Liver and drug metabolism: What role does it play?
A recent review by Aspromonte et al.217 has summarized a comprehensive modulation of cardiac CYP in patients with HF. In general, cardiac CYP1B and CYP2A, CYP2B, CYP2J, CYP4A and CYP11 mRNA levels and related enzyme activities are usually increased in HF217,218. On the other hand, HF plays an important role in the down-regulation of hepatic CYP involved in drug metabolism through several mechanisms which include hepatocellular damage, hypoxia, elevated levels of pro-inflammatory cytokines, and increased production of heme oxygenase-1219....