PMID- 32588830 OWN - NLM STAT- MEDLINE DCOM- 20201030 LR - 20201030 IS - 2310-6972 (Print) IS - 2310-6905 (Linking) VI - 66 IP - 3 DP - 2020 May TI - [Modeling of drug-drug interactions between omeprazole and erythromycin with cytochrome P450 3A4 in vitro assay]. PG - 241-249 LID - 10.18097/PBMC20206603241 [doi] AB - In the present study the electrochemical system based on recombinant cytochrome P450 3A4 (CYP3A4) was used for the investigation of potential drug-drug interaction between medicinal preparations employed for Helicobacter pylori eradication therapy. Drug interactions were demonstrated in association of omeprazole as a proton pump inhibitor (PPI) and macrolide antibiotic erythromycin during cytochrome P450 3A4-mediated metabolism. It was shown that in the presence of omeprazole the rate of N-demethylase activity of CYP3A4 to erythromycin measured by means of product (formaldehyde) formation decreased. Mass-spectrometry analysis of omeprazole sulfone as a CYP3A4-mediated metabolite demonstrated the absence of erythromycin influence on CYP3A4-dependent omeprazole metabolism. This phenomenon may be explained by lower spectral dissociation constant of CYP3A4-omeprazole complex (Kd = 18+/-2 muM) than that of CYP3A4-erythromycin complex (Kd = 52 muM). Using the electrochemical model of electrochemically-driven drug metabolism it is possible to register CYP3A4-mediated catalytic conversion of certain drugs. In vitro experiments of potential CYP3A4-mediated drug-drug interactions are in accordance with in silico modeling with program PASS and PoSMNA descriptors in the case of omeprazole/erythromycin combinations. FAU - Koroleva, P I AU - Koroleva PI AD - Institute of Biomedical Chemistry, Moscow, Russia. FAU - Kuzikov, A V AU - Kuzikov AV AD - Institute of Biomedical Chemistry, Moscow, Russia; Pirogov Russian National Research Medical University (RNRMU), Moscow, Russia. FAU - Masamrekh, R A AU - Masamrekh RA AD - Institute of Biomedical Chemistry, Moscow, Russia; Pirogov Russian National Research Medical University (RNRMU), Moscow, Russia. FAU - Filimonov, D A AU - Filimonov DA AD - Institute of Biomedical Chemistry, Moscow, Russia. FAU - Dmitriev, A V AU - Dmitriev AV AD - Institute of Biomedical Chemistry, Moscow, Russia. FAU - Zaviyalova, M G AU - Zaviyalova MG AD - Institute of Biomedical Chemistry, Moscow, Russia. FAU - Rikova, S M AU - Rikova SM AD - Sechenov First Moscow Medical State University (Sechenov University), Moscow, Russia. FAU - Shich, E V AU - Shich EV AD - Sechenov First Moscow Medical State University (Sechenov University), Moscow, Russia. FAU - Makhova, A A AU - Makhova AA AD - Sechenov First Moscow Medical State University (Sechenov University), Moscow, Russia. FAU - Bulko, T V AU - Bulko TV AD - Institute of Biomedical Chemistry, Moscow, Russia. FAU - Gilep, A A AU - Gilep AA AD - Institute of Bioorganic Chemistry of the National Academy of Sciences of Belarus, Minsk, Belarus. FAU - Shumyantseva, V V AU - Shumyantseva VV AD - Institute of Biomedical Chemistry, Moscow, Russia; Pirogov Russian National Research Medical University (RNRMU), Moscow, Russia. LA - rus PT - Journal Article TT - Modelirovanie mezhlekarstvennogo vzaimodeistviia omeprazola i eritromitsina s ispol'zovaniem tsitokhrom R450-zavisimoi sistemy in vitro. PL - Russia (Federation) TA - Biomed Khim JT - Biomeditsinskaia khimiia JID - 101196966 RN - 0 (Anti-Bacterial Agents) RN - 0 (Proton Pump Inhibitors) RN - 63937KV33D (Erythromycin) RN - 9035-51-2 (Cytochrome P-450 Enzyme System) RN - EC 1.14.14.1 (Cytochrome P-450 CYP3A) RN - KG60484QX9 (Omeprazole) SB - IM MH - *Anti-Bacterial Agents/pharmacology MH - Cytochrome P-450 CYP3A MH - *Cytochrome P-450 Enzyme System MH - *Drug Interactions MH - *Erythromycin/pharmacology MH - *Omeprazole/pharmacology MH - *Proton Pump Inhibitors/pharmacology OTO - NOTNLM OT - cytochrome P450 3A4 OT - drug-drug interactions OT - electrochemical analysis OT - erythromycin OT - mass-spectrometry OT - omeprazole EDAT- 2020/06/27 06:00 MHDA- 2020/10/31 06:00 CRDT- 2020/06/27 06:00 PHST- 2020/06/27 06:00 [entrez] PHST- 2020/06/27 06:00 [pubmed] PHST- 2020/10/31 06:00 [medline] AID - 10.18097/PBMC20206603241 [doi] PST - ppublish SO - Biomed Khim. 2020 May;66(3):241-249. doi: 10.18097/PBMC20206603241.