Population Pharmacokinetics of Sulindac and Genetic Polymorphisms of FMO3 and AOX1 in Women with Preterm Labor

Purpose This prospective study aimed to evaluate the effects of genetic polymorphisms in sulindac-related metabolizing enzyme genes including FMO3 and AOX1 on the population pharmacokinetics of sulindac in 58 pregnant women with preterm labor. Methods Plasma samples were collected at 1.5, 4, and 10 ...

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Veröffentlicht in:Pharmaceutical research 2020-03, Vol.37 (3), p.44-44, Article 44
Hauptverfasser: Sung, Jin Won, Yun, Hwi-yeol, Park, Sunny, Kim, Young Ju, Yee, Jeong, Lee, Kyung Eun, Song, Byungjeong, Chung, Jee Eun, Gwak, Hye Sun
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container_end_page 44
container_issue 3
container_start_page 44
container_title Pharmaceutical research
container_volume 37
creator Sung, Jin Won
Yun, Hwi-yeol
Park, Sunny
Kim, Young Ju
Yee, Jeong
Lee, Kyung Eun
Song, Byungjeong
Chung, Jee Eun
Gwak, Hye Sun
description Purpose This prospective study aimed to evaluate the effects of genetic polymorphisms in sulindac-related metabolizing enzyme genes including FMO3 and AOX1 on the population pharmacokinetics of sulindac in 58 pregnant women with preterm labor. Methods Plasma samples were collected at 1.5, 4, and 10 h after first oral administration of sulindac. Plasma concentrations of sulindac and its active metabolite (sulindac sulfide) were determined, and pharmacokinetic analysis was performed with NONMEM 7.3. Results The mean maternal and gestational ages at the time of dosing were 32.5 ± 4.4 (range, 20–41) years and 27.4 ± 4.4 (range, 16.4–33.4) weeks, respectively. In the population pharmacokinetic analysis, one depot compartment model of sulindac with absorption lag time best described the data. The metabolism of sulindac and sulindac sulfide was described using Michaelis-Menten kinetics. In stepwise modeling, gestational age impacted volume of distribution (Vc), and FMO3 rs2266782 was shown by the Michaelis constant to affect conversion of sulindac sulfide to sulindac (K M32 ); these were retained in the final model. Conclusions Genetic polymorphisms of FMO3 and AOX1 could affect the pharmacokinetics of sulindac in women who undergo preterm labor. The results of this study could help clinicians develop individualized treatment plans for administering sulindac.
doi_str_mv 10.1007/s11095-020-2765-6
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Methods Plasma samples were collected at 1.5, 4, and 10 h after first oral administration of sulindac. Plasma concentrations of sulindac and its active metabolite (sulindac sulfide) were determined, and pharmacokinetic analysis was performed with NONMEM 7.3. Results The mean maternal and gestational ages at the time of dosing were 32.5 ± 4.4 (range, 20–41) years and 27.4 ± 4.4 (range, 16.4–33.4) weeks, respectively. In the population pharmacokinetic analysis, one depot compartment model of sulindac with absorption lag time best described the data. The metabolism of sulindac and sulindac sulfide was described using Michaelis-Menten kinetics. In stepwise modeling, gestational age impacted volume of distribution (Vc), and FMO3 rs2266782 was shown by the Michaelis constant to affect conversion of sulindac sulfide to sulindac (K M32 ); these were retained in the final model. Conclusions Genetic polymorphisms of FMO3 and AOX1 could affect the pharmacokinetics of sulindac in women who undergo preterm labor. The results of this study could help clinicians develop individualized treatment plans for administering sulindac.</description><identifier>ISSN: 0724-8741</identifier><identifier>EISSN: 1573-904X</identifier><identifier>DOI: 10.1007/s11095-020-2765-6</identifier><identifier>PMID: 31993760</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Adult ; Aldehyde Oxidase - genetics ; Aldehyde Oxidase - metabolism ; Analysis ; Anti-Inflammatory Agents - pharmacokinetics ; Biochemistry ; Biomedical and Life Sciences ; Biomedical Engineering and Bioengineering ; Biomedicine ; Enzyme kinetics ; Enzymes ; Ethylenediaminetetraacetic acid ; Female ; Genetic aspects ; Genetic polymorphisms ; Genetic research ; Genotype ; Gestational Age ; Humans ; Medical Law ; Metabolites ; Models, Biological ; Obstetric Labor, Premature - metabolism ; Oxygenases - genetics ; Oxygenases - metabolism ; Pharmacology/Toxicology ; Pharmacy ; Polymorphism, Genetic - physiology ; Pregnancy ; Pregnant women ; Premature labor ; Prospective Studies ; Research Paper ; Signal Transduction ; Sulfides ; Sulindac ; Sulindac - analogs &amp; derivatives ; Sulindac - metabolism ; Sulindac - pharmacokinetics</subject><ispartof>Pharmaceutical research, 2020-03, Vol.37 (3), p.44-44, Article 44</ispartof><rights>Springer Science+Business Media, LLC, part of Springer Nature 2020</rights><rights>COPYRIGHT 2020 Springer</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c411t-3d0e5204428d809a58b48657d3d6cf7e70679aea88b3a5b97dca3f0278a3964e3</citedby><cites>FETCH-LOGICAL-c411t-3d0e5204428d809a58b48657d3d6cf7e70679aea88b3a5b97dca3f0278a3964e3</cites><orcidid>0000-0003-0278-2563</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11095-020-2765-6$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11095-020-2765-6$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,41467,42536,51297</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31993760$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sung, Jin Won</creatorcontrib><creatorcontrib>Yun, Hwi-yeol</creatorcontrib><creatorcontrib>Park, Sunny</creatorcontrib><creatorcontrib>Kim, Young Ju</creatorcontrib><creatorcontrib>Yee, Jeong</creatorcontrib><creatorcontrib>Lee, Kyung Eun</creatorcontrib><creatorcontrib>Song, Byungjeong</creatorcontrib><creatorcontrib>Chung, Jee Eun</creatorcontrib><creatorcontrib>Gwak, Hye Sun</creatorcontrib><title>Population Pharmacokinetics of Sulindac and Genetic Polymorphisms of FMO3 and AOX1 in Women with Preterm Labor</title><title>Pharmaceutical research</title><addtitle>Pharm Res</addtitle><addtitle>Pharm Res</addtitle><description>Purpose This prospective study aimed to evaluate the effects of genetic polymorphisms in sulindac-related metabolizing enzyme genes including FMO3 and AOX1 on the population pharmacokinetics of sulindac in 58 pregnant women with preterm labor. Methods Plasma samples were collected at 1.5, 4, and 10 h after first oral administration of sulindac. Plasma concentrations of sulindac and its active metabolite (sulindac sulfide) were determined, and pharmacokinetic analysis was performed with NONMEM 7.3. Results The mean maternal and gestational ages at the time of dosing were 32.5 ± 4.4 (range, 20–41) years and 27.4 ± 4.4 (range, 16.4–33.4) weeks, respectively. In the population pharmacokinetic analysis, one depot compartment model of sulindac with absorption lag time best described the data. The metabolism of sulindac and sulindac sulfide was described using Michaelis-Menten kinetics. In stepwise modeling, gestational age impacted volume of distribution (Vc), and FMO3 rs2266782 was shown by the Michaelis constant to affect conversion of sulindac sulfide to sulindac (K M32 ); these were retained in the final model. Conclusions Genetic polymorphisms of FMO3 and AOX1 could affect the pharmacokinetics of sulindac in women who undergo preterm labor. 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Yun, Hwi-yeol ; Park, Sunny ; Kim, Young Ju ; Yee, Jeong ; Lee, Kyung Eun ; Song, Byungjeong ; Chung, Jee Eun ; Gwak, Hye Sun</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c411t-3d0e5204428d809a58b48657d3d6cf7e70679aea88b3a5b97dca3f0278a3964e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adult</topic><topic>Aldehyde Oxidase - genetics</topic><topic>Aldehyde Oxidase - metabolism</topic><topic>Analysis</topic><topic>Anti-Inflammatory Agents - pharmacokinetics</topic><topic>Biochemistry</topic><topic>Biomedical and Life Sciences</topic><topic>Biomedical Engineering and Bioengineering</topic><topic>Biomedicine</topic><topic>Enzyme kinetics</topic><topic>Enzymes</topic><topic>Ethylenediaminetetraacetic acid</topic><topic>Female</topic><topic>Genetic aspects</topic><topic>Genetic polymorphisms</topic><topic>Genetic research</topic><topic>Genotype</topic><topic>Gestational Age</topic><topic>Humans</topic><topic>Medical Law</topic><topic>Metabolites</topic><topic>Models, Biological</topic><topic>Obstetric Labor, Premature - metabolism</topic><topic>Oxygenases - genetics</topic><topic>Oxygenases - metabolism</topic><topic>Pharmacology/Toxicology</topic><topic>Pharmacy</topic><topic>Polymorphism, Genetic - physiology</topic><topic>Pregnancy</topic><topic>Pregnant women</topic><topic>Premature labor</topic><topic>Prospective Studies</topic><topic>Research Paper</topic><topic>Signal Transduction</topic><topic>Sulfides</topic><topic>Sulindac</topic><topic>Sulindac - analogs &amp; derivatives</topic><topic>Sulindac - metabolism</topic><topic>Sulindac - pharmacokinetics</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sung, Jin Won</creatorcontrib><creatorcontrib>Yun, Hwi-yeol</creatorcontrib><creatorcontrib>Park, Sunny</creatorcontrib><creatorcontrib>Kim, Young Ju</creatorcontrib><creatorcontrib>Yee, Jeong</creatorcontrib><creatorcontrib>Lee, Kyung Eun</creatorcontrib><creatorcontrib>Song, Byungjeong</creatorcontrib><creatorcontrib>Chung, Jee Eun</creatorcontrib><creatorcontrib>Gwak, Hye Sun</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Pharmaceutical research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sung, Jin Won</au><au>Yun, Hwi-yeol</au><au>Park, Sunny</au><au>Kim, Young Ju</au><au>Yee, Jeong</au><au>Lee, Kyung Eun</au><au>Song, Byungjeong</au><au>Chung, Jee Eun</au><au>Gwak, Hye Sun</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Population Pharmacokinetics of Sulindac and Genetic Polymorphisms of FMO3 and AOX1 in Women with Preterm Labor</atitle><jtitle>Pharmaceutical research</jtitle><stitle>Pharm Res</stitle><addtitle>Pharm Res</addtitle><date>2020-03-01</date><risdate>2020</risdate><volume>37</volume><issue>3</issue><spage>44</spage><epage>44</epage><pages>44-44</pages><artnum>44</artnum><issn>0724-8741</issn><eissn>1573-904X</eissn><abstract>Purpose This prospective study aimed to evaluate the effects of genetic polymorphisms in sulindac-related metabolizing enzyme genes including FMO3 and AOX1 on the population pharmacokinetics of sulindac in 58 pregnant women with preterm labor. Methods Plasma samples were collected at 1.5, 4, and 10 h after first oral administration of sulindac. Plasma concentrations of sulindac and its active metabolite (sulindac sulfide) were determined, and pharmacokinetic analysis was performed with NONMEM 7.3. Results The mean maternal and gestational ages at the time of dosing were 32.5 ± 4.4 (range, 20–41) years and 27.4 ± 4.4 (range, 16.4–33.4) weeks, respectively. In the population pharmacokinetic analysis, one depot compartment model of sulindac with absorption lag time best described the data. The metabolism of sulindac and sulindac sulfide was described using Michaelis-Menten kinetics. In stepwise modeling, gestational age impacted volume of distribution (Vc), and FMO3 rs2266782 was shown by the Michaelis constant to affect conversion of sulindac sulfide to sulindac (K M32 ); these were retained in the final model. Conclusions Genetic polymorphisms of FMO3 and AOX1 could affect the pharmacokinetics of sulindac in women who undergo preterm labor. The results of this study could help clinicians develop individualized treatment plans for administering sulindac.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>31993760</pmid><doi>10.1007/s11095-020-2765-6</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0003-0278-2563</orcidid></addata></record>
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subjects Adult
Aldehyde Oxidase - genetics
Aldehyde Oxidase - metabolism
Analysis
Anti-Inflammatory Agents - pharmacokinetics
Biochemistry
Biomedical and Life Sciences
Biomedical Engineering and Bioengineering
Biomedicine
Enzyme kinetics
Enzymes
Ethylenediaminetetraacetic acid
Female
Genetic aspects
Genetic polymorphisms
Genetic research
Genotype
Gestational Age
Humans
Medical Law
Metabolites
Models, Biological
Obstetric Labor, Premature - metabolism
Oxygenases - genetics
Oxygenases - metabolism
Pharmacology/Toxicology
Pharmacy
Polymorphism, Genetic - physiology
Pregnancy
Pregnant women
Premature labor
Prospective Studies
Research Paper
Signal Transduction
Sulfides
Sulindac
Sulindac - analogs & derivatives
Sulindac - metabolism
Sulindac - pharmacokinetics
title Population Pharmacokinetics of Sulindac and Genetic Polymorphisms of FMO3 and AOX1 in Women with Preterm Labor
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