Article ; Online: Progress in the Quantitative Assessment of Transporter-Mediated Drug-Drug Interactions Using Endogenous Substrates in Clinical Studies.
Drug metabolism and disposition: the biological fate of chemicals
2023 Volume 51, Issue 9, Page(s) 1105–1113
Abstract: Variations in drug transporter activities, caused by genetic polymorphism and drug-drug interactions (DDIs), alter the systemic exposure of substrate drugs, leading to differences in drug responses. Recently, some endogenous substrates of drug ... ...
Abstract | Variations in drug transporter activities, caused by genetic polymorphism and drug-drug interactions (DDIs), alter the systemic exposure of substrate drugs, leading to differences in drug responses. Recently, some endogenous substrates of drug transporters, particularly the solute carrier family transporters such as OATP1B1, OATP1B3, OAT1, OAT3, OCT1, OCT2, MATE1, and MATE2-K, have been identified to investigate variations in drug transporters in humans. Clinical data obtained support their performance as surrogate probes in terms of specificity and reproducibility. Pharmacokinetic parameters of the endogenous biomarkers depend on the genotypes of drug transporters and the systemic exposure to perpetrator drugs. Furthermore, the development of physiologically based pharmacokinetic models for the endogenous biomarkers has enabled a top-down approach to obtain insights into the effect of perpetrators on drug transporters and to more precisely simulate the DDI with victim drugs, including probe drugs. The endogenous biomarkers can address the uncertainty in the DDI prediction in the preclinical and early phases of clinical development and have the potential to fulfill regulatory requirements. Therefore, the endogenous biomarkers should be able to predict disease effects on the variations in drug transporter activities observed in patients. This mini-review focuses on recent progress in the identification and use of the endogenous drug transporter substrate biomarkers and their application in drug development. SIGNIFICANCE STATEMENT: Advances in analytical methods have enabled the identification of endogenous substrates of drug transporters. Changes in the pharmacokinetic parameters (C |
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MeSH term(s) | Humans ; Organic Cation Transport Proteins ; Reproducibility of Results ; Drug Interactions ; Biomarkers |
Chemical Substances | Organic Cation Transport Proteins ; Biomarkers |
Language | English |
Publishing date | 2023-05-11 |
Publishing country | United States |
Document type | Journal Article ; Review |
ZDB-ID | 186795-7 |
ISSN | 1521-009X ; 0090-9556 |
ISSN (online) | 1521-009X |
ISSN | 0090-9556 |
DOI | 10.1124/dmd.123.001285 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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