UGT1A4

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UGT1A4 metabolizes the antidepressants amitriptyline and imipramine, the antipsychotic clozapine, quinine antimalarials, and tamoxifen (Radominska-Pandya et al., 1999; Ogura et al., 2006; Uchaipichat et al., 2006).

The development of UGT1A4 activity in pediatric livers was investigated by Miyagi and Collier (2007). When a constant rate of enzyme development was assumed, maximum activity of UGT1A4 occurs at 1.4 years of age. When the intrinsic hepatic clearance of trifluoperazine was scaled with an allometric model, hepatic clearance of trifluoperazine by UGT1A4 did not reach maximum levels until 18.9 years of age.

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