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Cobicistat Boosts the Intestinal Absorption of Transport Substrates, Including HIV Protease Inhibitors and GS-7340, In Vitro
Author(s) -
EveIrene Lepist,
Truc K. Phan,
Anupma Roy,
L. Tong,
Kelly MacLennan,
Bernard P. Murray,
Adrian S. Ray
Publication year - 2012
Publication title -
antimicrobial agents and chemotherapy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.07
H-Index - 259
eISSN - 1070-6283
pISSN - 0066-4804
DOI - 10.1128/aac.01089-12
Subject(s) - cobicistat , atazanavir , darunavir , abcg2 , prodrug , pharmacology , chemistry , ritonavir , in vitro , efflux , transporter , biochemistry , atp binding cassette transporter , biology , virology , virus , viral load , antiretroviral therapy , gene
The experimental pharmacoenhancer cobicistat (COBI), a potent mechanism-based inhibitor of cytochrome P450 3A enzymes, was found to inhibit the intestinal efflux transporters P-glycoprotein and breast cancer resistance protein. Consistent with its transporter inhibition, COBI significantly increased the absorptive flux of potential candidates for clinical coadministration, including the HIV protease inhibitors atazanavir and darunavir and the lymphoid cell- and tissue-targeted prodrug of the nucleotide analog tenofovir, GS-7340, through monolayers of Caco-2 cellsin vitro .

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