PMID- 36320434 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230303 IS - 2093-5552 (Print) IS - 2093-6214 (Electronic) IS - 2093-5552 (Linking) VI - 53 IP - 2 DP - 2023 TI - COVID-19 drugs: potential interaction with ATP-binding cassette transporters P-glycoprotein and breast cancer resistance protein. PG - 191-212 LID - 10.1007/s40005-022-00596-6 [doi] AB - BACKGROUND: The coronavirus disease 2019 (COVID-19) pandemic, caused by severe acute respiratory syndrome coronavirus 2, has resulted in acute respiratory distress, fatal systemic manifestations (extrapulmonary as well as pulmonary), and premature mortality among many patients. Therapy for COVID-19 has focused on the treatment of symptoms and of acute inflammation (cytokine storm) and the prevention of viral infection. Although the mechanism of COVID-19 is not fully understood, potential clinical targets have been identified for pharmacological, immunological, and vaccinal approaches. AREA COVERED: Pharmacological approaches including drug repositioning have been a priority for initial COVID-19 therapy due to the time-consuming nature of the vaccine development process. COVID-19 drugs have been shown to manage the antiviral infection cycle (cell entry and replication of proteins and genomic RNA) and anti-inflammation. In this review, we evaluated the interaction of current COVID-19 drugs with two ATP-binding cassette transporters [P-glycoprotein (P-gp) and breast cancer resistance protein (BCRP)] and potential drug-drug interactions (DDIs) among COVID-19 drugs, especially those associated with P-gp and BCRP efflux transporters. EXPERT OPINION: Overall, understanding the pharmacodynamic/pharmacokinetic DDIs of COVID-19 drugs can be useful for pharmacological therapy in COVID-19 patients. CI - (c) The Author(s) under exclusive licence to The Korean Society of Pharmaceutical Sciences and Technology 2022, Springer Nature or its licensor holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. FAU - Lee, Jaeok AU - Lee J AD - College of Pharmacy and Graduate School of Pharmaceutical Sciences, Ewha Womans University, Seoul, 03760 Republic of Korea. GRID: grid.255649.9. ISNI: 0000 0001 2171 7754 FAU - Kim, Jihye AU - Kim J AD - College of Pharmacy and Graduate School of Pharmaceutical Sciences, Ewha Womans University, Seoul, 03760 Republic of Korea. GRID: grid.255649.9. ISNI: 0000 0001 2171 7754 FAU - Kang, Jiyeon AU - Kang J AD - College of Pharmacy and Graduate School of Pharmaceutical Sciences, Ewha Womans University, Seoul, 03760 Republic of Korea. GRID: grid.255649.9. ISNI: 0000 0001 2171 7754 FAU - Lee, Hwa Jeong AU - Lee HJ AUID- ORCID: 0000-0002-8706-4810 AD - College of Pharmacy and Graduate School of Pharmaceutical Sciences, Ewha Womans University, Seoul, 03760 Republic of Korea. GRID: grid.255649.9. ISNI: 0000 0001 2171 7754 LA - eng PT - Journal Article PT - Review DEP - 20221026 PL - Netherlands TA - J Pharm Investig JT - Journal of pharmaceutical investigation JID - 101546743 PMC - PMC9607806 OTO - NOTNLM OT - ABC transporters OT - BCRP OT - COVID-19 OT - COVID-19 drug OT - Drug-drug interaction OT - P-gp COIS- Conflict of interestNone of the authors (J Lee, J Kim, J Kang and HJ Lee) have potential conflicts of interest to declare. EDAT- 2022/11/03 06:00 MHDA- 2022/11/03 06:01 PMCR- 2022/10/27 CRDT- 2022/11/02 02:08 PHST- 2022/01/27 00:00 [received] PHST- 2022/08/30 00:00 [accepted] PHST- 2022/11/03 06:00 [pubmed] PHST- 2022/11/03 06:01 [medline] PHST- 2022/11/02 02:08 [entrez] PHST- 2022/10/27 00:00 [pmc-release] AID - 596 [pii] AID - 10.1007/s40005-022-00596-6 [doi] PST - ppublish SO - J Pharm Investig. 2023;53(2):191-212. doi: 10.1007/s40005-022-00596-6. Epub 2022 Oct 26.