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  • 1
    Electronic Resource
    Electronic Resource
    CYP2C19 genotypes and omeprazole metabolism after single and repeated dosing when combined with clarithromycin (1999)
    Springer
    European journal of clinical pharmacology 55 (1999), S. 43-47 
    Details
    ISSN: 1432-1041
    Keywords: Key words Omeprazole pharmacokinetics ; CYP2C19 polymorphism ; Clarithromycin
    Source: Springer Online Journal Archives 1860-2000
    Topics: Chemistry and Pharmacology , Medicine
    Notes: Abstract Objectives: Omeprazole is metabolized mainly by CYP2C19 which has two major mutations (CYP2C19*2 in exon5 and CYP2C19*3 in exon4) associated with the poor metabolizer (PM) phenotype. The aim of this study was to examine the relationship between genetic polymorphism of CYP2C19 and metabolism of omeprazole administrated as a single dose or as repeated-doses, which were in both cases co-administered with clarithromycin. Methods: Twelve healthy Japanese subjects were typed for CYP2C19 polymorphism. In the single-dose study, plasma levels of omeprazole and its metabolites were measured for 24 h after administration of 20 mg omeprazole and 400 mg clarithromycin to six healthy Japanese subjects. In the repeated-dose study, plasma levels of omeprazole and its metabolites were measured after repeated oral administration of 20 mg omeprazole and 400 mg clarithromycin twice daily for 6 days and then after 20 mg omeprazole and 400 mg clarithromycin once on the 7th day to the other 6 healthy Japanese subjects. Results: In the single-dose study, the areas under the plasma concentration-versus-time curve (AUCs) of omeprazole of homozygotes for the wild-type allele (*1/*1 n = 2), heterozygotes (n = 3) for the CYP2C19*2 (*1/*2) or for the CYP2C19*3 (*1/*3) and heterozygote (n = 1) for the two defects (*2/*3) were on average 450, 1007 and 6710 ng · h−1 · ml−1, respectively. The ratios of AUCs of omeprazole/5-hydroxyomeprazole for *1/*1, *1/*2 or *1/*3 and *2/*3 were 1, 2 and 30, respectively. In the repeated-dose study, the AUCs of omeprazole for *1/*1, *1/*2 or *1/*3 and *2/*3 were 4041 (n = 2), 3149 (n = 3) and 6684 (n = 1) ng · h−1 · ml−1, respectively. The ratios of AUCs of omeprazole/5-hydroxyomeprazole for *1/*1, *1/*2 or *1/*3 and *2/*3 were 7, 11 and 30, respectively. In the repeated-dose study, the AUC of omeprazole of *1/*1 genotypes was nine-fold higher, that of *1/*2 and *1/*3 genotypes was three-fold higher, and the Cmax value of omeprazole was three-fold higher compared with subjects with the same genotype in the single-dose study. However, there were few differences in the AUC and Cmax of omeprazole between the *2/*3 genotype in the single-dose study and the homozygote for the CYP2C19*2 (*2/*2) in the repeated-dose study. Conclusion: Subjects with *1/*1, *1/*2 and *1/*3 genotypes in the repeated-dose study had lower CYP2C19 activity than subjects of the same genotype in the single-dose study. The difference in omeprazole metabolism between subjects with different genotypes observed on day 1 seemed to disappear after 7 days of repeated-dose administration.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s002280050590
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  • 2
    Electronic Resource
    Electronic Resource
    Effects of stimulation of frontal cortex, superior colliculus, and neck muscle afferents on interstitiospinal neurons in the cat (1981)
    Springer
    Experimental brain research 44 (1981), S. 143-153 
    Details
    ISSN: 1432-1106
    Keywords: Interstitiospinal neurons ; Pericruciate cortex ; Frontal eye fields ; Superior colliculus ; Neck muscle afferents
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Interstitiospinal neurons were activated by antidromic stimulation of the spinal cord ventromedial funiculus at C1 and C4 in cerebellectomized cats under chlor alose anesthesia. Neurons responding only to C1 were classified as N cells and those responding both to C1 and C4 were classified as D cells, as in previous experiments (Fukushima et al. 1980a). Vestibular branching interstitiospinal and reticulospinal neurons were also identified as in the previous experiments. Stimulation of the ipsilateral pericruciate cortex evoked firing in 31% of N cells, 41% of D cells and 35% of vestibular branching neurons, while stimulation of the contralateral cortex excited 6% of N cells, 29% of D cells and 14% of vestibular branching neurons. Response latencies ranged from 2 to 15 ms after the effective pulse. By measuring the thresholds of activation of these neurons while changing the depth of the stimulating electrodes, and by mapping the cortical areas, it was shown that the lowest threshold areas were in the frontal eye fields and the anterior sigmoid gyrus near the presylvian sulcus (Area 6). Stimulation of the latter area often evoked neck or shoulder muscle contraction. Stimulation in the deep layers of the ipsilateral superior colliculus evoked firing in about 20% of interstitiospinal neurons and about 42% of vestibular branching neurons, with typical latencies 2–3 ms after the effective pulse, while stimulation of the contralateral superior colliculus was rarely effective. N cells and D cells responded similarly. Thresholds for activation were high in the intermediate tectal layers and declined as the electrodes entered the underlying tegmentum. This suggests that the superior colliculus is not the main source of synaptic inputs to these neurons. Low threshold points were found above the deep fiber layer when stimulating electrodes were inserted into the pretectum. Stimulation of the C2 biventer cervicis nerve excited about 8% of N cells, 18% of D cells, and 15% of vestibular branching neurons bilaterally with typical latencies around 10 ms. Similar results were obtained when C2 splenius nerves were stimulated. The fibers responsible for such excitation are probably group II, since stimuli stronger than 1.8 times threshold of the lowest threshold fibers were needed to evoke excitation. Response decrement was often observed when stimuli were repeated at 1/s, while no such decrement was observed at the rate of 1/3 s. When the convergence of cortical and labyrinthine excitatory inputs was studied, 36% of interstitiospinal neurons received single inputs either from the pericruciate cortex or from the labyrinth, 22% of neurons received convergent excitation from both and the remaining 42% did not respond to either stimulus. Although vestibular branching neurons rarely received labyrinthine inputs, they frequently showed convergence of excitation to stimulation of the frontal cortex, superior colliculus and vestibular nuclei.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00237335
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  • 3
    Electronic Resource
    Electronic Resource
    Responses of cat mesencephalic reticulospinal neurons to stimulation of superior colliculus, pericruciate cortex, and neck muscle afferents (1981)
    Springer
    Experimental brain research 44 (1981), S. 441-444 
    Details
    ISSN: 1432-1106
    Keywords: Mesencephalic reticulospinal neurons ; Superior colliculus ; Pericruciate cortex ; Neck muscle afferents
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Neurons were recorded extracellularly in the mesencephalic reticular formation outside the interstitial nucleus of Cajal in cerebellectomized cats anesthetized with α chloralose. Reticulospinal neurons were identified by antidromic stimulation of the upper cervical segments. Stimulation in the deep layers of the ipsilateral superior colliculus evoked firing in 36% of reticulospinal neurons. For many neurons thresholds for activation were high in the intermediate tectal layers and declined as the electrodes entered the underlying tegmentum. However, low threshold points were found above the deep fiber layer within the superior colliculus for some cells. Stimulation of the contralateral superior colliculus excited 10% of neurons and thresholds for activation were high above the deep fiber layer for all neurons. Stimulation of the ipsilateral and contralateral pericruciate cortex excited 39 and 21% of neurons, respectively. The lowest threshold area was found in the frontal eye fields. Sixteen percent of neurons received excitation from neck muscle afferents (C2 biventer-cervicis) bilaterally. Comparison of responses between mesencephalic reticulospinal neurons and interstitiospinal neurons (Fukushima et al. 1981) showed that responses of the two groups of neurons were similar when the pericruciate cortex and neck muscle afferents were stimulated. However, a difference was observed in tectal responses, since low threshold points were rarely observed above the deep fiber layer for interstitiospinal neurons.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00238838
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    Paper (German National Licenses)
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