Opioid-induced microbial dysbiosis disrupts CPT-11 metabolism and increases gastrointestinal toxicity in a murine model.
Jingjing MengYaa F AbuYue ZhangYuyin ZhouYun XieYan YanJunyi TaoSundaram RamakrishnanChi ChenSabita RoyPublished in: British journal of pharmacology (2022)
Gut microbiota play a significant role in opioid and chemotherapeutic agent drug-drug interactions. Inhibition of gut microbial glucuronidase may also prevent adverse GI effects of CPT-11 in patients on opioids.