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恩曲他滨是多药及毒素外排蛋白1(MATE1)的底物,但不是有机阳离子转运体1(OCT1)、有机阳离子转运体2(OCT2)、P-糖蛋白(P-gp)、乳腺癌耐药蛋白(BCRP)或多药耐药相关蛋白2(MRP2)转运体的底物。

Emtricitabine is a substrate of MATE1 but not of OCT1, OCT2, P-gp, BCRP or MRP2 transporters.

作者信息

Reznicek Josef, Ceckova Martina, Cerveny Lukas, Müller Fabian, Staud Frantisek

机构信息

a Department of Pharmacology and Toxicology , Faculty of Pharmacy, Charles University in Prague , Hradec Kralove , Czech Republic and.

b Institute of Experimental and Clinical Pharmacology and Toxicology, Friedrich-Alexander-Universität Erlangen-Nürnberg , Erlangen , Germany.

出版信息

Xenobiotica. 2017 Jan;47(1):77-85. doi: 10.3109/00498254.2016.1158886. Epub 2016 Apr 6.

Abstract

1. Emtricitabine is a nucleoside reverse transcriptase inhibitor used in combination antiretroviral therapy of HIV (cART). Although active transport mechanisms are believed to mediate tubular secretion of the drug into urine, the responsible transporter and its potential to cause pharmacokinetic drug--drug interactions (DDI) has not been identified so far. The aim of this study was to investigate whether drug transporters P-gp (ABCB1), BCRP (ABCG2), MRP2 (ABCC2), OCT1 (SLC22A1), OCT2 (SLC22A2) or MATE1 (SLC47A1) can mediate active transcellular transfer of emtricitabine. 2. We employed transport assays in polarized monolayers of MDCK cells stably expressing P-gp, BCRP, MRP2, OCT1, OCT2 and/or MATE1. Among the transporters studied only MATE1 accelerated basal-to-apical transport of emtricitabine over a wide range of concentrations (6 nM to 1 mM). The transport was enhanced by an oppositely directed pH gradient and significantly reduced (p < 0.001) at low temperature in MDCK-MATE1, MDCK-OCT1/MATE1 and MDCK-OCT2/MATE1 cells. Co-administration of cimetidine or ritonavir decreased MATE1-mediated transport of emtricitabine by up to 42 and 39%, respectively (p < 0.01) and augmented intracellular accumulation of emtricitabine (p < 0.05). 3. We demonstrate emtricitabine as a substrate of MATE1 and suggest that MATE1 might cause DDI between emtricitabine and other co-administrated drugs including antiretrovirals.

摘要
  1. 恩曲他滨是一种核苷类逆转录酶抑制剂,用于人类免疫缺陷病毒的联合抗逆转录病毒治疗(cART)。尽管人们认为活性转运机制介导了该药物向尿液中的肾小管分泌,但目前尚未确定相关转运体及其导致药代动力学药物-药物相互作用(DDI)的可能性。本研究的目的是调查药物转运体P-糖蛋白(ABCB1)、乳腺癌耐药蛋白(ABCG2)、多药耐药相关蛋白2(ABCC2)、有机阳离子转运体1(SLC22A1)、有机阳离子转运体2(SLC22A2)或多药及毒素排出蛋白1(SLC47A1)是否能介导恩曲他滨的活性跨细胞转运。2. 我们在稳定表达P-糖蛋白、乳腺癌耐药蛋白、多药耐药相关蛋白2、有机阳离子转运体1、有机阳离子转运体2和/或多药及毒素排出蛋白1的MDCK细胞极化单层中进行了转运试验。在所研究的转运体中,只有多药及毒素排出蛋白1在很宽的浓度范围(6 nM至1 mM)内加速了恩曲他滨从基底侧向顶侧的转运。在MDCK-多药及毒素排出蛋白1、MDCK-有机阳离子转运体1/多药及毒素排出蛋白1和MDCK-有机阳离子转运体2/多药及毒素排出蛋白1细胞中,转运因相反方向的pH梯度而增强,并在低温下显著降低(p < 0.001)。西咪替丁或利托那韦的共同给药分别使多药及毒素排出蛋白1介导的恩曲他滨转运降低了42%和39%(p < 0.01),并增加了恩曲他滨的细胞内蓄积(p < 0.05)。3. 我们证明恩曲他滨是多药及毒素排出蛋白1的底物,并表明多药及毒素排出蛋白1可能导致恩曲他滨与其他共同给药的药物(包括抗逆转录病毒药物)之间发生药物-药物相互作用。

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