2013
DOI: 10.1124/dmd.113.051037
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Hepatocellular Organic Anion–Transporting Polypeptides (OATPs) and Multidrug Resistance–Associated Protein 2 (MRP2) Are Inhibited by Silibinin

Abstract: Silibinin has been reported to be a promising compound for hepatitis C treatment of nonresponders to standard treatment. Although administered silibinin is well tolerated, increased serum bilirubin levels have been observed during high-dose i.v. silibinin therapy. The mechanism of silibinin-induced hyperbilirubinemia in humans, however, has not been identified so far. The aim of this study was to investigate the effect of silibinin on hepatocellular uptake and efflux transport systems for organic anions to elu… Show more

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Cited by 31 publications
(38 citation statements)
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“…Nevertheless, available data suggest several consistent disease associations, particularly for SLCO1B3 and SLCO2B1, in PCa. Whether or not cancer-associated expression of transporters will be feasible targets for inhibition remains a significant question, given the critical function these proteins play in normal clearance of endogenous metabolites and in excretion of drugs and toxins (74,75). However, tumoral expression of transporters may still serve as relevant biomarkers for cancers with efficient steroid uptake for which more aggressive targeting of the androgen axis may be warranted.…”
Section: Resultsmentioning
confidence: 99%
“…Nevertheless, available data suggest several consistent disease associations, particularly for SLCO1B3 and SLCO2B1, in PCa. Whether or not cancer-associated expression of transporters will be feasible targets for inhibition remains a significant question, given the critical function these proteins play in normal clearance of endogenous metabolites and in excretion of drugs and toxins (74,75). However, tumoral expression of transporters may still serve as relevant biomarkers for cancers with efficient steroid uptake for which more aggressive targeting of the androgen axis may be warranted.…”
Section: Resultsmentioning
confidence: 99%
“…It was shown in 2006 that silibinin inhibits hOATP1B3-mediated uptake of amanitin into hOATP1B3-expressing MDCKII cells (Letschert, Faulstich, Keller, & Keppler, 2006). Two recent studies further characterized the interactions of silymarin and some of its major constituents with respect to inhibition of OATP-mediated uptake (Kock, Xie, Hawke, Oberlies, & Brouwer, 2013; Wlcek, Koller, Ferenci, & Stieger, 2013). In these studies silbinin inhibited OATP-mediated substrate uptake.…”
Section: Transport Of Natural Products By Oatpsmentioning
confidence: 99%
“…The incidence of drug-induced hyperbilirubinemia has been documented since rifamycin SV or cyclosporin A was reported to increase the plasma levels of total bilirubins without an elevation of liver enzyme, such as ALT and AST, in humans (Acocella et al, 1965;List et al, 1993). Recently, many researchers have focused on the mechanism of drug-induced hyperbilirubinemia (Zucker et al, 2001;Campbell et al, 2004;Chang et al, 2013;Wlcek et al, 2013;Chiou et al, 2014); however, the exact mechanism of drug-induced hyperbilirubinemia in humans and the relationship between the biomarkers and DDI from a quantitative perspective have not been elucidated. In other cases, previous studies have shown that when the renal transporters were inhibited by drugs, the plasma concentrations of creatinine, N-methylnicotinamide, and 6b-hydroxycortisol increased with the inhibition of OCT2 and/or MATEs, MATEs, and OAT3 by drugs, respectively (Imamura et al, 2011(Imamura et al, , 2014Ito et al, 2012).…”
Section: Biomarkers For Inhibition Of Transportersmentioning
confidence: 99%