Cited by 656Pharmacogenetics and Drug MetabolismGut microbiota and healthDrug Transport and Resistance Mechanisms

Gut microbiome interactions with drug metabolism, efficacy, and toxicity

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Wilson, Ian D., Nicholson, Jeremy K.·2017·Translational Research

Abstract

The gut microbiota has both direct and indirect effects on drug and xenobiotic metabolisms, and this can have consequences for both efficacy and toxicity. Indeed, microbiome-driven drug metabolism is essential for the activation of certain prodrugs, for example, azo drugs such as prontosil and neoprontosil resulting in the release of sulfanilamide. In addition to providing a major source of reductive metabolizing capability, the gut microbiota provides a suite of additional reactions including acetylation, deacylation, decarboxylation, dehydroxylation, demethylation, dehalogenation, and importantly, in the context of certain types of drug-related toxicity, conjugates hydrolysis reactions. In addition to direct effects, the gut microbiota can affect drug metabolism and toxicity indirectly via, for example, the modulation of host drug metabolism and disposition and competition of bacterial-derived metabolites for xenobiotic metabolism pathways. Also, of course, the therapeutic drugs themselves can have effects, both intended and unwanted, which can impact the health and composition of the gut microbiota with unforeseen consequences.

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Crossref · 10.1016/j.trsl.2016.08.002

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  • The gut microbiota can have both direct and indirect effects on the metabolism of drugs, with consequences for both efficacy and toxicity.

    “The gut microbiota can have both direct and indirect effects on the metabolism of drugs, with consequences for both efficacy and toxicity.60, 61”

    From Emerging issues in probiotic safety: 2023 perspectives (2023) · cites this paper as [60]

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  1. [33]Koch R Bealieu BB Jr Goldmans P Role of the intestinal flora in the metabolism of misonidazole Biochem Pharmacol 1980 29 3281 4 6260109
  2. [77]Sasaki I Tozaki H Matsumoto K Development of an oral formulation of azetirelin, using n-lauryl-beta-D-maltopyranoside as an absorption enhancer Biol Pharm Bull 1999 22 611 5 10408236

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Authors
Wilson, I. D., & Nicholson, J. K.
Affiliations
Imperial College London (GB)
Corresponding author
Wilson, Ian D.
Venue
Translational Research
Publisher
Elsevier BV
Published
2017-01
Volume
179
Pages
204-222
ISSN
  • 1878-1810 (ISSN-L)
  • 1931-5244
OpenAlex
W2517182458
Cited by
656
References
141
Citations by year
2026: 81 · 2025: 74 · 2024: 66 · 2023: 71 · 2022: 70 · 2021: 91 · 2020: 75 · 2019: 63 · 2018: 42 · 2017: 20 · 2016: 1
FWCI
7.48
Type
journal article
Language
en
Open access
Locations
  • Translational research (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
  • Spiral (Imperial College London) (submittedVersion, cc-by-nc-nd)
Funders
Wellcome Trust (104933)
Topics
  • Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Pharmacology › Pharmacogenetics and Drug Metabolism
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Gut microbiota and health
  • Health Sciences › Medicine › Oncology › Drug Transport and Resistance Mechanisms
Keywords
gut microbiota, drug metabolism, xenobiotic metabolism, drug efficacy, drug toxicity, prodrug activation, sulfanilamide, Prontosil, reductive metabolism, conjugate hydrolysis, bacterial metabolites
MeSH terms
Gastrointestinal Microbiome, Bacteria, Pharmaceutical Preparations, Humans, Xenobiotics, Treatment Outcome, Drug-Related Side Effects and Adverse Reactions

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