1994
DOI: 10.1002/j.1552-4604.1994.tb04724.x
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Drugs and Endogenous Ligands Compete for Receptor Occupancy

Abstract: Dietary and endogenous ligands compete with drugs for receptor occupancy and therefore should be considered during therapeutic interventions and during pharmacokinetic/pharmacodynamic modeling. When disease is the result of an overabundance of these natural ligands, antibodies and/or their Fab fragments may be useful as therapeutic agents to reverse the effects of the natural ligands.

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Cited by 9 publications
(10 citation statements)
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“…Endogenous ligands compete with drugs for receptor occupancy and can thereby influence therapeutic drug intervention 19 . This competition is consistent with certain protein biomarker changes observed between health and disease.…”
Section: Mechanism‐based Biomarkerssupporting
confidence: 71%
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“…Endogenous ligands compete with drugs for receptor occupancy and can thereby influence therapeutic drug intervention 19 . This competition is consistent with certain protein biomarker changes observed between health and disease.…”
Section: Mechanism‐based Biomarkerssupporting
confidence: 71%
“…In addition, this observation is consistent with dosing of an enzyme inducing or inhibiting agent‐altering metabolic processes that result in increased or decreased concentrations of a substrate. For example, it has been shown that antibodies or biotechnology‐derived receptors (etanercept) that bind endogenous ligands such as TNF‐α reduce ligand concentrations that may be found in excess in certain disease states and thereby cause the disease to revert to a more healthy state 19 . These examples support using changes in biochemical/molecular marker concentrations as one way to monitor the effects of disease treatment (Figure 3).…”
Section: Mechanism‐based Biomarkersmentioning
confidence: 95%
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“…Two hidden node networks, as in the case of link models, were used. Training was performed with time, dose (5,10,20), and concentration of the drug in the biofluid as inputs and the indirect response as the target. The training outcome is presented in Figure 4 (panel A) at the three doses.…”
Section: Resultsmentioning
confidence: 99%
“…Whether endogenous substances compete with the active molecule(s) or not is unknown. [18][19][20] Applying conventional techniques in such cases would require major assumptions that may not be accurate. Ethical and regulatory issues prevent the investigation of the in vivo characteristics of the biotransformation product separately.…”
Section: Resultsmentioning
confidence: 99%