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Clinical Relevance of P-Glycoprotein in Drug Therapy

Data up to Jan 2025

Published2003
Citations159
References134

Total Citations Per Year

Abstract

References (134)

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P-glycoprotein in the blood-brain barrier of mice influences the brain penetration and pharmacological activity of many drugs.

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Absence of the mdr1a P-Glycoprotein in mice affects tissue distribution and pharmacokinetics of dexamethasone, digoxin, and cyclosporin A.

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The role of intestinal P-glycoprotein in the interaction of digoxin and rifampin

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Role of P-Glycoprotein in Pharmacokinetics

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MDCK (Madin-Darby Canine Kidney) Cells: A Tool for Membrane Permeability Screening

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Limited oral bioavailability and active epithelial excretion of paclitaxel (Taxol) caused by P-glycoprotein in the intestine

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Relationship of octanol/water partition coefficient and molecular weight to rat brain capillary permeability

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Paclitaxel-resistant Human Ovarian Cancer Cells Have Mutant β-Tubulins That Exhibit Impaired Paclitaxel-driven Polymerization

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Rational use of in vitro P-glycoprotein assays in drug discovery.

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Passive Permeability and P-Glycoprotein-Mediated Efflux Differentiate Central Nervous System (CNS) and Non-CNS Marketed Drugs

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Increased drug delivery to the brain by P-glycoprotein inhibition

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Pharmacological inhibition of P-glycoprotein transport enhances the distribution of HIV-1 protease inhibitors into brain and testes.

2000 • 384 citations

Functional expression of P-glycoprotein in apical membranes of human intestinal Caco-2 cells. Kinetics of vinblastine secretion and interaction with modulators

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P-glycoprotein as the drug efflux pump in primary cultured bovine brain capillary endothelial cells

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Induction of P-glycoprotein by rifampin increases intestinal secretion of talinolol in human beings: A new type of drug/drug interaction

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Full blockade of intestinal P-glycoprotein and extensive inhibition of blood-brain barrier P-glycoprotein by oral treatment of mice with PSC833.

1997 • 272 citations

Caco-2 monolayers in experimental and theoretical predictions of drug transport

1996 • 268 citations

Mrp1 Multidrug Resistance‐Associated Protein and P‐Glycoprotein Expression in Rat Brain Microvessel Endothelial Cells

1998 • 265 citations

Direct correlation between DNA topoisomerase II activity and cytotoxicity in adriamycin-sensitive and -resistant P388 leukemia cell lines.

1989 • 263 citations

Verapamil

1989 • 254 citations

A morphometric study on the development of the lateral ventricle choroid plexus, choroid plexus capillaries and ventricular ependyma in the rat

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Rifampin drastically reduces plasma concentrations and effects of oral midazolam

1996 • 238 citations

The drug efflux–metabolism alliance: biochemical aspects

2001 • 230 citations

In vitro substrate identification studies for p-glycoprotein-mediated transport: species difference and predictability of in vivo results.

2001 • 226 citations

P-Glycoprotein Limits the Brain Penetration of Nonsedating but not Sedating H1-Antagonists

2003 • 225 citations

Oral Drug Absorption: Prediction and Assessment

2000 • 224 citations

Drug absorption limited by P-glycoprotein-mediated secretory drug transport in human intestinal epithelial Caco-2 cell layers.

1993 • 217 citations

Role of P-glycoprotein on the CNS disposition of amprenavir (141W94), an HIV protease inhibitor.

1999 • 216 citations

Protein Binding as a Primary Determinant of the Clinical Pharmacokinetic Properties of Non-Steroidal Anti-Inflammatory Drugs

1987 • 207 citations

Hydrogen bonding potential as a determinant of the in vitro and in situ blood-brain barrier permeability of peptides.

1994 • 201 citations

Intestinal drug metabolism and antitransport processes: A potential paradigm shift in oral drug delivery

1996 • 194 citations

Relative frequency and kinetic properties of transport-defective phenotypes among methotrexate-resistant L1210 clonal cell lines derived in vivo.

1981 • 191 citations

Estimation of the relative contribution of the transcellular and paracellular pathway to the transport of passively absorbed drugs in the Caco-2 cell culture model.

1997 • 188 citations

Complete in vivo reversal of P‐glycoprotein pump function in the blood‐brain barrier visualized with positron emission tomography

1998 • 182 citations

Phase I study of etoposide with SDZ PSC 833 as a modulator of multidrug resistance in patients with cancer.

1996 • 179 citations

Efflux transport systems for drugs at the blood–brain barrier and blood–cerebrospinal fluid barrier (Part 1)

2001 • 173 citations

Evidence for a Polarized Efflux System in Caco-2 Cells Capable of Modulating Cyclosporine A Transport

1993 • 167 citations

P‐glycoprotein‐mediated intestinal and biliary digoxin transport in humans

2003 • 156 citations

Thymidylate synthase overproduction and gene amplification in fluorodeoxyuridine-resistant human cells.

1985 • 154 citations

The prognostic significance of expression of the multidrug resistance-associated protein (MRP) in primary breast cancer

1997 • 151 citations

Phase I and pharmacokinetic study of paclitaxel in combination with biricodar, a novel agent that reverses multidrug resistance conferred by overexpression of both MDR1 and MRP.

1998 • 146 citations

Inhibitors of Multidrug Resistance to Antitumor Agents (MDR)

2002 • 145 citations

Taxol resistance mediated by transfection of the liver-specific sister gene of P-glycoprotein.

1998 • 144 citations

Evidence for a Polarized Efflux System for Peptides in the Apical Membrane of Caco-2 Cells

1993 • 141 citations

Increased accumulation of doxorubicin and doxorubicinol in cardiac tissue of mice lacking mdr1a P-glycoprotein

1998 • 141 citations

Multidrug Resistance‐Related Transport Proteins in Isolated Human Brain Microvessels and in Cells Cultured from These Isolates

1998 • 139 citations

Gene amplification in a leukemic patient treated with methotrexate.

1984 • 139 citations

Altered Expression of Mβ2, the Class II β-Tubulin Isotype, in a Murine J774.2 Cell Line with a High Level of Taxol Resistance

1995 • 138 citations

A new in vivo method to study P-glycoprotein transport in tumors and the blood-brain barrier.

1999 • 135 citations

Influence of P-glycoprotein on the transport and metabolism of indinavir in Caco-2 cells expressing cytochrome P-450 3A4.

2000 • 128 citations

Effect of Plasma Protein Binding on in Vivo Activity and Brain Penetration of Glycine/NMDA Receptor Antagonists

1997 • 128 citations

Considerations in the design and development of transport inhibitors as adjuncts to drug therapy

2003 • 128 citations

Uncoupling Ceramide Glycosylation by Transfection of Glucosylceramide Synthase Antisense Reverses Adriamycin Resistance

2000 • 127 citations

Cytologic evidence for gene amplification in methotrexate-resistant cells obtained from a patient with ovarian adenocarcinoma.

1984 • 123 citations

P-glycoprotein-dependent disposition kinetics of tacrolimus: studies in mdr1a knockout mice.

1999 • 113 citations

Evidence for intestinal secretion as an additional clearance pathway of talinolol enantiomers: concentration- and dose-dependent absorption in vitro and in vivo.

1996 • 112 citations

High levels of P-glycoprotein detected in isolated brain capillaries

1993 • 109 citations

Detection of in vivo P-glycoprotein inhibition by PSC 833 using Tc-99m sestamibi.

1997 • 104 citations

Expression and functional activity of P-glycoprotein in cultured cerebral capillary endothelial cells.

1992 • 99 citations

Intestinal secretion of intravenous talinolol is inhibited by luminal R-verapamil*

1999 • 95 citations

Clinical pharmacokinetics of doxorubicin in combination with GF120918, a potent inhibitor of MDR1 P-glycoprotein

1999 • 91 citations

Phase I Study of Infusional Paclitaxel in Combination With the P-Glycoprotein Antagonist PSC 833

2001 • 89 citations

Physiological pharmaceutics: biological barriers to drug absorption

1990 • 88 citations

A dose-finding and pharmacokinetic study of reversal of multidrug resistance with SDZ PSC 833 in combination with doxorubicin in patients with solid tumors.

1997 • 87 citations

Decreased retention of actinomycin D as the basis for cross-resistance in anthracycline-resistant sublines of P388 leukemia.

1977 • 87 citations

Development of Multidrug-Resistance Convertors: Sense or Nonsense?

2000 • 84 citations

Effect of ketoconazole on ritonavir and saquinavir concentrations in plasma and cerebrospinal fluid from patients infected with human immunodeficiency virus

2000 • 84 citations

Effect of dexamethasone on the intestinal first-pass metabolism of indinavir in rats: evidence of cytochrome P-450 3A [correction of P-450 A] and p-glycoprotein induction .

1999 • 83 citations

The Anatomic Basis of the Blood-Brain Barrier

1989 • 83 citations

Dipyridamole enhances digoxin bioavailability via P‐glycoprotein inhibition

2003 • 79 citations

Affinity for the P-Glycoprotein Efflux Pump at the Blood-Brain Barrier May Explain the Lack of CNS Side-Effects of Modern Antihistamines

2001 • 77 citations

Transepithelial transport of organic anions across the choroid plexus: possible involvement of organic anion transporter and multidrug resistance-associated protein.

1999 • 76 citations

Drug-protein binding and blood-brain barrier permeability.

1999 • 74 citations

Mibefradil is a P-glycoprotein substrate and a potent inhibitor of both P-glycoprotein and CYP3A in vitro.

2000 • 74 citations

Efflux transport systems for drugs at the blood–brain barrier and blood–cerebrospinal fluid barrier (Part 2)

2001 • 74 citations

Mechanisms of multidrug resistance in human tumor cells. The roles of P-glycoprotein, DNA topoisomerase II, and other factors

1990 • 70 citations

Absolute quinidine bioavailability

1976 • 67 citations

Apparent lack of Mrp1-mediated efflux at the luminal side of mouse blood-brain barrier endothelial cells.

2003 • 66 citations

Longitudinal assessment of a P-glycoprotein?mediated drug interaction of valspodar on digoxin

1999 • 63 citations

Effect of heparin or salicylate infusion on serum protein binding and on concentrations of phenytoin in serum, brain and cerebrospinal fluid of rats.

1981 • 59 citations

Preclinical and Clinical Modulation of Anticancer Drugs

1993 • 58 citations

P-glycoprotein-mediated efflux of indinavir metabolites in Caco-2 cells expressing cytochrome P450 3A4.

2001 • 55 citations

Animal models for oral drug delivery in man : in situ and in vivo approaches

1983 • 53 citations

Apparent dose‐dependent oral absorption of cyclosporin a in rats

1984 • 49 citations

Steady-state pharmacokinetics of indinavir in cerebrospinal fluid and plasma among adults with human immunodeficiency virus type 1 infection

2000 • 42 citations

Effects of protein binding and experimental disease states on brain uptake of benzodiazepines in rats.

1990 • 42 citations

Effects of Ritonavir on Indinavir Pharmacokinetics in Cerebrospinal Fluid and Plasma

2003 • 41 citations

Defective facilitated diffusion of nucleosides, a primary mechanism of resistance to 5-fluoro-2'-deoxyuridine in the HCT-8 human carcinoma line.

1985 • 40 citations

MDR1 and multidrug resistance-associated protein (MRP) gene expression in epithelial ovarian tumors

1996 • 40 citations

Techniques for plasma protein binding of demethylchlorimipramine

1979 • 38 citations

MDR1 and MRP expression in chronic B‐cell lymphoproliferative disorders

1998 • 33 citations

Expression of the multidrug resistance-associated protein (MRP) gene in colorectal carcinomas

1997 • 33 citations

The expression of multidrug resistance protein in human gastrointestinal tract carcinomas

1998 • 32 citations

Expression of the multidrug resistance protein (MRP) in squamous cell carcinoma of the oesophagus and response to pre-operative chemotherapy

1998 • 28 citations

Interdependent Effect of P-Glycoprotein-Mediated Drug Efflux and Intracellular Drug Binding on Intracellular Paclitaxel Pharmacokinetics: Application of Computational Modeling

2003 • 17 citations

The Role of Brain Extracellular Fluid Production and Efflux Mechanisms in Drug Transport to the Brain

2000 • 14 citations

Cerebrospinal fluid production is normal in Down syndrome

1998 • 9 citations

Mathematical Models of Membrane Transport Processes

1978 • 4 citations

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