Impact of carboxylesterase 1 genetic polymorphism on trandolapril activation in human liver and the pharmacokinetics and pharmacodynamics in healthy volunteers.


Journal

Clinical and translational science
ISSN: 1752-8062
Titre abrégé: Clin Transl Sci
Pays: United States
ID NLM: 101474067

Informations de publication

Date de publication:
07 2021
Historique:
revised: 18 12 2020
received: 18 07 2020
accepted: 19 12 2020
pubmed: 5 3 2021
medline: 15 2 2022
entrez: 4 3 2021
Statut: ppublish

Résumé

Trandolapril, an angiotensin-converting enzyme inhibitor prodrug, needs to be activated by carboxylesterase 1 (CES1) in the liver to exert its intended therapeutic effect. A previous in vitro study demonstrated that the CES1 genetic variant G143E (rs71647871) abolished CES1-mediated trandolapril activation in cells transfected with the variant. This study aimed to determine the effect of the G143E variant on trandolapril activation in human livers and the pharmacokinetics (PKs) and pharmacodynamics (PDs) in human subjects. We performed an in vitro incubation study to assess trandolapril activation in human livers (5 G143E heterozygotes and 97 noncarriers) and conducted a single-dose (1 mg) PK and PD study of trandolapril in healthy volunteers (8 G143E heterozygotes and 11 noncarriers). The incubation study revealed that the mean trandolapril activation rate in G143E heterozygous livers was 42% of those not carrying the variant (p = 0.0015). The clinical study showed that, relative to noncarriers, G143E carriers exhibited 20% and 15% decreases, respectively, in the peak concentration (C

Identifiants

pubmed: 33660934
doi: 10.1111/cts.12989
pmc: PMC8301577
doi:

Substances chimiques

Angiotensin-Converting Enzyme Inhibitors 0
Indoles 0
Prodrugs 0
trandolapril 1T0N3G9CRC
Carboxylic Ester Hydrolases EC 3.1.1.-
CES1 protein, human EC 3.1.1.1
trandolaprilat RR6866VL0O

Types de publication

Clinical Trial Journal Article Research Support, N.I.H., Extramural

Langues

eng

Sous-ensembles de citation

IM

Pagination

1380-1389

Subventions

Organisme : NHLBI NIH HHS
ID : R01 HL126969
Pays : United States
Organisme : NIA NIH HHS
ID : R21 AG048500
Pays : United States

Informations de copyright

© 2021 The Authors. Clinical and Translational Science published by Wiley Periodicals LLC on behalf of the American Society for Clinical Pharmacology and Therapeutics.

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Auteurs

Xinwen Wang (X)

Department of Clinical Pharmacy, University of Michigan, Ann Arbor, Michigan, USA.

Lucy Her (L)

Department of Clinical Pharmacy, University of Michigan, Ann Arbor, Michigan, USA.

Jingcheng Xiao (J)

Department of Clinical Pharmacy, University of Michigan, Ann Arbor, Michigan, USA.

Jian Shi (J)

Department of Clinical Pharmacy, University of Michigan, Ann Arbor, Michigan, USA.

Audrey H Wu (AH)

Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan, USA.

Barry E Bleske (BE)

Department of Pharmacy Practice and Administrative Sciences, The University of New Mexico, Albuquerque, New Mexico, USA.

Hao-Jie Zhu (HJ)

Department of Clinical Pharmacy, University of Michigan, Ann Arbor, Michigan, USA.

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Classifications MeSH