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Carrier-mediated transport is a pivotal process in drug absorption, particularly for lipid-insoluble drugs, and encompasses facilitated diffusion and active transport. Facilitated diffusion allows drugs to move along their concentration gradient without energy expenditure, while active transport utilizes ATP to drive drug movement against this gradient.
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The pharmacogenetics of drug transporters is increasingly recognized as a critical factor influencing interindividual variability in drug absorption, distribution, and elimination. These membrane-bound proteins regulate drugs' movement across cellular barriers by actively pumping them out (efflux) or facilitating their uptake (influx). Among the major transporter families, ATP-binding cassette (ABC) and solute carrier (SLC) transporters play particularly prominent roles. Genetic polymorphisms...
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Cellular Membranes and Drug Transport01:24

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Drugs must traverse multiple biological barriers, such as multi-layered skin, single-layered intestinal epithelium, and the plasma membrane, to reach their target sites within the body. The plasma membrane, a highly structured composite of phospholipids, carbohydrates, and proteins, is the cell's protective boundary, facilitating selective substance exchange.
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Pore transport and ion-pair formation are critical mechanisms for the absorption and distribution of drugs in the body.
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A drug's nonlinear kinetics can be influenced by a diverse range of transporter proteins that serve as crucial players in drug distribution. These transporters, found within cells, can enhance or reduce local drug concentrations by facilitating the influx or efflux of drugs. For instance, the expression of xenobiotic transporters can be influenced by factors such as age and gender, potentially impacting the linearity of drug response.
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Models and Methods to Evaluate Transport of Drug Delivery Systems Across Cellular Barriers
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Multiple Drug Transport Pathways through Human P-Glycoprotein.

James W McCormick1, Pia D Vogel1, John G Wise1

  • 1Center for Drug Discovery, Design and Delivery, Center for Scientific Computing, and Department of Biological Sciences, Southern Methodist University, Dallas, Texas 75275-0376, United States.

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|July 1, 2015
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P-glycoprotein (P-gp) multidrug resistance can be overcome by understanding its transport mechanism. This study reveals how P-gp moves drugs like daunorubicin and verapamil through the cell membrane, offering insights for new therapies.

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Area of Science:

  • Biochemistry
  • Molecular Biology
  • Pharmacology

Background:

  • P-glycoprotein (P-gp) is a key efflux pump contributing to multidrug resistance in cancer and infectious diseases.
  • Overexpression of P-gp lowers intracellular drug concentrations, leading to sub-therapeutic levels and treatment failure.
  • Previous studies utilized in silico methods to explore P-gp's dynamic conformational transitions.

Purpose of the Study:

  • To investigate the transport mechanism of P-glycoprotein (P-gp) using computational simulations.
  • To elucidate how P-gp translocates substrates across the cell membrane.
  • To understand the inhibition mechanism of P-gp by tariquidar.

Main Methods:

  • In silico targeted molecular dynamics simulations were employed.
  • Docking of transport substrates (daunorubicin, verapamil) to P-gp conformations.
  • Simulations of P-gp cycling through conformations open to cytoplasm and extracellular space.

Main Results:

  • Reproducible transport of daunorubicin and verapamil by 11-12 Å through the membrane plane was observed.
  • Methylpyrophosphate, a non-substrate, did not exhibit this movement.
  • Drug binding to specific subsites influenced the transport pathway, with stochastic side-chain interactions.
  • Tariquidar, a P-gp inhibitor, was studied, revealing a potential inhibition mechanism.

Conclusions:

  • P-gp facilitates drug transport through distinct conformational cycles.
  • The binding site and drug interactions dictate the transport pathway and efficiency.
  • Tariquidar may inhibit P-gp by stabilizing an outward-open conformation.