药物[e]生态学:肠道微生物群如何促进药物反应的变化
Kai R Trepka1, Christine A Olson1, Vaibhav Upadhyay2,1
1Department of Microbiology & Immunology, University of California, San Francisco, California, USA;
Annual review of pharmacology and toxicology
|August 6, 2024
概括
人的肠道微生物群显著影响药物疗效,影响心脏病,癌症和神经疾病的治疗方法. 了解这些相互作用是个性化医疗和改善患者治疗结果的关键.
科学领域:
- 微生物学 微生物学
- 药理学 药理学是指药理学的学科.
- 人体生理学 人体生理学
背景情况:
- 药物的有效性在个体之间有很大差异.
- 人的肠道微生物群在药物代谢中起着至关重要的作用.
- 主体微生物群相互作用是复杂的,并影响治疗结果.
研究的目的:
- 探索肠道微生物对药物反应的影响.
- 检查心血管,瘤和神经疾病中确定的联系.
- 确定解决微生物药物代谢知识差距的方法.
主要方法:
- 审查关于肠道微生物组和药物相互作用的既定和新兴研究.
- 专注于跨学科的方法来研究宿主-微生物组-药物动态.
- 微生物药物代谢对治疗的影响的分析.
主要成果:
- 肠道微生物组显著影响药物代谢途径.
- 微生物的影响在心脏病,癌症和神经系统疾病的治疗中很明显.
- 有跨学科的方法可用于研究这些复杂的相互作用.
结论:
- 了解肠道微生物组对于解释可变药物反应至关重要.
- 利用微生物组知识可以改善治疗策略.
- 进一步的研究有望带来基本的生物学见解和医学进步.
相关概念视频
Factors Affecting Drug Biotransformation: Biological
135
Biological factors significantly impact drug metabolism, influencing drug clearance, efficacy, and potential toxicity.
Species differences: Variations in enzyme systems across species can cause disparities in drug metabolism. For instance, humans may metabolize certain drugs faster than rodents, altering therapeutic effects.
Strain differences: Genetic variations within a species can result in differing enzyme activity, impacting drug response and toxicity. For example, some mouse strains may...
Species differences: Variations in enzyme systems across species can cause disparities in drug metabolism. For instance, humans may metabolize certain drugs faster than rodents, altering therapeutic effects.
Strain differences: Genetic variations within a species can result in differing enzyme activity, impacting drug response and toxicity. For example, some mouse strains may...
135
Factors Affecting Drug Response: Overview
1.9K
When it comes to infants and young children, they are typically administered smaller doses of medication in comparison to adults. This is primarily because their organ functions still need to fully develop, meaning their bodies are not as efficient at metabolizing or eliminating drugs. Additionally, their blood-brain barrier is more permeable than in adults. As a result, high concentrations of drugs can easily penetrate the central nervous system (CNS), potentially leading to neurological...
1.9K
Factors Influencing Drug Absorption: Disease States and Pharmacology
472
Multiple disease states can significantly influence the oral drug absorption process by affecting blood flow and the functionality of the gastrointestinal (GI) system. Various GI diseases, including conditions that alter GI motility, such as diarrhea, decreased acid secretions (achlorhydria), and infections, have been associated with reduced drug absorption.
Substances such as alcohol and specific drugs, including antineoplastics, can also negatively impact drug absorption. For instance,...
Substances such as alcohol and specific drugs, including antineoplastics, can also negatively impact drug absorption. For instance,...
472
Drug Absorption: Factors Affecting GI Absorption
3.9K
The process of oral drug absorption can be influenced by several factors. Weakly acidic drugs tend to be absorbed more readily from the stomach due to their nonionized state. However, absorption may be less efficient in the upper intestine, where drugs are often ionized. Interestingly, despite the stomach's apparent advantage for drug absorption, its mucous layer can hinder diffusion. Its surface area is also smaller than the intestine's, which can further slow down the absorption rate.
3.9K
Factors Affecting Dissolution: Drug Permeability, Stability and Stereochemistry
190
Orally administered drugs primarily enter the systemic circulation via passive diffusion through the intestinal membranes. The drug's absorption is influenced by drug stability in the gastrointestinal GI tract, membrane permeability, the surface area available for absorption, luminal drug concentration, and residence time in the lumen. Drug permeability can be enhanced by adjusting the lipophilicity, polarity, or molecular size of the drug, promoting its passive transport across intestinal...
190
Factors Influencing Drug Absorption: Pharmaceutical Parameters
124
Solid dosage forms such as tablets and capsules undergo rigorous manufacturing processes to ensure stability and effectiveness. Their dissolution and absorption properties are influenced significantly by the choice of excipients (inactive ingredients that serve various roles in the formulation), and the methodology applied during production. The manufacturing parameters, such as compression force and granulation techniques, significantly affect dissolution rates. Elevated compression forces...
124


