1997
DOI: 10.1006/taap.1996.8086
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P-Glycoprotein Deficiency in a Subpopulation of CF-1 Mice Enhances Avermectin-Induced Neurotoxicity

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Cited by 184 publications
(118 citation statements)
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“…ABCB1 polymorphisms may affect the expression and function of P-gp, and variable expression of P-gp can influence the drug disposition in the central nervous system, and thus efficacy. For example, ABCB1 knockout mice show the absence of P-gp in the brain-blood barrier, which causes a higher brain accumulation of ivermectin, resulting in druginduced neurotoxicity [15]. Siddiqui et al [16] demonstrated that the TT genotype at ABCB1 3435 was associated with a better drug response in epilepsy patients.…”
Section: Discussionmentioning
confidence: 99%
“…ABCB1 polymorphisms may affect the expression and function of P-gp, and variable expression of P-gp can influence the drug disposition in the central nervous system, and thus efficacy. For example, ABCB1 knockout mice show the absence of P-gp in the brain-blood barrier, which causes a higher brain accumulation of ivermectin, resulting in druginduced neurotoxicity [15]. Siddiqui et al [16] demonstrated that the TT genotype at ABCB1 3435 was associated with a better drug response in epilepsy patients.…”
Section: Discussionmentioning
confidence: 99%
“…Ivermectin activates glutamate-gated chloride channels, and the ivermectin cross-resistance of glc 1 flies carrying a mutation in the DmGluCl␣ gene further suggests that this mode of action contributes to ivermectin's insecticidal activity. Ivermectin is widely used to control parasites in humans and animals; however, some cases of ivermectin toxicity have been observed in collies and CF-1 mice, suggesting that ivermectin can act on targets in mammalian brain (31,32). Possible candidates are mammalian GABA-gated and glycine-gated ion channels, the closest mammalian homologues of invertebrate GluCl channels.…”
Section: Discussionmentioning
confidence: 99%
“…[115][116] At lower doses, toxicity is observed in animals that lack a functional P-glycoprotein, which allows the drug to accumulate in the nervous system. 117 The role of Pglycoprotein in Loa loa-infected subjects with serious adverse reactions after ivermectin treatment has been investigated. [116][117][118][119][120][121][122] There is also evidence of developmental neurotoxicity (decreased body weight gain, delayed development, intermittent head and whole-body tremors, hind limb extension and then splay) in the F1 offspring of pregnant Sprague Dawley rats treated under controlled conditions with enamectin benzoate, another avermectin pesticide.…”
Section: Parasitesmentioning
confidence: 99%
“…117 The role of Pglycoprotein in Loa loa-infected subjects with serious adverse reactions after ivermectin treatment has been investigated. [116][117][118][119][120][121][122] There is also evidence of developmental neurotoxicity (decreased body weight gain, delayed development, intermittent head and whole-body tremors, hind limb extension and then splay) in the F1 offspring of pregnant Sprague Dawley rats treated under controlled conditions with enamectin benzoate, another avermectin pesticide. 123 Whereas the F0 females showed no abnormal physical signs or deficits in reproductive performance when treated by oral gavage with 0.1-3.6 mg/kg once daily from gestation day 6 to lactation day 20, some pups delivered from the high-dose group developed intermittent head tremors beginning on post-natal day 6 (PND-6).…”
Section: Parasitesmentioning
confidence: 99%