It is well‐recognized that therapeutic proteins (TPs) with pro‐inflammatory activities elevate the pro‐inflammatory cytokines and result in cytokine‐drug interactions. In the current review, several pro‐inflammatory cytokines, including IL‐2, IL‐6, IFN‐γ, and TNF‐α, as well as an anti‐inflammatory cytokine IL‐10, were summarized for their respective effect on major cytochrome P450 enzymes and efflux transporter PgP. Pro‐inflammatory cytokines are generally associated with suppression of CYP enzymes across assay systems but have varied effect on Pgp expression levels and activities depending on the individual cytokines and assay systems, whereas IL‐10 had no significant impact on CYP enzymes and P‐gp. A cocktail drug‐drug interaction (DDI) study design could be an ideal approach for simultaneously assess the impact of TPs with pro‐inflammatory activities on multiple CYP enzymes. Clinical DDI studies using the cocktail approach have been conducted for several TPs with pro‐inflammatory activities and for those TPs with pro‐inflammatory activities which had no clinical DDI study conducted, languages for potential DDI risk due to cytokine‐drug interaction were included in the label. Up to date drug cocktails, including clinically validated and unvalidated for DDI assessment, were summarized in this review. Most clinically validated cocktails focused either on CYP enzymes or transporters. Additional effort was needed to validate a cocktail to include both the major CYP enzymes and key transporters. In silico methods for assessment of the DDI for TPs with pro‐inflammatory activities were also discussed.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
customersupport@researchsolutions.com
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.