Effects of multi-kinase inhibitors on the activity of cytochrome P450 2J2

Ayaka Kojima1, Masayuki Nadai1, Norie Murayama2

  • 1Laboratory of Pharmaceutics, Faculty of Pharmacy, Meijo University, Nagoya, Japan.

Insights

Apatinib, motesanib, and vatalanib strongly inhibit Cytochrome P450 2J2 (CYP2J2) activity. This suggests potential alterations in CYP2J2 substrate effects when these multi-kinase inhibitors are administered alongside other drugs.

Area of Science:

  • Pharmacology
  • Biochemistry
  • Oncology

Background:

  • Cytochrome P450 2J2 (CYP2J2) is highly expressed in extrahepatic tissues and tumors.
  • CYP2J2 metabolizes arachidonic acid (AA) to epoxyeicosatrienoic acids (EETs), which promote tumor growth by inhibiting apoptosis.
  • Multi-kinase inhibitors (MKIs) are antitumor drugs that warrant investigation for their effects on CYP2J2.

Purpose of the Study:

  • To determine the inhibitory effects of MKIs on CYP2J2 activity.
  • To investigate if MKIs affect CYP2J2-catalyzed EET formation from AA.

Main Methods:

  • Assessed inhibition of astemizole O-demethylation by 20 MKIs in CYP2J2.
  • Determined inhibition constants (Ki) for potent inhibitors.
  • Investigated inhibition of CYP2J2-catalyzed 14,15-EET formation from AA.
  • Performed molecular docking simulations of MKIs with CYP2J2.

Main Results:

  • Apatinib, motesanib, and vatalanib showed potent inhibition of CYP2J2 activity.
  • These MKIs exhibited competitive inhibition with low Ki values (9.3, 15.4, and 65.0 nM, respectively).
  • Apatinib, motesanib, and vatalanib also inhibited CYP2J2-catalyzed 14,15-EET formation from AA.
  • Docking simulations revealed favorable binding energies for these three MKIs with CYP2J2.

Conclusions:

  • Apatinib, motesanib, and vatalanib are strong inhibitors of CYP2J2.
  • These MKIs may alter the metabolic effects of CYP2J2 substrates.
  • Clinical implications regarding drug-drug interactions involving CYP2J2 substrates and these MKIs should be considered.

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