KI values of 1.75 ± 1.20 µM and 2.24 ± 1.84 µM and kinact values of 0.18 ± 0.05 min−1 and 0.15 ± 0.06 min−1, respectively. The kinact/KI ratios of these lignans were higher than those reported for some therapeutic drugs that act as mechanism-based inhibitors of CYP3A4. These results suggest that co-administration of P. amarus with drugs that are metabolized by CYP3A4 may potentially result in herb-drug interactions. 
     Keyword herb-drug interaction, cytochromes P450, CYP3A4, mechanism-based inhibitor, Phyllanthus amarus, phyllanthin, hypophyllanthin 
Author
507070016-7 Miss THEERADA TAESOTIKUL [Main Author]
Medicine Doctoral Degree
497070007-7 Miss NITSUPA WATTANACHAI
Medicine Doctoral Degree

Reviewing Status มีผู้ประเมินอิสระ 
Status ตีพิมพ์แล้ว 
Level of Publication นานาชาติ 
citation true 
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