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(3.11.7)--小分子酪氨酸激酶抑制剂由转运体介导的药物相互作用.pdf

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1、(Chin J New Drugs Clin Rem),201 5 2,34 2(TKs),、。TKs、。,TKs,(TKIs)1。9 TKIs,1。,TKIs,。,(blood-tissu e barriers),。2012 FDA,7,2。:(1)TKIs;(2)TKIs。TKIs,BCR-ABL,2001 FDA(CML)(GIST)。THOMAS 5 OCT1,OCT1 CEM,OCT2 OCT3。,82%OCT1 1007-7669(2015)02-0087-07 DOI 10.14109/ki.xyylc.2015.02.002;,。,。R96 9.2 AInteractio n

2、of tyrosine kinase inhibitors with drug transporters M A Chen,LIU Hai-yan(Centra l Research Institute,Shangha i Pharmaceuticals Holding Co.Ltd.,SHANGHA I 201203,China)KEY WORDS ty rosine kinase;in hibitors;tran sporter;drug interactions ABSTRACT Ty rosine kinase inhibitors(TKIs)are the hotspot of th

3、e current antitumor drug discovery.This review listed a series of tyrosine kinase inhibitors,in troduced their drug interactions mediated by transporters and the precautions in clinical application.2013-12-16 2014-12-04,、,Ph n:86-21-6187-1700,e xt 8189,E-mail:m 87 (Chin J New Drugs Clin Rem),201 5 2

4、,34 2 FDA(ima tinib)、2001.05 2002(g efitinib)2003.05 2004(e rlotinib)2004.11 2006(s orafenib)2005.12 2006(s unitinib)、2006.01 2008(d asatinib)2006.06 2011(la patinib)HER2 2007.03 2013(n ilotinib)2007.10 2009(pazopa nib)2009.10(v andetanib)2011.04(c rizotinib)ALK 2011.08 2013(ru xolitinib)、2011.11(a

5、xitinib)2012.01(b osutinib)2012.04(to facitinib)2012.11(p onatinib)T3 15I 2012.12 1(2012)18(MMR)。OCT 1,6。OA TP1A2 OA TP1B3,OA TP1A2 7。T HOMAS 5 MD CK P-g p。P-g p K562 8。Abcb1a/1b(-/-)(P-g p)7 9,Abc1a/1b(-/-)Abcg2(-/-)(P-g p BCRP)28 10。OCT 1、MA TE1 MA TE2K(I/IC50 0.1),(N-)MA TE1 10。P-g p BCRP,(K i)11

6、,。BCR-ABL,20 06 FDA CML。DOHSE 12,P-g p BCRP K562,P-g p BCRP。,Abcb1a/1b(-/-)3.6。Abcb1a/1b/Abcg2(-/-)13.2。,(e lacridar,P-g p BCRP),Abcb1a/1b(-/-)/Abcg2(-/-)13。OCT 1(hOCT 1)P-g p(M DR1)*ABCB 1、:、BCRP*ABCG 2、:、M ATE1 SLC 47 A 1、:、M ATE2-K SLC 47 A 2:OATP1A2 SLCO 1A 2、:、OATP1B1*S LCO 1B 1、:、OATP1B3*S LCO

7、 1B 3、:、OATP2B1 SLCO 2B 1、:、OCT1 SLC 22A 1、:、OCT2*SLC 22A 2:OCT3 SLC 22A 3、:、OAT1*SLC 22A 6、:、OAT2 SLC 22A 7、:、OAT3*SLC 22A 8:2 2-4*:FDA20 12(Drug Interaction Study)88 (Chin J New Drugs Clin Rem),201 5 2,34 2,hOCT1。hOCT,OCT1,hOCT1 14。,BCR-ABL,2007 FDA CML。P-gp BCRP,DAVIES 15 P-gp、BCRP hOCT1。MINEMAT

8、SU 10 OCT3 HEK2 93,IC50 0.345 mol L-1。OCT1、P-gp BCRP 10,15,P-gp BCRP 12。16,。BCR-ABL,2012 FDA TKIs CML。HEGEDUS 1 7,P-gp BCRP K562。P-gp BCRP。BCR-ABL,T315I。2012 FDA TKIs CML。P-gp BCRP K562 IC50 2,P-gp BCRP。,P-gp BCRP,P-gp BCRP 18。HER1/EGFR,2002,2003 5,。AGARWAL 19 MDCK,P-gp BCRP。P-gp A P-gp/BCRP GF12 09

9、18,。Abc1a/1b(-/-)/Ab cg2(-/-),8 20。MATE-K 10。OCT1 OCT2,MPP+(1-4-)21。KITAZAKI 22,P-gp,。BCRP K562 23。24。(1 2 mol L-1)P-gp BCRP 25,。HER1/EGFR,2005 FDA。OSI-420 OAT3 OCT2 26。MARCHETTI 27 P-gp、MDR2 BCRP MDCK,P-gp BCRP,MDR2。Ab c1a/1b(-/-)Abcg2(-/-),(60.4%)(40.2%),(P=0.02)。MATE1、MATE2-K、OCT1 OCT3,I/IC50 0.1

10、10。P-gp BCRP,P-gp KB-C2,BCRP HEK2 93 28。HGFR ALK,2011 FDA ALK。CHUAN 29 elacridar。Ab cb1a/1b(-/-)/Abcg2(-/-),5 mg k g-1 2,24 h 40。(50 mg kg-1),P-gp,24 h 70。,123 P-gp 30。TKIs(CRAF、BRAF、FLT-3、c-KIT、VEGFR PDGFR),2005 FDA。,OATPs、OCTs OATs 31。P-gp BCRP,32,33。P-gp、MRP2 MRP4,BCRP 89 (Chin J New Drugs Clin R

11、em),201 5 2,34 2 31,34。TKIs(PDGFR VEGFR)。2006 FDA。,OATPs、OCTs OATs 31。,BCRP、P-gp BCRP。Abcb1a/b(-/-)/Ab cg2(-/-),23,Ab cb1a/b(-/-),2.3,Ab cg2(-/-),。elacri dar,35。SHUKLA 36,P-gp BCRP。(2mmol L-1),P-gp,BCRP。TKIs(VEGFR、PDGFR、FGFR、Kit)。20 11 FDA。OATP1 B1,IC50 0.79 mmol L-1,OATP1 B1(HMG-CoA),3 7。MINOCHA 3

12、8 MDCK BCRP P-gp。P-gp BCRP(zosuqu idar Ko1 43),。P-gp BCRP elacri dar 5。VEGFR-1、2、3,201 2 FDA。REYNER 39,P-gp,BCRP。POLLER 40 P-gp BCRP,Ab cg2(-/-)Abcb1 a/1b(-/-)/Ab cg2(-/-),1.7 1.8,Abcb1 a/1b(-/-)。Abcb1 a/1b(-/-)Ab cb1a/1b(-/-)/Abcg2(-/-),4h 4.9 20.7,Abcg2(-/-)。P-gp(Caco-2)BCRP(MDCK),IC50 3 mol L-1 4

13、.4 mol L-1。10 mg 39。EGFR/HER1 HER2,2007 FDA HER2。POLLI 41 MDCK,P-gp BCRP。Abcb1 a/1b(-/-)Ab cb1a/b(-/-)/Abcg2(-/-),4 40。OATP1 B1 CHO,3H-17-D-,IC50 4.0 mol L-1,。,30 mol L-1 S2 3H-40.2%,OAT3。OAT1、OAT2、OAT4 OCT1、OCT2、OCT2 A、OCT3 4 1。P-gp、BCRP MDR7,42。TKIs(EGFR、VEGFR、RET、BRK),2011 FDA、。ZHENG 43,P-gp BCRP

14、,P-gp BCRP。MINOCHA 44,P-gp BCRP。LY335979(P-gp)Ko1 43(BCRP),。elacri dar AUC 3,5。OATP1B1 OATP1B3,(K m)(2.72 0.25)mol L-1(4.37 0.79)mol L-145。123,P-gp BCRP 43。JAK1 JAK2,FDA 2011。,P-gp。,M18 P-gp、BCRP、90 (Chin J New Drugs Clin Rem),201 5 2,34 2 OATP1B1、OATP1B3、OCT1、OCT2、OAT1 OAT3 46。JAK3,2012 FDA。,P-gp、O

15、ATs、OCTs 47。TKIs,、,、,。,。,。,TKIs,。1 LEVITZKI A.Tyrosine kinase inhibitors:views of selectivity,sensitivity,and clinical performanceJ.Annu Rev PharmacolToxicol,2013,53:161-185.2 O LIVER JM.TransportersM/EDWARD K.Drug-like properties:concepts,structur e design and methods.Salt lake:AcademicPress,2008:1

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17、nsEB/OL.(2012-02-21)2013-11-16.http:/www.fda.gov/downloads/drugs/guidancecomplianceregulatoryinformation/guidances/ucm292362.pdf.5 THOMAS J,WA NG L,CLARK RE,et al.Active transport ofimatinib into and out of cells:imp lications for drug resistanceJ.Blood,2004,104(12):3739-3745.6 WHI TE DL,SAUNDERS VA

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19、 of imatinib by OATP1A2J.Clin Pharmacol Ther,2011,89(6):816-820.8 MA HON FX,B ELLOC F,LA GARDE V,et al.MDR1 geneoverexpression confers resistance to imatinib mesylate in leukemia cell line modelsJ.Blood,2003,101(6):236 8-2373.9 ZHO U L,SCHMIDT K,NELSO N FR,et al.The effect of breastcancer resistance

20、 protein and P-glycoprotein on the brainpenetration of flavopiridol,imatini b mesylate(Gleevec),prazosin,and 2-methoxy-3-(4-(2-(5-methyl-2-p henyloxazol-4-yl)ethoxy)p henyl)propanoi c acid(PF-407288)in miceJ.DrugMetab Dispos,2009,37(5):946-955.10 MINEMATSU T,GIACOMINI KM.Interactions of tyrosine kin

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24、p lications for the treatment of imatinib-resistant chronic myeloid leukemia J.Blood,200 8,112(8):3348-3354.15 D AVIES A,JO RDANIDES NE,GIANNOUDIS A,et al.Nilotinib concentration in cell lines and primary CD34(+)chroni c myeloid leukemia cells is not mediated by active uptakeor efflux by major drug

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42、ntialimpact of P-glycoprotein(ABCB1)and breast cancer resistanceprotein(ABCG2)on axitinib brain accumulation and oral plasmapharmacokineticsJ.Drug Metab Dispos,2011,39(5):729-735.41 POLLI JW,HUMPHREY S JE,HARMON KA,et al.The role ofefflux and uptake transporter in N-3-chloro-4-(3-fluorobenzyl)oxyphe

43、nyl-6-5-(2-(methylsulfonyl)ethylaminomethyl)-2-furyl-4-quinazolinamine(GW5 72016,lapatinib)dispositio n and drug interactionsJ.Drug Metab Dispos,2008,36(4):695-701.42 MOLINA JR,KAUFMAN N SH,REID JM,et al.Evaluation oflapatinib and topotecan combination therapy:tissue culture,murine xenograft,and pha

44、se I clinical trial data J.Clin CancerRes,2008,14(23):7900-7908.43 ZHENG LS,WANG F,LIYH,et al.Vandetanib(Zactima,ZD6474)antagonize s ABCC1-and ABCG2-mediated multidrug92 (Chin J New Drugs Clin Rem),201 5 2,34 2 resistanc e by inhibition of their transport functionJ.PLoS One,2009,4(4):e5 172(1-9).44

45、MINOCHA M,KHURAN A V,QINB,et al.Co-administrationstrategy to enhance brain accumulation of vandetanib bymodulating P-glycoprotein(P-gp/Abcb1)and breast cancerresistance protein(Bcrp1/Abcg2)mediate d efflux with m-TORinhibitorsJ.Int J Pharm,2012,434(1-2):306-31 4.45 KHURAN A V,MINOCHA M,PAL D,et al.R

46、ole of OATP-1B1 and/or OATP-1B3 in hepatic disposition of tyrosine kinaseinhibitorsJ.Drug Metabol Drug Interact,2014,29(3):179-190.46 FDA.Ruxolitinib EB/OL.(2011-11-06)2013-11-25.http:/www.accessdata.fda.gov/drugsatfda_docs/label/2011/202192lbl.pdf.47 FDA.Tofacitinib EB/OL.(2012-11-06)2013-11-25.htt

47、p:/www.accessdata.fda.gov/drugsatfda_docs/label/2012/203214s000lbl.pdf.1007-7669(2015)02-0093-06 DOI 10.14109/ki.xyylc.2015.02.003;,;。,。,。,。R 979.19 AResearc h progress of hepatocellular carcinoma chemotherapy YANG Shao-mei,ZHANG Na(De partment of Pharmaceutics,School of Pharmaceutical Science,Sha n

48、dong University,Ji-na n SHANDONG250012,China)KEY WORDS l iver neoplasms;drug therapy,combination;biomedical research ABSTRACT Hepatocellular carcinoma(HCC)i s one of malignant tumors which is seriously threatening the health of mankind.The incidence and mortality rates of HCC in China occupies the f

49、ourth and secondposition in malignancies respectively.With the deep research on new generation of drugs,pha rmacotherapy aregaining more attention.Here,t his paper briefly described the researchs about the new developments of chemotherapy drugs and their combination scheme in recent years,and the development prospect was also bediscussed.93

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