CYP3A4: Difference between revisions

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== Relevance ==
== Relevance ==


CYP3A4 is thought to affect the metabolism of 30-60% of the drugs on the market [https://www.pharmgkb.org/gene/PA130?tabType=tabVip#tabview=tab3&subtab=32] [http://www.pharmacytimes.com/publications/issue/2008/2008-09/2008-09-8687]. Because of this, the continual study of this enzyme is valued.  A orally prescribed drug can take a while to arrive at its target cell and along the way the body has enzymes that filter out the drug dampening its efficacy.   
CYP3A4 is thought to affect the metabolism of 30-60% of the drugs on the market [https://www.pharmgkb.org/gene/PA130?tabType=tabVip#tabview=tab3&subtab=32] [http://www.pharmacytimes.com/publications/issue/2008/2008-09/2008-09-8687].     An orally prescribed drug can take a while to arrive at its target cell and along the way the body has enzymes that filter out the drug dampening its efficacy.  In certain cases, like that of the ß2 receptor, there is a fraction of the drug remaining after what is known as the first-pass metabolism so that by the time the drug gets to the circulatory system where it can be delivered to the tissues its potency has already been compromised <ref name="h"> PMCID: PMC2045626</ref>.


[[Image:First-pass metabolism.jpg]]
[[Image:First-pass metabolism.jpg]]


 
One way to work around !!!!!!  is by intravenous administration so as to bypass the biological filters of the gut and go right into the bloodstream.
== External Sources ==
Mechanism of Oxidation Reactions Catalyzed by Cytochrome P450 Enzymes [http://pubs.acs.org/doi/full/10.1021/cr020443g]
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