A higher dose requirement of tacrolimus in active Crohn's disease may be related to a high intestinal P-glycoprotein content.

Abstract:

:Tacrolimus, a relatively new therapeutic option for patients with corticosteroid-refractory Crohn's disease or ulcerative colitis, is a substrate for the apically directed efflux transporter P-glycoprotein (P-gp). Duodenal biopsy specimens obtained from a patient with corticosteroid-refractory Crohn's disease and with significantly higher-than-average tacrolimus dose requirements were analyzed for P-gp by Western blot. The P-gp content in this patient was more than double that in specimens obtained from 9 of 10 healthy subjects. Elevated intestinal P-gp could have resulted in decreased tacrolimus absorption, thereby leading to decreased blood concentration and decreased efficacy in this patient. The cause and prevalence of this phenomenon are unknown.

journal_name

Dig Dis Sci

authors

Buchman AL,Paine MF,Wallin A,Ludington SS

doi

10.1007/s10620-005-3053-3

subject

Has Abstract

pub_date

2005-12-01 00:00:00

pages

2312-5

issue

12

eissn

0163-2116

issn

1573-2568

journal_volume

50

pub_type

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