[CITATION][C] Overlapping substrate specificities and tissue distribution of cytochrome P450 3A and P‐glycoprotein: implications for drug delivery and activity in cancer …
VJ Wacher, CY Wu, LZ Benet - Molecular carcinogenesis, 1995 - Wiley Online Library
VJ Wacher, CY Wu, LZ Benet
Molecular carcinogenesis, 1995•Wiley Online LibraryA great challenge to the continuing search for more efficient and specific anticancer drugs is
the unified response by tumor cells to rid themselves of these agents, a process loosely
labeled multidrug resistance. While multidrug resistance has now become synonymous with
the P-glycoprotein (P-gp) drug-efflux pump, in reality this process encompasses the full
range of cellular responses to xenobiotics, including upregulation of drug-metabolism
processes [I, 2]. Research in our laboratory has focused on cytochrome P450 (CYP) 3A, the …
the unified response by tumor cells to rid themselves of these agents, a process loosely
labeled multidrug resistance. While multidrug resistance has now become synonymous with
the P-glycoprotein (P-gp) drug-efflux pump, in reality this process encompasses the full
range of cellular responses to xenobiotics, including upregulation of drug-metabolism
processes [I, 2]. Research in our laboratory has focused on cytochrome P450 (CYP) 3A, the …
A great challenge to the continuing search for more efficient and specific anticancer drugs is the unified response by tumor cells to rid themselves of these agents, a process loosely labeled multidrug resistance. While multidrug resistance has now become synonymous with the P-glycoprotein (P-gp) drug-efflux pump, in reality this process encompasses the full range of cellular responses to xenobiotics, including upregulation of drug-metabolism processes [I, 2]. Research in our laboratory has focused on cytochrome P450 (CYP) 3A, the enzyme responsible for phase I metabolism of over 50% of drugs administered to humans (National Academy of Sciences, Institute of Medicine workshop:" Enzymes of Drug Metabolism: Importance to Drug Safety and Efficacy," January 25 and 26, 1993) and particularly the contribution of intestinal CYP3A-mediated metabolism to the bioavailability of orally administered drugs such as cyclosporine. The importance of intestinal CYP3A in decreasing oral-drug bioavailability is even now not recognized by many drug-delivery scientists, who have previously been concerned exclusively with the physicochemical aspects of drug absorption. Similarly, such scientists are just beginning to appreciate that P-gp is expressed at high levels on the apical surfaces of columnar epithelial cells in the jejunum [3] and is also expected to play a part in the absorption of many drugs. Previous reports have noted that various inhibitors of P-gp activity in tumor cells are also CYP3A substrates [4, 51, and the more detailed investigation described here revealed a number of striking overlaps between CYP3A and P-gp that suggest that these enzymes have complementary roles in the pharrnacokinetics of drug absorption and elimination that are particularly relevant to cancer chemotherapy.
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