378 results match your criteria Tamoxifen Metabolism and CYP2D6


Impact of Curcumin (with or without Piperine) on the Pharmacokinetics of Tamoxifen.

Cancers (Basel) 2019 Mar 22;11(3). Epub 2019 Mar 22.

Department of Medical Oncology, Erasmus MC Cancer Institute, Dr. Molewaterplein 40, 3015 GD Rotterdam, The Netherlands.

Tamoxifen is a prodrug that is primarily metabolized into the pharmacologically active metabolite endoxifen and eventually into inactive metabolites. The herb curcumin may increase endoxifen exposure by affecting phase II metabolism. We compared endoxifen and tamoxifen exposure in breast cancer patients with or without curcumin, and with addition of the bio-enhancer piperine. Read More

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http://dx.doi.org/10.3390/cancers11030403DOI Listing
March 2019
11 Reads

Factors Affecting Tamoxifen Metabolism in Patients With Breast Cancer: Preliminary Results of the French PHACS Study.

Clin Pharmacol Ther 2019 Feb 20. Epub 2019 Feb 20.

Cancer Research Center of Toulouse (CRCT), Inserm U1037, Université Paul Sabatier, Toulouse, France.

In addition to the effect of cytochrome P450 (CYP) 2D6 genetic polymorphisms, the metabolism of tamoxifen may be impacted by other factors with possible consequences on therapeutic outcome (efficacy and toxicity). This analysis focused on the pharmacokinetic (PK)-pharmacogenetic evaluation of tamoxifen in 730 patients with adjuvant breast cancer included in a prospective multicenter study. Plasma concentrations of tamoxifen and six major metabolites, the genotype for 63 single-nucleotide polymorphisms, and comedications were obtained 6 months after treatment initiation. Read More

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http://doi.wiley.com/10.1002/cpt.1404
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http://dx.doi.org/10.1002/cpt.1404DOI Listing
February 2019
10 Reads
7.903 Impact Factor

Tamoxifen Pharmacogenetics and Metabolism: Results From the Prospective CYPTAM Study.

J Clin Oncol 2019 Mar 24;37(8):636-646. Epub 2019 Jan 24.

1 Leiden University Medical Center, Leiden, the Netherlands.

Purpose: Tamoxifen is widely prescribed as adjuvant therapy in patients with early-stage breast cancer. It has been postulated that concentrations of endoxifen, the active metabolite of tamoxifen, are a better predictor of tamoxifen efficacy than CYP2D6 genotypes. Although in a retrospective study, an endoxifen threshold of 5. Read More

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http://ascopubs.org/doi/10.1200/JCO.18.00307
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http://dx.doi.org/10.1200/JCO.18.00307DOI Listing
March 2019
19 Reads

Absence of herb-drug interactions of mistletoe with the tamoxifen metabolite (E/Z)-endoxifen and cytochrome P450 3A4/5 and 2D6 in vitro.

BMC Complement Altern Med 2019 Jan 18;19(1):23. Epub 2019 Jan 18.

Society for Cancer Research, Hiscia Institute, Arlesheim, Switzerland.

Background: Women diagnosed with breast cancer frequently seek complementary and alternative (CAM) treatment options that can help to cope with their disease and the side effects of conventional cancer therapy. Especially in Europe, breast cancer patients use herbal products containing mistletoe (Viscum album L.). Read More

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http://dx.doi.org/10.1186/s12906-019-2439-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6339413PMC
January 2019
5 Reads

CYP2D6-inhibiting medication use and inherited CYP2D6 variation in relation to adverse breast cancer outcomes after tamoxifen therapy.

Cancer Causes Control 2019 Jan 12;30(1):103-112. Epub 2018 Dec 12.

University of Washington, Seattle, WA, USA.

Purpose: Tamoxifen is widely used to reduce the risk of breast cancer (BC) recurrence and extend disease-free survival among women with estrogen-sensitive breast cancers. Tamoxifen efficacy is thought to be attributable to its active metabolite, which is formed through a reaction catalyzed by the P450 enzyme, CYP2D6. Inhibition of tamoxifen metabolism as a result of germline genetic variation and/or use of CYP2D6-inhibiting medications ("inhibitors") is hypothesized to increase the risk of adverse BC outcomes among women taking tamoxifen. Read More

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http://dx.doi.org/10.1007/s10552-018-1117-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6353670PMC
January 2019
1 Read

CYP2D6 phenotype, tamoxifen, and risk of contralateral breast cancer in the WECARE Study.

Breast Cancer Res 2018 12 10;20(1):149. Epub 2018 Dec 10.

Memorial Sloan Kettering Cancer Center, New York, NY, USA.

Background: Tamoxifen treatment greatly reduces a woman's risk of developing a second primary breast cancer. There is, however, substantial variability in treatment response, some of which may be attributed to germline genetic variation. CYP2D6 is a key enzyme in the metabolism of tamoxifen to its active metabolites, and variants in this gene have been associated with reduced tamoxifen metabolism. Read More

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https://breast-cancer-research.biomedcentral.com/articles/10
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http://dx.doi.org/10.1186/s13058-018-1083-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6288916PMC
December 2018
17 Reads

Microsecond MD simulations of human CYP2D6 wild-type and five allelic variants reveal mechanistic insights on the function.

PLoS One 2018 22;13(8):e0202534. Epub 2018 Aug 22.

Molecular Modeling Group, Department of Pharmaceutical Sciences, University of Basel, Basel, Switzerland.

Characterization of cytochrome P450 2D6 (CYP2D6) and the impact of the major identified allelic variants on the activity of one of the most dominating drug-metabolising enzymes is essential to increase drug safety and avoid adverse reactions. Microsecond molecular dynamics simulations have been performed to capture the dynamic signatures of this complex enzyme and five allelic variants with diverse enzymatic activity. In addition to the apo simulations, three substrates (bufuralol, veliparib and tamoxifen) and two inhibitors (prinomastat and quinidine) were included to explore their influence on the structure and dynamical features of the enzyme. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0202534PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6104999PMC
February 2019
16 Reads

Genetic polymorphisms of 3'-untranslated region of SULT1A1 and their impact on tamoxifen metabolism and efficacy.

Breast Cancer Res Treat 2018 Nov 17;172(2):401-411. Epub 2018 Aug 17.

Department of Clinical Pharmacy & Toxicology, Leiden University Medical Center, Albinusdreef 2, 2300 RC, Leiden, The Netherlands.

Purpose: Tamoxifen has a wide inter-variability. Recently, two SNPs in the 3'-untranslated region (UTR) of the SULT1A1 gene, rs6839 and rs1042157, have been associated with decreased SULT1A1 activity. The aim of this study is to investigate the role of the rs6839 and rs1042157 on tamoxifen metabolism and relapse-free survival (RFS) in women diagnosed with early-breast cancer receiving tamoxifen. Read More

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http://dx.doi.org/10.1007/s10549-018-4923-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6208901PMC
November 2018
6 Reads

Effect of CYP2C19 and CYP2D6 genotype on tamoxifen treatment outcome indicates endogenous and exogenous interplay.

Pharmacogenomics 2018 Aug 19;19(13):1027-1037. Epub 2018 Jul 19.

Department of Oncology & Pathology, Karolinska Institutet, SE171-76 Stockholm, Sweden.

Aim: We investigated the interaction of CYP2C19 and CYP2D6 genotype on clinical outcome in tamoxifen-treated breast cancer patients.

Materials & Methods: A cohort of 306 patients on tamoxifen treatment for a minimum of 1 year were employed to analyze the effect of genotype-predicted phenotype on relapse-free survival.

Results & Conclusion: We show that the group with worst outcome and highest risk of relapse is that of 2C19↑-2D6↓ (hazard ratio: 2. Read More

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http://dx.doi.org/10.2217/pgs-2018-0089DOI Listing
August 2018
4 Reads

CYP2D6 genotype and endoxifen plasma concentration do not predict hot flash severity during tamoxifen therapy.

Breast Cancer Res Treat 2018 Oct 6;171(3):701-708. Epub 2018 Jul 6.

Department of Medicine, Division of Clinical Pharmacology, Western University, London, ON, N6A 5K5, Canada.

Purpose: Tamoxifen is frequently prescribed to prevent breast cancer recurrence. Tamoxifen is a prodrug and requires bioactivation by CYP2D6. Tamoxifen use is often limited by adverse effects including severe hot flashes. Read More

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http://dx.doi.org/10.1007/s10549-018-4876-xDOI Listing
October 2018
29 Reads

Toremifene, rather than tamoxifen, might be a better option for the adjuvant endocrine therapy in CYP2D6*10T/T genotype breast cancer patients in China.

Int J Cancer 2018 11 19;143(10):2499-2504. Epub 2018 Sep 19.

Department of Medical Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100021, China.

Toremifene (TOR) is a valid and safe alternative to tamoxifen (TAM) for adjuvant endocrine therapy in breast cancer patients with a metabolic pathway that differs from that of TAM. TOR might have a therapeutic advantage in certain subgroups of patients, such as Chinese women with the CYP2D6 *10 (c.100C > T) T/T genotype, who would get less benefit when receiving adjuvant TAM treatment. Read More

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http://doi.wiley.com/10.1002/ijc.31639
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http://dx.doi.org/10.1002/ijc.31639DOI Listing
November 2018
14 Reads

The Underrated Risks of Tamoxifen Drug Interactions.

Authors:
Philip D Hansten

Eur J Drug Metab Pharmacokinet 2018 Oct;43(5):495-508

Professor Emeritus, School of Pharmacy, University of Washington, Seattle, WA, 98195, USA.

Tamoxifen is a prodrug, and most of the therapeutic effect in treating breast cancer stems from its metabolite, endoxifen. Since cytochrome P450 (CYP) 2D6 is the most important enzyme in the production of endoxifen, drugs that inhibit CYP2D6 would be expected to reduce tamoxifen efficacy. In addition to drug-drug interactions (DDI) involving CYP2D6, there is growing evidence that enzyme inducers can substantially alter the disposition of endoxifen, reducing tamoxifen efficacy. Read More

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http://dx.doi.org/10.1007/s13318-018-0475-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6133076PMC
October 2018
4 Reads

Comparison of Drug Metabolism and Its Related Hepatotoxic Effects in HepaRG, Cryopreserved Human Hepatocytes, and HepG2 Cell Cultures.

Biol Pharm Bull 2018 May 14;41(5):722-732. Epub 2018 Feb 14.

Graduate School of Biomedical and Health Sciences, Hiroshima University.

Differentiated HepaRG cells maintain liver-specific functions such as drug-metabolizing enzymes. In this study, the feasibility of HepaRG cells as a human hepatocyte model for in vitro toxicity assessment was examined using selected hepatotoxic compounds. First, basal drug-metabolizing enzyme activities (CYP1A2, CYP2B6, CYP2C9, CYP2C19, CYP2D6, CYP3A4, uridine 5'-diphospho-glucuronosyltransferase [UGT], and sulfotransferases [SULT]) were measured in HepaRG, human hepatocytes, and HepG2 cells. Read More

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http://dx.doi.org/10.1248/bpb.b17-00913DOI Listing
May 2018
28 Reads

The formation of estrogen-like tamoxifen metabolites and their influence on enzyme activity and gene expression of ADME genes.

Arch Toxicol 2018 Mar 28;92(3):1099-1112. Epub 2017 Dec 28.

Dr. Margarete Fischer-Bosch-Institute of Clinical Pharmacology and University of Tübingen, Auerbachstr. 112, 70376, Stuttgart, Germany.

Tamoxifen, a standard therapy for breast cancer, is metabolized to compounds with anti-estrogenic as well as estrogen-like action at the estrogen receptor. Little is known about the formation of estrogen-like metabolites and their biological impact. Thus, we characterized the estrogen-like metabolites tamoxifen bisphenol and metabolite E for their metabolic pathway and their influence on cytochrome P450 activity and ADME gene expression. Read More

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http://dx.doi.org/10.1007/s00204-017-2147-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5866846PMC
March 2018
57 Reads

Variations in plasma concentrations of tamoxifen metabolites and the effects of genetic polymorphisms on tamoxifen metabolism in Korean patients with breast cancer.

Oncotarget 2017 Nov 1;8(59):100296-100311. Epub 2017 Nov 1.

Department of Clinical Pharmacology & Therapeutics, Samsung Medical Center, Seoul, Korea.

Inter-individual variation in tamoxifen metabolism in breast cancer patients is caused by various genetic and clinical factors. We measured the plasma concentrations of tamoxifen and its metabolites and investigated genetic polymorphisms influencing those concentrations. We measured the concentrations of tamoxifen, endoxifen, N-desmethyltamoxifen (NDM), and 4-hydroxytamoxifen (4-OH tamoxifen) in 550 plasma specimens from 281 breast cancer patients treated with tamoxifen. Read More

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http://dx.doi.org/10.18632/oncotarget.22220DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5725021PMC
November 2017
24 Reads

Serum concentrations of active tamoxifen metabolites predict long-term survival in adjuvantly treated breast cancer patients.

Breast Cancer Res 2017 Nov 28;19(1):125. Epub 2017 Nov 28.

Department of Clinical Science, University of Bergen, Bergen, Norway.

Background: Controversies exist as to whether the genetic polymorphisms of the enzymes responsible for the metabolism of tamoxifen can predict breast cancer outcome in patients using adjuvant tamoxifen. Direct measurement of concentrations of active tamoxifen metabolites in serum may be a more biological plausible and robust approach. We have investigated the association between CYP2D6 genotypes, serum concentrations of active tamoxifen metabolites, and long-term outcome in tamoxifen treated breast cancer patients. Read More

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http://dx.doi.org/10.1186/s13058-017-0916-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5706168PMC
November 2017
14 Reads

Improved Prediction of Endoxifen Metabolism by CYP2D6 Genotype in Breast Cancer Patients Treated with Tamoxifen.

Front Pharmacol 2017 24;8:582. Epub 2017 Aug 24.

Dr. Margarete Fischer-Bosch-Institute of Clinical PharmacologyStuttgart, Germany.

Prediction of impaired tamoxifen (TAM) to endoxifen metabolism may be relevant to improve breast cancer treatment, e.g., via TAM dose increase. Read More

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http://dx.doi.org/10.3389/fphar.2017.00582DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5609540PMC
August 2017
40 Reads

Comprehensive assessment of cytochromes P450 and transporter genetics with endoxifen concentration during tamoxifen treatment.

Pharmacogenet Genomics 2017 11;27(11):402-409

aDepartment of Clinical Pharmacy, University of Michigan College of Pharmacy, Ann Arbor, Michigan bUNC Lineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, North Carolina cDeBartolo Family Personalized Medicine Institute, Moffitt Cancer Center, Tampa, Florida dDepartment of Clinical Pharmacology, Indiana University, Indianapolis, Indiana eBon Secours Cancer Institute, Richmond, Virginia, USA.

Objectives: Tamoxifen bioactivation to endoxifen is mediated primarily by CYP2D6; however, considerable variability remains unexplained. Our aim was to perform a comprehensive assessment of the effect of genetic variation in tamoxifen-relevant enzymes and transporters on steady-state endoxifen concentrations.

Patients And Methods: Comprehensive genotyping of CYP enzymes and transporters was performed using the iPLEX ADME PGx Pro Panel in 302 tamoxifen-treated breast cancer patients. Read More

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http://dx.doi.org/10.1097/FPC.0000000000000311DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5659294PMC
November 2017
59 Reads

First-in-Human Phase I Study of the Tamoxifen Metabolite Z-Endoxifen in Women With Endocrine-Refractory Metastatic Breast Cancer.

J Clin Oncol 2017 Oct 30;35(30):3391-3400. Epub 2017 Aug 30.

Matthew P. Goetz, Vera J. Suman, Joel M. Reid, Don W. Northfelt, Michael A. Mahr, Andrew T. Ralya, Mary Kuffel, Sarah A. Buhrow, Stephanie L. Safgren, Renee M. McGovern, John Black, Travis Dockter, Tufia Haddad, Charles Erlichman, Alex A. Adjei, Dan Visscher, Benjamin R. Kipp, Minetta C. Liu, John R. Hawse, Matthew M. Ames, and James N. Ingle, Mayo Clinic, Rochester, MN; Zachary R. Chalmers and Garrett Frampton, Foundation Medicine, Cambridge, MA; and John R. Hawse, James H. Doroshow, Jerry M. Collins, and Howard Streicher, National Cancer Institute, Bethesda, MD.

Purpose Endoxifen is a tamoxifen metabolite with potent antiestrogenic activity. Patients and Methods We performed a phase I study of oral Z-endoxifen to determine its toxicities, maximum tolerated dose (MTD), pharmacokinetics, and clinical activity. Eligibility included endocrine-refractory, estrogen receptor-positive metastatic breast cancer. Read More

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http://ascopubs.org/doi/10.1200/JCO.2017.73.3246
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http://dx.doi.org/10.1200/JCO.2017.73.3246DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5648176PMC
October 2017
76 Reads

Effect of CYP3A4*22, CYP3A5*3, and CYP3A combined genotypes on tamoxifen metabolism.

Eur J Clin Pharmacol 2017 Dec 28;73(12):1589-1598. Epub 2017 Aug 28.

Leiden Network for Personalised Therapeutics, Department of Clinical Pharmacy and Toxicology, Leiden University Medical Center, Albinusdreef 2, Leiden, 2300, RC, The Netherlands.

Background: Tamoxifen is one of the cornerstones of endocrine therapy for breast cancer. Recently, the decreased activity CYP3A4*22 allele and the loss of function CYP3A5*3 allele have been described as potential factors that could help to explain the inter-patient variability in tamoxifen metabolism. The aim of this study is to investigate the effect of CYP3A4*22, CYP3A5*3, and CYP3A combined genotypes on tamoxifen metabolism. Read More

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http://dx.doi.org/10.1007/s00228-017-2323-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5684327PMC
December 2017
11 Reads

The Cytochrome P450 Enzyme Responsible for the Production of (Z)-Norendoxifen in vitro.

Chem Biodivers 2018 Jan 28;15(1). Epub 2017 Dec 28.

Department of Medical Oncology, Harbin Medical University Cancer Hospital, Harbin, P. R., China.

Norendoxifen, an active metabolite of tamoxifen, is a potent aromatase inhibitor. Little information is available regarding production of norendoxifen in vitro. Here, we conducted a series of kinetic and inhibition studies in human liver microsomes (HLMs) and expressed P450s to study the metabolic disposition of norendoxifen. Read More

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http://dx.doi.org/10.1002/cbdv.201700287DOI Listing
January 2018
15 Reads

CYP2C19*2 and CYP2C19*17 variants and effect of tamoxifen on breast cancer recurrence: Analysis of the International Tamoxifen Pharmacogenomics Consortium dataset.

Sci Rep 2017 08 10;7(1):7727. Epub 2017 Aug 10.

Department of Clinical Epidemiology, Aarhus University, Aarhus, Denmark.

The role of cytochrome P450 drug metabolizing enzymes in the efficacy of tamoxifen treatment of breast cancer is subject to substantial interest and controversy. CYP2D6 have been intensively studied, but the role of CYP2C19 is less elucidated, and we studied the association of CYPC19 genotype and recurrence of breast cancer. We used outcome and genotyping data from the large publicly available International Tamoxifen Pharmacogenomics Consortium (ITPC) dataset. Read More

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http://dx.doi.org/10.1038/s41598-017-08091-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5552748PMC
August 2017
50 Reads

Impact of CYP2D6 polymorphisms on endoxifen concentrations and breast cancer outcomes.

Pharmacogenomics J 2018 04 1;18(2):201-208. Epub 2017 Aug 1.

Department of Pharmacy Practice and Translational Research, University of Houston College of Pharmacy, Houston, TX, USA.

We investigated the impact of germline CYP2D6 genotyping done using the non-tumor specimen on endoxifen concentrations and/or clinical outcomes in breast cancer (BC) patients treated with tamoxifen in published studies. We evaluated published data from 13 001 patients in 29 studies. Mean±s. Read More

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http://dx.doi.org/10.1038/tpj.2017.36DOI Listing
April 2018
4 Reads

Pharmacogenetics of Aromatase Inhibitors in Endocrine Responsive Breast Cancer: Lessons Learnt from Tamoxifen and CYP2D6 Genotyping.

Anticancer Agents Med Chem 2017 ;17(13):1805-1813

Division of Chemical Pathology, Department of Pathology Faculty of Medicine and Health Sciences, Stellenbosch University and the National Health Laboratory Service, Tygerberg Hospital, Tygerberg. South Africa.

Background: Genetics play a significant role in drug metabolism of endocrine therapy of breast cancer. These aspects have been studied extensively in patients on tamoxifen, but the pharmacogenetics of aromatase inhibitors are less established. In contrast to the protective effect of tamoxifen, aromatase inhibitors are linked with an increased risk for bone loss and fractures. Read More

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http://dx.doi.org/10.2174/1871521409666170412124226DOI Listing
January 2017
14 Reads

polymorphisms may predict occurrence of adverse effects to tamoxifen: a preliminary retrospective study.

Breast Cancer (Dove Med Press) 2017 6;9:111-120. Epub 2017 Mar 6.

Institute of Biochemistry, Molecular Biology and Biotechnology (IBMBB), University of Colombo, Colombo, Sri Lanka.

Introduction And Aims: Tamoxifen is an adjuvant drug effective in treating hormone receptor - positive breast cancer. However, 30%-50% of patients relapse and many develop adverse effects, such as hot flashes and fatty liver. Allelic variations altering the activity of cytochrome P450-2D6 enzyme affect response to tamoxifen by modulating metabolism of tamoxifen into its pharmacologically active metabolite endoxifen. Read More

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http://dx.doi.org/10.2147/BCTT.S126557DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5345689PMC
March 2017
26 Reads

Polymorphisms of ESR1, UGT1A1, HCN1, MAP3K1 and CYP2B6 are associated with the prognosis of hormone receptor-positive early breast cancer.

Oncotarget 2017 Mar;8(13):20925-20938

Department of Surgery, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan.

In this study, we investigated whether single nucleotide polymorphisms (SNPs) identified by genome-wide association study (GWAS) (MAP3K1, FGFR2, TNRC9, HCN1, and 5p12), and SNPs involved in the metabolism of estrogen (CYP19, COMT, ESR1, and UGT1A1), tamoxifen (CYP2C9, CYP2C19, CYP3A5, and CYP2D6), and chemotherapeutic agents (ABCB1, ALDH3A1, and CYP2B6) are associated with the prognoses of 414 hormone receptor (HR)-positive early breast cancers with negative or 1 to 3 nodal metastases. At a median follow-up period of 10.6 years, 363 patients were alive, and 51 (12. Read More

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http://dx.doi.org/10.18632/oncotarget.14995DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5400556PMC
March 2017
19 Reads

[Ovarian Ablation in Breast Cancer Patients and the Possibility of Influencing Treatment Side Effects].

Authors:
M Palácová

Klin Onkol 2016 ;29 Suppl 3:S29-38

Ovarian suppression or ovarian ablation used in treatment of breast carcinoma results in temporary or permanent menopause and associated menopausal symptoms - most frequently vasomotoric symptoms (hot flashes, sweats), vaginal atrophy, sleep disturbances. Patients can also experience frequent decrease in bone density (osteopenia, osteoporosis), mood swings or depression, less frequently cardiac toxicity. Managements of these symptoms is complex. Read More

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http://dx.doi.org/10.14735/amko20163S29DOI Listing
October 2018
26 Reads

An Appraisal of Drug-Drug Interactions with Green Tea (Camellia sinensis).

Planta Med 2017 Apr 24;83(6):496-508. Epub 2017 Jan 24.

Department of Pharmacotherapy and Translational Research, University of Florida College of Pharmacy, Gainesville, Florida, USA.

This review summarizes published , animal, and clinical studies investigating the effects of green tea () extract and associated catechins on drug-metabolizing enzymes and drug transporters. studies suggest that green tea extract and its main catechin, (-)-epigallocatechin-3-gallate, to varying degrees, inhibit the activity of CYP1A1, CYP1A2, CYP2B6, CYP2C8, CYP2C9, CYP2D6, and CYP3A4. UGT1A1 and UGT1A4 isoforms were also inhibited by (-)-epigallocatechin-3-gallate. Read More

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http://dx.doi.org/10.1055/s-0043-100934DOI Listing
April 2017
13 Reads

[Antidepressants agents in breast cancer patients using tamoxifen: review of basic and clinical evidence].

Rev Med Chil 2016 Oct;144(10):1326-1335

Facultad de Medicina, Universidad de Chile, Santiago, Chile.

Tamoxifen (Tmf), is a standard of care for women with estrogen receptor positive (ER+) breast cancer. Endoxifen is a Tmf metabolite generated by cytochrome P450 2D6 (CYP2D6). Antidepressive agents (AD) are often prescribed to women with breast cancer not only for depression, but also for anxiety and hot flashes. Read More

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http://dx.doi.org/10.4067/S0034-98872016001000013DOI Listing
October 2016
15 Reads

Cytochrome P-450 2D6 (CYP2D6) Genotype and Breast Cancer Recurrence in Tamoxifen-Treated Patients: Evaluating the Importance of Loss of Heterozygosity.

Am J Epidemiol 2017 01 17;185(2):75-85. Epub 2016 Dec 17.

Tamoxifen therapy for estrogen receptor-positive breast cancer reduces the risk of recurrence by approximately one-half. Cytochrome P-450 2D6, encoded by the polymorphic cytochrome P-450 2D6 gene (CYP2D6), oxidizes tamoxifen to its most active metabolites. Steady-state concentrations of endoxifen (4-hydroxy-N-desmethyltamoxifen), the most potent antiestrogenic metabolite, are reduced in women whose CYP2D6 genotypes confer poor enzyme function. Read More

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http://dx.doi.org/10.1093/aje/kww178DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5253974PMC
January 2017
26 Reads

Application of Mice Humanized for CYP2D6 to the Study of Tamoxifen Metabolism and Drug-Drug Interaction with Antidepressants.

Drug Metab Dispos 2017 01 18;45(1):17-22. Epub 2016 Oct 18.

Division of Cancer Research, Level 9, Jacqui Wood Cancer Centre, School of Medicine, University of Dundee, Dundee, DD1 9SY, United Kingdom

Tamoxifen is an estrogen receptor antagonist used in the treatment of breast cancer. It is a prodrug that is converted by several cytochrome P450 enzymes to a primary metabolite, N-desmethyltamoxifen (NDT), which is then further modified by CYP2D6 to a pharmacologically potent secondary metabolite, 4-hydroxy-N-desmethyltamoxifen (endoxifen). Antidepressants (ADs), which are often coprescribed to patients receiving tamoxifen, are also metabolized by CYP2D6 and evidence suggests that a drug-drug interaction between these agents adversely affects the outcome of tamoxifen therapy by inhibiting endoxifen formation. Read More

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http://dx.doi.org/10.1124/dmd.116.073437DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5193068PMC
January 2017
20 Reads

Tamoxifen metabolism in breast cancer treatment: Taking the focus off the CYP2D6 gene.

Pharmacogenomics J 2017 03 4;17(2):109-111. Epub 2016 Oct 4.

Department of Basic Biomedical Sciences, Faculty of Biomedical and Health Sciences, Universidad Europea de Madrid, Madrid, Spain.

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http://www.nature.com/articles/tpj201673
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http://dx.doi.org/10.1038/tpj.2016.73DOI Listing
March 2017
12 Reads

Association of CYP2D6*10 (c.100C>T) polymorphisms with clinical outcome of breast cancer after tamoxifen adjuvant endocrine therapy in Chinese population.

Am J Transl Res 2016 15;8(8):3585-92. Epub 2016 Aug 15.

Department of Medical Oncology, Zhejiang Cancer Hospital Hangzhou, Zhejiang Province, P. R. China.

Tamoxifen is the most widely used adjuvant endocrine therapy for breast cancer. However, the pharmacogenetic effect of CYP2D6 on its efficacy remains unclear. Therefore, this study aimed to evaluate the association of CYP2D6*10 (c. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5009411PMC
September 2016
22 Reads

Computational Analysis of Physicochemical Factors Driving CYP2D6 Ligand Interaction.

Curr Comput Aided Drug Des 2017 ;13(1):39-47

Department of Pharmacology and Therapeutics, College of Medicine and Health Sciences, Afe Babalola University, Ado-Ekiti, Nigeria.

Background: The metabolic action of CYP2D6 remains a crucial factor influencing the therapeutic outcomes for many drug molecules while others are either only slightly affected or not affected altogether.

Objective: This study seeks to understand, atomistic resolution, the structural and physicochemical factors influencing CYP2D6 metabolic discrimination.

Method: Explicit solvent molecular dynamics simulations in GROMACS were employed to probe the conformational dynamics of CYP2D6 following which the most populated structures were employed for ligand interaction docking studies with AutoDock Vina using selected CYP2D6 drug substrates. Read More

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http://dx.doi.org/10.2174/1573409912666160909092600DOI Listing
March 2017
15 Reads

National Prociency Testing Result of CYP2D6*10 Genotyping for Adjuvant Tamoxifen Therapy in China.

PLoS One 2016 7;11(9):e0162361. Epub 2016 Sep 7.

Beijing Hospital, National Center of Gerontology, Beijing, China.

Tamoxifen has been successfully used for treating breast cancer and preventing cancer recurrence. Cytochrome P450 2D6 (CYP2D6) plays a key role in the process of metabolizing tamoxifen to its active moiety, endoxifen. Patients with variants of the CYP2D6 gene may not receive the full benefit of tamoxifen treatment. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0162361PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5015788PMC
August 2017
20 Reads

[Advances in the research of pharmacogenomics of tamoxifen].

Yao Xue Xue Bao 2016 09;51(9):1356-67

Tamoxifen (TAM) is the most common nonsteroidal antiestrogen agent, which has been widely used in the prevention of recurrence of estrogen or progesterone receptor-positive breast cancer in patients. It is metabolized by cytochrome P450 oxidases to its active metabolite (4-hydroxytamoxifen, 4-OH-TAM) and endoxifen (EDF), which played a critical role in the therapy. 4-OH-TAM and EDF have 30- to 100-fold more potency than TAM in the suppression of estrogen-dependent breast cancer cell proliferation. Read More

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September 2016
4 Reads

Prevalence of CYP2D6*2, CYP2D6*4, CYP2D6*10, and CYP3A5*3 in Thai breast cancer patients undergoing tamoxifen treatment.

Breast Cancer (Dove Med Press) 2016 8;8:149-55. Epub 2016 Aug 8.

Department of Pharmacy Practice, Faculty of Pharmaceutical Science.

Background: Tamoxifen (TAM) is used in breast cancer treatment, but interindividual variabilities in TAM-metabolizing enzymes exist and have been linked to single nucleotide polymorphisms in the respective encoding genes. The different alleles and genotypes of these genes have been presented for Caucasians and Asians. This study aimed to explore the prevalence of the incomplete functional alleles and genotypes of the CYP2D6 and CYP3A5 genes in Thai breast cancer patients undergoing TAM treatment. Read More

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http://dx.doi.org/10.2147/BCTT.S105563DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4982506PMC
August 2016
11 Reads

Rifampin-Mediated Induction of Tamoxifen Metabolism in a Humanized PXR-CAR-CYP3A4/3A7-CYP2D6 Mouse Model.

Drug Metab Dispos 2016 11 18;44(11):1736-1741. Epub 2016 Aug 18.

Department of Drug Metabolism and Pharmacokinetics, Genentech Inc., South San Francisco, California.

Animals are not commonly used to assess drug-drug interactions due to poor clinical translatability arising from species differences that may exist in drug-metabolizing enzymes and transporters, and their regulation pathways. In this study, a transgenic mouse model expressing human pregnane X receptor (PXR), constitutive androstane receptor (CAR), CYP3A4/CYP3A7, and CYP2D6 (Tg-composite) was used to investigate the effect of induction mediated by rifampin on the pharmacokinetics of tamoxifen and its metabolites. In humans, tamoxifen is metabolized primarily by CYP3A4 and CYP2D6, and multiple-day treatment with rifampin decreased tamoxifen exposure by 6. Read More

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http://dx.doi.org/10.1124/dmd.116.072132DOI Listing
November 2016
17 Reads

A pooled analysis of CYP2D6 genotype in breast cancer prevention trials of low-dose tamoxifen.

Breast Cancer Res Treat 2016 08 2;159(1):97-108. Epub 2016 Aug 2.

Division of Cancer Prevention and Genetics, European Institute of Oncology, Via Ripamonti 435, 20141, Milan, Italy.

Decreased CYP2D6 activity is associated with lower levels of active tamoxifen metabolites. We examined the impact of CYP2D6 genotype on tamoxifen pharmacokinetics, biomarker activity, and efficacy in a pooled analysis of low-dose tamoxifen. Four randomized breast cancer prevention trials of very-low-dose (1 mg/day, n = 52 or 10 mg/week, n = 152) or low-dose tamoxifen (5 mg/day, n = 171) were pooled. Read More

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http://dx.doi.org/10.1007/s10549-016-3932-7DOI Listing
August 2016
18 Reads

Incidence of inactive allele CYP2D6*4 among Greek women suffering from hormone-sensitive breast cancer.

Eur J Gynaecol Oncol 2016 08;37(4):504-510

Background: The incidence of CYP2D6*4 among Caucasians is estimated up to 27%, while it is present in up to 90% of all poor metabolizers within the Caucasian population. The hypothesis under question is whether the presence of one or two non-functioning (null) alleles predicts an inferior outcome in postmenopausal women with breast cancer receiving adjuvant treatment with tamoxifen. The aim of the present study is to estimate the incidence of CYP2D6*4, in the Greek population and more precisely among females suffering from breast cancer. Read More

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August 2016
20 Reads

[Terbinafine : Relevant drug interactions and their management].

Hautarzt 2016 Sep;67(9):718-23

Labor für medizinische Mikrobiologie, Mölbis, Deutschland.

The allylamine terbinafine is the probably most frequently prescribed systemic antifungal agent in Germany for the treatment of dermatomycoses and onychomycoses. According to the German drug law, terbinafine is approved for patients who are 18 years and older; however, this antifungal agent is increasingly used off-label for treatment of onychomycoses and tinea capitis in children. Terbinafine is associated with only a few interactions with other drugs, which is why terbinafine can generally be used without problems in older and multimorbid patients. Read More

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http://dx.doi.org/10.1007/s00105-016-3853-8DOI Listing
September 2016
7 Reads

Tamoxifen Dose Escalation in Patients With Diminished CYP2D6 Activity Normalizes Endoxifen Concentrations Without Increasing Toxicity.

Oncologist 2016 07 25;21(7):795-803. Epub 2016 May 25.

University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA Bon Secours Cancer Institute, Richmond, Virginia, USA

Background: Polymorphic CYP2D6 is primarily responsible for metabolic activation of tamoxifen to endoxifen. We previously reported that by increasing the daily tamoxifen dose to 40 mg/day in CYP2D6 intermediate metabolizer (IM), but not poor metabolizer (PM), patients achieve endoxifen concentrations similar to those of extensive metabolizer patients on 20 mg/day. We expanded enrollment to assess the safety of CYP2D6 genotype-guided dose escalation and investigate concentration differences between races. Read More

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http://dx.doi.org/10.1634/theoncologist.2015-0480DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4943390PMC
July 2016
89 Reads

Multigene and Drug Interaction Approach for Tamoxifen Metabolite Patterns Reveals Possible Involvement of CYP2C9, CYP2C19, and ABCB1.

J Clin Pharmacol 2016 12 21;56(12):1570-1581. Epub 2016 Jun 21.

Department of Pathology, University of Utah, Salt Lake City, UT, USA.

Tamoxifen is metabolically activated to 4-hydroxytamoxifen and endoxifen by cytochrome P450 (CYP). CYP phenotypes have been correlated to tamoxifen outcomes, but few have considered drug interactions or combinations of genes. Fewer still have considered ABCB1, which encodes P-glycoprotein and transports active tamoxifen metabolites. Read More

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http://dx.doi.org/10.1002/jcph.771DOI Listing
December 2016
26 Reads

Profound reduction in tamoxifen active metabolite endoxifen in a breast cancer patient treated with rifampin prior to initiation of an anti-TNFα biologic for ulcerative colitis: a case report.

BMC Cancer 2016 05 11;16:304. Epub 2016 May 11.

Division of Clinical Pharmacology, Department of Medicine, 339 Windermere Road B9-130, London, ON, N6A 5A5, Canada.

Background: Tamoxifen, a common anti-estrogen breast cancer medication, is a prodrug that undergoes bioactivation via cytochrome P450 enzymes, CYP2D6 and to a lesser degree, CYP3A4 to form the active metabolite endoxifen. With an increasing use of oral anti-cancer drugs, the risk for drug-drug interactions mediated by enzyme inhibitors and inducers may also be expected to increase. Here we report the first case demonstrating a potent drug-drug interaction in a real-world clinical setting between tamoxifen and rifampin in a breast cancer patient being treated concurrently for ulcerative colitis. Read More

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http://dx.doi.org/10.1186/s12885-016-2342-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4864908PMC
May 2016
27 Reads

Functional characterization of 22 novel CYP2D6 variants for the metabolism of Tamoxifen.

J Pharm Pharmacol 2016 Jun 25;68(6):819-25. Epub 2016 Apr 25.

Department of Pharmacology, School of Pharmacy of Wenzhou Medical University, Wenzhou, Zhejiang, China.

Objectives: This study aimed to assess the catalytic characteristics of 24 CYP2D6 allelic isoforms found in Chinese Han population on the metabolism of tamoxifen in vitro.

Methods: Recombinant CYP2D6 microsomes of distinguished genotypes were used to characterize the corresponding enzyme activity towards tamoxifen. About 5-2500 μm tamoxifen was incubated for 30 min at 37 °C. Read More

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http://dx.doi.org/10.1111/jphp.12556DOI Listing
June 2016
30 Reads

Pharmacogenetics of UGT1A4, UGT2B7 and UGT2B15 and Their Influence on Tamoxifen Disposition in Asian Breast Cancer Patients.

Clin Pharmacokinet 2016 10;55(10):1239-1250

Clinical Pharmacology, SingHealth, Singapore, Singapore.

Tamoxifen (TAM) is an established endocrine treatment for all stages of oestrogen receptor (ER)-positive breast cancer. Its complex metabolism leads to the formation of multiple active and inactive metabolites. One of the main detoxification and elimination pathways of tamoxifen and its active metabolites, 4-hydroxytamoxifen (4-OHT) and endoxifen, is via glucuronidation catalysed by uridine 5'-diphospho-glucuronosyltransferases (UGTs). Read More

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http://dx.doi.org/10.1007/s40262-016-0402-7DOI Listing
October 2016
23 Reads

Pharmacogenetics of CYP2D6 and tamoxifen therapy: Light at the end of the tunnel?

Pharmacol Res 2016 05 8;107:398-406. Epub 2016 Apr 8.

Clinical Pharmacology and Pharmacogenetics Unit, Department of Laboratory Medicine, University Hospital, Pisa, Italy.

The clinical usefulness of assessing the enzymatic activity of CYPD6 in patients taking tamoxifen had been longly debated. In favour of preemptive evaluation of phenotypic profile of patients is the strong pharmacologic rationale, being that the formation of endoxifen, the major and clinically most important metabolite of tamoxifen, is largely dependent on the activity of CYP2D6. This enzyme is highly polymorphic for which the activity is largely depending on genetics, but that can also be inhibited by a number of drugs, i. Read More

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http://dx.doi.org/10.1016/j.phrs.2016.03.025DOI Listing
May 2016
7 Reads

Evaluating the impact of missenses mutations in CYP2D6*7 and CYP2D6*14A: does it compromise tamoxifen metabolism?

Pharmacogenomics 2016 04 4;17(6):573-82. Epub 2016 Apr 4.

Molecular Prospection and Bioinformatics Group (ProspecMol) - Laboratory of Immunopathology Keizo Asami (LIKA), Federal University of Pernambuco (UFPE), Av. Prof. Moraes Rego 1235, 50670-901, Cidade Universitária, Recife, PE, Brazil.

Unlabelled: CYP2D6 is a high polymorphic enzyme from P450, responsible for metabolizing almost 25% of drugs. The distribution of different mutations among CYP2D6 alleles has been associated with poor, intermediate, extensive and ultra-metabolizers.

Aim: To evaluate how missenses mutations in CYP2D6*7 and CYP2D6*14A poor metabolizer alleles affect CYP2D6 stability and function. Read More

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http://dx.doi.org/10.2217/pgs-2015-0003DOI Listing
April 2016
17 Reads

Pharmacogenetic Predictors of Response.

Adv Exp Med Biol 2016 ;882:191-215

Division of Hematology, Oncology, Department of Internal Medicine, University of Michigan Medical School, 48109, Ann Arbor, 6310 Cancer Center, 1500 E. Medical Center Dr.MI, USA.

Pharmacogenetics attempts to predict treatment response using a patient's "germline" genome as the biomarker of interest. This chapter on pharmacogenetic predictors of breast cancer response is divided into four sections. The first introduces readers to genetic variation and describes how variation in the germline genome can affect biology or pharmacology. Read More

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http://dx.doi.org/10.1007/978-3-319-22909-6_8DOI Listing
August 2016
18 Reads

[Genetically determined variation in bioactivation of tamoxifen and clopidogrel].

Tidsskr Nor Laegeforen 2016 Mar 15;136(5):434-6. Epub 2016 Mar 15.

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http://dx.doi.org/10.4045/tidsskr.15.0555DOI Listing
March 2016
6 Reads