Effect of Cefixime and Cefdinir, Oral Cephalosporins, on Cytochrome P450 Activities in Human Hepatic Microsomes

Accession number;04A0042358
Title;Effect of Cefixime and Cefdinir, Oral Cephalosporins, on Cytochrome P450 Activities in Human Hepatic Microsomes
Author; NIWA T (Fujisawa Pharmaceutical Co., Ltd., Osaka, Jpn) SHIRAGA T (Fujisawa Pharmaceutical Co., Ltd., Osaka, Jpn) HASHIMOTO T (Fujisawa Pharmaceutical Co., Ltd., Osaka, Jpn) KAGAYAMA A (Fujisawa Pharmaceutical Co., Ltd., Osaka, Jpn)
Journal Title;Biol Pharm Bull
Journal Code:S0989A
ISSN:0918-6158
VOL.27;NO.1;PAGE.97-99(2004)
Figure&Table&Reference;FIG.1, TBL.2, REF.17
Pub. Country;Japan
Language;English
Abstract;The effects of two kinds of oral cephalosporins, cefixime and cefdinir, on cytochrome P450 (CYP) activities in human hepatic microsomes were investigated. Both cefixime and cefdinir at 2 mM concentration neither inhibited nor stimulated CYP1A1/2-mediated 7-ethoxyresorufin O-deethylation, CYP2A6-mediated coumarin 7-hydroxylation, CYP2B6-mediated 7-benzyloxyresorufin O-debenzylation, CYP2C8/9-mediated tolbutamide methylhydroxylation, CYP2C19-mediated S-mephenytoin 4'-hydroxylation, CYP2D6-mediated bufuralol 1'-hydroxylation, CYP2E1-mediated chlorzoxazone 6-hydroxylation, CYP3A4-mediated nifedipine oxidation, or CYP3A4-mediated testosterone 6.BETA.-hydroxylation. The free fractions of cefixime and cefdinir in the incubation mixture, which were measured by ultracentrifugation, were 86.1-93.8% and 94.1-97.8%, respectively. These results suggest that both cefixime and cefdinir would not cause clinically significant interactions with other drugs, which are metabolized by CYPs, via the inhibition of metabolism. (author abst.)
FULLTEXT