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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
1
pubmed:dateCreated
2002-9-17
pubmed:abstractText
Many clinically important drug interactions occur due to inhibition of human liver cytochrome P450 3A (CYP3A) metabolism. The drug efflux pump P-glycoprotein (Pgp) can be an additional locus contributing to these drug interactions because there is overlap in drugs that are substrates for both proteins. We screened a number of CYP3A inhibitors (macrolide antibiotics, azole antifungals, and ergotpeptides) for their ability to interact with Pgp, compared with prototypical Pgp inhibitors. We used cell lines expressing human, mouse, and rat mdr1 genes. Pgp antagonism was defined by interactions of the drugs with four cell lines (LLC-PK1, L-MDR1, L-mdr1a, and L-mdr1b) using a microfluorometric calcein-AM assay and characterized for their inhibitor constant (K(i)) toward calcein-AM. The compounds were further defined for their ability to inhibit MDR1 by their effect on vinblastine accumulation into L-MDR1 cells. Representative compounds from each class of drugs were further tested as Pgp substrates, defined by the ability of human Pgp or mouse mdr1a/Pgp to transport them across a polarized kidney epithelial cell in vitro. These same compounds were administered radiolabeled in vivo to mdr1a (+/+) and (-/-) mice and the distribution of radioactivity compared. The results are summarized as follows: 1) Some drug interactions with Pgp were substrate- and/or assay-dependent. 2) Ergot alkaloids were identified as a class of MDR1/Pgp chemosensitizers. 3) The Ergot alkaloids revealed species differences in the structure-activity relationships for inhibition of Pgp. Simultaneous inhibition of Pgp by many CYP3A inhibitors contributes to human variation in the extent of drug-drug interactions.
pubmed:grant
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Oct
pubmed:issn
0022-3565
pubmed:author
pubmed:issnType
Print
pubmed:volume
303
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
323-32
pubmed:dateRevised
2007-11-14
pubmed:meshHeading
pubmed-meshheading:12235267-Animals, pubmed-meshheading:12235267-Aryl Hydrocarbon Hydroxylases, pubmed-meshheading:12235267-Biological Transport, pubmed-meshheading:12235267-Cell Line, pubmed-meshheading:12235267-Cells, Cultured, pubmed-meshheading:12235267-Cytochrome P-450 CYP3A, pubmed-meshheading:12235267-Cytochrome P-450 Enzyme System, pubmed-meshheading:12235267-Dihydroergocryptine, pubmed-meshheading:12235267-Drug Interactions, pubmed-meshheading:12235267-Enzyme Inhibitors, pubmed-meshheading:12235267-Fluconazole, pubmed-meshheading:12235267-Humans, pubmed-meshheading:12235267-Mice, pubmed-meshheading:12235267-Mice, Knockout, pubmed-meshheading:12235267-Microsomes, Liver, pubmed-meshheading:12235267-Oxidoreductases, N-Demethylating, pubmed-meshheading:12235267-P-Glycoprotein, pubmed-meshheading:12235267-Recombinant Proteins, pubmed-meshheading:12235267-Reserpine, pubmed-meshheading:12235267-Swine, pubmed-meshheading:12235267-Tissue Distribution, pubmed-meshheading:12235267-Transfection, pubmed-meshheading:12235267-Vinblastine
pubmed:year
2002
pubmed:articleTitle
Interaction of cytochrome P450 3A inhibitors with P-glycoprotein.
pubmed:affiliation
Department of Pharmaceutical Sciences, St. Jude Children's Research Hospital, Memphis, Tennessee 38105, USA.
pubmed:publicationType
Journal Article, Research Support, U.S. Gov't, P.H.S., Research Support, Non-U.S. Gov't