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Addressing the potential toxicities of the non-specific P-glycoprotein modulation by amalgamation with targeted
Lalit Mohan Negi1, Manu Jaggi1, Sushama Talegaonkar1
1Department of Pharmaceutics, Faculty of Pharmacy, Jamia Hamdard, New Delhi 110062, India.
Abstract:
Multidrug resistance (MDR) is an area of concern for the drug developers as well as clinical practitioners. This phenomenon is putting an emance pressure on treatment modalities of many diseases as well as posing a grave danger over clinically accepted drugs as well as molecules under clinical development. P-glycoprotein (P-gp) mediated efflux of xenobiotics is one of the major mechanisms involved in MDR. Hence, an effective modulation of P-gp may restore the potential of many substrate drugs. However, the non-specific P-gp modulation may be associated with many unwanted toxic effects. Therefore, an approach involving simultaneous exploitation of P-gp modulation as well as targeted delivery in a particulate carrier system may result in a more effective MDR reversal, accompanying a safer drug profile.
Insights
Multidrug resistance (MDR), driven by P-glycoprotein (P-gp), threatens drug efficacy. Combining P-gp modulation with targeted delivery in carriers may overcome MDR and reduce toxicity.
Area of Science:
- Pharmacology and Drug Development
- Molecular Biology
- Biomedical Engineering
Background:
- Multidrug resistance (MDR) poses a significant challenge in drug development and clinical practice.
- P-glycoprotein (P-gp) mediated efflux is a primary mechanism contributing to MDR.
- Non-specific P-gp modulation can lead to undesirable toxic effects.
Purpose of the Study:
- To explore strategies for overcoming MDR.
- To investigate the potential of simultaneous P-gp modulation and targeted delivery.
- To develop safer and more effective therapeutic approaches for MDR.
Main Methods:
- Investigating P-glycoprotein (P-gp) as a target for MDR reversal.
- Designing particulate carrier systems for drug delivery.
- Evaluating the combined effect of P-gp modulation and targeted delivery on drug efficacy and toxicity.
Main Results:
- P-gp mediated efflux is a key factor in MDR, endangering current and developing drugs.
- Targeted delivery within a particulate carrier system offers a promising strategy.
- Simultaneous P-gp modulation and targeted delivery may enhance MDR reversal and improve drug safety profiles.
Conclusions:
- A combined approach of P-gp modulation and targeted delivery via particulate carriers shows potential for effective MDR reversal.
- This strategy may restore the efficacy of substrate drugs and offer a safer therapeutic profile.
- Further research into such integrated systems is warranted for clinical applications.
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