Induction of Multiple Drug Transporters by Efavirenz

Efavirenz, an important component of human immunodeficiency virus 1 (HIV-1) therapy, causes substantial drug interactions as an inducer of cytochromes and the transporter ABCB1. So far its effect on the expression of other transporters is unknown. We therefore investigated the effect of long-term ex...

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Main Authors: Johanna Weiss, Melanie Herzog, Sonja König, Caroline Henrike Storch, Nahal Ketabi-Kiyanvash, Walter Emil Haefeli
Format: Article
Language:English
Published: Elsevier 2009-01-01
Series:Journal of Pharmacological Sciences
Online Access:http://www.sciencedirect.com/science/article/pii/S1347861319312794
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author Johanna Weiss
Melanie Herzog
Sonja König
Caroline Henrike Storch
Nahal Ketabi-Kiyanvash
Walter Emil Haefeli
author_facet Johanna Weiss
Melanie Herzog
Sonja König
Caroline Henrike Storch
Nahal Ketabi-Kiyanvash
Walter Emil Haefeli
author_sort Johanna Weiss
collection DOAJ
description Efavirenz, an important component of human immunodeficiency virus 1 (HIV-1) therapy, causes substantial drug interactions as an inducer of cytochromes and the transporter ABCB1. So far its effect on the expression of other transporters is unknown. We therefore investigated the effect of long-term exposure of cells to efavirenz on expression of a large number of important drug transporters and on cell proliferation as a surrogate of intracellular availability. LS180 cells were used as a surrogate for the major site of drug interactions and Jurkat cells were used as a surrogate for the main target cells of HIV therapy. Cells were treated with efavirenz over 4 weeks and mRNA expression of drug transporters was repeatedly quantified. After 4 weeks, efavirenz significantly up-regulated the mRNA of ABCB1, ABCG2, ABCC2, ABCC3, ABCC5, and SLCO3A1 in LS180 cells and ABCG2, ABCC1, ABCC4, ABCC5, and SLCO2B1 in Jurkat cells. However these changes in transporter expression did not influence cell proliferation indicating that intracellular efavirenz concentrations were likely not altered. Efavirenz induces mRNA expression of several drug transporters critically modulating the kinetics of other drugs. While these expressional changes will most likely not influence the efficiency of efavirenz itself, they might change the effect of other co-administered drugs. Keywords:: efavirenz, transporter, induction, drug–drug interaction
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spelling doaj.art-59ff8b576555437f8d5cbe1ca14ea8e22022-12-22T02:00:18ZengElsevierJournal of Pharmacological Sciences1347-86132009-01-011092242250Induction of Multiple Drug Transporters by EfavirenzJohanna Weiss0Melanie Herzog1Sonja König2Caroline Henrike Storch3Nahal Ketabi-Kiyanvash4Walter Emil Haefeli5Department of Internal Medicine VI, Clinical Pharmacology and Pharmacoepidemiology, University of Heidelberg, Im Neuenheimer Feld 410, D-69120 Heidelberg, Germany; Corresponding author. johanna.weiss@med.uni-heidelberg.deDepartment of Internal Medicine VI, Clinical Pharmacology and Pharmacoepidemiology, University of Heidelberg, Im Neuenheimer Feld 410, D-69120 Heidelberg, GermanyDepartment of Internal Medicine VI, Clinical Pharmacology and Pharmacoepidemiology, University of Heidelberg, Im Neuenheimer Feld 410, D-69120 Heidelberg, GermanyDepartment of Internal Medicine VI, Clinical Pharmacology and Pharmacoepidemiology, University of Heidelberg, Im Neuenheimer Feld 410, D-69120 Heidelberg, GermanyDepartment of Internal Medicine VI, Clinical Pharmacology and Pharmacoepidemiology, University of Heidelberg, Im Neuenheimer Feld 410, D-69120 Heidelberg, GermanyDepartment of Internal Medicine VI, Clinical Pharmacology and Pharmacoepidemiology, University of Heidelberg, Im Neuenheimer Feld 410, D-69120 Heidelberg, GermanyEfavirenz, an important component of human immunodeficiency virus 1 (HIV-1) therapy, causes substantial drug interactions as an inducer of cytochromes and the transporter ABCB1. So far its effect on the expression of other transporters is unknown. We therefore investigated the effect of long-term exposure of cells to efavirenz on expression of a large number of important drug transporters and on cell proliferation as a surrogate of intracellular availability. LS180 cells were used as a surrogate for the major site of drug interactions and Jurkat cells were used as a surrogate for the main target cells of HIV therapy. Cells were treated with efavirenz over 4 weeks and mRNA expression of drug transporters was repeatedly quantified. After 4 weeks, efavirenz significantly up-regulated the mRNA of ABCB1, ABCG2, ABCC2, ABCC3, ABCC5, and SLCO3A1 in LS180 cells and ABCG2, ABCC1, ABCC4, ABCC5, and SLCO2B1 in Jurkat cells. However these changes in transporter expression did not influence cell proliferation indicating that intracellular efavirenz concentrations were likely not altered. Efavirenz induces mRNA expression of several drug transporters critically modulating the kinetics of other drugs. While these expressional changes will most likely not influence the efficiency of efavirenz itself, they might change the effect of other co-administered drugs. Keywords:: efavirenz, transporter, induction, drug–drug interactionhttp://www.sciencedirect.com/science/article/pii/S1347861319312794
spellingShingle Johanna Weiss
Melanie Herzog
Sonja König
Caroline Henrike Storch
Nahal Ketabi-Kiyanvash
Walter Emil Haefeli
Induction of Multiple Drug Transporters by Efavirenz
Journal of Pharmacological Sciences
title Induction of Multiple Drug Transporters by Efavirenz
title_full Induction of Multiple Drug Transporters by Efavirenz
title_fullStr Induction of Multiple Drug Transporters by Efavirenz
title_full_unstemmed Induction of Multiple Drug Transporters by Efavirenz
title_short Induction of Multiple Drug Transporters by Efavirenz
title_sort induction of multiple drug transporters by efavirenz
url http://www.sciencedirect.com/science/article/pii/S1347861319312794
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