Abstract:
PURPOSE:Grapefruit juice (GJ) is known to increase the oral bioavailability of many CYP3A-substrates by inhibiting intestinal phase-I metabolism. However, the magnitude of AUC increase is often insignificant and highly variable. Since we earlier suggested that CYP3A and P-glycoprotein (P-gp) form a concerted barrier to drug absorption, we investigated the role of P-gp in GJ-drug interactions. METHODS:The transcellular bidirectional flux of drugs that are (i) CYP3A-and/or P-gp substrates (Vinblastine, Cyclosporine, Digoxin, Fexofenadine, Losartan) or that are (ii) primary CYP3A-substrates (Felodipine, Nifedipine) was evaluated across MDCK-MDR1 cell monolayers with or without GJ, verifying monolayer integrity at all times. RESULTS:While both apical-to-basal (A-B) and basal-to-apical (B-A) fluxes of all CYP3A/P-gp substrates tested were increased in the presence of GJ, the resulting net efflux (B-A/A-B) was in all cases significantly greater with GJ than control (Vin, 28.0 vs. 5.1; CsA, 9.9 vs. 2.8; Dig, 22. 9 vs. 14.7, Fex, 22.3 vs. 11.1, Los, 39.6 vs. 26). In contrast, no such GJ flux effect was observed with Fel and Nif, substrates of CYP3A only (2 vs. 1.7 and 1.2 vs. 1.3). CONCLUSIONS:GJ significantly activates P-gp-mediated efflux of drugs that are substrates of P-gp, potentially partially counteracting the CYP3A-inhibitory effects of GJ.
journal_name
Pharm Resjournal_title
Pharmaceutical researchauthors
Soldner A,Christians U,Susanto M,Wacher VJ,Silverman JA,Benet LZdoi
10.1023/a:1011902625609subject
Has Abstractpub_date
1999-04-01 00:00:00pages
478-85issue
4eissn
0724-8741issn
1573-904Xjournal_volume
16pub_type
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journal_title:Pharmaceutical research
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更新日期:1988-11-01 00:00:00
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更新日期:2000-01-01 00:00:00
abstract::Enoximone and piroximone are cardiotonic agents for use in patients with congestive heart failure. Electroanalytical studies revealed that the dihydroimidazolone functionality was oxidizable and that this property can be analytically useful. The compounds undergo a two-electron, irreversible oxidation in neutral to ac...
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更新日期:1999-11-01 00:00:00
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更新日期:1994-12-01 00:00:00
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更新日期:2001-02-01 00:00:00
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更新日期:1995-08-01 00:00:00
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更新日期:2020-05-31 00:00:00
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更新日期:2021-01-15 00:00:00
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journal_title:Pharmaceutical research
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更新日期:2000-05-01 00:00:00
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journal_title:Pharmaceutical research
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更新日期:1990-07-01 00:00:00
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更新日期:2008-09-01 00:00:00