PMID- 25834030 OWN - NLM STAT- MEDLINE DCOM- 20160128 LR - 20211203 IS - 1521-009X (Electronic) IS - 0090-9556 (Linking) VI - 43 IP - 6 DP - 2015 Jun TI - Targeted screen for human UDP-glucuronosyltransferases inhibitors and the evaluation of potential drug-drug interactions with zafirlukast. PG - 812-8 LID - 10.1124/dmd.114.062141 [doi] AB - Inhibition of drug metabolizing enzymes is a major mechanism in drug-drug interactions (DDIs). A number of cases of DDIs via inhibition of UDP-glucuronosyltranseferases (UGTs) have been reported, although the changes in pharmacokinetics are relatively small in comparison with drugs that are metabolized by cytochrome P450s. Most of the past studies have investigated hepatic UGTs, although recent studies have revealed a significant contribution of UGTs in the small intestine to drug clearance. To evaluate potential DDIs caused by inhibition of intestinal UGTs, we assessed inhibitory effects of 578 compounds, including drugs, xenobiotics, and endobiotics, on human UGT1A8 and UGT1A10, which are major contributors to intestinal glucuronidation. We identified 29 inhibitors by monitoring raloxifene glucuronidation with recombinant UGTs. All of the inhibitors potently inhibited UGT1A1 activity, as well. We found that zafirlukast is a potent general inhibitor of UGT1As and a moderate inhibitor of UGT2Bs because it monitors 4-methylumbelliferone glucuronidation by recombinant UGTs. However, zafirlukast did not potently inhibit diclofenac glucuronidation, suggesting that the inhibitory effects might be substrate specific. Inhibitory effects of zafirlukast on some UGT substrates were further investigated in human liver and human small intestine microsomes in order to evaluate potential DDIs. The R values (the ratios of intrinsic clearance with and without an inhibitor) revealed that zafirlukast has potential to cause clinical DDIs in the small intestine. Although we could not identify specific UGT1A8 and UGT1A10 inhibitors, zafirlukast was identified as a general inhibitor for UGTs in vitro. The present study suggests that the inhibition of UGT in the small intestine would be an underlying mechanism for DDIs. CI - Copyright (c) 2015 by The American Society for Pharmacology and Experimental Therapeutics. FAU - Oda, Shingo AU - Oda S AD - Drug Metabolism and Toxicology, Faculty of Pharmaceutical Sciences, Kanazawa University, Kakuma-machi, Kanazawa, Japan (S.O., T.F., T.Y., M.N.); and School of Pharmacy, Kitasato University, Shirokane, Minato-ku, Tokyo, Japan (R.F., Y.K, T.I.). FAU - Fujiwara, Ryoichi AU - Fujiwara R AD - Drug Metabolism and Toxicology, Faculty of Pharmaceutical Sciences, Kanazawa University, Kakuma-machi, Kanazawa, Japan (S.O., T.F., T.Y., M.N.); and School of Pharmacy, Kitasato University, Shirokane, Minato-ku, Tokyo, Japan (R.F., Y.K, T.I.). FAU - Kutsuno, Yuki AU - Kutsuno Y AD - Drug Metabolism and Toxicology, Faculty of Pharmaceutical Sciences, Kanazawa University, Kakuma-machi, Kanazawa, Japan (S.O., T.F., T.Y., M.N.); and School of Pharmacy, Kitasato University, Shirokane, Minato-ku, Tokyo, Japan (R.F., Y.K, T.I.). FAU - Fukami, Tatsuki AU - Fukami T AD - Drug Metabolism and Toxicology, Faculty of Pharmaceutical Sciences, Kanazawa University, Kakuma-machi, Kanazawa, Japan (S.O., T.F., T.Y., M.N.); and School of Pharmacy, Kitasato University, Shirokane, Minato-ku, Tokyo, Japan (R.F., Y.K, T.I.). FAU - Itoh, Tomoo AU - Itoh T AD - Drug Metabolism and Toxicology, Faculty of Pharmaceutical Sciences, Kanazawa University, Kakuma-machi, Kanazawa, Japan (S.O., T.F., T.Y., M.N.); and School of Pharmacy, Kitasato University, Shirokane, Minato-ku, Tokyo, Japan (R.F., Y.K, T.I.). FAU - Yokoi, Tsuyoshi AU - Yokoi T AD - Drug Metabolism and Toxicology, Faculty of Pharmaceutical Sciences, Kanazawa University, Kakuma-machi, Kanazawa, Japan (S.O., T.F., T.Y., M.N.); and School of Pharmacy, Kitasato University, Shirokane, Minato-ku, Tokyo, Japan (R.F., Y.K, T.I.). FAU - Nakajima, Miki AU - Nakajima M AD - Drug Metabolism and Toxicology, Faculty of Pharmaceutical Sciences, Kanazawa University, Kakuma-machi, Kanazawa, Japan (S.O., T.F., T.Y., M.N.); and School of Pharmacy, Kitasato University, Shirokane, Minato-ku, Tokyo, Japan (R.F., Y.K, T.I.) nmiki@p.kanazawa-u.ac.jp. LA - eng PT - Journal Article DEP - 20150401 PL - United States TA - Drug Metab Dispos JT - Drug metabolism and disposition: the biological fate of chemicals JID - 9421550 RN - 0 (Enzyme Inhibitors) RN - 0 (Indoles) RN - 0 (Isoenzymes) RN - 0 (Leukotriene Antagonists) RN - 0 (Phenylcarbamates) RN - 0 (Recombinant Proteins) RN - 0 (Selective Estrogen Receptor Modulators) RN - 0 (Small Molecule Libraries) RN - 0 (Sulfonamides) RN - 0 (Tosyl Compounds) RN - 4F86W47BR6 (Raloxifene Hydrochloride) RN - EC 2.4.1.- (bilirubin uridine-diphosphoglucuronosyl transferase 1A10) RN - EC 2.4.1.17 (Glucuronosyltransferase) RN - EC 2.4.1.17 (UDP-glucuronosyltransferase, UGT1A8) RN - XZ629S5L50 (zafirlukast) SB - IM MH - Drug Evaluation, Preclinical MH - Drug Interactions MH - Enzyme Inhibitors/adverse effects/*pharmacology MH - Glucuronosyltransferase/*antagonists & inhibitors/genetics/metabolism MH - Humans MH - Indoles MH - Intestinal Mucosa/drug effects/enzymology MH - Intestine, Small/*drug effects/enzymology MH - Isoenzymes/antagonists & inhibitors/genetics/metabolism MH - Kinetics MH - Leukotriene Antagonists/adverse effects/metabolism/*pharmacology MH - *Metabolic Detoxication, Phase II MH - Microsomes/*drug effects/enzymology MH - Microsomes, Liver/drug effects/enzymology MH - Phenylcarbamates MH - Raloxifene Hydrochloride/metabolism MH - Recombinant Proteins/chemistry/metabolism MH - Selective Estrogen Receptor Modulators/metabolism MH - Small Molecule Libraries MH - Substrate Specificity MH - Sulfonamides MH - Tosyl Compounds/adverse effects/metabolism/*pharmacology EDAT- 2015/04/03 06:00 MHDA- 2016/01/29 06:00 CRDT- 2015/04/03 06:00 PHST- 2014/11/18 00:00 [received] PHST- 2015/04/01 00:00 [accepted] PHST- 2015/04/03 06:00 [entrez] PHST- 2015/04/03 06:00 [pubmed] PHST- 2016/01/29 06:00 [medline] AID - dmd.114.062141 [pii] AID - 10.1124/dmd.114.062141 [doi] PST - ppublish SO - Drug Metab Dispos. 2015 Jun;43(6):812-8. doi: 10.1124/dmd.114.062141. Epub 2015 Apr 1.