Title : Respiratory toxicity of buprenorphine results from the blockage of P-glycoprotein-mediated efflux of norbuprenorphine at the blood-brain barrier in mice.

Pub. Date : 2012 Dec

PMID : 22975888






6 Functional Relationships(s)
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1 Respiratory toxicity of buprenorphine results from the blockage of P-glycoprotein-mediated efflux of norbuprenorphine at the blood-brain barrier in mice. Buprenorphine ATP binding cassette subfamily B member 1 Homo sapiens
2 Recently, norbuprenorphine, in contrast to buprenorphine, was shown in vitro to be a substrate of human P-glycoprotein, a drug-transporter involved in all steps of pharmacokinetics including transport at the blood-brain barrier. Buprenorphine ATP binding cassette subfamily B member 1 Homo sapiens
3 Our objectives were to assess P-glycoprotein involvement in norbuprenorphine transport in vivo and study its role in the modulation of buprenorphine-related respiratory effects in mice. Buprenorphine ATP binding cassette subfamily B member 1 Homo sapiens
4 In P-glycoprotein-knockout mice, buprenorphine-related effects on VE (p < .01), TE (p < .001), and TI (p < .05) and norbuprenorphine-related effects on VE (p < .05) and TI (p < .001) were significantly enhanced. Buprenorphine ATP binding cassette subfamily B member 1 Homo sapiens
5 CONCLUSIONS: P-glycoprotein plays a key-protective role in buprenorphine-related respiratory effects, by allowing norbuprenorphine efflux at the blood-brain barrier. Buprenorphine ATP binding cassette subfamily B member 1 Homo sapiens
6 Our findings suggest a major role for drug-drug interactions that lead to P-glycoprotein inhibition in buprenorphine-associated fatalities and respiratory depression. Buprenorphine ATP binding cassette subfamily B member 1 Homo sapiens