2007
DOI: 10.1177/0091270007299430
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Molecular Pharmacokinetics of Catharanthus (Vinca) Alkaloids

Abstract: This review focuses on the published data regarding the molecular determinants (enzymes, transporters, orphan nuclear receptors) of Catharanthus (vinca) alkaloids pharmacokinetics in humans. The clinical impact of these determinants (drug disposition, drug-drug interactions) is also discussed.

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Cited by 58 publications
(41 citation statements)
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References 83 publications
(103 reference statements)
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“…CYP3A5 is expressed in a minority of Caucasians (10% in France), meaning that vincristine is probably excreted as unchanged drug in the majority of a Caucasian population [7]. It has to be stressed that, to date, no metabolite of vincristine has been isolated in human biological fluids [1]. Vincristine biliary elimination is probably mediated by the drug transporter P-glycoprotein (P-gp) [1].…”
Section: Discussionmentioning
confidence: 99%
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“…CYP3A5 is expressed in a minority of Caucasians (10% in France), meaning that vincristine is probably excreted as unchanged drug in the majority of a Caucasian population [7]. It has to be stressed that, to date, no metabolite of vincristine has been isolated in human biological fluids [1]. Vincristine biliary elimination is probably mediated by the drug transporter P-glycoprotein (P-gp) [1].…”
Section: Discussionmentioning
confidence: 99%
“…It has to be stressed that, to date, no metabolite of vincristine has been isolated in human biological fluids [1]. Vincristine biliary elimination is probably mediated by the drug transporter P-glycoprotein (P-gp) [1]. Ritonavir is a potent CYP3A5 and P-gp inhibitor that is used, beyond its antiretroviral properties, to enhance lopinavir exposure [8,9].…”
Section: Discussionmentioning
confidence: 99%
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“…Furthermore, several undesirable effects have been proclaimed for these drugs such as myelotoxicity, alopecia, abdominal cramps, constipation, nausea/vomiting, paralytic ileus, ulcerations of the mouth, kidney impairment, urinary retention, hepatocellular damage, pulmonary fibrosis, amenorrhea, azoospermia, orthostatic hypotension, and hypertension (Nejat et al 2015). The drug dosage and route of administration should be carefully managed to lessen undesirable toxic effects (Sherines and Howard 1978;Leveque and Jehl 2007;James et al 2007;Nobili et al 2009). …”
Section: Toxicity and Side Effectsmentioning
confidence: 99%
“…It is consider as one of the most expensive plant-derived compounds in the international market with significant undesirable effects. Vinblastine correspondingly reduces the number of white blood cells in the blood (Leveque and Jehl 2007). In the world trade, vinblastine sulfate has now been sold for over 40 years as an antineoplastic agent.…”
Section: Pharmaceutical Production and International Tradementioning
confidence: 99%