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Published on: March 28, 2017
Effects of age and gender on the cytochrome P450 2D6 activity in a Korean population
Pil-Whan Park1, Yiel-Hea Seo1, Jeong-Yeal Ahn1
1Department of Laboratory Medicine, Gil Medical Center, Gachon University College of Medicine, Incheon, Korea.
What Is Known And Objective:
Age and gender have been reported to play a crucial role in modulating the disposition of pharmacological agents, and to influence the activities of cytochrome P450 (CYP) 2D6, a drug-metabolizing enzyme involved in the disposition of clinically used drugs. In the present study, the effects of age and gender on the CYP2D6 activity were evaluated using dextromethorphan as a probe drug in humans.
Methods:
Healthy young (20 < age < 30 years, n = 60) and old age (age >60 years, n = 60) subjects were enrolled and were given 15 mg dextromethorphan orally. Blood samples were collected before and 3 h after medication. Dextromethorphan and its metabolite dextrorphan were measured using HPLC-fluorescence, and dextromethorphan metabolic ratio (MR, log [dextromethorphan/dextrorphan]) was used to evaluate the CYP2D6 activity.
Results And Discussion:
Mean (±SD) dextromethorphan MR was -2.42 ± 0.46 for the young male group, -2.28 ± 0.56 for the young female group, -2.46 ± 0.55 for the older male group and -2.34 ± 0.65 for the old female group. Based on our findings, the effects of age and gender on CYP2D6 activity were not statistically significant.
What Is New And Conclusion:
The results of the present study indicate that age and gender play a minor role in the modulation of CYP2D6 activity in the Korean population.
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