Study2021Open access

Pharmacokinetics of Caffeine: A Systematic Analysis of Reported Data for Application in Metabolic Phenotyping and Liver Function Testing

Grzegorzewski J, Bartsch F, Köller A, König M

Frontiers in pharmacology · 74 citations

How it was studied

Design
Systematic review (classified by our AI screen)
Studied in
People
Main outcome
Health markers and function

Who paid for it

Funding
Independent funding
Government
Deutsche Forschungsgemeinschaft
Government
Bundesministerium für Bildung und Forschung
University or hospital
Humboldt-Universität zu Berlin
Government
German Network for Bioinformatics Infrastructure
Grants
German Network for Bioinformatics Infrastructure (031A533A); German Network for Bioinformatics Infrastructure (031A534A); German Network for Bioinformatics Infrastructure (031A538A); German Network for Bioinformatics Infrastructure (031 A535 A); Bundesministerium für Bildung und Forschung (031 A 534A); Bundesministerium für Bildung und Forschung (031A533A); Bundesministerium für Bildung und Forschung (031 A538A); Deutsche Forschungsgemeinschaft (031A533B); Deutsche Forschungsgemeinschaft (031A537C); German Network for Bioinformatics Infrastructure (031 A537B); Bundesministerium für Bildung und Forschung (# 031A537C); German Network for Bioinformatics Infrastructure (031A537B, 031A533A, 031A538A, 031A533B, 031A535A, 031A537C, 031A534A, 031A532B); Bundesministerium für Bildung und Forschung (031 A535A); Deutsche Forschungsgemeinschaft (031A534A); Bundesministerium für Bildung und Forschung (#031A537B); Bundesministerium für Bildung und Forschung (031A537B, 031A533A, 031A538A, 031A533B, 031A535A, 031A537C, 031A534A, 031A532B); German Network for Bioinformatics Infrastructure (031 A532B); German Network for Bioinformatics Infrastructure (031 A533B); Deutsche Forschungsgemeinschaft (031A537B); German Network for Bioinformatics Infrastructure (#031A537C); Deutsche Forschungsgemeinschaft (FOR 5151); Deutsche Forschungsgemeinschaft (031A535A); Deutsche Forschungsgemeinschaft (031A538A); Deutsche Forschungsgemeinschaft (031A532B); Bundesministerium für Bildung und Forschung (031A532B); Deutsche Forschungsgemeinschaft (031A533A); Bundesministerium für Bildung und Forschung (031L0054); Bundesministerium für Bildung und Forschung (031A533B)

Based on 4 listed funder(s) and full-text disclosure statement.

Publication

Published
2022-02-25 · Front Pharmacol · vol. 12 · p. 752826
Publisher
Frontiers Media
Cited
104 citations · more than 99% of similar papers · 12.9× the field average
Impact
Top 10% most cited in its field
References
196 works
Access
Open access (journal) · CC-BY
Research areas
Coffee research and impacts · Pharmacogenetics and Drug Metabolism · Tea Polyphenols and Effects
Keywords
Caffeine, Paraxanthine, CYP1A2, Pharmacokinetics, Theobromine, Theophylline, Pharmacology, Context (archaeology), Physiologically based pharmacokinetic modelling, Medicine, Drug, Cytochrome P450, Biology, Internal medicine, Metabolism

4 authors

From DE

  • Jan GrzegorzewskiHumboldt-Universität zu Berlin
  • Florian BartschHumboldt-Universität zu Berlin
  • Adrian KöllerHumboldt-Universität zu Berlin
  • Matthias KönigHumboldt-Universität zu Berlin

Abstract

Caffeine is by far the most ubiquitous psychostimulant worldwide found in tea, coffee, cocoa, energy drinks, and many other beverages and food. Caffeine is almost exclusively metabolized in the liver by the cytochrome P-450 enzyme system to the main product paraxanthine and the additional products theobromine and theophylline. Besides its stimulating properties, two important applications of caffeine are metabolic phenotyping of cytochrome P450 1A2 (CYP1A2) and liver function testing. An open challenge in this context is to identify underlying causes of the large inter-individual variability in caffeine pharmacokinetics. Data is urgently needed to understand and quantify confounding factors such as lifestyle (e.g., smoking), the effects of drug-caffeine interactions (e.g., medication metabolized via CYP1A2), and the effect of disease. Here we report the first integrative and systematic analysis of data on caffeine pharmacokinetics from 141 publications and provide a comprehensive high-quality data set on the pharmacokinetics of caffeine, caffeine metabolites, and their metabolic ratios in human adults. The data set is enriched by meta-data on the characteristics of studied patient cohorts and subjects (e.g., age, body weight, smoking status, health status), the applied interventions (e.g., dosing, substance, route of application), measured pharmacokinetic time-courses, and pharmacokinetic parameters (e.g., clearance, half-life, area under the curve). We demonstrate via multiple applications how the data set can be used to solidify existing knowledge and gain new insights relevant for metabolic phenotyping and liver function testing based on caffeine. Specifically, we analyzed 1) the alteration of caffeine pharmacokinetics with smoking and use of oral contraceptives; 2) drug-drug interactions with caffeine as possible confounding factors of caffeine pharmacokinetics or source of adverse effects; 3) alteration of caffeine pharmacokinetics in disease; and 4) the applicability of caffeine as a salivary test substance by comparison of plasma and saliva data. In conclusion, our data set and analyses provide important resources which could enable more accurate caffeine-based metabolic phenotyping and liver function testing.

Abstract via Europe PMC. Copyright remains with the authors or publisher (CC BY).

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