MICROSOMES IRREVERSIBLY INHIBITED FOR CYP450 THEIR USES IN THE PHENOTYPING OF ENZYMATIC METABOLIC PATHWAYS

Abstract

A method of preparing isolated microsomes comprising an irreversibly inhibited cytochrome P450 (CYP450). Isolated microsomes are characterized in that a cytochrome P450 thereof is irreversibly inhibited by a non-reversible inhibitor. The isolated microsomes according to the invention may be used in a method of phenotyping enzymatic reactions of a drug candidate.

Claims

1. A method of preparing isolated microsomes comprising an irreversibly inhibited cytochrome P450 (CYP450), comprising the following steps; a) irreversibly inhibiting a cytochrome P450; and b) concentrating the microsomal proteins.

2. The method of claim 1, further comprising one or more washing steps.

3. The method of claim 2, wherein the washing step or steps is/are performed before and/or after the step of concentrating the microsomal proteins.

4. The method of claim 1, wherein the microsomes are concentrated by filtration/centrifugation or ultracentrifugations.

5. The method of claim 1, wherein the microsomes are concentrated to a concentration of 10 mg/ml to 30 mg/ml.

6. The method of claim 1, comprising a final step of preserving the microsomal proteins.

7. The method of claim 8, wherein the final step of preserving is carried out by freezing.

8. The method of claim 1, wherein the microsomes are human liver microsomes.

9. The method of claim 1, wherein the irreversibly inhibited cytochrome P450 is selected from the group consisting of cytochrome CYP1, cytochrome CYP2 and cytochrome CYP3.

10. The method of claim 9, wherein cytochrome P450 is selected from the group consisting of cytochrome CYP1A2, cytochrome CYP2A6, cytochrome CYP288, cytochrome CYP2C8, cytochrome CYP2C9, cytochrome CYP2C19 , cytochrome CYP2D8, cytochrome CYP2E1, and cytochrome CYP3A4.

11. An isolated microsome, wherein cytochrome P450 of the microsome is irreversibly inhibited.

12. The isolated microsome of claim 11, wherein the irreversibly inhibited cytochrome P450 is selected from the group consisting of cytochrome CYP1, cytochrome CYP2 and cytochrome CYP3.

13. The isolated microsome of claim 12, wherein cytochrome P450 is selected from the group consisting of cytochrome CYP1A2, cytochrome CYP2A6, cytochrome CYP286, cytochrome CYP2C8, cytochrome CYP2C9, cytochrome CYP2C19, cytochrome CYP2D8, cytochrome CYP2E1, and cytochrome CYP3A4.

14. The isolated microsome of claim 11 which is preserved by freezing.

15. An isolated microsome obtained according to the method of claim 1.

16. A method of phenotyping enzymatic reactions involved in the metabolism of an active ingredient, comprising the following steps: (a) incubating the isolated microsomes of claim 11 with an active ingredient; and (b) measuring the contribution of the irreversibly inhibited cytochrome P450 involved in the metabolism of the active ingredient.

17. A phenotyping kit, comprising: (a) the isolated microsomes of claim 11; and (b) control microsomes.

Description

BRIEF DESCRIPTION OF THE DRAWINGS

[0079] FIG. 1: Percentage inhibition of the activity of cytochromes P450 in irreversibly inhibited CYP microsomes.

The specific activities studied for each CYP450 correspond to the activities of phenacetin-O-deacetylase (CYP1A2, incubation of phenacetin at 4.5 M), coumarin-7-hydroxylase (CYP2A6, incubation of coumarin at 2 M), bupropion-hydroxylase (286, incubation of bupropion at 50 M), paclitaxel-6-hydroxylase (2C8, incubation of paclitaxel at 4 M), diclofenac-4-hydroxylase (2C9, incubation of diclofenac at 4 M), omeprazole-5-hydroxylase (2C19, incubation of omeprazole at 5 M), dextromethorphan-O-demethylase (206, incubation of dextromethorphan at 5 M), chlorzoxazone-6-hydroxylase (2E1, incubation of chlorzoxazone at 40 M) and testosterone-6p-hydroxylase, midazolam-1-hydroxylase and nifedipine-reductase (3A4, incubation of testosterone at 30 M, midazolam at 0.5 M. nifedipine at 10 M). The percentage inhibition is obtained by comparison of the P450 activities on microsomes irreversibly inhibited by furafylline and on control microsomes.

[0080] FIG. 2: Impact of furafylline at 5 M and 10 M on microsomes of human liver and on recombinant microsomes for CYP1A2.

[0081] FIG. 2A: Impact of furafylline at 5 M and 10 M on microsomes of human liver.

[0082] FIG. 2B; Impact of furafylline at 5 M and 10 M on recombinant microsomes for CYP1A2.

[0083] FIG. 3: Percentage inhibition of the activity of cytochromes P450 in irreversibly inhibited CYP3A4 microsomes.

The specific activities studied for each CYP450 correspond to those described in FIG. 1. The percentage inhibition is obtained by comparison of the P450 activities on microsomes irreversibly inhibited by azamulin and on control microsomes.

[0084] FIG. 4; Metabolism of nifedipine and midazotam by CYP3A4 and CYP3A5 (recombinant microsomes).

[0085] FIG. 5: Percentage inhibition of the midazolam activity at Km and Vmax in irreversibly inhibited CYP3A4 microsomes.

[0086] FIG. 6: Percentage inhibition of the activity of cytochromes P450 in irreversibly inhibited CYP2C8 microsomes.

The specific activities studied for each CYP450 correspond to those described in FIG. 1 to which there is added amodiaquine hydroxylase (2C8, incubation of amodiaquine at 0.5 M). The percentage inhibition is obtained by comparison of the P450 activities on microsomes irreversibly inhibited by gemfibrozil glucuronide and on control microsomes.

[0087] FIG. 7: Percentage inhibition of the activity of amodiaquine incubated at concentrations corresponding to the Km and Vmax of the 2C8-dependant reaction of amodiaquine hydroxylation, in irreversibly inhibited CYP2C8 microsomes.

[0088] FIG. 8: Percentage inhibition of the activity of diclofenac incubated at concentrations corresponding to the Km and Vmax of the 2C9-dependant reaction of diclofenac-4-hydroxylation, in irreversibly inhibited CYP2C9 microsomes.

[0089] FIG. 9: Percentage inhibition of the activity of cytochromes P450 in irreversibly inhibited CYP2C9 microsomes.

The specific activities studied for each CYP450 correspond to those described in FIG. 1. The percentage inhibition is obtained by comparison of the P450 activities on microsomes irreversibly inhibited by tienilic acid and on control microsomes.

[0090] FIG. 10: Percentage inhibition of the activity of cytochromes P450 in irreversibly inhibited CYP206 microsomes. The specific activities studied for each CYP450 correspond to those described in FIG. 1. The percentage inhibition is obtained by comparison of the P450 activities on microsomes irreversibly inhibited by paroxetine and on control microsomes.

[0091] FIG. 11: Percentage inhibition of the activity of cytochromes P450 in irreversibly inhibited CYP2B6 microsomes.

The specific activities studied for each CYP450 correspond to the activities of phenacetin-O-deacetylase (CYP1A2, incubation of phenacetin at 200 M). coumarin-7-hydroxylase (CYP2A6, incubation of coumarin at 20 M), bupropion-hydroxylase (286, incubation of bupropion at 100 M), amodiaquine-deethylase (2C8, incubation of amodiaquine at 20 M, diclofenac-4-hydroxylase (2C9, incubation of diclofenac at 200 M), S-mephenytoin-hydroxylase (2C19, incubation of S-mephenytoin at 60 M), dextromethofphan-O-demethylase (206, incubation of dextromethorphan at 100 M), chlorzoxazone-6-hydroxylase (2E1, incubation of chlorzoxazone at 200 M) and testosterone-6-hydroxylase, midazolam-1-hydroxylase and nifedipine-reductase (3A4, incubation of testosterone at 75 M midazolam at 50 M, nifedipine at 50 M).
The percentage inhibition is obtained by comparison of the P450 activities on microsomes irreversibly inhibited by thioTEPA and on control microsomes.

[0092] FIG. 12: Percentage inhibition of CYP1A2 activity as a function of different storage times at 80 C.

[0093] FIG. 13: Kinetics of disappearance of mirtazapine in the presence of isolated, irreversibly inhibited microsome CYP1A2 (A), 3A4 (B), 206 (C) and their controls (n=3).

[0094] FIG. 13A; Kinetics of disappearance of mirtazapine in the presence of isolated, irreversibly inhibited microsome CYP1A2 and its control (n=3).

[0095] FIG. 13B: Kinetics of disappearance of mirtazapine in the presence of isolated, irreversibly inhibited microsome 3A4 and its control (n=3).

[0096] FIG. 13C: Kinetics of disappearance of mirtazapine in the presence of isolated, irreversibly inhibited microsome 206 and its control (n=3).

[0097] FIG. 14: Percentage inhibition of intrinsic clearance of mirtazapine in the presence of the kit of isolated, irreversibly inhibited microsomes compared to their homologous controls.

[0098] FIG. 15: Kinetics of disappearance of loperamide in the presence of isolated, irreversibly inhibited microsomes 3A4 (A) and 2C8 (B) respectively and their homologous controls (n=3),

[0099] FIG. 15A: Kinetics of disappearance of loperamide in the presence of isolated, irreversibly inhibited microsome 3A4 and its homologous control (n=3).

[0100] FIG. 15B: Kinetics of disappearance of loperamide in the presence of isolated, irreversibly inhibited microsome 208 and its homologous control (n=3).

[0101] FIG. 18: Percentage inhibition of intrinsic clearance of loperamide in the presence of the kit of isolated irreversibly inhibited microsomes compared to their homologous controls.

[0102] FIG. 17: Kinetics of the disappearance of bupropion in the presence of isolated, irreversibly inhibited microsome 286 and its homologous control (n=3).

[0103] FIG. 18: Percentage inhibition of intrinsic clearance of bupropion in the presence of the kit of isolated, irreversibly inhibited microsomes compared to their homologous controls.

[0104] FIG. 19: Kinetics of the disappearance of ibuprofen in the presence of isolated, irreversibly inhibited microsome 2C9 and its homologous control (n=3).

[0105] FIG. 20: Percentage inhibition of intrinsic clearance of ibuprofen in the presence of the kit of isolated, irreversibly inhibited microsomes compared to their homologous controls.

[0106] FIG. 21: Kinetics of the disappearance of celocoxib in the presence of isolated, irreversibly inhibited microsome 2G9 and its homologous control (n=3).

[0107] FIG. 22: Percentage inhibition of intrinsic clearance of celocoxib in the presence of the kit of isolated, irreversibly inhibited microsomes compared to their homologous controls.

[0108] FIG. 23: Kinetics of disappearance of pioglitazone in the presence of isolated, irreversibly inhibited microsome 2C8 and its homologous control (n=3).

[0109] FIG. 24: Percentage inhibition of intrinsic clearance of pioglitazone in the presence of the kit of isolated, irreversibly inhibited microsomes compared to their homologous controls.

[0110] FIG. 25: Kinetics of disappearance of bortezomib in the presence of isolated, irreversibly inhibited microsome 3A4 and its homologous control (n=3).

[0111] FIG. 26: Percentage inhibition of intrinsic clearance of bortezomib in the presence of the kit of isolated, irreversibly inhibited microsomes compared to their homologous controls.

[0112] FIG. 27: Kinetics of disappearance of repaglinide in the presence of isolated, irreversibly inhibited microsome 2C8 and its homologous control (n=3).

[0113] FIG. 28: Percentage inhibition of intrinsic clearance of repaglinide in the presence of the kit of isolated, irreversibly inhibited microsomes compared to their homologous controls.

[0114] FIG. 29: Kinetics of disappearance of sertraline in the presence of isolated, irreversibly inhibited microsome 288 and its homologous control (n=3).

[0115] FIG. 30: Percentage inhibition of intrinsic clearance of sertraline in the presence of the kit of isolated, irreversibly inhibited microsomes compared to their homologous controls.

EXAMPLE 1

Preparation of Isolated Irreversibly Inactivated Microsomes

[0116] Biological materials

[0117] The microsomes are obtained from human livers containing all the P450 enzymes. They come from a pool of microsomes as they are obtained from several donors in order to take account of inter-individual variability. [0118] Incubation of the microsomes

[0119] For each preparation of batch of irreversibly inhibited microsomes, a control batch is prepared under the same conditions with the difference that the irreversible inhibitor is replaced by an equivalent volume of solvent.

[0120] The non-reversible inhibitor of the cytochrome P450 studied (or the solvent, for the control hatch) is incubated with the microsomes in Tris/HCl buffer pH 7.4 and MgCl.sub.2 with stirring at 37 C. The preparation is generally preheated for from 5 to 10 minutes and then NADPH is added to start the enzymatic reaction. At timepoint t, the reaction mixture is placed in ice for a few minutes before proceeding to the concentration step. Enzyme/inhibitor complexes connected by covalent bonds are formed in the course of incubation of the microsomes with the irreversible inhibitor. The cytochrome P450 studied is inhibited in irreversible, total and specific manner. [0121] Filtration and concentration of irreversibly deactivated microsomes

[0122] The sample obtained from incubation of the microsomes with the non-reversible inhibitor of the cytochrome P450 studied is filtered. This protein filtration step can be carried out using a membrane having a cut-off threshold of from 10,000 to 40,000 daltons. A Centricon system is used to carry out this filtration step.

[0123] One or more washing steps is/are sometimes necessary to facilitate removal of the irreversible inhibitor that remains free. The sample is centrifuged at from 3000 g to 4000 g for 80 minutes and then from 800 to 1000 g for 5 minutes. The sample can undergo a succession of centrifugations in order to optmise the concentration of microsomal proteins.

[0124] Where appropriate, the concentrated sample of microsomes is then ultra-centrifuged in order to further improve the concentration of proteins. The ultracentrifugation is carried out under a range of conditions from 80,000 g over 4 hours to 150,000 g over 45 minutes, preferably at 100,000 g for 1 hour.

[0125] The protein concentrate is taken up in Tris/HCl buffer pH 7.4 and then aliquoted and frozen at 80 C.

[0126] At the end of this preparation there are obtained isolated irreversibly inactivated microsomes that can be used extemporaneously for the phenotyping of enzymatic reactions involved in the metabolism of an active ingredient.

EXAMPLE 2

Conditions of Inhibition of the Main Cytochromes P450 and Validation of Microsomes Irreversibly Inhibited on Specific Substrates of Cytochromos P450

[0127] CYP1A2

[0128] Furafylline is one of The MBI inhibitors of the cytochrome CYP1A2. The experimental conditions for maximum MBI inhibition by furafylline on CYP1A2 are as follows: [0129] microsomal proteins at 2 mg/ml; [0130] furafylline 10 M; [0131] pre-incubation time of 30 minutes.

[0132] After incubation of phenacetin, a specific substrate of CYP1A2, at 4.5 M (concentration less than or equal to its Km) with microsomes previously inhibited under the conditions above, the percentage inhibition of the phenacetin deacetylase activity (CYP1A1-/CYP1A2-dopendant) is 83% (FIG. 1). It is to be noted that the remaining 17% metabolism is due to the residual phenacetin deacetylase activity associated with CYP1A1 and not to a lack of inhibition of CYP1A2. Indeed it is known that phenacetin incubated under non-saturated conditions (<5 M) is mostly metabolised by CYP1A2 and partly by CYP1A1.

[0133] Furafylline preincubated for 30 minutes from 5 M to 10 M with human recombinant CYP1A2S brings about 100% inhibition of the purely CYP1A2 activity of the phenacetin, thereby proving its maximum inhibition power under the selected conditions (FIG. 2).

[0134] When phenacetin is incubated at a concentration very much greater than its Km for CYP1A2 in the presence of irreversibly inhibited microsomes and the control batch prepared under the conditions above, the percentage inhibition of the phenacetin deacetylase activity (CYP1A1-/CYP1A2-dependant) is still about 80%. This result proves that the inhibition of CYP1A2 by furafylline is not affected by an excess of substrate and that no competitive-type inhibition is detectable.

[0135] The specific substrates of the other major CYP450 (CYP2A6, 2B6, 2C8, 2C9, 2C19, 2D6, 2E1, and 3A4) were incubated in the presence of the batch of human livers irreversibly inhibited by furaryllino and of the control batch defined above in order to demonstrate the specificity of furafylline, it is observed that the activity of the other major CYP450s remains unchanged.

[0136] The entirety of these results shows that the microsomes isolated and irreversibly and specifically inhibited with regard to CYP1A2 according to the invention can be valuably used in measuring the contribution of CYP1A2 to the metabolism of an active ingredient or drug candidate. [0137] CYP3A4

[0138] Azamulin is one of the MBI inhibitors of the cytochrome CYP3A4. The experimental conditions for maximum MBI inhibition by azamulin In the presence of CYP3A4 are as follows: [0139] microsomal proteins at 2 mg/ml; [0140] azamulin a 5 M: [0141] pre-incubation time of 15 minutes.

[0142] After incubation of midazolam at 0.5 M, testosterone at 30 M and nifedipine at 10 M (concentrations less than or equal to the Km of me substrates), specific substrates of CYP3A4, in the presence of irreversibly inhibited microsomes and of the control batch prepared under the conditions detailed above, the inhibition percentages of the midazoiam-1-hydroxylase, testosterone-6B-hydroxylase and nifedipine-reductase (CYP3A4-/CYP3A5-dependant) activities are 81%, 96% and 83% respectively (FIG. 3). It is to be noted that the remaining 19%, 4% and 17% metabolism is due to the CYP3A5 activity and not to a lack of inhibition of CYP3A4. Indeed it is known that the three specific substrates (and more especially nifedipine and midazolam) are metabolised mainly by CYP3A4 but also by CYP3A5. FIG. 4 especially shows the metabolism of nifedipine by recombinant microsomes (bactosomes) CVP3A4 and CYPJA5. Azamulin pre-incubated for 15 minutes at 5 M with human recombinant CYP3A4S brings about 92% inhibition of the purely CYP3A4 activity of midazolam, proving its maximum inhibition power under the conditions selected. When the specific substrates of CYP3A4 (using the example of midazolam) are incubated at a concentration very much greater than their Km for CYP3A4 with microsomes previously prepared in accordance with the present invention, the percentage inhibition of the CYP3A4-dependant activities remains unchanged (FIG. 5). This result proves that the inhibition of CYP3A4 by azamulin is not affected by an excess of substrate and that no competitive-type inhibition is detectable. The specific substrates of the other major CYP450s (CYP1A2, CYP2A6, 286, 2C8, 2C9, 2C19, 2D6, and 2E1) were incubated in the presence of the batch of human liver microsomes irreversibly inhibited by azamulin and of the control batch under the conditions defined above in order to demonstrate the specificity of azamulin. FIG. 3 shows that the activity of the other main CYP450s remains unchanged between the batch of irreversibly inhibited human microsomes and the control batch, demonstrating that azamulin is indeed specific for the CYP3A4 activity The entirety of these results shows that the microsomes isolated and irreversibly and specifically inhibited with regard to CYP3A4 according to the invention can be valuably used in measuring the contribution of CYP3A4 to the metabolism of an active ingredient or drug candidate. [0143] CYP2C8

[0144] Gemfibrozil glucuronide is one of the MBI inhibitors of the cytochrome CYP2C8. The experimental conditions tor maximum MBI inhibition by gemfibrozil glucuronide in the presence of CYP2C8 are as follows: [0145] microsomal proteins at 2 mg/ml; [0146] gemfibrozil glucuronide at 30 M; [0147] pre-incubation time of 30 minutes.

[0148] After incubation of amodiaquine at 0.5 M or paclitaxel at 4 M (concentrations less than or equal to the Km of the two substrates of CYP2C8), specific substrates of CYP2C8m, in the presence of irreversibly inhibited microsomes and of the control batch prepared according to the present invention, the percentage inhibition of the amodiaquine (CYP2C8) and paclitaxel-hydroxylase (CYP2C8-dependant) activities 88% and 100% (FIG. 6), respectively.

[0149] When amodiaquine is incubated at a concentration very much greater than its Km for CYP2C8 under the same conditions as those described above, the percentage inhibition of amodiaquine hydroxylase activity remains unchanged (FIG. 7). This result proves that the inhibition of CYP2C8 by amodiaquine is not affected by an excess of substrate and that no competitive-type inhibition is detectable.

[0150] The specific substrates of the other major CYP450s wore incubated under the conditions defined above in order to demonstrate the specificity of gemfibrozil glucuronide. FIG. 6 shows that the activity of the other major CYP450s remains unchanged except for slight inhibition of CYP2C19 between the batch of irreversibly inhibited human microsomes and the control batch, demonstrating that gemfibrozil glucuronide is indeed specific for the CYP2C8 activity.

[0151] The entirety of these results shows that the microsomes isolated and irreversibly inhibited with regard to CYP2C8 according to the invention can be valuably used in measuring the contribution of CYP2G8 to the metabolism of an active ingredient or drug candidate. [0152] CYP2C9

[0153] Tienilic acid is one of the MBI inhibitors of the cytochrome CYP2C9. The experimental conditions for maximum MBI inhibition by tienilic acid in the presence of CYP2C9 are as follows: [0154] microsomal proteins at 2 mg/ml; [0155] tienilic acid at 10 M; [0156] pre-incubation time of 20 minutes.

[0157] After incubation of diclofenac, a specific substrate of CYP2C9, at 4 M (concentration less than or equal to the Km of the substrate for CYP2C9) and 100 M (concentration very much greater than its Km for CYP2C9) in the presence of irreversibly inhibited microsomes and of the control batch prepared according to the present invention, the inhibition of diclofenac hydroxylase (CYP2C9-dependant) activity is almost total, or 92% and 88% inhibition respectively (FIG. 8). This result proves that not only is the CYP2C9 inhibition total but also that it is not affected by an excess of substrate and that no competitive type inhibition is detectable The specific substrates of the other major CYP450s were incubated under the conditions defined above in order to demonstrate the specificity of tienilic acid. FIG. 9 shows that the activity of the other major CYP450s remains unchanged between the batch of irreversibly inhibited microsomes and the control batch, demonstrating that tienilic acid is indeed specific for the CYP2C9 activity.

[0158] The entirety of those results shows that the microsomes isolated and irreversibly inhibited with regard to CYP2C9 according to the invention can be valuably used in measuring the contribution of CYP2C9 to the metabolism of an active ingredient or drug candidate. [0159] CYP2D6

[0160] Paroxetine is one of the MBI inhibitors of the cytochrome CYP2D6. The experimental conditions for maximum MBI inhibition by paroxetine in the presence of CYP2D6 are as follows: [0161] microsomal proteins at 2 mg/mi, [0162] paroxetine a 50 M; [0163] pre-incubation time of 30 minutes.

[0164] After incubation of dextromethorphan, a specific substrate of CYP2D6, at 5 M (concentration less than or equal to the Km of the substrate) and 50 M (concentration very much greater than its Km for CYP2D6) in the presence of irreversibly inhibited microsomes and of the control batch prepared according to the present invention, the inhibition of the dextromethorphan-O-demethylase (CYP2D6-dependant) activity is almost total, or 96% inhibition (FIG. 10). This result proves that the inhibition of CYP2D6 is total, that it is not affected by an excess of substrate and that no competitive-type inhibition is detectable.

[0165] The specific substrates of the other major CYP450s were incubated under the conditions defined above in order to demonstrate the specificity of paroxetine. FIG. 10 shows that, among all the other CYP450 activities, only the bupropion hydroxylase-dependant activity of CYP2B6 is inhibited, by 91%. In addition to CYP2D6, demonstrating that paroxetine is not completely specific for the CYP2C6 activity.

[0166] The entirety of those results shows that microsomes prepared according to the invention make it possible to inhibit CYP2D6 activity totally and almost specifically. They can therefore be used in measuring the contribution of CYP2D6/CYP2B6 to the metabolism of a new drug candidate. [0167] CYP2B6

[0168] ThioTEPA is one of the MBI inhibitors of the cytochrome CYP2B6. The experimental conditions for maximum MBI inhibition by thioTEPA in the presence of CYP2B6 are as follows: [0169] microsomal proteins at 2 mg/ml: [0170] thioTEPA at 15 M; [0171] pre-incubation time of 30 minutes.

[0172] After incubation of bupropion, a specific substrate of CYP2B6, at 100 M in the presence of irreversibly inhibited microsomes and of the control batch prepared according to the present invention, inhibition of the bupropion hydroxylase (CYP2BC-dependant) activity is almost total, or 92% inhibition (FIG. 11) This result proves that the inhibition of CYP2B6 is total, that it is not affected by an excess of substrate and that no competitive-type inhibition is detectable.

[0173] The specific substrates of the other major CYP450s were incubated under the conditions defined above in order to demonstrate the specificity of thioTEPA. FIG. 11 shows that, among all the other CYP450 activities, only the coumarin hydroxylase-dependant activity of CYP2A6 is inhibited, by 64%, in addition to CYP2B6, demonstrating that thioTEPA is not completely specific for the CYP2B6 activity.

[0174] The entirety of these results shows that microsomes prepared according to the invention make it possible to inhibit CYP2B6 activity totally and almost specifically. They can therefore be used in measuring the contribution of CYP2B6/CYP2A6 to the metabolism of a new drug candidate.

EXAMPLE 3

Stability of the Inhibition of Cytochromes P450 in Microsomes That Have Been Isolated, Irreversibly Inhibited and Preserved by Freezing

[0175] Isolated human liver microsomes irreversibly inhibited in terms of CYP1A2. having been concentrated and preserved at 80 C. in accordance with the invention, are incubated for 15 minutes with phenacetin (4.5 M), a specific Substrate of CYP1A2, at 1 mg/mL. The inhibition percentages were measured for microsomes obtained according to the invention and stored at 80 C. for 48 hours, one month, and one and a halt months (FIG. 12). It is observed that the steps of concentration and freezing/thawing do not affect the MBI inhibition of CYP1A2 by furafylline.

[0176] The steps of freezing and thawing do not influence the stability of the irreversible inhibition of the cytochroines P450.

EXAMPLE 4

Kit of Irreversibly Inhibited Isolated Microsomes for Enzymatic Phenotyping of the Metabolic Pathways of Xenobiotics

[0177] Nine active ingredients (mirtazapine, loperamide, bupropion, ibuprofen, celocoxib, pioglitazone, bortozomib, repaglinide, sertraline) were tested in a kit of irreversibly inhibited isolated microsomes according to the invention for enzymatic phenotyping of the metabolic pathways of said nine xenobiotics. The nine active ingredients were tests according to the method of phenotyping enzymatic reactions according to the invention comprising the following steps: [0178] incubation of microsomes isolated and irreversibly inhibited according to the invention with an active ingredient to be evaluated; [0179] measurement of the contribution of the irreversibly inhibited cytochrome P450 involved in the metabolism of the active ingredient.

[0180] Each active ingredient was incubated at 0.1 M at 37 C. in Tris/HCl buffer (0.1 mM, pH 7.4), with MgCl.sub.2 5 mM added, in the presence of on the one hand, the isolated liver microsomes irreversibly inhibited for the CYP450s 1A2, 2BC, 2C8, 2C9, 2D6 and 3A4 and, on the other hand, isolated non-inhibited liver microsomes prepared in accordance with the invention (homologous control). The reaction is initiated by addition of NADPH 1 mM. The incubation is monitored in kinetic form. At the incubation timepoints of 7 mm, 17 min, 30 min and then 60 min, an incubation aliquot (100 L) is sampled and the enzymatic reaction is stopped by adding to that aliquot a volume of solvent (100 L of methanol) which is placed in ice for 10 minutes.

[0181] At each incubation timepoint, the active ingredient is quantified by high-performance liquid chromatography (HPLC) coupled with mass spectrometry (MS).

[0182] The metabolic activity (A) of the active ingredient is measured via intrinsic metabolic clearance of the unchanged active ingredient under the two conditions of inhibited (activity Ai) and non-inhibited (control with activity A). The calculated percentage inhibition (percentage inhibition=(A-Ai)/A) corresponds directly to the contribution of the irreversibly inhibited cytochrome P450 involved in the metabolism of the active ingredient. [0183] Mirtazapine

[0184] Mirtazapine was incubated under the previously described conditions with a concentration of microsomal proteins of 2 mg/ml allowing optimum measurement of its intrinsic clearance, in the presence of control microsomes (non-inhibited and prepared according to the invention), an intrinsic clearance of from 3.9 to 7.8 ml/min/g of proteins was measured. Compared to the control microsomes, inhibition of the intrinsic clearance of mirtazapine of 41%, 36% and 24% was found in the presence of isolated liver microsomes irreversibly inhibited for the CYP450s 1A2, 2D6 and 3A4 respectively (FIGS. 13 and 14). No significant inhibition of the intrinsic clearance of mirtazapine was observed in the presence of isolated liver microsomes irreversibly inhibited for the CYP450s 2B6, 2C8, 2C9. Significant inhibition is understood to be intrinsic clearance of less than 25%, a percentage representing the threshold of variability observed in clearance measurements on liver microsomes. Consequently, the oxidative metabolism of mirtazapine involves the CYP450s JA2, 2D6 and 3A4 at levels of 41%, 36% and 24%, respectively.

[0185] After incubation of mirtazapine at from 2.5 to 1000 M in the presence of recombinant microsomes overexpressing the major human CYP450s and after having measured the correction factor appropriate to each of those CYP450s, Strmer et at (Metabolism of the antidepressant mirtazapine in vitro: contribution of cytochromes P-450 1A2, 2D6 and 3A4. Drug Metab Dispos. 2000; 28(10): 1168-1175) showed that the CYP450s 1A2, 2D6 and 3A4 exhibited 41%, 39% and 23% involvement, respectively, in the metabolism of mirtazapine. The results obtained with the kit of microsomes isolated and irreversibly inhibited according to the invention are corroborated by the results obtained by Stormer et al. (Table 1).

[0186] The kit according to the present invention allows the involvement of the CYP450s in the oxidative metabolism of mirtazapine to be deduced by simple comparison of the intrinsic clearances in the presence of isolated liver microsomes irreversibly inhibited for the CYP450 and of control microsomes.

[0187] In contrast, the use of recombinant microsomes overexpressing human CYP450s for the phenotyping of the enzymatic pathways of mirtazapine requires an indirect measurement which requires each CYP450 activity to be characterised on the one hand in the presence of mirtazapine and on the other hand in the presence of specific substrates firstly recombinant microsomes overexpressing human CYP450s and secondly human liver microsomes in order to measure the correction factor.

TABLE-US-00003 TABLE 1 Percentage involvement for CYP450s in the oxidative metabolism of mirtazapine obtained starting from the kit of isolated and irreversibly inhibited microsomes according to the invention and with human recombinant enzymes (Strmer et al.) % involvement of CYP450s in the oxidative metabolism of mirtazapine CYP450 Kit of isolated Expect- involved microsomes ed data* CYP1A2 41 41 CYP2D6 36 39 CYP3A4 24 23 *from Strmer et al (2000) in a human recombinant enzyme model [0188] Loperamide

[0189] Loperamide was incubated under the previously described conditions with a concentration of microsomal proteins of 2 mg/ml allowing optimum measurement of its intrinsic clearance. In the presence of control microsomes (non-inhibited and prepared according to the invention), an intrinsic clearance of from 14.5 to 17.2 ml/min/g of proteins was measured. Compared to the control microsomes, inhibition of the intrinsic clearance of loperamide of 53% and 40% was found in the presence of isolated liver microsomes irreversibly inhibited for the CYP450s 3A4 and 2C8 respectively (FIGS. 15 and 16). No significant inhibition of the intrinsic clearance of loperamide was observed in the presence of isolated liver microsomes irreversibly inhibited for the CYP450s 1A2, 2B6, 2C9, 2D6. Significant inhibition is understood to be intrinsic clearance of less than 25%, a percentage representing the threshold of variability observed in clearance measurements on liver microsomes. Consequently, the oxidative metabolism of loperamide involves the CYP450s 3A4 and 2C8 at levels of 53% and 40%, respectively.

[0190] A healthy volunteer study shows that the oral administration of gemfibrosil at 600 mg, an inhibitor of CYP2CG, increases, by a factor of 2.2, the exposure (AUC) to loperamide co-administered per os at 4 mg (Niemi et al. itraconazole, gemfibrozil and their combination markedly raise the plasma concentrations of loperamide. Eur J Clin Pharmacol. 2006: 62: 463-472). This increase in exposure corresponds to an estimated involvement of CYP2C8 of 55% in the total loperamide clearance. In this same in vivo study, co-administration of loperamide 4 mg with 100 mg of itraconazole, an inhibitor of CYP3A4, shows an increase in exposure by a factor of 3.8, corresponding to about 74% of the total loperamide clearance.

[0191] Furthermore, Tayrouz et al. (Ritonavir increases loperamide plasma concentrations without evidence for P-glycoprotein involvement. Clin Pharmacol Ther. 2001 Nov;70(5):405-14) show that, in the healthy volunteer, the co-administration of loperamide 16 mg with 600 mg of ritonavir, an inhibitor of CYP3A4, causes an increase in exposure by a factor of 2.65, corresponding to 62% of the total loperamide clearance.

[0192] The results obtained with the kit of microsomes isolated and irreversibly inhibited according to the invention (Table 2) are corroborated by the data described in a clinical situation by Niemi et al. and Tayrouz et al.

TABLE-US-00004 TABLE 2 Involvement percentage for CYP450s in the oxidative metabolism of loperamide, which were obtained starting from the kit of isolated and irreversibly inhibited microsomes according to the invention and in healthy volunteers (Niemi et al.; Tayrouz et al.) % involvement of CYP450s in the oxidative metabolism of loperamide CYP450 Kit of isolated Data Data involved microsomes expected .sup.1 expected.sup.2 CYP2C8 40 55 CYP3A4 53 74 62 .sup.1 from Niemi et al. (2006) in an in vivo study in healthy volunteers .sup.2from Tayrouz et al. (2001) in an in vivo study in healthy volunteers [0193] Bupropion

[0194] Bupropion was incubated under the previously described conditions with a concentration of microsomal proteins of 2 mg/ml allowing optimum measurement of its intrinsic clearance. In the presence of control microsomes (non-inhibited and prepared according to the invention), an intrinsic clearance of from 6.7 to 10.6 ml/min/g of proteins was measured. Compared to the control microsomes, inhibition of the intrinsic clearance of bupropion of 89% was found in the presence of isolated liver microsomes irreversibly inhibited for the CYP450 286 (FIGS. 17 and 18). Inhibition of the intrinsic clearance of bupropion of 84% in the presence of isolated liver microsomes irreversibly inhibited for CYP2D6 was also observed, in the knowledge that paroxetine, an MBI inhibitor of CYP2D6, is not specific and also inhibits CYP2B6. it is deduced that the CYP2D6 inhibition corresponds m reality to that of CYP2B6.

[0195] No significant inhibition of the intrinsic clearance of bupropion was observed in the presence of isolated liver microsomes irreversibly inhibited for the CYP450s 1A2, 2C8, 2C9 and 3A4. Significant inhibition is understood to be intrinsic clearance of less than 25%, a percentage representing the threshold of variability observed in clearance measurements on liver microsomes. Consequently, the oxidative metabolism of bupropion involves the CYP450 2B6 at a level of 89%.

[0196] The FDA suggests bupropion as the most sensitive substrate for CYP2B6 in in vivo interaction studies in humans (FDA Website on Drug Development and Drug Interactions, http:/wvvw.fda.gov/Drugs/GuidanceComplianceRegulatoryInformation/Guid ances/default.htm and http:/wvvw.fda.gov/Drugs/DevelopmentApprovalProcess/DevelopmentReso urcos/DruglnteractionsLabelin 1277 g/ucm080499.htm).

[0197] The results obtained with the kit of microsomes isolated and irreversibly inhibited according to the invention are corroborated by the data described by the FDA.

TABLE-US-00005 TABLE 3 Involvement percentage for CYP450s in the oxidative metabolism of bupropion, obtained starting from the kit of isolated and irreversibly inhibited microsomes according to the invention % involvement of CYP450s in the oxidative metabolism of bupropion CYP450 Kit of isolated Expect- involved microsomes ed data* CYP2B6 89 substantial *from the FDA (sensitive substrate CYP2B6) [0198] Ibuprofen

[0199] Ibuprofen was incubated under the previously described conditions with a concentration of microsomal proteins of 0.25 mg/ml allowing optimum measurement of its intrinsic clearance. In the presence of control microsomes (non-inhibited and prepared according to the invention), an intrinsic clearance of from 31 to 54 ml/min/g of proteins was measured. Compared to the control microsomes, inhibition of the intrinsic clearance of ibuprofen of 90% was found in the presence of isolated liver microsomes irreversibly inhibited for the CYP450 2C9 (FIGS. 19 and 20).

[0200] No significant inhibition of the intrinsic clearance of ibuprofen was observed in the presence of isolated liver microsomes irreversibly inhibited for the CYP450s 1A2, 2B6, 2D6, 2C8 and 3A4. Significant inhibition is understood to be intrinsic clearance of less than 25%, a percentage representing the threshold of variability observed in clearance measurements on liver microsomes. Consequently, the oxidative metabolism of loperamide involves the CYP450 2C7 at a level of 90%.

[0201] After incubation of ibuprofen at 3 M in the presence of recombinant microsomes overexpressing the major human CYP450s and after having measured the correction factor appropriate for each of those CYP450s. McGlnnity et al. (Automated definition of the enzymology of drug oxidation by the major human drug metabolizing cytochrome P450s. Drug Metab Dispos 2000 Nov;28(11);1327-34) showed that the CYP450 2C9 was involved at a level of 90% in the metabolism of ibuprofen. The results obtained with the kit of isolated and irreversibly inhibited microsomes according to the invention are corroborated by the data described by McGinntty et al. (Table 4). It will be recalled that the kit according to the present invention establishes the involvement of the CYP450 in the oxidative metabolism of ibuprofen by simple comparison between the intrinsic clearances of microsomes according to the invention and control microsomes. In contrast, the use of recombinant microsomes necessitates indirect measurements which require multiplication of procedures. Furthermore, a study in healthy volunteers shows that the oral administration of fluconazole at 400 mg increases the exposure (AUC) to ibuprofen co-administered per os at 400 mg by 83% (Hynninen et al Effects of the Antifungals Voriconazole and Fluconazole on the pharmacokinetics of S-(+)- and R-()-Ibuprofen, Antimicrob Agents Chemother. Jun 2006; 50(6): 1967-1972), Lazar et al. (Drug interactions with fluconazole. Rev Infect Dis 1990 Mar-Apr;12 Suppl 3;S327-33) have shown that fluconazole, an inhibitor of CYP2C9, brings about a 109% increase in exposure to tolbutamide, a substrate recognised as being sensitive to GYP2C9 (fm=80%, Brown et at. Prediction of in vivo drug-drug interactions from in vitro data: impact of incorporating parallel pathways of drug elimination and inhibitor absorption rate constant. Br J Clin Pharmacol. 2005 Nov; 60(5)508-18). As the increase in the exposure to ibuprofen and tolbutamide is very similar after co-administration of the same inhibitor in humans, it is possible to conclude that the contribution of CYP2C9 to the metabolism of these two molecules is very similar. The results obtained with the kit of the present invention are confirmed (Table 4) and demonstrate the excellent representatively of this in vitro model compared to the clinical situation.

TABLE-US-00006 TABLE 4 Percentage involvement of the CYP450s in the oxidative metabolism of ibuprofen, starting from the kit of isolated and irreversibly inhibited microsomes, in the presence of recombinant human enzymes (McGinnity et al.) and in an in vivo situation in healthy subjects (Hynninen et al., Lazar et al. and Brown et al.). % involvement of CYP450s in the oxidative metabolism of ibuprofen CYP450 Kit of isolated Expect- Expect- Expect- Expect- involved microsomes ed data .sup.1 ed data .sup.2 ed data.sup.3 ed data .sup.4 CYP2C9 90 91 45 52 (80) .sup.1 from McGinnity et al. (2000) in a model of recombinant human enzymes .sup.2 from Hynninen at al. (2006) .sup.3from Lazar J D et al. (1990) .sup.4 from H. S. Brown et al. (2005) [0202] Celocoxib

[0203] Celocoxib was incubated under the previously described conditions with a concentration of microsomal proteins of 2 mg/ml allowing optimum measurement of its intrinsic clearance. In the presence of control microsomes (non-inhibited and prepared according to the invention), an intrinsic clearance of from 13.4 to 18.9 ml/min/g of proteins was measured. Compared to the control microsomes, inhibition of the intrinsic clearance of celocoxib of 81% was found in the presence of isolated liver microsomes irreversibly inhibited for the CYP450 2C9 (FIGS. 21 and 22). No significant inhibition of the intrinsic clearance of celocoxib was observed in the presence of isolated liver microsomes irreversibly inhibited for the CYP450s 1A2, 2B6, 2D6, 2C8 and 3A4. Significant inhibition is understood to be intrinsic clearance of less than 25%, a percentage representing the threshold of variability observed in clearance measurements on liver microsomes. Consequently, the oxidative metabolism of celocoxib involves the CYP450 2C9 at a level of 81%.

[0204] A healthy volunteer study shows that the repeated oral administration of fluconazole at 200 mg increases, by 134%, the exposure (AUC) to celocoxib co-administered per os at 200 mg (NDA020998 1998-12-31 Pharmacia).

[0205] As the increase in the exposure to celocoxib and to the above mentioned tolbutamide (Lazar et at.) is very similar after co-administration of fluconazole in humans. It is possible to conclude that the contribution of CYP2C9 to the metabolism of these two active ingredients is very similar. Brown et al. have shown for tolbutamide an involvement of CYP2C9 of 80%. The results obtained with the hit of isolated microsomes irreversibly inhibited according to the invention demonstrate the good representative of this in vitro model compared to the clinical situation (Table 5).

TABLE-US-00007 TABLE 5 Percentage involvement of the CYP450s in the oxidative metabolism of celocoxib, starting from the kit of isolated microsomes irreversibly inhibited according to the invention and in an in vivo situation in healthy subjects (NDA020998, Lazar et al. and Brown et al.) % involvement of CYP450s in the oxidative metabolism of celocoxib CYP450 Kit of isolated Expect- Expect- Expect- involved microsomes ed data.sup.1 ed data.sup.2 ed data.sup.3 CVP2C9 81 57 52 (80) .sup.1from NDA020998 1998 Dec. 31 (Pharmacia) .sup.2from Lazar J D et al. (1990) .sup.3from H. S. Brown et al. (2005) [0206] Pioglitazone

[0207] Pioglitazone was incubated under the previously described conditions with a concentration of microsomal proteins of 0.2 mg/ml allowing optimum measurement of its intrinsic clearance. In the presence of control microsomes (non-inhibited and prepared according to the invention), an intrinsic clearance of from 43 to 70 ml/min/g of proteins was measured. Compared to the control microsomes, inhibition of the intrinsic clearance of pioglitazone of 69% was found in the presence of isolated liver microsomes irreversibly inhibited for the CYP450 2C8 (FIGS. 23 and 24)

[0208] No significant inhibition of the intrinsic clearance of pioglitazone was observed in the presence of isolated liver microsomes irreversibly inhibited for the CYP450s 1A2, 2B6, 2D6, 2C9 and 3A4. Significant inhibition is understood to be intrinsic clearance of less than 25%, a percentage representing the threshold of variability observed in clearance measurements on liver microsomes. Consequently, the oxidative metabolism of pioglitazone involves the CYP450 2C8 at a level of 69%. A healthy volunteer study shows that the repeated oral administration of gemfibrosil, an inhibitor of CYP2C8, at 600 mg increases, by 239%, the exposure (AUC) to pioglltazono co-administered per as at 3 mg (Deng et at. Effect of gemfibrozil on the pharmacokinetics of pioglitazone. Eur J Clin Pharmacol, 2005. 61,831-6). This increase in exposure corresponds to involvement of CYP2C8 estimated to be 71% of the total clearance of pioglitazone. The results obtained with the kit according to the invention therefore corroborate the data described in a clinical situation by Deng el at. (Table 6).

TABLE-US-00008 TABLE 6 Percentage involvement of the CYP450s in the oxidative metabolism of pioglitazone, obtained starting from the kit of isolated microsomes irreversibly inhibited according to the invention and in an in vivo situation (Deng et al.) % involvement of CYP450s in the oxidative metabolism of pioglitazone CYP450 Kit of isolated Expect- involved microsomes ed data.sup.1 CYP2C8 69 71 .sup.1from Deng L J et al., 2005, in vivo study [0209] Bortezomib

[0210] Bortezomib was incubated under the previously described conditions with 3 concentration of microsomal proteins of 1.5 mg/ml allowing optimum measurement of its intrinsic clearance. In the presence of control microsomes (non-inhibited and prepared according to the invention), an intrinsic clearance of from 6.9 to 11 ml/min/g of proteins was measured. Compared to the control microsomes, inhibition of the intrinsic clearance of bortezomib of 73% was found in the presence of isolated liver microsomes irreversibly inhibited for the CYP450 3A4 (FIG. 25 and 26).

[0211] No significant inhibition of the intrinsic clearance of bortezomib was observed in the presence of isolated liver microsomes irreversibly inhibited for the CYP450s 1A2, 286, 2D6, 2C8 and 2C9. Significant inhibition is understood to be intrinsic clearance of less than 25%, a percentage representing the threshold of variability observed in clearance measurements on liver microsomes. Consequently, the oxidative metabolism of bortezomib involves the CYP450 3A4 at a level of 73%. Uttamsingh et al. (Relative contributions of the five major human cytochromes p450, 1A2, 2C9, 2C19, 2D6, and 3A4, to the hepatic metabolism of the proteasome inhibitor bortezomib Drug Metab Dipos 2005, 33 (11):1723-1728) have shown mat an anti-CYP 3A4 monoclonal antibody inhibits 79% of the metabolism of bortezomib (2 M) by human liver microsomes. The results obtained with the kit described in the present invention therefore corroborate the data described by Uttamsingh et al. (Table 7).

TABLE-US-00009 TABLE 7 Percentage involvement of the CYP450s in the oxidative metabolism of borezomib, obtained starting from the kit of isolated microsomes irreversibly inhabited according to the invention and starting from human hepatic microsomes inhibited by specific monoclonal antibodies (Uttamsingh et al.) % involvement of CYP450s in the oxidative metabolism of bortezomib CYP450 Kit of isolated Expect- involved microsomes ed data.sup.1 CYP3A4 73 79 .sup.1from Uttamsingh et al. (2005) in a model of human hepatic microsomes (use of monoclonal antibodies) [0212] Repaglinids

[0213] Repaglinide was incubated under the previously described conditions with a concentration of microsomal proteins of 2 mg/ml allowing optimum measurement of its intrinsic clearance. In the presence of control microsomes (non-inhibited and prepared according to the invention), an intrinsic clearance of from 38.4 to 48.9 ml/min/g of proteins was measured. Compared to the control microsomes, inhibition of the intrinsic clearance of repaglinide of 80% was found in the presence of isolated liver microsomes irreversibly inhibited for the CYP450 2C8 (FIGS. 27 and 28). No significant inhibition of the intrinsic clearance of repaglinide was observed in the presence of isolated liver microsomes irreversibly inhibited for the CYP450s 1A2, 2B6, 2D6, 2C9 and 3A4. Significant inhibition is understood to be intrinsic clearance of less than 25%, a percentage representing the threshold of variability observed in clearance measurements on liver microsomes. Consequently, the oxidative metabolism of repaglinide involves the GYP450 2C8 at a level of 80%.

[0214] A healthy volunteer study shows that the oral administration of gemfibrosil (up to 900 mg), an inhibitor of CYP2C8, increases, by 8.3 times, the exposure (AUC) to repaglinide co-administered per os at 0.25 mg (Honkalammi J. et al. Dose-Dependent Interaction between gemfibrozil and repaglinide in humans: strong inhibition of CYP2C8 with subtherapeutic gemfibrozil doses. Drug Metab Dispos, 2011, 39, 1977-1986). This increase in exposure corresponds to involvement of CYP2C8 estimated to be 88% of the total clearance of repaglinide. The results obtained with the kit of isolated microsomes irreversibly inhibited according to the invention are corroborated by the data described in a clinical situation by Honkalammi J. et al. (Table 8).

TABLE-US-00010 TABLE 8 Percentage involvement of the CYP450s in the oxidative metabolism of repaglinide, obtained starting from the kit of isolated microsomes irreversibly inhibited according to the invention and in an in vivo situation in healthy subjects P (Honkalammi J. et al.) % involvement of CYP450s in the oxidative metabolism of repaglinade CYP450 Kit of isolated Expect- involved microsomes ed data .sup.1 CYP2C8 80 88 .sup.1 from Honkalammi J. et al., 2011. [0215] Sertraline

[0216] Sertraline was incubated under the previously described conditions with a concentration of microsomal proteins of 0.2 mg/ml allowing optimum measurement of its intrinsic clearance, in the presence of control microsomes (non-inhibited and prepared according to the invention), an intrinsic clearance of from 52.5 to 70.5 ml/min/g of proteins was measured. Compared to the control microsomes, inhibition of the intrinsic clearance of sertraline of 58% was found in the presence of isolated liver microsomes irreversibly inhibited for the CYP450 2B6 (FIGS. 29 and 30). Inhibition of the intrinsic clearance of sertraline of 64% in the presence of isolated liver microsomes irreversibly inhibited for CYP2D6 was also observed. In the knowledge that paroxetine, an MBI inhibitor of CYP2D6, is not specific and also inhibits CYP2B6 it is deduced that the CYP2D6 inhibition corresponds in reality to that of CYP2B6.

[0217] No significant inhibition of the intrinsic clearance of sertraline was observed in the presence of isolated liver microsomes irreversibly inhibited for the CYP450s 1A2, 2C8, 2C9 and 8A4. Significant inhibition is understood to be intrinsic clearance of less than 25%, a percentage representing the threshold of variability observed in clearance measurements on liver microsomes. Consequently, the oxidative metabolism of sertraline involves the CYP450 2B6 at a level of 58%.

[0218] After incubation of sertraline in the presence of human liver microsomes and specific inhibitors of CYP450s, Obach S et al. (Sertraline is metabolized by multiple cytochrome P450 enzymes, monoamine oxidases, and glucuronyl transferases in human: an in vitro study. Drug Metab Dispos. 2005 Feb:33(2):262-70) have shown that, among the major CYP450s, CYP2B6 contributes most to the metabolism of sertraline with an involvement of from 15 to 65% (60% in a pool of human liver). The results obtained with the kit described according to the present invention are corroborated by the results described by Obach S et al. (Table 9)

TABLE-US-00011 TABLE 9 Percentage involvement of the CYP450s in the oxidative metabolism of sertraline, obtained starting from the kit of isolated, irreversibly inhibited microsomes and in human liver microsomes in the presence, or not, of CYP450s (Obach S et al.) % involvement of CYP450s in the oxidative metabolism of sertraline CYP450 Kit of isolated Expect- involved microsomes ed data .sup.1 CYP2B6 58 15 to 65-60 .sup.1 from Obach S et al. (2004) in human liver microsomes +/ specific inhibitor of CYP450

[0219] The results obtained show that the contribution of enzymes involved in the metabolism of the selected active ingredients, measured to vitro using the phenotyping kit, are very similar or even identical to those estimated or measured on the basis of in vivo data and/or data obtained from other in vitro models. Validation of the kit of irreversibly inhibited. Isolated and cryopreserved microsomes in the context of enzymatic phenotyping of the metabolic pathways of a xenobtotic compared to the clinical data demonstrates the representative of this in vitro model compared to the in vivo situation in humans.

[0220] Furthermore, obtaining a direct measurement of the enzymatic contribution to the metabolism of an active ingredient not only makes possible a benefit in terms of time and facility of interpretation but also avoids errors which are inherent in the multiplication of manipulations in the carrying out of other in vitro models.