Human Variability in Carboxylesterases and carboxylesterase-related Uncertainty Factors for Chemical Risk Assessment

Emma Di Consiglio (1) , Kevin Darney (2) , Franca Maria Buratti (1) , Laura Turco (1) , Susanna Vichi (1) , Emanuela Testai (1) , Léonie S. Lautz (2, 3) , Jean-Lou C. M. Dorne (4)

1 ISS - Istituto Superiore di Sanità = National Institute of Health
2 DER - Direction de l'Evaluation des Risques
3 Wageningen Univ & Res, RIKILT, Akkermaalsbos 2, NL-6708 WB Wageningen, Netherlands
4 EFSA - European Food Safety Authority

Carboxylesterases (CES) are an important class of enzymes involved in the hydrolysis of a range of chemicals and show large inter-individual variability in vitro. An extensive literature search was performed to identify in vivo probe substrates for CES1 and CES2 together with their protein content and enzymatic activity. Human pharmacokinetic (PK) data on Cmax, clearance, and AUC were extracted from 89 publications and Bayesian meta-analysis was performed using a hierarchical model to derive CES-related variability distributions and related uncertainty factors (UF). The CES-related variability indicated that 97.5% of healthy adults are covered by the kinetic default UF (3.16), except for clopidogrel and dabigatran etexilate. Clopidogrel is metabolised for a small amount by the polymorphic CYP2C19, which can have an impact on the overall pharmacokinetics, while the variability seen for dabigatran etexilate might be due to differences in the absorption, since this can be influenced by food intake. The overall CES-related variability was moderate to high in vivo (

Mots clés: carboxylesterase; chemical risk assessment; human pharmacokinetics; uncertainty factors; variability

Domaines: Sciences du Vivant [q-bio]

Emma Di Consiglio, Kevin Darney, Franca Maria Buratti, Laura Turco, Susanna Vichi, et al.. Human Variability in Carboxylesterases and carboxylesterase-related Uncertainty Factors for Chemical Risk Assessment. Toxicology Letters, 2021, 350, pp.162-170. ⟨10.1016/j.toxlet.2021.07.005⟩. ⟨anses-03322529⟩