“…ABC transporters such as, P-glycoprotein (P-gp), multidrug resistance-associated proteins (MRPs) and breast cancer resistance protein (BCRP) are capable of excreting drugs in the cellular compartment into the interstitial compartment, decreasing bioavailability [5]. Many active components of traditional Chinese medicine (TCM), such as saponins (akebia saponin D, ginsenoside Rh2, araloside A, the total saponins of Mao-Dong-Qing), flavones (apigenin, epimedins) and alkaloids (reserpine, vincristine, vinblastine) [6,7,8,9,10,11,12] have been shown to be substrates of efflux transporters, which negatively affect the absorption of drugs in the intestine and result in poor bioavailability.…”