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Gut reaction: impact of systemic diseases on gastrointestinal physiology and drug absorption

Hatton, GB; Madla, CM; Rabbie, SC; Basit, AW; (2018) Gut reaction: impact of systemic diseases on gastrointestinal physiology and drug absorption. Drug Discovery Today , 24 (2) pp. 417-427. 10.1016/j.drudis.2018.11.009. Green open access

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Abstract

It was in 400 BC that Hippocrates reportedly stated that "death sits in the colon". The growth in our knowledge of the intestinal microbiome and the gut-brain axis, their function and imbalance, has distinctly uncovered the complex relationship between the gut to disease predisposition and development, heralding the problem and the solution to disease pathology. Human studies of new drug molecules are typically performed in healthy volunteers and their specific disease indication. Approved drugs, however, are used by patients with diverse disease backgrounds. Here, we review the current literature of the gastrointestinal tract reacting to systemic disease pathology that elicits physiological and functional changes that consequently affect oral drug product performance.

Type: Article
Title: Gut reaction: impact of systemic diseases on gastrointestinal physiology and drug absorption
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1016/j.drudis.2018.11.009
Publisher version: https://doi.org/10.1016/j.drudis.2018.11.009
Language: English
Additional information: Copyright © 2018 The Authors. Published by Elsevier Ltd. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
Keywords: Cystic fibrosis, HIV, Parkinson’s disease, diabetes, oral drug products, pain
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Life Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Life Sciences > UCL School of Pharmacy
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Life Sciences > UCL School of Pharmacy > Pharmaceutics
URI: https://discovery.ucl.ac.uk/id/eprint/10062128
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