Multidrug resistance 1 gene (P-glycoprotein 170): an important determinant in gastrointestinal disease?

被引:163
作者
Ho, GT [1 ]
Moodie, FM [1 ]
Satsangi, J [1 ]
机构
[1] Western Gen Hosp, Univ Dept Med Sci, Gastrointestinal Labs, Edinburgh EH4 2XU, Midlothian, Scotland
关键词
D O I
10.1136/gut.52.5.759
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
The interface between luminal contents and intestinal epithelium constitutes the largest area of interaction between the host and the environment. There is now strong evidence that the gene product of the multidrug resistant pump (MDR) plays a critical role in host-bacterial interactions in the gastrointestinal tract and maintenance of intestinal homeostasis. This review highlights the efflux mechanism in the intestinal epithelium which is mediated by the multidrug resistant pump, also known as P-glycoprotein 170. Current studies promise to provide further insights into the contribution of the MDR1 gene in the pathogenesis of inflammatory and malignant disorders of the gastrointestinal tract.
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页码:759 / 766
页数:8
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共 87 条
[21]   P-glycoprotein-170 inhibition significantly reduces cortisol and ciclosporin efflux from human intestinal epithelial cells and T lymphocytes [J].
Farrell, RJ ;
Menconi, MJ ;
Keates, AC ;
Kelly, CP .
ALIMENTARY PHARMACOLOGY & THERAPEUTICS, 2002, 16 (05) :1021-1031
[22]   High multidrug resistance (P-glycoprotein 170) expression in inflammatory bowel disease patients who fail medical therapy [J].
Farrell, RJ ;
Murphy, A ;
Long, A ;
Donnelly, S ;
Cherikuri, A ;
O'Toole, D ;
Mahmud, N ;
Keeling, PWN ;
Weir, DG ;
Kelleher, D .
GASTROENTEROLOGY, 2000, 118 (02) :279-288
[23]   Response to antiretroviral treatment in HIV-1-infected individuals with allelic variants of the multidrug resistance transporter 1: a pharmacogenetics study [J].
Fellay, J ;
Marzolini, C ;
Meaden, ER ;
Back, DJ ;
Buclin, T ;
Chave, JP ;
Decosterd, LA ;
Furrer, H ;
Opravil, M ;
Pantaleo, G ;
Retelska, D ;
Ruiz, L ;
Schinkel, AH ;
Vernazza, P ;
Eap, CB ;
Telenti, A .
LANCET, 2002, 359 (9300) :30-36
[24]   EXPRESSION OF A MULTIDRUG-RESISTANCE GENE IN HUMAN-TUMORS AND TISSUES [J].
FOJO, AT ;
UEDA, K ;
SLAMON, DJ ;
POPLACK, DG ;
GOTTESMAN, MM ;
PASTAN, I .
PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES OF THE UNITED STATES OF AMERICA, 1987, 84 (01) :265-269
[25]   Relevance of p-glycoprotein for the enteral absorption of cyclosporin A: In vitro in vivo correlation [J].
Fricker, G ;
Drewe, J ;
Huwyler, J ;
Gutmann, H ;
Beglinger, C .
BRITISH JOURNAL OF PHARMACOLOGY, 1996, 118 (07) :1841-1847
[26]   Nuclear receptor response elements mediate induction of intestinal MDR1 by rifampin [J].
Geick, A ;
Eichelbaum, M ;
Burk, O .
JOURNAL OF BIOLOGICAL CHEMISTRY, 2001, 276 (18) :14581-14587
[27]   Cutting edge: Bacterial flagellin activates basolaterally expressed TLR5 to induce epithelial proinflammatory gene expression [J].
Gewirtz, AT ;
Navas, TA ;
Lyons, S ;
Godowski, PJ ;
Madara, JL .
JOURNAL OF IMMUNOLOGY, 2001, 167 (04) :1882-1885
[28]   The role of intestinal P-glycoprotein in the interaction of digoxin and rifampin [J].
Greiner, B ;
Eichelbaum, M ;
Fritz, P ;
Kreichgauer, HP ;
Von Richter, O ;
Zundler, J ;
Kroemer, HK .
JOURNAL OF CLINICAL INVESTIGATION, 1999, 104 (02) :147-153
[29]   Identification of c-MYC as a target of the APC pathway [J].
He, TC ;
Sparks, AB ;
Rago, C ;
Hermeking, H ;
Zawel, L ;
da Costa, LT ;
Morin, PJ ;
Vogelstein, B ;
Kinzler, KW .
SCIENCE, 1998, 281 (5382) :1509-1512
[30]   PPARδ is an APC-regulated target of nonsteroidal anti-inflammatory drugs [J].
He, TC ;
Chan, TA ;
Vogelstein, B ;
Kinzler, KW .
CELL, 1999, 99 (03) :335-345