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Rifabutin but not rifampicin can partly out-balance P-glycoprotein induction by concurrent P-glycoprotein inhibition through high affinity binding to the inhibitory site.
Author: HaefeliWalter E, KamarajRajamanikkam, NillesJulie, PhondethLottida, PávekPetr, TheileDirk, WeissJohanna
Original Abstract of the Article :
Physiology-based pharmacokinetic modeling suggests that rifabutin can out-balance P-glycoprotein (P-gp) induction by concurrent P-gp inhibition. However, clinical or experimental evidence for this Janus-faced rifabutin effect is missing. Consequently, LS180 cells were exposed to a moderately (2 µM) ...See full text at original site
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引用元:
https://doi.org/10.1007/s00204-023-03618-w
データ提供:米国国立医学図書館(NLM)
Rifabutin's Double-Edged Sword Effect on P-Glycoprotein
The world of drug interactions is a complex and often unpredictable landscape, much like navigating a desert with its hidden currents and shifting sands. This study delves into the multifaceted effects of rifabutin, a commonly used antibiotic, on P-glycoprotein (P-gp), a transporter protein that plays a crucial role in drug absorption and elimination. The researchers meticulously investigated the effects of rifabutin on P-gp function, exploring both its inducing and inhibitory properties. They found that rifabutin can simultaneously induce and inhibit P-gp activity, creating a complex dynamic that can impact drug efficacy and safety. This finding highlights the importance of understanding the interplay between drugs and transporter proteins to optimize treatment outcomes and minimize adverse effects.
The Balancing Act of Rifabutin
The study reveals the complex interplay between rifabutin and P-gp, highlighting the delicate balancing act that occurs when these two interact. Rifabutin's ability to both induce and inhibit P-gp activity creates a unique and challenging situation, requiring a nuanced understanding of its impact on drug metabolism and disposition.
Navigating the Desert of Drug Interactions
This study underscores the importance of carefully considering drug interactions, particularly those involving transporter proteins like P-gp. The desert of drug interactions can be full of surprises, and understanding the intricate interplay between different medications is crucial to ensure optimal treatment outcomes.
Dr.Camel's Conclusion
This research illuminates the complex and often counterintuitive nature of drug interactions, highlighting the importance of careful consideration of these interactions to ensure optimal treatment outcomes and minimize the risk of adverse effects. It underscores the need for continued research and development to better understand the dynamic interplay between drugs and transporter proteins like P-gp, paving the way for more effective and safe medication management.
Date :
- Date Completed n.d.
- Date Revised 2023-10-13
Further Info :
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