METHODS OF IDENTIFICATION OF DRUGS AS P-GLYCOPROTEIN SUBSTRATES

Abstract

The article presents an original method for determining belonging of drugs to the substrates of the transport protein P-glycoprotein (Pgp). This methodics is based on a comparison of the pharmacokinetic parameters of the test substrate before and after a course of administration of the inductor (rifampicin) and inhibitor (verapamil) of the transport protein. If the content of test substance in organism is reduced after Pgp inductor administration, and increased after the inhibitor administration, we conclude that this substance is Pgp substrate. For approbation of developed technique we examined by blind method the pharmacokinetics of fexofenadine - known Pgp substrate at a dose of 67,5 mg/kg, before and after the 14-days administration of rifampicin (40 mg/kg twice daily) and verapamil (a daily dose of 20 mg/kg three times a day). It was revealed that after a course administration of verapamil maximum concentration of fexofenadine, its area under the concentration-time curve and half-life were significantly increased, as well as the time of maximum concentration was decreased. In contrast, rifampicin course administration resulted in a decrease in the area under the curve concentration-time and an increase in total clearance of marker substrate of Pgp, wich proves the adequacy of methods.

References

  1. Колхир С.В. Клиническое значение изучения активности транспортера лекарственных средств гликопротеина-Р для оптимизации фармакотерапии: автореф. дис.. канд. мед.наук: 14.03.06 / С.В. Колхир; ГОУ ВПО ММА им. И.М. Сеченова. - М., 2007. - 21 с.
  2. Функциональная активность и экспрессия гликопротеина-P при экспериментальных манипуляциях / Е.Н. Якушева [и др.] Российский медикобиологический вестник им. акад. И.П. Павлова. - 2014. - №2. - С. 75-78.
  3. Якушева Е.Н. Влияние экспериментальной подострой гипобарической гипоксической гипоксии на функциональную активность гликопротеина-P / Е.Н. Якушева, И.В. Черных // Российский медико-биологический вестник им. акад. И.П. Павлова. - 2013. -№1. - С. 60-64.
  4. Binkhathlan Z. P-glycoprotein Inhibition as a Therapeutic Approach for Overcoming Multidrug Resistance in Cancer: Current Status and Future Perspectives / Z. Binkhathlan, A. Lavasanifar // Curr. Cancer Drug Targets. - 2013. - Vol. 13, №3. - P. 326-346.
  5. Carrigos M. Competitive and Non-Competitive Inhibition of the Multidrug-Resistance-Associated P-glycoprotein ATPase / M. Carrigos, L.M. Mir, S. Orlowski // Eur. J. Biochem. - 1997. - Vol. 244, №2. - P. 664-673.
  6. Casein Kinase 2 (CK2)-mediated Phosphorylation of Hsp90ß as a Novel Mechanism of Rifampin-induced MDR1 Expression / S.W. Kim [et al.] // J. Biol. Chem. - 2015. - Vol. 290, №27. - P. 17029-17040.
  7. Comparative evaluation of tigecycline and vancomycin, with and with out rifampicin, in the treatment of methicillin-resistant Staphylococcus aureus experimental osteomyelitis in a rabbit model / L.Y. Yin [et al.] // J. Antimicrob. Chemother. - 2005. - Vol. 55, №6. - P. 995-1002.
  8. Design of Fexofenadine Prodrugs Based on Tissue-Specific Esterase Activity and Their Dissimilar Recognition by P-Glycoprotein / K. Ohura [et al.] // J. Pharm. Sci. - 2015. - Vol. 104, №9. - P. 3076-3083.
  9. Montanari F. Prediction of drug-ABC-transporter interaction - Recent advances and future challenges / F. Montanari, G.F. Ecker // Adv. Drug. Deliv. Rev. - 2015. - Vol. 86. - P. 17-26.

Copyright (c) 2015 Yakusheva E.N., Chernykh I.V., Shulkin A.V., Gatsanoga M.V.

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