Evidence map›Paper›PMID 36158743›Full record

ReviewDose-response : a publication of International Hormesis Society

Phytochemicals That Interfere With Drug Metabolism and Transport, Modifying Plasma Concentration in Humans and Animals.

Josefina Gómez-Garduño, Renato León-Rodríguez, Radamés Alemón-Medina, Beatriz E Pérez-Guillé, Rosa E Soriano-Rosales, Ailema González-Ortiz, Juan L Chávez-Pacheco, Edelmira Solorio-López, Paola Fernandez-Pérez, Liliana Rivera-Espinosa

Abstract readReview
In one paragraph

Review in Dose-response : a publication of International Hormesis Society. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
–field-weighted citation impact
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

18 citing papers in PubMed.

  1. Trial
  2. Review
  3. Review
  4. Review
  5. Review
  6. A Review onPlants (Basel, Switzerland) · 2026
    Review
  7. Review
  8. Review
  9. Review
  10. Article
  11. Review
  12. Article
  13. Article
  14. Review
  15. Article
  16. Review
  17. The hydroalcoholic extract ofAvicenna journal of phytomedicine
    Article
  18. 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

10 authors.

Josefina Gómez-GarduñoLaboratory of Pharmacology, Instituto Nacional de Pediatría, Mexico City, Mexico.
Renato León-RodríguezLaboratorio de Contención Biológica BSL-3, Instituto de Investigaciones Biomédicas, Universidad Nacional Autónoma de México, UNAM, Mexico City, Mexico.
Radamés Alemón-MedinaLaboratory of Pharmacology, Instituto Nacional de Pediatría, Mexico City, Mexico.
Beatriz E Pérez-GuilléTranslational Research Center, Instituto Nacional de Pediatría, Mexico City, Mexico.
Rosa E Soriano-RosalesTranslational Research Center, Instituto Nacional de Pediatría, Mexico City, Mexico.
Ailema González-OrtizTranslational Research Center, Instituto Nacional de Pediatría, Mexico City, Mexico.ORCID https://orcid.org/0000-0002-8891-9892
Juan L Chávez-PachecoLaboratory of Pharmacology, Instituto Nacional de Pediatría, Mexico City, Mexico.
Edelmira Solorio-LópezLaboratory of Pharmacology, Instituto Nacional de Pediatría, Mexico City, Mexico.
Paola Fernandez-PérezFaculty of Medicine, La Salle University, Mexico City, Mexico.
Liliana Rivera-EspinosaLaboratory of Pharmacology, Instituto Nacional de Pediatría, Mexico City, Mexico.ORCID https://orcid.org/0000-0002-1334-0026

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Phytochemicals (Pch) present in fruits, vegetables and other foods, are known to inhibit or induce drug metabolism and transport. An exhaustive search was performed in five databases covering from 2000 to 2021. Twenty-one compounds from plants were found to modulate CYP3A and/or P-gp activities and modified the pharmacokinetics and the therapeutic effect of 27 different drugs. Flavonols, flavanones, flavones, stilbenes, diferuloylmethanes, tannins, protoalkaloids, flavans, hyperforin and terpenes, reduce plasma concentration of cyclosporine, simvastatin, celiprolol, midazolam, saquinavir, buspirone, everolimus, nadolol, tamoxifen, alprazolam, verapamil, quazepam, digoxin, fexofenadine, theophylline, indinavir, clopidogrel. Anthocyanins, flavonols, flavones, flavanones, flavonoid glycosides, stilbenes, diferuloylmethanes, catechin, hyperforin, alkaloids, terpenes, tannins and protoalkaloids increase of plasma concentration of buspirone, losartan, diltiazem, felodipine, midazolam, cyclosporine, triazolam, verapamil, carbamazepine, diltiazem, aripiprazole, tamoxifen, doxorubicin, paclitaxel, nicardipine. Interactions between Pchs and drugs affect the gene expression and enzymatic activity of CYP3A and P-gp transporter, which has an impact on their bioavailability; such that co-administration of drugs with food, beverages and food supplements can cause a subtherapeutic effect or overdose. Therefore, it is important for the clinician to consider these interactions to obtain a better therapeutic effect.

Indexed as

activation/repression or inhibition of activityarea under the curvecytochrome (CYP3A)expressioninteraction drugP-glycoproteinphytochemical

Identifiers

PMID36158743
PMCPMC9500303

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.