Effects of 1α,25-dihydroxyvitamin D3 , the natural vitamin D receptor ligand, on the pharmacokinetics of cefdinir and cefadroxil, organic anion transporter substrates, in rat.

Author: ChoKwan Hyung, ChowEdwin C Y, ChungSuk-Jae, JinHyo-Eon, KimIn-Bong, KimMyungsoo, KimYu Chul, MaengHan-Joo, NohChi-Kyoung, PangK Sandy, QuachHolly P, YoonIn-Soo

Paper Details 
Original Abstract of the Article :
Evidence in the literature suggests that 1α,25-dihydroxyvitamin D3 [1,25(OH)2 D3 ], the vitamin D receptor ligand, down-regulated the expression of the rat renal organic anion (renal organic anion transporter, rOAT) and oligopeptide (rPEPT) transporters, but increased intestinal rPEPT1 expression. W...See full text at original site
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引用元:
https://pubmed.ncbi.nlm.nih.gov/25266751

データ提供:米国国立医学図書館(NLM)

Vitamin D: A Hidden Oasis in the Desert of Drug Metabolism

This study delves into the complex world of drug metabolism, a process that involves the body's transformation of medications into forms that can be eliminated. It's like exploring a vast desert, where different pathways and processes play a role in how drugs are handled. This study investigated the impact of 1α,25-dihydroxyvitamin D3, the active form of vitamin D, on the pharmacokinetics of two cephalosporin antibiotics, cefdinir and cefadroxil. It's like uncovering hidden connections between different components of the desert ecosystem – in this case, vitamin D and drug metabolism.

Vitamin D's Influence on Drug Metabolism: A Desert Oasis of Insights

The study discovered that 1α,25-dihydroxyvitamin D3 treatment significantly increased the area under the plasma concentration-time curve (AUC) of both cefdinir and cefadroxil, indicating that the drugs were staying in the body longer. This effect was attributed to a decrease in drug clearance, primarily due to a reduction in renal excretion. It's like discovering a hidden spring in the desert that alters the flow of water, impacting how drugs are transported and eliminated. The study also found that 1α,25-dihydroxyvitamin D3 treatment decreased renal uptake and urinary recovery of the drugs, suggesting that vitamin D may influence the activity of specific renal transporters responsible for drug elimination.

Navigating the Desert of Drug Interactions

This study provides valuable insights into the potential for drug interactions involving vitamin D. It's like uncovering a network of hidden tunnels in the desert, revealing how different substances can interact and affect each other. This knowledge can help clinicians optimize drug therapy and minimize the risk of adverse drug events. It's crucial to consider the potential for vitamin D to influence drug metabolism and excretion, particularly for medications that rely on renal transporters for elimination. The desert of drug interactions can be complex and unpredictable, but these findings provide a roadmap for navigating this landscape with greater awareness and precision.

Dr.Camel's Conclusion

This study reveals the fascinating and intricate relationship between vitamin D and drug metabolism, highlighting the potential for vitamin D to influence drug pharmacokinetics. It's like uncovering a hidden oasis in the vast desert of drug interactions, offering valuable insights for optimizing drug therapy and ensuring patient safety.

Date :
  1. Date Completed 2015-06-26
  2. Date Revised 2018-12-02
Further Info :

Pubmed ID

25266751

DOI: Digital Object Identifier

S0022-3549(15)30313-0

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English

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