AKR1D1*36 C>T (rs1872930) allelic variant is associated with variability of the CYP2C9 genotype predicted pharmacokinetics of ibuprofen enantiomers – a pilot study in healthy volunteers

The relative contribution of CYP2C9 allelic variants to the pharmacokinetics (PK) of ibuprofen (IBP) enantiomers has been studied extensively, but the potential clinical benefit of pharmacogenetically guided IBP treatment is not evident yet. The role of AKR1D1*36C>T (rs 1872930) allelic variant i...

Full description

Saved in:
Bibliographic Details
Main Authors: Kapedanovska Nestorovska Aleksandra, Jakjovski Krume, Naumovska Zorica, Sterjev Zoran, Geskovska Nadica Matevska, Mladenovska Kristina, Suturkova Ljubica, Dimovski Aleksandar
Format: Article
Language:English
Published: Sciendo 2019-09-01
Series:Acta Pharmaceutica
Subjects:
Online Access:https://doi.org/10.2478/acph-2019-0032
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832572168648523776
author Kapedanovska Nestorovska Aleksandra
Jakjovski Krume
Naumovska Zorica
Sterjev Zoran
Geskovska Nadica Matevska
Mladenovska Kristina
Suturkova Ljubica
Dimovski Aleksandar
author_facet Kapedanovska Nestorovska Aleksandra
Jakjovski Krume
Naumovska Zorica
Sterjev Zoran
Geskovska Nadica Matevska
Mladenovska Kristina
Suturkova Ljubica
Dimovski Aleksandar
author_sort Kapedanovska Nestorovska Aleksandra
collection DOAJ
description The relative contribution of CYP2C9 allelic variants to the pharmacokinetics (PK) of ibuprofen (IBP) enantiomers has been studied extensively, but the potential clinical benefit of pharmacogenetically guided IBP treatment is not evident yet. The role of AKR1D1*36C>T (rs 1872930) allelic variant in interindividual variability of CYP450 mediated drug metabolism was recently elucidated. A total of 27 healthy male subjects, volunteers in IBP single-dose two-way cross-over bioequivalence studies were genotyped for CYP2C9*2, CYP2C9*3 and AKR1D1*36 polymorphisms. The correlation between CYP2C9 and AKR1D1 genetic profile and the PK parameters for S-(+) and R-(−)-IBP was evaluated. Remarkable changes in the PK values pointing to reduced CYP2C9 enzyme activity were detected only in the CYP2C9*2 allelic variant carriers. Statistically significant association between the AKR1D1*36 allele and the increased IBP metabolism (low AUC0-t and 0–∞, high Cltot and short tmax values for both enantiomers) was observed in subjects carrying the CYP2C9 *1/*3 or CYP2C9*1/*1 genotype. The clinical value of concomitant CYP2C9 and AKR1D1 genotyping has to be further verified.
format Article
id doaj-art-f2e49c5c14c346c89871f395269d2d7d
institution Kabale University
issn 1846-9558
language English
publishDate 2019-09-01
publisher Sciendo
record_format Article
series Acta Pharmaceutica
spelling doaj-art-f2e49c5c14c346c89871f395269d2d7d2025-02-02T11:49:57ZengSciendoActa Pharmaceutica1846-95582019-09-0169339941210.2478/acph-2019-0032acph-2019-0032AKR1D1*36 C>T (rs1872930) allelic variant is associated with variability of the CYP2C9 genotype predicted pharmacokinetics of ibuprofen enantiomers – a pilot study in healthy volunteersKapedanovska Nestorovska Aleksandra0Jakjovski Krume1Naumovska Zorica2Sterjev Zoran3Geskovska Nadica Matevska4Mladenovska Kristina5Suturkova Ljubica6Dimovski Aleksandar7Center for Biomolecular and Pharmaceutical Analysis, Faculty of Pharmacy, University Ss Cyril and Methodius, Skopje1000, Republic of MacedoniaDepartment of Preclinical and Clinical Pharmacology and Toxicology, Faculty of Medicine, University Ss Cyril and Methodius, Skopje1000, Republic of MacedoniaCenter for Biomolecular and Pharmaceutical Analysis, Faculty of Pharmacy, University Ss Cyril and Methodius, Skopje1000, Republic of MacedoniaCenter for Biomolecular and Pharmaceutical Analysis, Faculty of Pharmacy, University Ss Cyril and Methodius, Skopje1000, Republic of MacedoniaCenter for Biomolecular and Pharmaceutical Analysis, Faculty of Pharmacy, University Ss Cyril and Methodius, Skopje1000, Republic of MacedoniaCenter for Biomolecular and Pharmaceutical Analysis, Faculty of Pharmacy, University Ss Cyril and Methodius, Skopje1000, Republic of MacedoniaCenter for Biomolecular and Pharmaceutical Analysis, Faculty of Pharmacy, University Ss Cyril and Methodius, Skopje1000, Republic of MacedoniaCenter for Biomolecular and Pharmaceutical Analysis, Faculty of Pharmacy, University Ss Cyril and Methodius, Skopje1000, Republic of MacedoniaThe relative contribution of CYP2C9 allelic variants to the pharmacokinetics (PK) of ibuprofen (IBP) enantiomers has been studied extensively, but the potential clinical benefit of pharmacogenetically guided IBP treatment is not evident yet. The role of AKR1D1*36C>T (rs 1872930) allelic variant in interindividual variability of CYP450 mediated drug metabolism was recently elucidated. A total of 27 healthy male subjects, volunteers in IBP single-dose two-way cross-over bioequivalence studies were genotyped for CYP2C9*2, CYP2C9*3 and AKR1D1*36 polymorphisms. The correlation between CYP2C9 and AKR1D1 genetic profile and the PK parameters for S-(+) and R-(−)-IBP was evaluated. Remarkable changes in the PK values pointing to reduced CYP2C9 enzyme activity were detected only in the CYP2C9*2 allelic variant carriers. Statistically significant association between the AKR1D1*36 allele and the increased IBP metabolism (low AUC0-t and 0–∞, high Cltot and short tmax values for both enantiomers) was observed in subjects carrying the CYP2C9 *1/*3 or CYP2C9*1/*1 genotype. The clinical value of concomitant CYP2C9 and AKR1D1 genotyping has to be further verified.https://doi.org/10.2478/acph-2019-0032ibuprofenenantiomerspharmacokineticsakr1d1cyp2c9pharmacogenetics
spellingShingle Kapedanovska Nestorovska Aleksandra
Jakjovski Krume
Naumovska Zorica
Sterjev Zoran
Geskovska Nadica Matevska
Mladenovska Kristina
Suturkova Ljubica
Dimovski Aleksandar
AKR1D1*36 C>T (rs1872930) allelic variant is associated with variability of the CYP2C9 genotype predicted pharmacokinetics of ibuprofen enantiomers – a pilot study in healthy volunteers
Acta Pharmaceutica
ibuprofen
enantiomers
pharmacokinetics
akr1d1
cyp2c9
pharmacogenetics
title AKR1D1*36 C>T (rs1872930) allelic variant is associated with variability of the CYP2C9 genotype predicted pharmacokinetics of ibuprofen enantiomers – a pilot study in healthy volunteers
title_full AKR1D1*36 C>T (rs1872930) allelic variant is associated with variability of the CYP2C9 genotype predicted pharmacokinetics of ibuprofen enantiomers – a pilot study in healthy volunteers
title_fullStr AKR1D1*36 C>T (rs1872930) allelic variant is associated with variability of the CYP2C9 genotype predicted pharmacokinetics of ibuprofen enantiomers – a pilot study in healthy volunteers
title_full_unstemmed AKR1D1*36 C>T (rs1872930) allelic variant is associated with variability of the CYP2C9 genotype predicted pharmacokinetics of ibuprofen enantiomers – a pilot study in healthy volunteers
title_short AKR1D1*36 C>T (rs1872930) allelic variant is associated with variability of the CYP2C9 genotype predicted pharmacokinetics of ibuprofen enantiomers – a pilot study in healthy volunteers
title_sort akr1d1 36 c t rs1872930 allelic variant is associated with variability of the cyp2c9 genotype predicted pharmacokinetics of ibuprofen enantiomers a pilot study in healthy volunteers
topic ibuprofen
enantiomers
pharmacokinetics
akr1d1
cyp2c9
pharmacogenetics
url https://doi.org/10.2478/acph-2019-0032
work_keys_str_mv AT kapedanovskanestorovskaaleksandra akr1d136ctrs1872930allelicvariantisassociatedwithvariabilityofthecyp2c9genotypepredictedpharmacokineticsofibuprofenenantiomersapilotstudyinhealthyvolunteers
AT jakjovskikrume akr1d136ctrs1872930allelicvariantisassociatedwithvariabilityofthecyp2c9genotypepredictedpharmacokineticsofibuprofenenantiomersapilotstudyinhealthyvolunteers
AT naumovskazorica akr1d136ctrs1872930allelicvariantisassociatedwithvariabilityofthecyp2c9genotypepredictedpharmacokineticsofibuprofenenantiomersapilotstudyinhealthyvolunteers
AT sterjevzoran akr1d136ctrs1872930allelicvariantisassociatedwithvariabilityofthecyp2c9genotypepredictedpharmacokineticsofibuprofenenantiomersapilotstudyinhealthyvolunteers
AT geskovskanadicamatevska akr1d136ctrs1872930allelicvariantisassociatedwithvariabilityofthecyp2c9genotypepredictedpharmacokineticsofibuprofenenantiomersapilotstudyinhealthyvolunteers
AT mladenovskakristina akr1d136ctrs1872930allelicvariantisassociatedwithvariabilityofthecyp2c9genotypepredictedpharmacokineticsofibuprofenenantiomersapilotstudyinhealthyvolunteers
AT suturkovaljubica akr1d136ctrs1872930allelicvariantisassociatedwithvariabilityofthecyp2c9genotypepredictedpharmacokineticsofibuprofenenantiomersapilotstudyinhealthyvolunteers
AT dimovskialeksandar akr1d136ctrs1872930allelicvariantisassociatedwithvariabilityofthecyp2c9genotypepredictedpharmacokineticsofibuprofenenantiomersapilotstudyinhealthyvolunteers