“…For example, CYP3A4 inhibitors clotrimazole (Zhang et al, 2002) and tamoxifen (Zhao et al, 2002), the MDR1 inhibitor nifedipine (Viale et al, 2009), and the dual CYP3A4 and MDR1 inhibitor ritonavir (Bierman et al, 2010; Kumar et al, 1996) increase CYP3A4 and MDR1 gene expression by activating human PXR (hPXR) (Drocourt et al, 2001; Luo et al, 2002; Moore et al, 2000b; Sane et al, 2008), while the dual CYP3A4 and MDR1 inhibitor ketoconazole (KET) (Gibbs et al, 1999; Rautio et al, 2006) decreases CYP3A4 and MDR1 gene expression by inhibiting hPXR activity (Venkatesh et al, 2011). Dietary constituents and phytochemicals have also been shown to affect both gene expression and protein function of CYP3A4 and MDR1.…”