Abstract

Publisher Summary The aliphatic amide, 2–hydroxy–2–ethylbutyryl N, N–diethyl–amide (HOE 17,879), has no remarkable pharmacological effect but acts on hepatic drug-metabolizing enzymes and on drug action times in a biphasic way depending on the time schedule of administration. After initial enzyme inhibition, enzyme induction occurs. This chapter discusses the effects of HOE 17,879 on the hepatic microsomal drug-metabolizing enzyme systems in vitro. HOE 17,879 does not inhibit microsomal, nicotinamide adenine dinucleotide phosphate-oxidase (NADPH)–specific cytochrome c, neotetrazolium reductases, or methylumbelliferone glucuronyltransferase. With rat liver microsomes, HOE 17,879 gives a type I cytochrome substrate difference spectrum. Therefore, the inhibition of the mixed-function oxidases is because of an interaction of HOE 17,879 with cytochrome P-450 at the substrate-binding site and not with the microsomal reductase or the microsomal glucuronyl transferase.

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