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  • 1995-1999  (5)
  • 1985-1989
  • GASTROINTESTINAL MOTILITY  (3)
  • CYP1A1  (2)
  • 1
    Electronic Resource
    Electronic Resource
    Springer
    European journal of clinical pharmacology 49 (1996), S. 309-315 
    ISSN: 1432-1041
    Keywords: Key words Caffeine ; Biotransformation; CYP1A2 ; CYP1A1 ; CYP2D6-Met CYP2D6-Val ; CYP2E1 ; cDNA-expressed microsomes
    Source: Springer Online Journal Archives 1860-2000
    Topics: Chemistry and Pharmacology , Medicine
    Notes: Abstract. Objectives: The biotransformation of caffeine has been studied in vitro using human cytochrome P-450 isoenzymes (CYPs) expressed in human B-lymphoblastoid cell lines, namely CYP1A1, 1A2, 2A6, 2B6, 2D6-Val, 2E1 and 3A4, and microsomal epoxide hydroxylase (EH). In addition, CYP 2D6-Met was also studied, in which a valine in the wild type (CYP2D6-Val) has been replaced by a methionine due to a G to A mutation in position 112. Results: At caffeine 3 mmol ⋅l−1, five CYPs (1A1, 1A2, 2D6-Met, 2E1 and 3A4) catalysed the biotransformation of caffeine. Among the enzymes studied, CYP1A2, which predominantly catalysed paraxanthine formation, had the highest intrinsic clearance (160 l . h−1 ⋅ mmol−1 CYP). Together with its high abundance in liver, it should be considered, therefore, to be the most important isoenzyme in caffeine metabolism. The affinity of caffeine for CYP1A1 was comparable to that of its homologue 1A2. CYP2D6-Met, which catalysed caffeine metabolism by demethylation and 8-hydroxylation, also had a relatively high intrinsic clearance (3.0 l . h−1 mmol−1 CYP), in particular for theophylline and paraxanthine formation, with kM values between 9–16 mmol ⋅l−1. In contrast, the wild type, CYP2D6-Val, had no detectable activity. In comparison, CYP2E1 played a less important role in in vitro caffeine metabolism. CYP3A4 predominantly catalysed 8-hydroxylation with a kM value of 46 mmol ⋅l−1 and an intrinsic clearance of 0.60 l . h−1 ⋅ mmol −1 CYP. Due to its high abundance in human liver, the latter CYP may contribute significantly to the in vivo formation of TMU. Conclusion: The findings of this study indicate that i) microsomes from transfected human B-lymphoblastoid cell lines give results close to those obtained with microsomes isolated from human liver, ii) at least four CYP isoforms are involved in caffeine metabolism, iii) at a substrate concentration  〈 0.1 mmol ⋅l−1, CYP1A2 and 1A1 are the most important isoenzymes, iv) at higher concentrations the participation of other isoenzymes, in particular CYP3A4, 2E1 and possibly also CYP2D6-Met, are important in caffeine metabolism, and v) the nucleotide composition at position 1120 of CYP2D6 determines the activity of this isoenzyme in caffeine metabolism.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    European journal of clinical pharmacology 49 (1996), S. 309-315 
    ISSN: 1432-1041
    Keywords: Caffeine ; Biotransformation ; CYP1A2 ; CYP1A1 ; CYP2D6-Met CYP2D6-Val ; CYP2E1 ; cDNA-expressed microsomes
    Source: Springer Online Journal Archives 1860-2000
    Topics: Chemistry and Pharmacology , Medicine
    Notes: Abstract Objectives: The biotransformation of caffeine has been studied in vitro using human cytochrome P-450 isoenzymes (CYPs) expressed in human B-lymphoblastoid cell lines, namely CYP1A1, 1A2, 2A6, 2B6, 2D6-Val, 2E1 and 3A4, and microsomal epoxide hydroxylase (EH). In addition, CYP 2D6-Met was also studied, in which a valine in the wild type (CYP2D6-Val) has been replaced by a methionine due to a G to A mutation in position 112. Results: At caffeine 3 mmol·l-1, five CYPs (1A1, 1A2, 2D6-Met, 2E1 and 3A4) catalysed the biotransformation of caffeine. Among the enzymes studied, CYP1A2, which predominantly catalysed paraxanthine formation, had the highest intrinsic clearance (160 l h-1·mmol-1 CYP). Together with its high abundance in liver, it should be considered, therefore, to be the most important isoenzyme in caffeine metabolism. The affinity of caffeine for CYP1A1 was comparable to that of its homologue 1A2. CYP2D6-Met, which catalysed caffeine metabolism by demethylation and 8-hydroxylation, also had a relatively high intrinsic clearance (3.0 l·h-1mmol-1 CYP), in particular for theophylline and paraxanthine formation, with kM values between 9–16 mmol·l-1. In contrast, the wild type, CYP2D6-Val, had no detectable activity. In comparison, CYP2E1 played a less important role in in vitro caffeine metabolism. CYP3A4 predominantly catalysed 8-hydroxylation with a kM value of 46 mmol·l-1 and an intrinsic clearance of 0.60 l·h-1·mmol-1 CYP. Due to its high abundance in human liver, the latter CYP may contribute significantly to the in vivo formation of TMU. Conclusion: The findings of this study indicate that i) microsomes from transfected human B-lymphoblastoid cell lines give results close to those obtained with microsomes isolated from human liver, ii) at least four CYP isoforms are involved in caffeine metabolism, iii) at a substrate concentration 〈0.1 mmol·l-1, CYP1A2 and 1A1 are the most important isoenzymes, iv) at higher concentrations the participation of other isoenzymes, in particular CYP3A4, 2E1 and possibly also CYP2D6-Met, are important in caffeine metabolism, and v) the nucleotide composition at position 1120 of CYP2D6 determines the activity of this isoenzyme in caffeine metabolism.
    Type of Medium: Electronic Resource
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  • 3
    ISSN: 1573-2568
    Keywords: ELECTROGASTROGRAPHY ; FUNCTIONAL DYSPEPSIA ; GASTROINTESTINAL MOTILITY ; GASTRIC EMPTYING
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The aim of this study was to investigateabnormalities in pediatric patients with functionaldyspepsia. Fifteen symptomatic pediatric patientsdiagnosed with functional dyspepsia and 17 aged-matchedhealthy controls were studied. Gastric myoelectricalactivity was recorded using surface electrogastrographyfor 1 hr in the fasting state and 1 hr after a testmeal. It was found that, in comparison with thecontrols, the children with functional dyspepsia had alower percentage of 2- to 4-cpm slow waves in bothfasting state (66.0 ± 4.7% vs 79.7 ± 3.1%,P 〈 0.07) and fed state (72.4 ± 5.4% vs 85.0± 2.9%, P 〈 0.04), and a significantly higherinstability of the dominant frequency in both fastingstate (0.50 ± 0.05 vs 0.31 ± 0.04, P 〈0.01) and fed state (0.39 ± 0.05 vs 0.25 ±0.03, P 〈 0.05). It was also found the postprandial increase inEGG dominant power in the patients was inverselycorrelated with the total symptom score (r = 0.63, P =0.03). It was concluded that abnormal gastricmyoelectrical activity may play a role in the pathogenesis ofpediatric functional dyspepsia.
    Type of Medium: Electronic Resource
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  • 4
    Electronic Resource
    Electronic Resource
    Springer
    Digestive diseases and sciences 43 (1998), S. 1023-1030 
    ISSN: 1573-2568
    Keywords: ELECTROGASTROGRAPHY ; GASTROINTESTINAL MOTILITY ; GASTRIC EMPTYING ; STOMACH
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The efficiency and efficacy of theelectrogastrogram (EGG) involve a few practical factors,including recording length, sample size, and thecharacteristics of subjects. The aim of this study wasto investigate the effect of these factors on the accuracy ofEGG analysis. Gastric myoelectrical activity wasrecorded using electrogastrography in 24 subjects (ages22-91 years) for 1 hr in the fasting state and 2 hr after a test meal. Computerized spectralanalysis was performed to compute EGG parameters,including dominant frequency, dominant power, and thepercentage of 2-4 cycles per minute (cpm) slow waves. A parameter called misinterpretation was definedto investigate the effect of recording length. Theresults were as follows: (1) Using the recording lengthof 1 hr in each state as a gold standard, themisinterpretation for the recording length of 30 min was 27% forthe dominant frequency and 17% for the dominant power.When the recording length was reduced to 15 min, themisinterpretation increased to 61% for the dominant frequency and 38% for the dominant power. (2)With a sample size of 10 subjects and a recording lengthof 60 min, a statistically significant postprandialincrease was observed in the dominant frequency and power, and a trend in the postprandialincrease of the regularity of the EGG was noted. Whenthe sample size increased to 24 subjects, a significantpostprandial increase was found in all these parameters. (3) None of the EGG parameters exhibited anysignificant difference between the younger and oldersubjects or between men and women. In conclusion, arecording length of 30-60 min seems to be appropriate and produces reliable and predictable results.Age and gender do not affect any of the EGGparameters.
    Type of Medium: Electronic Resource
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  • 5
    Electronic Resource
    Electronic Resource
    Springer
    Digestive diseases and sciences 43 (1998), S. 1678-1684 
    ISSN: 1573-2568
    Keywords: ELECTROGASTROGRAPHY ; GASTROINTESTINAL MOTILITY ; FUNCTIONAL DYSPEPSIA ; GASTRIC EMPTYING
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The aim of this study was to investigate gastricmyoelectrical activity in patients with functionaldyspepsia. Thirteen healthy subjects and 14 patientswith functional dyspepsia participated in the study. The electrogastrogram (EGG) recording was madein each subject for 30 min in the fasting state and 120min after a standard test meal of 475 calories. Spectralanalysis methods were applied to derive quantitative EGG parameters. There was no difference in theEGG between the patients and controls in the fastingstate. However, abnormalities in the postprandial EGGwere found in the patients. The percentage of 2-4 cpmwaves was significantly lower (74.4 ± 4.0% vs85.7 ± 1.6%, P 〈 0.03) and the postprandialincrease in EGG dominant power was significantly less(–0.52 ± 0.92 dB vs 2.24 ± 0.88 dB,P 〈 0.03) in patients than in controls. It was alsofound that the percentage of postprandial 2-4 cpm wavescould be used to differentiate the patients withfunctional dyspepsia from the healthy controls with a specificity of 100% and a sensitivity of 43%. It was concluded that a subset of patients withfunctional dyspepsia have impaired gastric myoelectricalactivity in the fed state.
    Type of Medium: Electronic Resource
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