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KMID : 1038020200280020073
Translational and Clinical Pharmacology
2020 Volume.28 No. 2 p.73 ~ p.82
Development and validation of a method for the simultaneous quantification of endogenous steroids metabolized by CYP3A
Lee Yu-Jin

Chae Woo-Ri
Yoon Seong-Hae
Chung Jae-Yong
Cho Joo-Youn
Abstract
Cytochrome P450 (CYP) 3A enzymes, the most important phase 1 drug-metabolizing enzymes, are responsible for 50% of the metabolism of clinically used drugs. CYP3A activity varies widely among individuals, which can affect the probability of adverse drug reactions and drug-drug interactions mediated by the induction or inhibition of the enzyme. Hence, it is important to be able to predict CYP3A activity in individuals to reduce the incidence of unexpected drug responses. To specifically and quickly measure CYP3A activity, we developed method based on gas chromatography interfaced with triple-quadrupole mass spectrometry for the quantification of cortisol, cortisone, 6¥â-hydroxycortisol, and 6¥â-hydroxycortisone simultaneously in urine and 4¥â-hydroxycholesterol in plasma. The results were calculated based on charcoal-stripped steroid-free urine and plasma control samples. The accuracy and precision were 93.18% to 110.0% and 1.96% to 5.34%, respectively. This method was then applied to measure endogenous steroids from urine and plasma samples of healthy Korean males and females. The calibration curves of all analytes showed good linearity with a correlation coefficient (r2) that ranged from 0.9953 to 0.9999. Therefore, this validated method can be used to measure endogenous biomarkers to predict CYP3A activity and might be applicable in the prediction of CYP3A-mediated drug interactions of new drug candidates.
KEYWORD
Cytochrome P-450 CYP3A, Metabolomics, Biomarkers, Gas Chromatography, Mass Spectrometry
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