The response to many drugs in common use varies greatly amongpatients. After the intake of identical doses of a given agent,some patients may have clinically significant adverse effects,whereas others may have no therapeutic response. Some of thisdiversity in rates of response can be ascribed to differencesin the rate of drug metabolism, particularly by the cytochromeP-450 superfamily of enzymes. Ten isoforms of cytochrome P-450are responsible for the oxidative metabolism of most drugs,each having selective yet overlapping substrate specificity.Variability among patients in the activity of these enzymesreflects a complex interaction between environmental . . . [Full Text of this Article]
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From the Division of Medicine, Hadassah University Hospital, Ein Kerem, Jerusalem, Israel.
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