2007
DOI: 10.1007/s11095-007-9495-x
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Thyroid Hormone Regulates the Expression and Function of P-glycoprotein in Caco-2 Cells

Abstract: These results indicate that T(3) regulates the expression and function of Pgp. It is possible that changes in Pgp expression alter the pharmacokinetics of Pgp substrates in patients with thyroid disorders.

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Cited by 21 publications
(23 citation statements)
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“…Similar P-gp overexpression during levothyroxine treatment was observed in the intestine and in the liver of hyperthyroid rats 9 and in human colon carcinoma cell lines. 10,11 Accordingly, levothyroxine cotreatment was hypothesized to affect oral disposition of P-gp substrates. 8 Significant decrease of oral bioavailability of cyclosporine A, by P-gp induction in intestine, was observed in an experimental rat model during levothyroxine cotreatment.…”
mentioning
confidence: 99%
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“…Similar P-gp overexpression during levothyroxine treatment was observed in the intestine and in the liver of hyperthyroid rats 9 and in human colon carcinoma cell lines. 10,11 Accordingly, levothyroxine cotreatment was hypothesized to affect oral disposition of P-gp substrates. 8 Significant decrease of oral bioavailability of cyclosporine A, by P-gp induction in intestine, was observed in an experimental rat model during levothyroxine cotreatment.…”
mentioning
confidence: 99%
“…10 However, despite the value of TPMT screening in reducing adverse drug reactions, TPMT status explains only 30%-60% of all cases with thiopurine intolerance. 11 Side effects other than myelotoxicity including flu-like symptoms, hepatotoxicity, pancreatitis, and dermatitis often result in discontinuation of therapy and are examples of adverse drug reactions, which cannot be explained by TPMT deficiency alone.…”
mentioning
confidence: 99%
“…Whereas it has been known for a while that MRP2 is responsible for glycoside efflux (23), it has not been reported in literatures that addition of an additional glucose to flavonoid will result in change in the efflux transporter. The later is not a total surprise, however, as p-glycoprotein is shown to be responsible for the transport of digoxin, a triglycoside, in Caco-2 cells (25,26). On the other hand, BCRP remains to be the transporter partially responsible for the efflux of baohuoside I but not icariin, suggesting that the functions of efflux transporter BCRP is also sensitive to glycosidic structures of its substrates.…”
Section: Discussionmentioning
confidence: 99%
“…9 Moreover, upregulation of P-gp was found to assist in the resistance of cancer cells toward antitumor drugs. 4,10 Thus, new drugs and dosage forms that inhibit P-gp expression should be explored. Gene regulation systems include small interfering RNAs (siRNA), microRNA (miRNA), and small hairpin RNAs (shRNA).…”
Section: Introductionmentioning
confidence: 99%