The role of transporters in drug interactions

Eur J Pharm Sci. 2006 Apr;27(5):501-17. doi: 10.1016/j.ejps.2005.11.002. Epub 2005 Dec 20.

Abstract

Transport proteins play an important role in the adsorption, distribution and elimination of a wide variety of drugs. Therefore, it is not surprising that transporter-based drug interactions can occur in the clinic. These interactions can lead to changes in toxicity and/or efficacy of the affected drug. Here, we review such interactions and ask if these interactions could have been predicted from in vitro data. Conducting such in vitro-in vivo correlation is important for predicting future transporter-based drug interactions.

Publication types

  • Comparative Study
  • Research Support, N.I.H., Extramural
  • Review

MeSH terms

  • ATP-Binding Cassette Transporters / antagonists & inhibitors
  • ATP-Binding Cassette Transporters / metabolism*
  • Animals
  • Anti-Arrhythmia Agents / pharmacokinetics
  • Anti-Arrhythmia Agents / pharmacology*
  • Digoxin / pharmacokinetics
  • Drug Interactions*
  • Gemfibrozil / pharmacology
  • Humans
  • Hydroxymethylglutaryl-CoA Reductase Inhibitors / pharmacokinetics
  • Hypolipidemic Agents / pharmacokinetics
  • Hypolipidemic Agents / pharmacology*
  • In Vitro Techniques
  • Kidney / drug effects
  • Kidney / metabolism
  • Liver / drug effects
  • Liver / metabolism
  • Membrane Transport Proteins / metabolism
  • Models, Biological
  • Organic Anion Transporters / antagonists & inhibitors
  • Organic Anion Transporters / metabolism
  • Organic Cation Transport Proteins / metabolism
  • Quinidine / pharmacology

Substances

  • ATP-Binding Cassette Transporters
  • Anti-Arrhythmia Agents
  • Hydroxymethylglutaryl-CoA Reductase Inhibitors
  • Hypolipidemic Agents
  • Membrane Transport Proteins
  • Organic Anion Transporters
  • Organic Cation Transport Proteins
  • Digoxin
  • Quinidine
  • Gemfibrozil