title: Hemodialysis does not alter in vitro hepatic CYP3A4 and CYP2D6 metabolic activity in uremic serum.
abstract: There is a paucity of studies evaluating the change in liver metabolism in subjects receiving hemodialysis. The purpose of this study was to compare the effect of uremic toxins on hepatic cytochrome P450 (CYP)3A4 and CYP2D6 metabolism before and after a 4-hour hemodialysis session. Midazolam and dextromethorphan were incubated with uremic serum collected from subjects before and after the 4-hour hemodialysis session. Analysis and quantification of the 1'-OH-midazolam and 4-OH-midazolam and dextrorphan metabolites were performed by high-pressure liquid chromatography/mass spectrometry. Statistical analysis using the Student's t-test (paired) was used to compare the amount of metabolite formed. The mean amount of 1'-OH-midazolam, 4-OH-midazolam, and dextrorphan metabolites formed before and after hemodialysis did not significantly differ. There was no significant difference in CYP3A4 and CYP2D6 metabolic activity in uremic serum before and after hemodialysis.
authors.affiliation: Division of Nephrology, Department of Medicine, School of Medicine, Indiana University, Indianapolis, IN, USA ; Department of Medicine, Department of Medicine, School of Medicine, Indiana University, Indianapolis, IN, USA.
authors.forename: Brian S
authors.initials: BS
authors.lastname: Decker
authors.affiliation: Division of Nephrology, Department of Medicine, School of Medicine, Indiana University, Indianapolis, IN, USA ; Department of Medicine, Department of Medicine, School of Medicine, Indiana University, Indianapolis, IN, USA.
authors.forename: Kalisha D
authors.initials: KD
authors.lastname: O'Neill
authors.affiliation: Division of Nephrology, Department of Medicine, School of Medicine, Indiana University, Indianapolis, IN, USA ; Department of Medicine, Department of Medicine, School of Medicine, Indiana University, Indianapolis, IN, USA.
authors.forename: Mary A
authors.initials: MA
authors.lastname: Chambers
authors.affiliation: Department of Biostatistics, Department of Medicine, School of Medicine, Indiana University, Indianapolis, IN, USA.
authors.forename: James E
authors.initials: JE
authors.lastname: Slaven
authors.affiliation: Department of Biostatistics, Department of Medicine, School of Medicine, Indiana University, Indianapolis, IN, USA.
authors.forename: Zhangsheng
authors.initials: Z
authors.lastname: Yu
authors.affiliation: Department of Medicine, Department of Medicine, School of Medicine, Indiana University, Indianapolis, IN, USA ; Division of Clinical Pharmacology, Department of Medicine, School of Medicine, Indiana University, Indianapolis, IN, USA.
authors.forename: David R
authors.initials: DR
authors.lastname: Jones
authors.affiliation: Division of Nephrology, Department of Medicine, School of Medicine, Indiana University, Indianapolis, IN, USA ; Department of Medicine, Department of Medicine, School of Medicine, Indiana University, Indianapolis, IN, USA.
authors.forename: Sharon M
authors.initials: SM
authors.lastname: Moe
keywords: CYP2D6; CYP3A4; hemodialysis; metabolism; uremia