Stereospecific Metabolism of<i>R</i>- and<i>S</i>-Warfarin by Human Hepatic Cytosolic Reductases
作者:Dustyn A. Barnette、Bryce P. Johnson、Dakota L. Pouncey、Robert Nshimiyimana、Linda P. Desrochers、Thomas E. Goodwin、Grover P. Miller
DOI:10.1124/dmd.117.075929
日期:2017.9
carbonyl at position 11 undergoes stereospecific reduction by multiple enzymes to form the S alcohol for both drug enantiomers, yet R-warfarin undergoes reduction preferentially. This knowledge will aid in assessing the relative importance of reductive pathways for R- and S-warfarin and factors influencing levels of pharmacologically active parent drugs and metabolites, thus impacting patient dose responses