Table 1. A brief overview of hepatic Phase I and II drug metabolizing enzymes ontogeny in Pediatric population*.
Pediatric Population | Duration | Enzymes in the Maturation Phase | Enzymes Already Matured | Enzymes with Higher Activity | Enzymes with Lower Activity | Absence of Enzyme Activity |
---|---|---|---|---|---|---|
Fetus & Preterm infants | <37 weeks gestation | CYP2C9, 19; CYP2E1 GSTA1 SULT1A1 |
CYP1A1 CYP2J2 SULT2A1 SULT1A3 |
CYP1A1 CYP2J2 GSTP1 SULT1E1 SULT1A3 |
CYP2D6¶ | CYP1A2 CYP2A(all) CYP2B6 CYP3A4¶ CYP2C9 |
Term newborn infants or newborns | 0-28 days | CYP2D6 CYP2C19 CYP3A4 CYP2C9 GSTA1 SULT1A1 |
CYP2D6 CYP2E1 |
SULT2A1 - |
SULT1A3¶ | CYP1A2 |
Infants & toddlers | >28 days to 23 months | CYP1A2 CYP2B6 CYP2C19 CYP3A4 |
CYP2A6 CYP2C9 CYP2E1 |
CYP2A6 CYP2E1 SULT2A1 |
CYP1A2 SULT1E1 |
CYP1A1 |
Children | 2-11 years | CYP2C19 GSTM1 |
CYP2D6 CYP2A6 GSTA1 SULT1A1 |
CYP2D6 CYP2A6 SULT2A1 |
SULT1E1- | CYP1A1 |
Adolescents | 12 to 16/18 years | CYP2C19 | CYP2D6 CYP1A2 GSTM1 SULT2A1 SULT1A1 |
CYP2D6 CYP1A2 CYP2A6 CYP2C9 CYP2C19 SULT2A1 |
CYP2B6 SULT1E1 |
CYP1A1 SULT1A3 |