Reversible Mechanisms of Enzyme Inhibition and Resulting Clinical Significance.

Autor: Ring B; Indianapolis, IN, USA., Wrighton SA; East Troy, WI, USA., Mohutsky M; Lilly Research Laboratories, Eli Lilly and Company, Indianapolis, IN, USA. mohutskyma@lilly.com.
Jazyk: angličtina
Zdroj: Methods in molecular biology (Clifton, N.J.) [Methods Mol Biol] 2021; Vol. 2342, pp. 29-50.
DOI: 10.1007/978-1-0716-1554-6_2
Abstrakt: Inhibition of a drug-metabolizing enzyme by the reversible interaction of a drug with the enzyme, thus decreasing the metabolism of another drug, is a major cause of clinically significant drug-drug interactions. This chapter defines the four reversible mechanisms of inhibition exhibited by drugs: competitive, noncompetitive, uncompetitive, and mixed competitive/noncompetitive. An in vitro procedure to determine the potential of a drug to be a reversible inhibitor is also provided. Finally, a number of examples of clinically significant drug-drug interactions resulting from reversible inhibition are described.
(© 2021. Springer Science+Business Media, LLC, part of Springer Nature.)
Databáze: MEDLINE