Drug disposition in cholestasis: An important concern

Autor: Tianze Shang, Chengliang Zhang, Dong Liu
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Pharmacology Research & Perspectives, Vol 12, Iss 4, Pp n/a-n/a (2024)
Druh dokumentu: article
ISSN: 2052-1707
DOI: 10.1002/prp2.1220
Popis: Abstract Cholestasis, a chronic liver condition, disrupts bile acid homeostasis and complicates drug disposition, posing significant challenges in medicating cholestatic patients. Drug metabolism enzymes and transporters (DMETs) are pivotal in drug clearance. Research indicates that cholestasis leads to alterations in both hepatic and extrahepatic DMETs, with changes in expression and function documented in rodents and humans. This review synthesizes the modifications in key drug disposition components within cholestasis, focusing on cytochrome P450 (CYP450), drug transporters, and their substrates. Additionally, we briefly discuss certain drugs that have demonstrated efficacy in restoring DMET expression in cholestatic conditions. Ultimately, these insights necessitate a reevaluation of drug selection and dosing guidelines for patients with cholestasis.
Databáze: Directory of Open Access Journals
Nepřihlášeným uživatelům se plný text nezobrazuje