Approximately one third of the top 200 prescribed drugs which undergo drug metabolism are substrates for metabolic clearance mediated by enzymes other than CYPs. The most prevalent are UDP-glucuronosyl transferases and esterases accounting for approximately 8% and 5% of the metabolised drugs respectively1,2.
Numerous other more minor pathways exist including: flavin monooxygenases (FMO), monoamine oxidases (MAO), aldehyde oxidases (AO), aldehyde dehydrogenases (ALDH), aldo-keto reductases (AKR), alcohol dehydrogenases (ADH) and hydroxysteroid dehydrogenases (HSD), sulphotransferases (SULT), N-acetyltransferases (NAT) and glutathione S-transferases (GST).
Both the EMA3 and FDA4 guidance on drug interactions suggest that both CYP and non-CYP pathways should be elucidated if thought to contribute a significant amount to drug elimination.
Cyprotex’s non-CYP metabolism service enables a greater understanding of which non-CYP enzymes might be involved in the metabolism of your compounds, or if your compounds are inhibitors of non-CYP enzymes. These data can be used to determine potential drug-drug interactions.
In order to determine which CYP and non-CYP enzymes are involved in the metabolism of a compound, reaction phenotyping studies are recommended in early development. This information is useful for predicting possible drug-drug interactions with co-administered therapies, and in identifying whether polymorphic enzymes play a significant role in the drug metabolism.
Bespoke assays can be designed based on customer’s specific requirements to evaluate potential non-CYP mediated metabolism. Our Senior Scientists can advise on different options regarding the test systems available i.e., recombinant enzymes preparations or metabolism in microsomes, cytosol or plasma (plus and minus different inhibitors).
Please contact us on email@example.com to find out more about our custom non-CYP mediated metabolism services.
Enzyme Inhibition Studies
Understanding whether a compound can inhibit drug metabolising enzymes is important in establishing its drug interaction potential. Also, in some circumstances inhibition of an enzyme may be a critical mechanism of action for a drug (e.g., monoamine oxidase inhibitors in the treatment of Parkinson’s disease).
1 Williams JA, et al., (2004) Drug-drug interactions for UDP-glucuronosyltransferase substrates: a pharmacokinetic explanation for typically observed low exposure (AUCI/AUC) ratios. DMD32; 1201-1208 2 Beaumont K et al., (2010) ADMET for the medicinal chemist. In RCS Drug Discovery Series No. 1: Metabolism, Pharmacokinetics, and Toxicity of Functional Groups: Impact of Chemical Building Blocks on ADMET. Edited by Smith DA; 61-98 3 The European Medicines Agency (EMA) Guideline on the Investigation of Drug Interactions (Adopted 2012) 4 FDA Guidance for Industry – In Vitro Drug Interaction Studies - Cytochrome P450 Enzyme- and Transporter-Mediated Drug Interactions (January 2020) 5 Evans WE and Relling MV (1999) Pharmacogenomics: Translating functional genomics into rational therapeutics. Science286; 487-491
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