CYP3A4: Difference between revisions

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== Relevance ==
== Drug Metabolism ==


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>.   
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.  Of those enzymes, CYP3A4 is a main player and still a lot more needs to be learned.  In many cases, like that of the ß2 receptor, there is only 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>.   
One way to work around this  is by intravenous administration so as to bypass the biological filters of the gut and go right into the bloodstream.
One way to work around this  is by intravenous administration so as to bypass the biological filters of the gut and go right into the bloodstream.


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