2007
DOI: 10.1002/jps.20826
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Decreased Drug Penetration in Inflamed Tissue Related to Changed Mucosal Metabolism in Experimental Colitis

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Cited by 8 publications
(2 citation statements)
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References 21 publications
(28 reference statements)
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“…[29] However, CYP 3A expression is altered in the experimental colitis. [30] While the role of CYPs in IBD is not known, NR is involved in the mediation of inflammatory processes and therefore may play a role in the development of IBD. [3132] In fact, a significant down-regulation of PXR and the PXR target gene, MDR1, is observed in healthy mucosa adjacent to diseased colonic and terminal ileum of patients with CD and UC.…”
Section: Discussionmentioning
confidence: 99%
“…[29] However, CYP 3A expression is altered in the experimental colitis. [30] While the role of CYPs in IBD is not known, NR is involved in the mediation of inflammatory processes and therefore may play a role in the development of IBD. [3132] In fact, a significant down-regulation of PXR and the PXR target gene, MDR1, is observed in healthy mucosa adjacent to diseased colonic and terminal ileum of patients with CD and UC.…”
Section: Discussionmentioning
confidence: 99%
“…Two studies render potential explanations for the different dose requirements among patients: tacrolimus is a substrate for the apically directed efflux transporter P-glycoprotein (P-gp) and also for cytochrome P450 3A (CYP3A). Elevated intestinal P-gp could result in decreased tacrolimus absorption, thereby leading to decreased blood concentration and clinical efficacy [ 51,52 ] .…”
Section: Special Precautions and Side Effects To Consider When Using mentioning
confidence: 99%