Fig. 4 | The Pharmacogenomics Journal

Fig. 4

From: Drug–drug–gene interactions and adverse drug reactions

Fig. 4

Drug transporters as classified into three categories according to the similarity of the transport directions in different tissue types. Numbers from to  = order of oral drug movement through different tissue types. Nonoral drug formulations bypass the effect of intestinal transporters. / = increased/decreased substrate drug plasma level is predicted as a result of impairment of this transporter due to LOF variants or inhibitors. The reverse is predicted with GOF variants or inducers. The presence of the two factors (i.e. LOF variant + an inhibitor or GOF variant + an inducer) is predicted to double the clinical impact with neutralizing or shifting the clinical effect when the preparator drug and genetic effect are opposed (phenoconversion interactions).  = Apical membrane.  = Basolateral membrane

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