Evidence map›Paper›PMID 20932495›Full record

ReviewLife sciences2011

Efflux transporters- and cytochrome P-450-mediated interactions between drugs of abuse and antiretrovirals.

Dhananjay Pal, Deep Kwatra, Mukul Minocha, Durga K Paturi, Balasubrahmanyam Budda, Ashim K Mitra

Open access · greenAbstract readReview
In one paragraph

Review in Life sciences, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed
10.6field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

46 citing papers in PubMed, 98 citations in OpenAlex.

  1. Review
  2. Review
  3. Review
  4. Review
  5. Review
  6. Article
  7. Review
  8. Bidirectional Associations among Nicotine and Tobacco Smoke, NeuroHIV, and Antiretroviral Therapy.Journal of neuroimmune pharmacology : the official journal of the Society on NeuroImmune Pharmacology · 2020
    Review
  9. Review
  10. Article
  11. Article
  12. P-glycoprotein associated with diabetes mellitus and survival of patients with pancreatic cancer: 8-year follow-up.Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologica · 2020
    Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Effects ofFrontiers in public health · 2019
    Article
  18. Review
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Dhananjay PalDivision of Pharmaceutical Sciences, University of Missouri, Kansas City, MO 64108-2718, United States.
Deep Kwatra
Mukul Minocha
Durga K Paturi
Balasubrahmanyam Budda
Ashim K Mitra
University of Missouri–Kansas City · US

Funding

TICIPS: HIV/AIDS, Secondary Infections and Immune ModulationU19AT003264 · NCCIH · UNIVERSITY OF MISSOURI-COLUMBIA · PI FOLK, WILLIAM ROBERT · 2005 to 2010
$4.5M
Cellular Efflux and Metabolism of Protease InhibitorsR01GM064320 · NIGMS · UNIVERSITY OF MISSOURI KANSAS CITY · PI MITRA, ASHIM K · 2002 to 2004
$609k
NCCIH NIH HHS U19 AT003264NCCIH NIH HHS U19 AT003264.NIGMS NIH HHS GM 64320-03NIGMS NIH HHS R01 GM064320
6 · The paper itself

Abstract

Multidrug regimens and corresponding drug interactions cause many adverse reactions and treatment failures. Drug efflux transporters: P-gp, MRP, BCRP in conjunction with metabolizing enzymes (CYPs) are major factors in such interactions. Most effective combination antiretrovirals (ARV) therapy includes a PI or a NNRTI or two NRTI. Coadministration of such ARV may induce efflux transporters and/or CYP3A4 resulting in sub-therapeutic blood levels and therapeutic failure due to reduced absorption and/or increased metabolism. A similar prognosis is true for ARV-compounds and drugs of abuse combinations. Morphine and nicotine enhance CYP3A4 and MDR1 expression in vitro. A 2.5 fold rise of cortisol metabolite was evident in smokers relative to nonsmokers. Altered functions of efflux transporters and CYPs in response to ARV and drugs of abuse may result in altered drug absorption and metabolism. Appropriate in vitro models can be employed to predict such interactions. Influence of genetic polymorphism, SNP and inter-individual variation in drug response has been discussed. Complexity underlying the relationship between efflux transporters and CYP makes it difficult to predict the outcome of HAART as such, particularly when HIV patients taking drugs of abuse do not adhere to HAART regimens. HIV(+) pregnant women on HAART medications, indulging in drugs of abuse, may develop higher viral load due to such interactions and lead to increase in mother to child transmission of HIV. A multidisciplinary approach with clear understanding of mechanism of interactions may allow proper selection of regimens so that desired therapeutic outcome of HAART can be reached without any side effects.

Indexed as

Analgesics, OpioidAnti-HIV AgentsAntiretroviral Therapy, Highly ActiveATP-Binding Cassette TransportersATP Binding Cassette Transporter, Subfamily B, Member 1ATP Binding Cassette Transporter, Subfamily G, Member 2BenzodiazepinesCocaineCytochrome P-450 CYP3ACytochrome P-450 Enzyme SystemDrug InteractionsFemaleHIV InfectionsHumansMethamphetamineNeoplasm ProteinsABCG2 protein, humanAnalgesics, OpioidAnti-HIV AgentsATP-Binding Cassette TransportersATP Binding Cassette Transporter, Subfamily B, Member 1ATP Binding Cassette Transporter, Subfamily G, Member 2BenzodiazepinesCocaineCYP3A4 protein, humanCytochrome P-450 CYP3ACytochrome P-450 Enzyme SystemMethamphetamineNeoplasm ProteinsRitonavir

Identifiers

PMID20932495
PMCPMC3100475
OpenAlexW2092825895

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.