title: Variation of CYP1A2-dependent caffeine metabolism during menstrual cycle in healthy women.
abstract: OBJECTIVE
  The activity of the human cytochrome P450 CYP1A2 is decreased by female sex hormones during pregnancy or treatment with oral contraceptives. However, the influence of menstrual cycle on CYP 1A2 activity is not clear.
  
  
  METHODS
  CYP1A2 activity was monitored in 15 women (13 with confirmed ovulatory cycles, 2 smokers, age (mean +/- SD) 27.8 +/- 3.8 years, body mass index 23.8 +/- 3.8 kg x m-2) using the specific substrate caffeine (mean doses 149 mg). After a run-in period started one week prior to expected onset of menses, daily saliva samples were taken 7.3 +/- 0.7 hours after caffeine intake throughout the cycle, and caffeine clearance was estimated from the paraxanthine to caffeine ratio therein. Ovulation was confirmed by progesterone serum concentration above 3 ng/ml in the second half of the cycle.
  
  
  RESULTS
  Initial (day 2) caffeine clearance (n = 15, geometric mean) was 1.37 ml/min/kg body weight (coefficient of variation (CV) 48%). The ratio of caffeine clearance for the luteal (day -9 to -4 prior to onset of the next menses) to the follicular phase (days 5-10) was (n = 13, point estimate) 1.03 (90% CI 0.95-1.12), indicating that there was no difference in CYP1A2 activity between these cycle phases. The median intraindividual CV in ovulatory cycles (n = 13) was 23% (range 11% to 39%). As an additional finding, there was evidence for long-term fluctuations of CYP1A2 activity in most individuals.
  
  
  CONCLUSIONS
  A dose adaptation according to the phase of menstrual cycle based on pharmacokinetics is not required for CYP1A2 substrates.
authors.affiliation: Institute for Pharmacology, Clinical Pharmacology, Universität zu Köln, Germany.
authors.forename: M
authors.initials: M
authors.lastname: Zaigler
authors.forename: S
authors.initials: S
authors.lastname: Rietbrock
authors.forename: J
authors.initials: J
authors.lastname: Szymanski
authors.forename: J S
authors.initials: JS
authors.lastname: Dericks-Tan
authors.forename: A H
authors.initials: AH
authors.lastname: Staib
authors.forename: U
authors.initials: U
authors.lastname: Fuhr
mesh_terms: D000328:Adult; D002110:Caffeine / Q000493:pharmacokinetics*; D000697:Central Nervous System Stimulants / Q000493:pharmacokinetics*; D019388:Cytochrome P-450 CYP1A2 / Q000378:metabolism*; D005260:Female; D006801:Humans; D008297:Male; D008597:Menstrual Cycle / Q000378:metabolism*; D008875:Middle Aged; D010865:Pilot Projects; D012463:Saliva / Q000378:metabolism; D013806:Theophylline / Q000378:metabolism
chemical_list: D000697:Central Nervous System Stimulants; D002110:Caffeine; D013806:Theophylline; D019388:Cytochrome P-450 CYP1A2; C021183:1,7-dimethylxanthine