systematic_review
    2020
    High Quality

    The Effects of Cruciferous Vegetable-Enriched Diets on Drug Metabolism: A Systematic Review and Meta-Analysis of Dietary Intervention Trials in Humans

    Eagles SK, Gross AS, McLachlan AJ

    Published in Clinical Pharmacology and Therapeutics

    Methodology

    Systematic review and meta-analysis of 23 human dietary intervention trials with drug metabolism endpoints (Embase, Medline, CENTRAL)

    Key Findings

    Cruciferous vegetable intake (broccoli, Brussels sprout, cabbage, cauliflower, radish, watercress) was generally associated with induction of CYP1A2 activity in vivo, with variability across phase I and phase II endpoints.

    Conclusions

    Cruciferous-enriched diets can measurably induce phase I CYP1A2 activity, but the clinical significance for diet-drug interactions remains unclear.

    Limitations

    Heterogeneous trial designs, small samples, varied probe substrates and vegetable doses.

    Supplements Studied

    Sulforaphane
    Compound

    In general, the ingestion of cruciferous vegetables is associated with induction of cytochrome P450 (CYP) 1A2 activity in vivo

    Outcomes Measured

    In general, the ingestion of cruciferous vegetables is associated with induction of cytochrome P450 (CYP) 1A2 activity in vivo; however, there is contention between reports, and the clinical significance of potential diet-drug interactions remains unclear.

    Study Details

    Year:2020
    Quality Score:9/10

    Disclosures

    Funding

    Non-commercial research support

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