Cannabis (Cannabis sativa)
        
        Potent inhibition of human cytochrome P450 3A isoforms by cannabidiol: role of phenolic hydroxyl groups in the resorcinol moiety. 
        
        
        
        
        
          
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      AIMS:
In this study, we examined the inhibitory effects of Δ(9)-tetrahydrocannabinol (Δ(9)-THC), cannabidiol (CBD), and cannabinol (CBN), the three major cannabinoids, on the activity of human cytochrome P450 (CYP) 3A enzymes. Furthermore, we investigated the kinetics and structural requirement for the inhibitory effect of CBD on the CYP3A activity.
MAIN METHODS:
Diltiazem N-demethylase activity of recombinant CYP3A4, CYP3A5, CYP3A7, and human liver microsomes (HLMs) in the presence of cannabinoids was determined.
KEY FINDINGS:
Among the three major cannabinoids, CBD most potently inhibited CYP3A4 and CYP3A5 (IC(50)=11.7 and 1.65 μM, respectively). The IC(50) values of Δ(9)-THC and CBN for CYP3A4 and CYP3A5 were higher than 35 μM. For CYP3A7, Δ(9)-THC, CBD, and CBN inhibited the activity to a similar extent (IC(50)=23-31 μM). CBD competitively inhibited the activity of CYP3A4, CYP3A5, and HLMs (K(i)=1.00, 0.195, and 6.14 μM, respectively). On the other hand, CBD inhibited the CYP3A7 activity in a mixed manner (K(i)=12.3 μM). Olivetol partially inhibited all the CYP3A isoforms tested, whereas d-limonene showed lack of inhibition. The lesser inhibitory effects of monomethyl and dimethyl ethers of CBD indicated that the ability of CYP3A inhibition by the cannabinoid attenuated with the number of methylation on the phenolic hydroxyl groups in the resorcinol moiety.
SIGNIFICANCE:
This study indicated that CBD most potently inhibited catalytic activity of human CYP3A enzymes, especially CYP3A4 and CYP3A5. These results suggest that two phenolic hydroxyl groups in the resorcinol moiety of CBD may play an important role in the CYP3A inhibition.
1 . CYP3A4-CBD (id=NPDI-FmAizA)
In Vitro Enzyme Inhibition Experiment
Inhibition was detected. Cutoff used — Not specified
- CYP3A4 4306811
                  Recombinant expression system 
                  Baculovirus-insect cells
                  
                  
                  
                  Cytochrome B5  Co-expressed
                  
                  
                
Results
Table 2, Table 3
| Sample | Compound measured | Value | Measurement | Study sequence | Additional information | N replicates | 
|---|
Experimental Conditions
2 pmol
                          
                          Commercially available
                          
                          
                          
                        
200 μL
15 min
                          
                          MgCl2
                          
                          
                          
                          NADPH regenerating system
                          
                          
                          
                        
50 μM
                          
                          NADPH with precipitant
                          
                          
                          
                        
0-50 μM
2 . HLM-CBD (id=NPDI-zkYApA)
In Vitro Enzyme Inhibition Experiment
Inhibition was detected. Cutoff used — Not specified
- CYP3A
Cell fraction Individual human liver microsomes
Results
Table 2, Table 3
| Sample | Compound measured | Value | Measurement | Study sequence | Additional information | N replicates | 
|---|
Experimental Conditions
50 μg
                          
                          Commercially available
                          
                          
                          
                        
200 μL
15 min
                          
                          MgCl2
                          
                          
                          
                          NADPH regenerating system
                          
                          
                          
                        
50 μM
                          
                          NADPH with precipitant
                          
                          
                          
                        
0-50 μM
3 . CYP3A4-CBN (id=NPDI-ens_Gw)
In Vitro Enzyme Inhibition Experiment
Negligible Inhibition was detected. Cutoff used — Not specified
- CYP3A4 4306811
                  Recombinant expression system 
                  Baculovirus-insect cells
                  
                  
                  
                  Cytochrome B5  Co-expressed
                  
                  
                
Results
Table 2
| Sample | Compound measured | Value | Measurement | Study sequence | Additional information | N replicates | 
|---|
Experimental Conditions
2 pmol
                          
                          Commercially available
                          
                          
                          
                        
200 μL
15 min
                          
                          MgCl2
                          
                          
                          
                          NADPH regenerating system
                          
                          
                          
                        
50 μM
                          
                          NADPH with precipitant
                          
                          
                          
                        
0-50 μM
4 . HLM-CBN (id=NPDI-yszOMw)
In Vitro Enzyme Inhibition Experiment
Negligible Inhibition was detected. Cutoff used — Not specified
- CYP3A
Cell fraction Individual human liver microsomes
Results
Table 2
| Sample | Compound measured | Value | Measurement | Study sequence | Additional information | N replicates | 
|---|
Experimental Conditions
50 μg
                          
                          Commercially available
                          
                          
                          
                        
200 μL
15 min
                          
                          MgCl2
                          
                          
                          
                          NADPH regenerating system
                          
                          
                          
                        
50 μM
                          
                          NADPH with precipitant
                          
                          
                          
                        
0-50 μM
5 . CYP3A4-THC (id=NPDI-8vislA)
In Vitro Enzyme Inhibition Experiment
Negligible Inhibition was detected. Cutoff used — Not specified
- CYP3A4 4306811
                  Recombinant expression system 
                  Baculovirus-insect cells
                  
                  
                  
                  Cytochrome B5  Co-expressed
                  
                  
                
Results
Table 2
| Sample | Compound measured | Value | Measurement | Study sequence | Additional information | N replicates | 
|---|
Experimental Conditions
2 pmol
                          
                          Commercially available
                          
                          
                          
                        
200 μL
15 min
                          
                          MgCl2
                          
                          
                          
                          NADPH regenerating system
                          
                          
                          
                        
50 μM
                          
                          NADPH with precipitant
                          
                          
                          
                        
0-50 μM
6 . HLM-THC (id=NPDI-PS8_LQ)
In Vitro Enzyme Inhibition Experiment
Negligible Inhibition was detected. Cutoff used — Not specified
- CYP3A
Cell fraction Individual human liver microsomes
Results
Table 2
| Sample | Compound measured | Value | Measurement | Study sequence | Additional information | N replicates | 
|---|
Experimental Conditions
50 μg
                          
                          Commercially available
                          
                          
                          
                        
200 μL
15 min
                          
                          MgCl2
                          
                          
                          
                          NADPH regenerating system
                          
                          
                          
                        
50 μM
                          
                          NADPH with precipitant
                          
                          
                          
                        
0-50 μM
