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Disease-Associated Changes in Drug Transporters May Impact the Pharmacokinetics and/or Toxicity of Drugs: A White Paper From the International Transporter Consortium.


ABSTRACT: Drug transporters are critically important for the absorption, distribution, metabolism, and excretion (ADME) of many drugs and endogenous compounds. Therefore, disruption of these pathways by inhibition, induction, genetic polymorphisms, or disease can have profound effects on overall physiology, drug pharmacokinetics, drug efficacy, and toxicity. This white paper provides a review of changes in transporter function associated with acute and chronic disease states, describes regulatory pathways affecting transporter expression, and identifies opportunities to advance the field.

SUBMITTER: Evers R 

PROVIDER: S-EPMC6424581 | biostudies-literature | 2018 Nov

REPOSITORIES: biostudies-literature

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Disease-Associated Changes in Drug Transporters May Impact the Pharmacokinetics and/or Toxicity of Drugs: A White Paper From the International Transporter Consortium.

Evers Raymond R   Piquette-Miller Micheline M   Polli Joseph W JW   Russel Frans G M FGM   Sprowl Jason A JA   Tohyama Kimio K   Ware Joseph A JA   de Wildt Saskia N SN   Xie Wen W   Brouwer Kim L R KLR  

Clinical pharmacology and therapeutics 20180712 5


Drug transporters are critically important for the absorption, distribution, metabolism, and excretion (ADME) of many drugs and endogenous compounds. Therefore, disruption of these pathways by inhibition, induction, genetic polymorphisms, or disease can have profound effects on overall physiology, drug pharmacokinetics, drug efficacy, and toxicity. This white paper provides a review of changes in transporter function associated with acute and chronic disease states, describes regulatory pathways  ...[more]

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