Albumin-drug interaction and its clinical implication

Background: Human serum albumin acts as a reservoir and transport protein for endogenous (e.g. fatty acids or bilirubin) and exogenous compounds (e.g. drugs or nutrients) in the blood. The binding of a drug to albumin is a major determinant of its pharmacokinetic and pharmacodynamic profile.Scope of...

Full description

Bibliographic Details
Main Authors: Yamasaki, K., Maruyama, T., Chuang, Victor, Otagiri, M.
Format: Journal Article
Published: Elsevier BV 2013
Subjects:
Online Access:http://hdl.handle.net/20.500.11937/9478
_version_ 1848745961350758400
author Yamasaki, K.
Maruyama, T.
Chuang, Victor
Otagiri, M.
author_facet Yamasaki, K.
Maruyama, T.
Chuang, Victor
Otagiri, M.
author_sort Yamasaki, K.
building Curtin Institutional Repository
collection Online Access
description Background: Human serum albumin acts as a reservoir and transport protein for endogenous (e.g. fatty acids or bilirubin) and exogenous compounds (e.g. drugs or nutrients) in the blood. The binding of a drug to albumin is a major determinant of its pharmacokinetic and pharmacodynamic profile.Scope of review:The present review discusses recent findings regarding the nature of drug binding sites, drug-albumin binding in certain diseased states or in the presence of coadministered drugs, and the potential of utilizing albumin–drug interactions in clinical applications.Major conclusions: Drug–albumin interactions appear to predominantly occur at one or two specific binding sites. The nature of these drug binding sites has been fundamentally investigated as to location, size, charge, hydrophobicity or changes that can occur under conditions such as the content of the endogenous substances in question. Such findings can be useful tools for the analysis of drug–drug interactions or protein binding in diseased states. A change in protein binding is not always a problem in terms of drug therapy, but it can be used to enhance the efficacy of therapeutic agents or to enhance the accumulation of radiopharmaceuticals to targets for diagnostic purposes. Furthermore, several extracorporeal dialysis procedures using albumin-containing dialysates have proven to be an effective tool for removing endogenous toxins or overdosed drugs from patients. General significance: Recent findings related to albumin–drug interactions as described in this review are useful for providing safer and efficient therapies and diagnoses in clinical settings.
first_indexed 2025-11-14T06:25:40Z
format Journal Article
id curtin-20.500.11937-9478
institution Curtin University Malaysia
institution_category Local University
last_indexed 2025-11-14T06:25:40Z
publishDate 2013
publisher Elsevier BV
recordtype eprints
repository_type Digital Repository
spelling curtin-20.500.11937-94782017-09-13T14:53:17Z Albumin-drug interaction and its clinical implication Yamasaki, K. Maruyama, T. Chuang, Victor Otagiri, M. Displacement Structure–function relationship Human serum albumin Extracorporeal albumin dialysis Binding site Background: Human serum albumin acts as a reservoir and transport protein for endogenous (e.g. fatty acids or bilirubin) and exogenous compounds (e.g. drugs or nutrients) in the blood. The binding of a drug to albumin is a major determinant of its pharmacokinetic and pharmacodynamic profile.Scope of review:The present review discusses recent findings regarding the nature of drug binding sites, drug-albumin binding in certain diseased states or in the presence of coadministered drugs, and the potential of utilizing albumin–drug interactions in clinical applications.Major conclusions: Drug–albumin interactions appear to predominantly occur at one or two specific binding sites. The nature of these drug binding sites has been fundamentally investigated as to location, size, charge, hydrophobicity or changes that can occur under conditions such as the content of the endogenous substances in question. Such findings can be useful tools for the analysis of drug–drug interactions or protein binding in diseased states. A change in protein binding is not always a problem in terms of drug therapy, but it can be used to enhance the efficacy of therapeutic agents or to enhance the accumulation of radiopharmaceuticals to targets for diagnostic purposes. Furthermore, several extracorporeal dialysis procedures using albumin-containing dialysates have proven to be an effective tool for removing endogenous toxins or overdosed drugs from patients. General significance: Recent findings related to albumin–drug interactions as described in this review are useful for providing safer and efficient therapies and diagnoses in clinical settings. 2013 Journal Article http://hdl.handle.net/20.500.11937/9478 10.1016/j.bbagen.2013.05.005 Elsevier BV restricted
spellingShingle Displacement
Structure–function relationship
Human serum albumin
Extracorporeal albumin dialysis
Binding site
Yamasaki, K.
Maruyama, T.
Chuang, Victor
Otagiri, M.
Albumin-drug interaction and its clinical implication
title Albumin-drug interaction and its clinical implication
title_full Albumin-drug interaction and its clinical implication
title_fullStr Albumin-drug interaction and its clinical implication
title_full_unstemmed Albumin-drug interaction and its clinical implication
title_short Albumin-drug interaction and its clinical implication
title_sort albumin-drug interaction and its clinical implication
topic Displacement
Structure–function relationship
Human serum albumin
Extracorporeal albumin dialysis
Binding site
url http://hdl.handle.net/20.500.11937/9478