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PharmD clinical pharmacy program            Level 3, Semester 2          Biopharmaceutics & Pharmacokinetics (PT608(

                       •  P-gp is extensively distributed and expressed
                              ▪  P-gp is expressed also in other tissues such as the blood–brain barrier,


                                  liver,  and  kidney,  where  it  limits  drug  penetration  into  the  brain,
                                  mediates  biliary  drug  secretion,  and  mediates  renal  tubular  drug


                                  secretion, respectively.

                              ▪  Efflux  pumps  are  present  throughout  the  body  and  are  involved  in

                                  transport of a diverse group of hydrophobic drugs, natural products,

                                  and peptides.

                              ▪   Many  drugs  such  as  cyclosporin  A,  verapamil,  terfenadine,

                                  fexofenadine, and most HIV-1 protease inhibitors, are substrates of P-

                                  gp






                  3.  Vesicular Transport

                  •  Vesicular transport is the process of engulfing particles or dissolved materials by

                     the cell.


                  •  Pinocytosis and phagocytosis are forms of vesicular transport that differ by the

                      type of material ingested









                         Endocytosis  and  exocytosis  are  the  processes  of  moving  specific

                         macromolecules into and out of a cell, respectively











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