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群多普利拉,一种血管紧张素转换酶抑制剂,并非通过ATP依赖的主动转运体(cMOAT)经胆汁排泄。

Trandolaprilat, an angiotensin-converting enzyme inhibitor, is not excreted in bile via an ATP-dependent active transporter (cMOAT).

作者信息

Shionoiri H, Takasaki I, Minamisawa K, Ishizuka H, Konno K, Naganuma H, Sasahara K, Kawahara Y

机构信息

Second Department of Internal Medicine, Yokohama City University School of Medicine, Japan.

出版信息

Hypertens Res. 2001 May;24(3):235-40. doi: 10.1291/hypres.24.235.

Abstract

Trandolapril is the prodrug of an angiotensin-converting enzyme (ACE) inhibitor. It has been proposed that its active metabolite, trandolaprilat, is mainly excreted in bile, but this has not been clearly demonstrated. Recently it has been reported that temocaprilat, an active metabolite of the ACE inhibitor temocapril, is effectively excreted in bile via an ATP-dependent active transporter (canalicular multispecific organic anion transporter: cMOAT). To investigate whether trandolaprilat has the pharmacological ability to affect the cMOAT system in a manner similar to temocaprilat. The lipophilicity of trandolaprilat and temocaprilat was measured to determine the n-octanol-water partition coefficients. The dose-dependent inhibition of the up-take of [3H]-estradiol-17beta-D-glucuronide and [3H]-2,4-dinitrophenyl-S-glutathione, which are good substrates for cMOAT, in canalicular membrane vesicles (CMVs) prepared from Sprague-Dawley rats was determined in the presence of trandolaprilat and temocaprilat. The partition coefficient of trandolaprilat (log Po/w - 1.1) was about 30 times higher than that of temocaprilat (log Po/w - 2.5). The uptake of [3H]-estradiol-17beta-D-glucuronide and [3H]-2,4-dinitrophenyl-S-glutathione was dose-dependently inhibited by the presence of temocaprilat, but trandolaprilat had no effect on the transport of [3H]-estradiol-17beta-D-glucuronide or [3H]-2,4-dinitrophenyl-S-glutathione into CMVs even at concentrations as high as 200 microM. It could be concluded that trandolaprilat has a higher lipophilicity than temocaprilat. But the hepatobiliary excretion system via cMOAT may not contribute to the excretion of trandolaprilat in bile.

摘要

群多普利是一种血管紧张素转换酶(ACE)抑制剂的前体药物。有人提出其活性代谢产物群多普利拉主要经胆汁排泄,但这一点尚未得到明确证实。最近有报道称,ACE抑制剂替莫卡普利的活性代谢产物替莫卡普利拉可通过一种ATP依赖性主动转运体(胆小管多特异性有机阴离子转运体:cMOAT)有效地经胆汁排泄。为研究群多普利拉是否具有以类似于替莫卡普利拉的方式影响cMOAT系统的药理能力。测定了群多普利拉和替莫卡普利拉的亲脂性以确定正辛醇 - 水分配系数。在存在群多普利拉和替莫卡普利拉的情况下,测定了从Sprague - Dawley大鼠制备的胆小管膜囊泡(CMV)中对cMOAT的良好底物[3H] - 雌二醇 - 17β - D - 葡萄糖醛酸苷和[3H] - 2,4 - 二硝基苯基 - S - 谷胱甘肽摄取的剂量依赖性抑制作用。群多普利拉的分配系数(log Po/w - 1.1)比替莫卡普利拉(log Po/w - 2.5)高约30倍。替莫卡普利拉的存在剂量依赖性地抑制了[3H] - 雌二醇 - 17β - D - 葡萄糖醛酸苷和[3H] - 2,4 - 二硝基苯基 - S - 谷胱甘肽的摄取,但即使在浓度高达200 microM时,群多普利拉对[3H] - 雌二醇 - 17β - D - 葡萄糖醛酸苷或[3H] - 2,4 - 二硝基苯基 - S - 谷胱甘肽转运入CMV也没有影响。可以得出结论,群多普利拉的亲脂性高于替莫卡普利拉。但通过cMOAT的肝胆排泄系统可能对群多普利拉经胆汁排泄没有作用。

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