Hayes J R, Borzelleca J F
J Am Diet Assoc. 1985 Mar;85(3):335-9.
Drugs and other xenobiotics (foreign compounds) are consumed with food, presenting the potential for interactions that may modify the biological activity of both nutrients and xenobiotics. The complexities associated with the biological fate of both classes of compounds yield a multitude of potential interactions, making the prediction of specific interactions a complicated task. However, the similarities between the biological processes involved in the biological fate of both xenobiotics and nutrients allow a logical approach to the understanding and prediction of interactions. For example, for either a xenobiotic or nutrient to produce a systemic effect, it must be absorbed. There are similarities between the factors that influence the availability and absorption of both xenobiotics and nutrients. It is at these points of similarity that interactions are most likely to occur. This is also true for the other major processes involved with the biological fate of both xenobiotics and nutrients, such as distribution, metabolism, and excretion. An understanding of these processes and the most likely points of interaction is the first step in understanding and acquiring predictive ability of the potential interactions between nutrients and drugs, as well as other xenobiotics.
药物及其他外源性物质(外来化合物)与食物一同被摄入,这就产生了相互作用的可能性,这种相互作用可能会改变营养物质和外源性物质的生物活性。这两类化合物在生物转归方面的复杂性产生了众多潜在的相互作用,使得预测具体的相互作用成为一项复杂的任务。然而,外源性物质和营养物质在生物转归过程中所涉及的生物学过程存在相似性,这为理解和预测相互作用提供了一种合理的方法。例如,无论是外源性物质还是营养物质要产生全身效应,都必须被吸收。影响外源性物质和营养物质的可利用性及吸收的因素存在相似之处。正是在这些相似点上,相互作用最有可能发生。对于外源性物质和营养物质的生物转归所涉及的其他主要过程,如分布、代谢和排泄,情况也是如此。了解这些过程以及最可能发生相互作用的点,是理解和获得预测营养物质与药物以及其他外源性物质之间潜在相互作用能力的第一步。