1999
DOI: 10.1016/s0169-409x(99)00022-8
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P-glycoprotein, secretory transport, and other barriers to the oral delivery of anti-HIV drugs

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Cited by 76 publications
(53 citation statements)
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“…This acid instability explains the low and highly variable bioavailability of ddI (20-40%) in comparison with others nucleoside reverse transcriptase inhibitors. Also, the first-pass metabolism of ddI is related to its low bioavailability (Aungst, 1999;Morse, Shelton, O'Donnell, 1993).…”
Section: Equilibrium Solubility and Biopharmaceutics Classificationmentioning
confidence: 99%
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“…This acid instability explains the low and highly variable bioavailability of ddI (20-40%) in comparison with others nucleoside reverse transcriptase inhibitors. Also, the first-pass metabolism of ddI is related to its low bioavailability (Aungst, 1999;Morse, Shelton, O'Donnell, 1993).…”
Section: Equilibrium Solubility and Biopharmaceutics Classificationmentioning
confidence: 99%
“…However, even formulations containing excipients used for buffering the gastrointestinal content are not completely capable to avoid ddI degradation, which may limit its bioavailability (Aungst, 1999). Thus, the relationship pH-solubility is extremely important for ddI, which has its permeability and bioavailability hindered by solubility conditions.…”
Section: Equilibrium Solubility and Biopharmaceutics Classificationmentioning
confidence: 99%
See 1 more Smart Citation
“…It shows pH-dependent solubility and solution stability [15]. Moreover, it is primarily absorbed from stomach [16] and having short half-life (~3-5 hrs). Due to these characteristics, it was selected for the development of GRDDS.…”
Section: Introductionmentioning
confidence: 99%
“…Furthermore, drug exposure in hepatocytes may also be limited by the various unidirectional active transport (ATP dependent) proteins, including P-gp, BCRP\ABCG2, and MRP2 (Castell et al 2006;Chandra and Brouwer 2004;Elferink and Groen 2002;Gomez-Lechon et al 2004;Leslie et al 2005;Pauli-Magnus and Meier 2006;Vermeir et al 2005). Although nucleoside analogs are not substrates for P-gp or CYP3A4, most protease inhibitors and NNI are substrates for both the P-gp efflux pump (Aungst 1999;Storch et al 2007) and CYP3A 4 metabolism (Sagir et al 2003;Zhou et al 2005). The HIV protease inhibitors ritonavir and atazanavir are potent inhibitors of both P-gp and CYP3A4.…”
Section: Physiological Factors That Influence Drug Delivery For Hcv Dmentioning
confidence: 99%