Article
Encapsulation of P-glycoprotein inhibitors by polymeric micelles can reduce their pharmacokinetic interactions with doxorubicin.
Faculty of Pharmacy and Pharmaceutical Sciences, University of Alberta, Edmonton, AB, Canada.
European journal of pharmaceutics and biopharmaceutics: official journal of Arbeitsgemeinschaft fur Pharmazeutische Verfahrenstechnik e.V (impact factor:
3.15).
02/2012;
81(1):142-8.
DOI:10.1016/j.ejpb.2012.02.003
pp.142-8
Source: PubMed
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Citations (0)
- Cited In (1)
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Article: P-glycoprotein inhibition as a therapeutic approach for overcoming multidrug resistance in cancer: current status and future perspectives.
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ABSTRACT: One of the major causes of failure in cancer chemotherapy is multidrug resistance (MDR), where cancer cells simultaneously become resistant to different anticancer drugs. Over-expression of membrane efflux pumps like P-glycoprotein (P-gp) that recognizes different chemotherapeutic agents and transports them out of the cell, plays a major role in MDR. The shortcoming of P-gp inhibitors in clinic has been attributed to their non-specific action on P-gp and/or non-selective distribution to non-target organs that leads to intolerable side effects by the P-gp inhibitor at doses required for P-gp inhibition upon systemic administration. Another major issue is the reduced elimination of P-gp substrates (e.g. anticancer drugs) and intolerable toxicities by anticancer drugs when co-administered with P-gp inhibitors. To overcome these shortcomings, new generation of P-gp inhibitors with improved specificity for P-gp have been developed. More recently, attention has been paid to the use of drug delivery systems primarily to restrict P-gp inhibition to tumor and reduce the non-selective inhibition of P-gp in non-target organs. This review will provide an overview and update on the status of P-gp inhibition approaches and the role of drug delivery systems in overcoming P-gp mediated MDR.Current cancer drug targets 01/2013; · 5.13 Impact Factor
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Keywords
50% reduction
5mg/kg intravenously
accentuated toxicity
analogue valspodar
Co-administration
co-solvent evaporation method
commercially available DOX
conventional Cremophor EL-based formulation
Cyclosporine
DOX clearance
doxorubicin
greater
P-gp inhibitors
polymeric micellar formulation
polymeric micelles
Sandimmune®
single dose
single intravenous dose
Sprague-Dawley rats
valspodar