Dias Vera, Ribeiro Vera
Centre for Molecular and Structural Biomedicine, Institute for Biotechnology and Bioengineering (IBB), University of Algarve, Faro, Portugal.
Fundam Clin Pharmacol. 2007 Aug;21(4):445-50. doi: 10.1111/j.1472-8206.2007.00517.x.
Drug disposition and response are greatly determined by the activities of drug-metabolizing enzymes and transporters. While the knowledge in terms of CYP enzymes and efflux ABC transporters (such as MDR1, P-glycoprotein) is quite extensive, influx transporters are increasingly being unveiled as key contributors to the process of drug disposition. There is little information on the regulation of these proteins in human cells, especially as regards the effect of endogenous compounds. In this study, we analysed the expression of CYP3A4 and three uptake transporters NTCP (SLC10A1), OATP-A/OATP1A2 (SLCO1A2) and OCT-1 (SLC22A1) in HepG2 cells following treatment with cholesterol. While CYP3A4 and OATP1A2 expression was unaffected, cholesterol treatment led to increased levels of NTCP and OCT-1 mRNAs. Alterations in the functional characteristics and/or expression levels of drug transporters in the liver may conceivably contribute to the variability in drug oral bioavailability often observed in the clinical settings.
药物处置和反应在很大程度上取决于药物代谢酶和转运蛋白的活性。虽然关于细胞色素P450(CYP)酶和外排ABC转运蛋白(如多药耐药蛋白1、P-糖蛋白)的知识相当广泛,但越来越多的研究表明,摄取转运蛋白是药物处置过程的关键贡献者。关于这些蛋白在人类细胞中的调控,尤其是内源性化合物的影响,目前所知甚少。在本研究中,我们分析了胆固醇处理后HepG2细胞中CYP3A4和三种摄取转运蛋白——钠/牛磺胆酸共转运多肽(NTCP,SLC10A1)、有机阴离子转运多肽A/有机阴离子转运多肽1A2(OATP-A/OATP1A2,SLCO1A2)和有机阳离子转运体1(OCT-1,SLC22A1)的表达。虽然CYP3A4和OATP1A2的表达未受影响,但胆固醇处理导致NTCP和OCT-1的mRNA水平升高。肝脏中药物转运蛋白的功能特性和/或表达水平的改变可能会导致临床中经常观察到的药物口服生物利用度的差异。