2019
DOI: 10.1080/19490976.2019.1667724
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Insights from pharmacokinetic models of host-microbiome drug metabolism

Abstract: Increasing evidence suggests a role of the gut microbiota in patients' response to medicinal drugs. In our recent study, we combined genomics of human gut commensals and gnotobiotic animal experiments to quantify microbiota and host contributions to drug metabolism. Informed by experimental data, we built a physiology-based pharmacokinetic model of drug metabolism that includes intestinal compartments with microbiome drug-metabolizing activity. This model successfully predicted serum levels of metabolites of t… Show more

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Cited by 30 publications
(29 citation statements)
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“…It is now also evident that the microbiota can help mediate the effect of some drugs that target the immune system, and that changes to the structure or function of the microbiome represent an unanticipated limitation of the treatment (163). These data support the use of Ciona robusta as a model organism for investigating the impact of natural products/drugs on innate immune responses, and for studies of the role of the microbiota in metabolizing drugs and other dietary compounds that may explain observed variation in drug pharmacokinetics (165,166). These data emphasize the importance of also focusing pharmacogenomics studies on genes encoded by the gut microbiota (163).…”
Section: Multi-omics Approaches In Ciona Model For Studies In Ecotoximentioning
confidence: 78%
“…It is now also evident that the microbiota can help mediate the effect of some drugs that target the immune system, and that changes to the structure or function of the microbiome represent an unanticipated limitation of the treatment (163). These data support the use of Ciona robusta as a model organism for investigating the impact of natural products/drugs on innate immune responses, and for studies of the role of the microbiota in metabolizing drugs and other dietary compounds that may explain observed variation in drug pharmacokinetics (165,166). These data emphasize the importance of also focusing pharmacogenomics studies on genes encoded by the gut microbiota (163).…”
Section: Multi-omics Approaches In Ciona Model For Studies In Ecotoximentioning
confidence: 78%
“…Firstly, data describing humanmicrobiome-drug interactions have only begun to reach a rapid rate of discovery in recent years, with studies such as the high-throughput screening of microbiota drug metabolism by Zimmerman et al, and work from the field-leading APC Microbiome Ireland. 10,[151][152][153][154] Whilst this new abundance of information is clearly positive, to facilitate ML projects data should be collated and formatted into accessible databases. Such databases could provide information on microbiota drug metabolism, formulation parameters for microbiome therapeutics, and pharmacokinetic details for microbiotatargeted medicines.…”
Section: Barriers To Overcomementioning
confidence: 99%
“…Drugs that are highly absorbed in the small intestine, due to their physicochemical properties, are not significantly affected by the GI microbiome unless a biliary excreted metabolite undergoes further metabolism in the GI. The largest effects will be on drugs that pass into the large intestine or undergo enterohepatic circulation [52].…”
Section: Microbiome Contributions To Small Molecule Drug Metabolism and Its Impact On Bioanalytical Assaysmentioning
confidence: 99%