2002
DOI: 10.1006/bcmd.2002.0526
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Differences between in Vivo and in Vitro Sensitivity to Imatinib of Bcr/Abl+ Cells Obtained from Leukemic Patients

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Cited by 34 publications
(26 citation statements)
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“…For imatinib elevated levels of AGP have been related to in vivo resistance in mouse [9] and humans [14,15], whereas other investigators did not observe any relevant binding of imatinib to AGP employing fluorescence quenching [16]. The data presented here, based on direct measurement of drug concentrations with radiolabelled compounds, confirmed high binding to AGP.…”
Section: Discussionsupporting
confidence: 49%
“…For imatinib elevated levels of AGP have been related to in vivo resistance in mouse [9] and humans [14,15], whereas other investigators did not observe any relevant binding of imatinib to AGP employing fluorescence quenching [16]. The data presented here, based on direct measurement of drug concentrations with radiolabelled compounds, confirmed high binding to AGP.…”
Section: Discussionsupporting
confidence: 49%
“…21 Moreover, AGP levels in humans are 4-5 times higher than in mice, so fundamental PK properties of imatinib such as binding to plasma proteins differ significantly between rodents and man. 11,22 Also, while imatinib does not appear to be a human PXR activator, it has not been screened against other receptors that can sense xenobiotic compounds such as CAR, which exhibits substantial cross species differences in its activation profile.…”
Section: Commentarymentioning
confidence: 99%
“…Imatinib is 95% bound to plasma proteins, mainly albumin and alpha 1 acid glycoprotein (AGP). 11 Pharmacokinetic data in healthy volunteers and patients with CML and GIST shows an average terminal elimination half-life of 18 hours and excellent absorption with bioavailability of 98%, so it is unlikely that downregulation or inhibition of absorption is a major contributor to drug resistance. Only about 10% of imatinib is renally cleared, with hepatic metabolism and biliary excretion being the main routes of elimination as demonstrated by the fact that over 80% of unchanged or metabolized imatinib can be recovered from feces.…”
mentioning
confidence: 99%
“…3,4 As a member of the lipocalin family, the single polypeptide chain of AAG folds into a β-barrel structure enclosing a wide, central cavity where a broad array of organic compounds can be bound. 5,6 Macrolide antibiotics are typical AAG binding agents [7][8][9] possessing a large macrocycle which is reminiscent to that of the potent immunosuppressive drug sirolimus (rapamycin). Sirolimus is a chiral, multichromophoric antifungal compound of bacterial origin consisting of triene, lactone, lactol, enone, and ketone moieties (Scheme 1).…”
mentioning
confidence: 99%