Losartan competitively inhibits CYP2C8-dependent paclitaxel metabolism in vitro

Biol Pharm Bull. 2014;37(9):1550-4. doi: 10.1248/bpb.b14-00366.

Abstract

The present study aimed to characterize the inhibitory effects of losartan, an angiotensin II receptor blocker, on CYP2C8. Inhibition experiments were based on human lymphoblast-expressed recombinant CYP2C8 (rCYP2C8) and paclitaxel as a CYP2C8 substrate. The disappearance of paclitaxel (initial concentration: 7.5 µmol/L) was monitored over time at different concentrations of losartan (0, 100, 500 and 1000 µmol/L). For Dixon and Cornish-Bowden plots, various concentrations of losartan (final concentration: 0, 50, 100 and 250 µmol/L) and paclitaxel (final concentration: 3.75, 7.5 and 15 µmol/L) were used. Losartan exhibited significant inhibitory effects on paclitaxel disappearance at losartan concentrations of ≥100 µmol/L (p<0.05). Losartan at 50 µmol/L inhibited the disappearance of paclitaxel by about 60%. Both plots showed that losartan exerted competitive inhibition of rCYP2C8, and its apparent Ki value was estimated to be 40.7 µmol/L. The degree of inhibition (R value) for rCYP2C8 after oral administration of losartan (100 mg) was estimated to be 1.2, using the maximum hepatic input total blood concentration (7.3 µmol/L). The present results show that losartan acts as a competitive inhibitor of CYP2C8-dependent drug metabolism in vitro. Subjects with a low clearance of losartan, resulting in a high average systemic blood concentration of losartan after repeated oral administration, should be carefully monitored for possible adverse reactions during co-medication with CYP2C8 substrate drugs.

MeSH terms

  • Angiotensin II Type 1 Receptor Blockers / pharmacology
  • Antihypertensive Agents / pharmacology
  • Antineoplastic Agents, Phytogenic / pharmacology
  • Cells, Cultured
  • Cytochrome P-450 CYP2C8 / metabolism*
  • Cytochrome P-450 CYP2C8 Inhibitors / pharmacology*
  • Drug Interactions
  • Humans
  • Losartan / pharmacology*
  • Microsomes / metabolism
  • Paclitaxel / pharmacology*

Substances

  • Angiotensin II Type 1 Receptor Blockers
  • Antihypertensive Agents
  • Antineoplastic Agents, Phytogenic
  • Cytochrome P-450 CYP2C8 Inhibitors
  • Cytochrome P-450 CYP2C8
  • Losartan
  • Paclitaxel