Review Article

Pharmacokinetic Interactions of Herbs with Cytochrome P450 and P-Glycoprotein

Table 2

The modulation of CYP and P-gp by garlic.

Compound typeSpeciesSystemCYPP-gpRef.

ExtractMouseIn vivo
Protein
CYP1A2 (↑)
CYP2E1 (↑)
[30]

ExtractHumanIn vitro
Activity
CYP2C9*1 (↓)
CYP2C9*2 (↑)
CYP2C19 (↓)
CYP2D6 (↔)
CYP3A4 (↓)
CYP3A5 (↓)
CYP3A7 (↓)
[31]

ExtractHumanIn vitro
Activity
P-gp (↓)[31]

ExtractHumanIn vivo
Activity
P-gp (↑)[32, 33]

Extract w/o allicinHumanIn vitro
Activity
P-gp (↔)[34]

Diallyl disulfideRatIn vitro/in vivo
Activity
CYP2B1/2 (↑)
CYP2E1 (↓)
[35]

Diallyl disulfideHumanIn vitro
Activity
CYP2E1 (↓)[36]

AllicinHumanIn vitro
Activity
CYP1A2 (↓)[36]