Abstract

Abstract Background: To investigate the effects of bile duct stricture on the pharmacokinetics of the immunosuppressant tacrolimus, the pharmacokinetics of tacrolimus in rats with bile duct ligation were evaluated and

Highlights

  • IntroductionTacrolimus (TAC), an immunosuppressive agent (molecular weight of the non-hydrate form, 806), inhibits the signal transduction pathway involved in the activation of T-lymphocytes [1,2]

  • Tacrolimus (TAC), an immunosuppressive agent, inhibits the signal transduction pathway involved in the activation of T-lymphocytes [1,2]

  • The levels of GPT, glutamic oxaloacetic transaminase (GOT), and alkaline phosphatase (ALP) were significantly higher in BDL rats than in control rats

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Summary

Introduction

Tacrolimus (TAC), an immunosuppressive agent (molecular weight of the non-hydrate form, 806), inhibits the signal transduction pathway involved in the activation of T-lymphocytes [1,2]. TAC is used for preventing or treating graft rejection after organ transplantation [3], and is superior to cyclosporine (CyA) in improving survival (patient and graft) and preventing acute rejection in living donor liver transplantation patients [4]. TAC is the drug of choice for living donor liver transplant recipients in our university hospital, Kyoto Prefectural University of Medicine. TAC is highly lipophilic and insoluble in water, and is a substrate for the drug efflux pump, P-glycoprotein (Pgp), and the metabolizing enzyme, cytochrome P450 (CYP) 3A. These physicochemical properties of TAC contribute to the large variation in oral absorption and extensive metabolic clearance from the body. To investigate the effects of bile duct stricture on the pharmacokinetics of the immunosuppressant tacrolimus, the pharmacokinetics of tacrolimus in rats with bile duct ligation were evaluated and the effects of the amount of intestinal bile on intestinal tacrolimus absorption were determined

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