Biologic stress, oxidative stress, and resistance to drugs: what is hidden behind
Open accessAbstract
Stress can be defined as the homeostatic, nonspecific defensive response of the organism to challenges. It is expressed by morphological, biochemical, and functional changes. In this review, we present biological and oxidative stress, as well as their interrelation. In addition to the mediation in biologic stress (central nervous, immune, and hormonal systems) and oxidative stress, the effect of these phenomena on xenobiotic metabolism and drug response is also examined. It is concluded that stress decreases drug response, a result which seems to be mainly attributed to the induction of hepatic drug metabolizing enzymes. A number of mechanisms are presented. Structure-activity studies are also discussed. Vitamin E, as well as two synthetic novel compounds, seem to reduce both oxidative and biological stress and, consequently, influence drug response and metabolism.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Stress impacts host xenobiotic metabolism, particularly via induction of hepatic drug-metabolizing enzymes possibly mediated by glucocorticoids or noradrenaline.
“Stress is known to impact on host xenobiotic metabolism, particularly via induction of hepatic drug-metabolizing enzymes possibly mediated by glucocorticoids or noradrenaline (Konstandi, 2013;Pantelidou et al., 2017).”
From Gut reactions: Breaking down xenobiotic–microbiome interactions (2019) · cites this paper as Pantelidou et al., 2017
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
An Integrated Stress Response Regulates Amino Acid Metabolism and Resistance to Oxidative Stress
Harding, H. P., Zhang, Y., Zeng, H., Novoa, I., Lu, P. D., Calfon, M. A., Sadri, N., Yun, C., Popko, B., Paules, R. S., et al. (2003) · Molecular Cell · doi:10.1016/s1097-2765(03)00105-9 · Cited by 3,336 · see citing works
Induction of phase I, II and III drug metabolism/transport by xenobiotics
Xu, C., Li, C. Y.-T., & Kong, A. T. (2005) · Archives of Pharmacal Research · doi:10.1007/bf02977789 · Cited by 1,272 · see citing works
Vitamin E: non-antioxidant roles
Azzi, A., & Stocker, A. (2000) · Progress in Lipid Research · doi:10.1016/s0163-7827(00)00006-0 · Cited by 488 · see citing works
Chronically and acutely exercised rats: biomarkers of oxidative stress and endogenous antioxidants
Liu, J., Yeo, H. C. H., Övervik-Douki, E., Hagen, T. M., Doniger, S. J., Chu, D. W., Brooks, G. A., & Ames, B. N. (2000) · Journal of Applied Physiology · doi:10.1152/jappl.2000.89.1.21 · Cited by 435 · see citing works
Cannon, W. B. (1939) · The American Journal of the Medical Sciences · doi:10.1097/00000441-193907000-00031 · Cited by 329 · see citing works
Szabó, S., Taché, Y., & Somogyi, A. (2012) · Stress · doi:10.3109/10253890.2012.710919 · Cited by 301 · see citing works
Selye, H. (1971) · Springer eBooks · doi:10.1007/978-3-642-65192-2 · Cited by 223 · see citing works
de Diego-Otero, Y., Romero-Zerbo, Y., Bekay, R. E., Decara, J., Sanchez, L., Fonseca, F. R.-D., & Arco-Herrera, I. D. (2009) · Neuropsychopharmacology · doi:10.1038/npp.2008.152 · Cited by 133 · see citing works
Regulation of drug-metabolizing cytochrome P450 enzymes by glucocorticoids
Dvořák, Z., & Pávek, P. (2010) · Drug Metabolism Reviews · doi:10.3109/03602532.2010.484462 · Cited by 115 · see citing works
Stress: Conceptual and Biological Aspects
Toates, F. M. (1996) · Open Research Online - ORO (The Open University) · Cited by 105 · see citing works
Parke, D. V., Ioannides, C., & Lewis, D. F. (1991) · Canadian Journal of Physiology and Pharmacology · doi:10.1139/y91-081 · Cited by 99 · see citing works
Acetone catabolism by cytochrome P450 2E1: studies with CYP2E1-null mice
Bondoc, F. Y., Bao, Z., Hu, W., Gonzalez, F. J., Wang, Y., Yang, C. S., & Hong, J. (1999) · Biochemical Pharmacology · doi:10.1016/s0006-2952(99)00111-2 · Cited by 94 · see citing works
Selye, H. (1973) · Perspectives in biology and medicine · doi:10.1353/pbm.1973.0056 · Cited by 84 · see citing works
New frontiers in stress research : modulation of brain function
Levy, A., Grauer, E., & Ben‐Nathan, D. (1998) · Medical Entomology and Zoology · Cited by 72 · see citing works
Antioxidant status in various tissues of the mouse after fasting and swimming stress
Simplicio, P. D., Rossi, R., Falcinelli, S., Ceserani, R., & Formento, M. L. (1997) · European Journal of Applied Physiology · doi:10.1007/s004210050252 · Cited by 58 · see citing works
Pregnane X receptor mediates the induction of P-glycoprotein by spironolactone in HepG2 cells
Rigalli, J. P., Ruiz, M. L., Perdomo, V., Villanueva, S. S. M., Mottino, A. D., & Catania, V. A. (2011) · Toxicology · doi:10.1016/j.tox.2011.03.015 · Cited by 53 · see citing works
Glucocorticoids and the Brain: Neural Mechanisms Regulating the Stress Response
Shirazi, S. N., Friedman, A. R., Kaufer, D., & Sakhai, S. A. (2015) · Advances in experimental medicine and biology · doi:10.1007/978-1-4939-2895-8_10 · Cited by 49 · see citing works
Liver ultrastructure during acute stress.
Salas, M., Tuchweber, B., & Kourounakis, P. (1980) · Pathology, Research and Practice · doi:10.1016/s0344-0338(80)80052-5 · Cited by 48 · see citing works
Self-citationCytochrome P450 enzyme regulation by glucocorticoids and consequences in terms of drug interaction
Matoulková, P., Pávek, P., Malý, J., et al. (2014) · Expert Opinion on Drug Metabolism & Toxicology · doi:10.1517/17425255.2014.878703 · Cited by 48 · see citing works
ENDOCRINE MODIFICATION OF DRUG RESPONSES IN THE RAT
Bousquet, W. F., Rupe, B. D., & Miya, T. S. (1965) · Journal of Pharmacology and Experimental Therapeutics · doi:10.1016/s0022-3565(25)26996-8 · Cited by 46 · see citing works
Daskalopoulos, E. P., Malliou, F., Rentesi, G., Μαρσέλος, Μ., Lang, M. A., & Konstandi, M. (2012) · American Journal of Physiology-Endocrinology and Metabolism · doi:10.1152/ajpendo.00545.2011 · Cited by 41 · see citing works
Effect of starvation and chlormethiazole on cytochrome P450s of rat nasal mucosa
Longo, V. G., Ingelman‐Sundberg, M., Amato, G., Salvetti, A., & Gervasi, P. G. (2000) · Biochemical Pharmacology · doi:10.1016/s0006-2952(00)00266-5 · Cited by 39 · see citing works
Stress-induced alterations in microsomal drug metabolism in the rat
Stitzel, R. E., & Furnbr, R. L. (1967) · Biochemical Pharmacology · doi:10.1016/0006-2952(67)90125-6 · Cited by 37 · see citing works
PINCUS, C., & Thimann, K. V. (1956) · The American Journal of the Medical Sciences · doi:10.1097/00000441-195609000-00019 · Cited by 34 · see citing works
Selye, H. (1975) · Trauma · doi:10.1007/978-1-4684-2145-3_2 · Cited by 30 · see citing works
Rekka, E. A., Ayalogu, E. O., Lewis, D. F., et al. (1994) · Archives of Toxicology · doi:10.1007/s002040050037 · Cited by 26 · see citing works
Self-citationCerezo, M., Laorden, M. L., & Milanés, M. V. (2002) · European Journal of Pharmacology · doi:10.1016/s0014-2999(02)02245-8 · Cited by 24 · see citing works
Kourounakis, A. P., Rekka, E. A., & Kourounakis, P. N. (1997) · Archiv der Pharmazie · doi:10.1002/ardp.19973300103 · Cited by 22 · see citing works
Self-citationTemperature-dependence of stress-induced hepatic autophagy
Salas, M., Tuchweber, B., Kourounakis, P. N., et al. (1977) · Cellular and Molecular Life Sciences · doi:10.1007/bf01946531 · Cited by 20 · see citing works
Self-citationAzlina, M. F. N., & Nafeeza, M. I. (2008) · PubMed · Cited by 20 · see citing works
Stress and Active Oxygen Species – Effect of α‐Tocopherol on Stress Response
Tsiakitzis, K. C., Kourounakis, A. P., Tani, E., et al. (2005) · Archiv der Pharmazie · doi:10.1002/ardp.200400946 · Cited by 18 · see citing works
Self-citationAn assessment of prolactin's value as an index of stress
Natelson, B. H., Ottenweller, J. E., Pitman, D. L., et al. (1988) · Life Sciences · doi:10.1016/0024-3205(88)90438-9 · Cited by 18 · see citing works
Alexidis, A. N., Commandeur, J. N. M., Rekka, E. A., et al. (1996) · Environmental Toxicology and Pharmacology · doi:10.1016/1382-6689(95)00012-7 · Cited by 18 · see citing works
Self-citationTargets of Anti-glucocorticoid Therapy for Stress-related Diseases
Martocchia, A., Stefanelli, M., Falaschi, G. M., Toussan, L., March, M., Raja, S., Romano, G., & Falaschi, P. (2013) · Recent Patents on CNS Drug Discovery · doi:10.2174/1574889811308010007 · Cited by 16 · see citing works
Kasahara, E., Sekiyama, A., Hori, M., Kuratsune, D., Fujisawa, N., Chida, D., Hiramoto, K., Li, J., Okamura, H., Inoue, M., et al. (2015) · NeuroImmunoModulation · doi:10.1159/000368802 · Cited by 15 · see citing works
Influence of Steroids and Stress on Toxicity and Disposition of Tetraethylammonium Bromide
Kourounakis, P. N., & Selye, H. (1976) · Journal of Pharmaceutical Sciences · doi:10.1002/jps.2600651236 · Cited by 14 · see citing works
Self-citationStarvation effect on rat kidney peroxisomal and microsomal fatty acid oxidation
Orellana, M., Fuentes, O., & Valdés, E. (1993) · FEBS Letters · doi:10.1016/0014-5793(93)81111-c · Cited by 12 · see citing works
Effect of fluorosteroids on drug response and metabolism
Kourounakis, P. N., Szabó, S., & Selye, H. (1976) · Biochemical Pharmacology · doi:10.1016/0006-2952(76)90352-x · Cited by 11 · see citing works
Self-citationNovel Compounds Designed as Antistress Agents
Tsiakitzis, K. C., Rekka, E. A., Kourounakis, A. P., & Kourounakis, P. N. (2009) · Journal of Medicinal Chemistry · doi:10.1021/jm901169b · Cited by 11 · see citing works
Self-citationOa, A.-S., Yh, M., Mt, H., et al. (1996) · PubMed · Cited by 11 · see citing works
Ohta, Y., Yashiro, K., OHASHI, K., Horikoshi, Y., Kusumoto, C., Matsura, T., & Fukuzawa, K. (2015) · Journal of Nutritional Science and Vitaminology · doi:10.3177/jnsv.61.113 · Cited by 10 · see citing works
Szabó, S., Kourounakis, P., & Selye, H. (1975) · Biochemical Pharmacology · doi:10.1016/0006-2952(75)90038-6 · Cited by 9 · see citing works
Self-citationEffect of Various Steroids and ACTH on Plasma Levels of Zoxazolamine and Dicumarol
Kourounakis, P. N., Szabó, S., Werringloer, J., et al. (1973) · Journal of Pharmaceutical Sciences · doi:10.1002/jps.2600620437 · Cited by 9 · see citing works
Self-citation5 The Pharmacology of Vitamin E
Kelly, M. J. (1988) · Progress in medicinal chemistry · doi:10.1016/s0079-6468(08)70280-7 · Cited by 9 · see citing works
Rapp, U. R., Kourounakis, P. N., & Selye, H. (1979) · PubMed · Cited by 8 · see citing works
Self-citationEffect of spironolactone on dimethyl mercury toxicity. A possible molecular mechanism.
Kourounakis, P. N., & Rekka, E. A. (1994) · PubMed · Cited by 7 · see citing works
Self-citationKourounakis, P. N., Rekka, E. A., Demopoulos, V. J., et al. (1991) · European Journal of Drug Metabolism and Pharmacokinetics · doi:10.1007/bf03189868 · Cited by 7 · see citing works
Self-citationEffect of Various Steroids and ACTH on Distribution of Zoxazolamine in Rats
Kourounakis, P. N., Szabó, S., & Selye, H. (1973) · Journal of Pharmaceutical Sciences · doi:10.1002/jps.2600621208 · Cited by 7 · see citing works
Self-citationAn approach to QSAR of 16-substituted pregnenolones as microsomal enzyme inducers
Rekka, E. A., & Kourounakis, P. N. (1996) · European Journal of Drug Metabolism and Pharmacokinetics · doi:10.1007/bf03190271 · Cited by 7 · see citing works
Self-citationInduction of Drug Metabolism can be a Homeostatic Response
Kourounakis, P. N., & Rekka, E. A. (1991) · Archiv der Pharmazie · doi:10.1002/ardp.19913240306 · Cited by 7 · see citing works
Self-citationEffect of various steroids and ACTH on methyprylon plasma levels and sleeping time in rats
Kourounakis, P. N., Szabó, S., & Selye, H. (1973) · Journal of Pharmacy and Pharmacology · doi:10.1111/j.2042-7158.1973.tb10663.x · Cited by 6 · see citing works
Self-citationKourounakis, P., & Rekka, E. A. (1990) · European Journal of Medicinal Chemistry · doi:10.1016/0223-5234(90)90136-q · Cited by 5 · see citing works
Self-citationInteraction of spironolactone with mercury. A possible molecular mechanism.
Kourounakis, P. N., Pouskoulelis, G. P., & Rekka, E. A. (1992) · PubMed · Cited by 3 · see citing works
Self-citationGuseĭnov, S. G., Mg, A., & Tg, K. (1982) · PubMed · Cited by 1 · see citing works
Flagged first, then by citations
Research works printed but not linked: 5
- [3]Selye H. The Stress of Life Rev. ed. McGraw-Hill New York, NY, USA 1978
- [19]Keverling Buisman J.A. International Union of Pure and Applied Chemistry Commission on Medicinal Chemistry International Union of Pharmacology Strategy in drug research Proceedings of the Second IUPAC-IUPHAR Symposium Noordwijkerhout, The Netherlands 25–28 August 1981 Elsevier Science Pub. Co. Amsterdam, The Netherlands 1982
- [31]Szabo S. Kourounakis P. Selye H. Effect of ACTH and pregnenolone-16a-carbonitrile on free plasma zoxazolamine level. Stimulation of urinary and biliary excretion of zoxazolamine by ACTH Fed. Proc. 1974 33 532
- [44]Halliwell B. Gutteridge J.M.C. Free Radicals in Biology and Medicine 4th ed. Oxford University Press Oxford, UK 2007
- [60]Avery M.A. Woolfrey J.R. Anti-inflammatory steroids Burger’s Medicinal Chemistry and Drug Discovery John Wiley & Sons, Inc. New York, NY, USA 2003 747 854
Cited by
Sorted by citations
Gut reactions: Breaking down xenobiotic–microbiome interactions
Clarke, G., Sandhu, K. V., Griffin, B. T., Dinan, T. G., Cryan, J. F., & Hyland, N. P. (2019) · Pharmacological Reviews · doi:10.1124/pr.118.015768 · Cited by 319 · see citing works
- Authors
- Pantelidou, M., Tsiakitzis, K., Rekka, E., & Kourounakis, P.
- Affiliations
- Frederick University (CY)
- Aristotle University of Thessaloniki (GR)
- Corresponding author
- Kourounakis, Panos
- Venue
- Molecules
- Publisher
- MDPI AG
- Published
- 2017-02-17
- Volume
- 22
- Issue
- 2
- Pages
- 307
- ISSN
- 1420-3049 (ISSN-L)
- PMC
- PMC6155817
- OpenAlex
- W2588598801
- Cited by
- 7
- References
- 54
- Citations by year
- 2026: 1 · 2019: 3 · 2018: 2 · 2017: 1
- FWCI
- 0.29
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Molecules (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, other-oa)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Pharmacology › Pharmacogenetics and Drug Metabolism
- Health Sciences › Medicine › Biochemistry › Antioxidant Activity and Oxidative Stress
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Redox biology and oxidative stress
- Keywords
- biological stress, oxidative stress, drug resistance, xenobiotic metabolism, hepatic drug-metabolizing enzymes, enzyme induction, structure-activity relationship, vitamin E, central nervous system, immune system, hormonal system, drug response
- MeSH terms
- Animals, Antioxidants, Drug Resistance, Humans, Organ Specificity, Oxidation-Reduction, Steroids, Stress, Physiological, Structure-Activity Relationship, Xenobiotics, Oxidants, Oxidative Stress
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review