Abstract
The effect of malnutrition on hepatic drug-metabolising enzymes was investigated in 8 Sudanese children aged between 9 and 12.5 years using as a model the drug antipyrine. Antipyrine half-life and clearance were measured in the malnourished state and after 3 or 4 weeks of good nutrition. Associated with the improvement in nutritional state was a shortening of antipyrine half-life and an increase in its clearance. There was also a rise in serum triiodothyronine. It is concluded that poor nutrition is associated with impairment of drug metabolic capacity and that many factors are responsible.
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Selected References
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- BRODIE B. B., AXELROD J. The fate of antipyrine in man. J Pharmacol Exp Ther. 1950 Jan;98(1):97–104. [PubMed] [Google Scholar]
- Beattie A. D., Sherlock S. Ascorbic acid deficiency in liver disease. Gut. 1976 Aug;17(8):571–575. doi: 10.1136/gut.17.8.571. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Campbell T. C., Hayes J. R. Role of nutrition in the drug-metabolizing enzyme system. Pharmacol Rev. 1974 Sep;26(3):171–197. [PubMed] [Google Scholar]
- Campbell T. C. Nutrition and drug-metabolizing enzymes. Clin Pharmacol Ther. 1977 Nov;22(5 Pt 2):699–706. doi: 10.1002/cpt1977225part2699. [DOI] [PubMed] [Google Scholar]
- Chopra I. J., Smith S. R. Circulating thyroid hormones and thyrotropin in adult patients with protein-calorie malnutrition. J Clin Endocrinol Metab. 1975 Feb;40(2):221–227. doi: 10.1210/jcem-40-2-221. [DOI] [PubMed] [Google Scholar]
- Conney A. H., Pantuck E. J., Kuntzman R., Kappas A., Anderson K. E., Alvares A. P. Nutrition and chemical biotransformations in man. Clin Pharmacol Ther. 1977 Nov;22(5 Pt 2):707–720. doi: 10.1002/cpt1977225part2707. [DOI] [PubMed] [Google Scholar]
- DIXON R. L., SHULTICE R. W., FOUTS J. R. Factors affecting drug metabolism by liver microsomes. IV. Starvation. Proc Soc Exp Biol Med. 1960 Feb;103:333–335. doi: 10.3181/00379727-103-25509. [DOI] [PubMed] [Google Scholar]
- Fishman J., Bradlow H. L. Effect of malnutrition on the metabolism of sex hormones in man. Clin Pharmacol Ther. 1977 Nov;22(5 Pt 2):721–728. doi: 10.1002/cpt1977225part2721. [DOI] [PubMed] [Google Scholar]
- Houston J. B. Effect of vitamin C supplement on antipyrine disposition in man. Br J Clin Pharmacol. 1977 Apr;4(2):236–239. doi: 10.1111/j.1365-2125.1977.tb00701.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Kato R. Effects of starvation and refeeding on the oxidation of drugs by liver microsomes. Biochem Pharmacol. 1967 May;16(5):871–881. doi: 10.1016/0006-2952(67)90060-3. [DOI] [PubMed] [Google Scholar]
- Krishnaswamy K., Naidu A. N. Microsomal enzymes in malnutrition as determined by plasma half life of antipyrine. Br Med J. 1977 Feb 26;1(6060):538–540. doi: 10.1136/bmj.1.6060.538. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Pimstone B., Becker D., Hendricks S. TSH response to synthetic thyrotropin-releasing hormone in human protein-calorie malnutrition. J Clin Endocrinol Metab. 1973 Apr;36(4):779–783. doi: 10.1210/jcem-36-4-779. [DOI] [PubMed] [Google Scholar]
- Rumack B. H., Holtzman J., Chase H. P. Hepatic drug metabolism and protein malnutrition. J Pharmacol Exp Ther. 1973 Sep;186(3):441–446. [PubMed] [Google Scholar]
- Smithard D. J., Langman M. J. Vitamin C and drug metabolism. Br Med J. 1977 Apr 16;1(6067):1029–1030. doi: 10.1136/bmj.1.6067.1029-b. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Stevenson I. H. Factors influencing antipyrine elimination. Br J Clin Pharmacol. 1977 Jun;4(3):261–265. doi: 10.1111/j.1365-2125.1977.tb00710.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
