How to Determine the Role of the Microbiome in Drug Disposition

With a paradigm shift occurring in health care toward personalized and precision medicine, understanding the numerous environmental factors that impact drug disposition is of paramount importance. The highly diverse and variant nature of the human microbiome is now recognized as a factor driving int...

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Published inDrug metabolism and disposition Vol. 46; no. 11; pp. 1588 - 1595
Main Authors Bisanz, Jordan E., Spanogiannopoulos, Peter, Pieper, Lindsey M., Bustion, Annamarie E., Turnbaugh, Peter J.
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.11.2018
American Society for Pharmacology and Experimental Therapeutics, Inc
The American Society for Pharmacology and Experimental Therapeutics
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Abstract With a paradigm shift occurring in health care toward personalized and precision medicine, understanding the numerous environmental factors that impact drug disposition is of paramount importance. The highly diverse and variant nature of the human microbiome is now recognized as a factor driving interindividual variation in therapeutic outcomes. The purpose of this review is to provide a practical guide on methodology that can be applied to study the effects of microbes on the absorption, distribution, metabolism, and excretion of drugs. We also highlight recent examples of how these methods have been successfully applied to help build the basis for researching the intersection of the microbiome and pharmacology. Although in vitro and in vivo preclinical models are highlighted, these methods are also relevant in late-phase drug development or even as a part of routine after-market surveillance. These approaches will aid in filling major knowledge gaps for both current and upcoming therapeutics with the long-term goal of achieving a new type of knowledge-based medicine that integrates data on the host and the microbiome.
AbstractList With a paradigm shift occurring in health care toward personalized and precision medicine, understanding the numerous environmental factors that impact drug disposition is of paramount importance. The highly diverse and variant nature of the human microbiome is now recognized as a factor driving interindividual variation in therapeutic outcomes. The purpose of this review is to provide a practical guide on methodology that can be applied to study the effects of microbes on the absorption, distribution, metabolism, and excretion of drugs. We also highlight recent examples of how these methods have been successfully applied to help build the basis for researching the intersection of the microbiome and pharmacology. Although in vitro and in vivo preclinical models are highlighted, these methods are also relevant in late-phase drug development or even as a part of routine after-market surveillance. These approaches will aid in filling major knowledge gaps for both current and upcoming therapeutics with the long-term goal of achieving a new type of knowledge-based medicine that integrates data on the host and the microbiome.
With a paradigm shift occurring in health care toward personalized and precision medicine, understanding the numerous environmental factors that impact drug disposition is of paramount importance. The highly diverse and variant nature of the human microbiome is now recognized as a factor driving interindividual variation in therapeutic outcomes. The purpose of this review is to provide a practical guide on methodology that can be applied to study the effects of microbes on the absorption, distribution, metabolism, and excretion of drugs. We also highlight recent examples of how these methods have been successfully applied to help build the basis for researching the intersection of the microbiome and pharmacology. Although in vitro and in vivo preclinical models are highlighted, these methods are also relevant in late-phase drug development or even as a part of routine after-market surveillance. These approaches will aid in filling major knowledge gaps for both current and upcoming therapeutics with the long-term goal of achieving a new type of knowledge-based medicine that integrates data on the host and the microbiome.With a paradigm shift occurring in health care toward personalized and precision medicine, understanding the numerous environmental factors that impact drug disposition is of paramount importance. The highly diverse and variant nature of the human microbiome is now recognized as a factor driving interindividual variation in therapeutic outcomes. The purpose of this review is to provide a practical guide on methodology that can be applied to study the effects of microbes on the absorption, distribution, metabolism, and excretion of drugs. We also highlight recent examples of how these methods have been successfully applied to help build the basis for researching the intersection of the microbiome and pharmacology. Although in vitro and in vivo preclinical models are highlighted, these methods are also relevant in late-phase drug development or even as a part of routine after-market surveillance. These approaches will aid in filling major knowledge gaps for both current and upcoming therapeutics with the long-term goal of achieving a new type of knowledge-based medicine that integrates data on the host and the microbiome.
Author Bisanz, Jordan E.
Bustion, Annamarie E.
Pieper, Lindsey M.
Spanogiannopoulos, Peter
Turnbaugh, Peter J.
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BackLink https://www.ncbi.nlm.nih.gov/pubmed/30111623$$D View this record in MEDLINE/PubMed
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Copyright 2018 American Society for Pharmacology and Experimental Therapeutics
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Snippet With a paradigm shift occurring in health care toward personalized and precision medicine, understanding the numerous environmental factors that impact drug...
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SubjectTerms Animals
Drug development
Drug Discovery - methods
Drug metabolism
Environmental factors
Environmental impact
Excretion
Gastrointestinal Microbiome - physiology
Humans
In vivo methods and tests
Inactivation, Metabolic - physiology
Medicine
Metabolism
Microbiomes
Pharmaceutical Preparations - metabolism
Pharmacology
Precision medicine
Special Section – New Models in Drug Metabolism and Transport
Title How to Determine the Role of the Microbiome in Drug Disposition
URI https://dx.doi.org/10.1124/dmd.118.083402
https://www.ncbi.nlm.nih.gov/pubmed/30111623
https://www.proquest.com/docview/2164529827
https://www.proquest.com/docview/2089290975
https://pubmed.ncbi.nlm.nih.gov/PMC7333656
Volume 46
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