Effects of high-fat diet and CYP2B6 mutants on the pharmacokinetics of
bupropion and hydroxybupropion among healthy chinese subjects
Abstract
Aims To provide evidence for the clinically rational administration of
bupropion (BUP), the effects of high-fat diet and CYP2B6 mutants on BUP
and hydroxybupropion (HBUP) among 44 healthy Chinese subjects. Methods
The concentrations of BUP and HBUP in plasma were determined with a high
performance liquid chromatography-tandem mass spectrometry (HPLC-MS/MS)
analysis. Genotypes were ascertained after amplified by polymerase chain
reaction and restriction fragment length polymorphism (PCR-RFLP).
Results The maximum plasma concentration (Cmax) and time to Cmax (tmax)
of BUP as well as the concentration–time curve (AUC(0→96)) and Cmax of
HBUP all increased by 1.18-, 1.41-, 1.38-, and 1.33-fold in the feeding
group relative to the fasting group, respectively. Interestingly, the
Cmax and terminal half-life (t1/2) of BUP increased by 1.33- and
1.39-fold among those subjects carrying the CYP2B6*1/*1 genotype in the
feeding group relative to those in the fasting group. Similarly, the
apparent volume of distribution (Vd) and clearance (CL) of HBUP
increased by 1.38- and 1.59-fold, respectively, while the Cmax and
AUC(0→96) of HBUP decreased by 1.44- and 1.49-fold among those subjects
carrying the CYP2B6*1/*1 genotype in the feeding group relative to those
in the fasting group. Concliusion These data suggest that high-fat diet
and CYP2B6 mutants can influence the pharmacokinetic parameters of BUP
and HBUP, thereby offering clear evidence for the rational
administration of BUP among Chinese subjects in clinical settings.