Evidence map›Paper›PMID 27709010›Full record

ReviewActa pharmaceutica Sinica. B2016

Insights into CYP2B6-mediated drug-drug interactions.

William D Hedrich, Hazem E Hassan, Hongbing Wang

Open access · diamondAbstract readReview
In one paragraph

Review in Acta pharmaceutica Sinica. B, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 67 papers.

0numbers the graph read from it
0cells of the map it votes in
67citing papers in PubMed
14.9field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

67 citing papers in PubMed, 141 citations in OpenAlex.

  1. Trial
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  13. Applicability domain-expansion studies for machine learning models reveal new inhibitors of CYP2B6.Drug metabolism and disposition: the biological fate of chemicals · 2025
    Article
  14. Mechanisms of altered hepatic drug disposition during pregnancy: small molecules.Expert opinion on drug metabolism & toxicology · 2025
    Review
  15. Observational
  16. Review
  17. Review
  18. Phenoconversion andHepatology forum · 2025
    Review
  19. Article
  20. Article

7 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

William D HedrichDepartment of Pharmaceutical Sciences, University of Maryland School of Pharmacy, Baltimore, MD 21201, USA.
Hazem E HassanDepartment of Pharmaceutical Sciences, University of Maryland School of Pharmacy, Baltimore, MD 21201, USA.
Hongbing WangDepartment of Pharmaceutical Sciences, University of Maryland School of Pharmacy, Baltimore, MD 21201, USA.
University of Maryland, Baltimore · US

Funding

Regulation of CYP2B6 in Human LIverR01DK061652 · NIDDK · UNIVERSITY OF NORTH CAROLINA CHAPEL HILL · PI WANG, HONGBING · 2003 to 2015
$3.7M
Role of constitutive androstane receptor in cyclophosphamide-based chemotherapyR01GM107058 · NIGMS · UNIVERSITY OF MARYLAND BALTIMORE · PI WANG, HONGBING · 2013 to 2016
$1.2M
NIDDK NIH HHS R01 DK061652NIGMS NIH HHS R01 GM107058
6 · The paper itself

Abstract

Mounting evidence demonstrates that CYP2B6 plays a much larger role in human drug metabolism than was previously believed. The discovery of multiple important substrates of CYP2B6 as well as polymorphic differences has sparked increasing interest in the genetic and xenobiotic factors contributing to the expression and function of the enzyme. The expression of CYP2B6 is regulated primarily by the xenobiotic receptors constitutive androstane receptor (CAR) and pregnane X receptor (PXR) in the liver. In addition to CYP2B6, these receptors also mediate the inductive expression of CYP3A4, and a number of important phase II enzymes and drug transporters. CYP2B6 has been demonstrated to play a role in the metabolism of 2%-10% of clinically used drugs including widely used antineoplastic agents cyclophosphamide and ifosfamide, anesthetics propofol and ketamine, synthetic opioids pethidine and methadone, and the antiretrovirals nevirapine and efavirenz, among others. Significant inter-individual variability in the expression and function of the human CYP2B6 gene exists and can result in altered clinical outcomes in patients receiving treatment with CYP2B6-substrate drugs. These variances arise from a number of sources including genetic polymorphism, and xenobiotic intervention. In this review, we will provide an overview of the key players in CYP2B6 expression and function and highlight recent advances made in assessing clinical ramifications of important CYP2B6-mediated drug-drug interactions.

Indexed as

4-OH-CPA, 4-hydroxycyclophosphamideCARCAR, constitutive androstane receptorC/EBP, CCAAT/enhancer-binding proteinCHOP, cyclophosphamide–doxorubicin–vincristine–prednisoneCITCO, (6-(4-chlorophenyl)imidazo[2,1-b][1,3]thiazole-5-carbaldehyde-O-(3,4-dichlorobenzyl)oxime)COUP-TF, chicken ovalbumin upstream promoter-transcription factorCPA, cyclophosphamideCyclophosphamideCYP2B6CYP, cytochrome P450DDI, drug–drug interactionDEX, dexamethasoneDrug–drug interactionE2, estradiolEfavirenzEFV, efavirenzERE, estrogen responsive elementGRE, glucocorticoid responsive elementGR, glucocorticoid receptorHAART, highly active antiretroviral therapyHNF, hepatocyte nuclear factorIFA, IfosfamideMAOI, monoamine oxidase inhibitorNNRTI, non-nucleotide reverse-transcriptase inhibitorNR1/2, nuclear receptor binding site 1/2NVP, nevirapinePB, phenobarbitalPBREM, phenobarbital-responsive enhancer modulePCN, pregnenolone 16 alpha-carbonitrilePolymorphismPXRPXR, pregnane X receptorRIF, rifampinSNP, single nucleotide polymorphismTCPOBOP, 1,4-bis[3,5-dichloropyridyloxy]benzeneUGT, UDP-glucuronosyl transferase

Identifiers

PMID27709010
PMCPMC5045548
OpenAlexW2516905796

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.