代谢
奥氮平在肝脏中大量代谢,约占给药剂量的40%,主要由葡萄糖醛酸酶和细胞色素P450系统的活性实现。在CYP系统中,主要的代谢酶是CYP1A2和CYP2D6。作为第一阶段代谢的一部分,奥氮平的主要循环代谢物约占这一阶段的50-60%,是10-N-葡萄糖苷酸和4'-N-去甲基奥氮平,这些代谢物在临床上不活跃,由CYP1A2的活性形成。另一方面,CYP2D6催化形成2-OH奥氮平,黄素含单加氧酶(FMO3)负责N-氧化物奥氮平的形成。在奥氮平的第二阶段代谢中,UGT1A4是关键参与者,通过生成奥氮平的直接结合形式。
Olanzapine is greatly metabolized in the liver, which represents around 40% of the administered dose, mainly by the activity of glucuronide enzymes and by the cytochrome P450 system. From the CYP system, the main metabolic enzymes are CYP1A2 and CYP2D6. As part of the phase I metabolism, the major circulating metabolites of olanzapine, accounting for approximate 50-60% of this phase, are the 10-N-glucuronide and the 4'-N-desmethyl olanzapine which are clinically inactive and formed by the activity of CYP1A2. On the other hand, CYP2D6 catalyzes the formation of 2-OH olanzapine and the flavin-containing monooxygenase (FMO3) is responsible for N-oxide olanzapine. On the phase II metabolism of olanzapine, UGT1A4 is the key player by generating direct conjugation forms of olanzapine.
来源:DrugBank