Institut Claudius-Regaud, IUCT-O, Department of Pharmacology, Toulouse F-31059, France; CRCT, INSERM UMR1037, Univ. Toulouse III Paul Sabatier-ERL5294 CNRS, Toulouse F-31037, France.
CRCT, INSERM UMR1037, Univ. Toulouse III Paul Sabatier-ERL5294 CNRS, Toulouse F-31037, France.
Pharmacol Res. 2016 Aug;110:89-95. doi: 10.1016/j.phrs.2016.05.012. Epub 2016 May 10.
We hypothesized that pazopanib is an inhibitor of cisplatin renal transporters OCT2, MATE1 and MATE2-K based on previous studies demonstrating an interaction between tyrosine kinase inhibitors and these transporters. Because several combinations of targeted therapies and cytotoxics are currently in development for cancer treatment, such an interaction is worth investigating. Experiments on HEK293 cells stably transfected to express OCT2, MATE1, MATE2-K or an empty vector (EV) were conducted. The inhibitory effect of pazopanib on these transporters was measured using the uptake of fluorescent substrate ASP+ and cisplatin in the different cell lines. The effect of pazopanib on cisplatin-induced cytotoxicity was also evaluated. A decrease of ASP+ uptake was observed in OCT2-HEK, MATE1-HEK and MATE2K-HEK cell lines after addition of pazopanib at increasing concentrations. Pazopanib inhibited cisplatin specific uptake in OCT2-HEK, MATE1-HEK and MATE2K-HEK lines. Cytotoxicity experiments showed that co-incubation of cisplatin with pazopanib multiplied up to 2.7, 2.4 and 1.6 times the EC50 values of cisplatin in OCT2-HEK, MATE1-HEK and MATE2K-HEK cell lines respectively, reaching about the same values as in EV-HEK cells. To conclude, pazopanib inhibits OCT2, MATE1 and MATE2-K, which are involved in cisplatin secretion into urine. The combination of these two drugs may lead to an interaction and increase the cisplatin-induced systemic toxicity. Given the wide variability of plasma pazopanib concentrations observed in vivo, the interaction may occur in a clinical setting, particularly in overexposed patients. The existence of a drug-drug interaction should be investigated when pazopanib is associated with a substrate of these transporters.
我们假设帕唑帕尼是顺铂肾转运体 OCT2、MATE1 和 MATE2-K 的抑制剂,这是基于先前的研究表明,酪氨酸激酶抑制剂与这些转运体之间存在相互作用。由于目前正在开发针对癌症的多种靶向治疗和细胞毒素联合治疗方案,因此值得对此类相互作用进行研究。在稳定转染表达 OCT2、MATE1、MATE2-K 或空载体 (EV) 的 HEK293 细胞中进行实验。使用不同细胞系中荧光底物 ASP+和顺铂的摄取来测量帕唑帕尼对这些转运体的抑制作用。还评估了帕唑帕尼对顺铂诱导的细胞毒性的影响。随着帕唑帕尼浓度的增加,在 OCT2-HEK、MATE1-HEK 和 MATE2K-HEK 细胞系中观察到 ASP+摄取减少。帕唑帕尼抑制 OCT2-HEK、MATE1-HEK 和 MATE2K-HEK 细胞系中顺铂的特异性摄取。细胞毒性实验表明,顺铂与帕唑帕尼共同孵育可使 OCT2-HEK、MATE1-HEK 和 MATE2K-HEK 细胞系中顺铂的 EC50 值分别增加 2.7、2.4 和 1.6 倍,达到与 EV-HEK 细胞相似的值。总之,帕唑帕尼抑制 OCT2、MATE1 和 MATE2-K,这些转运体参与顺铂向尿液中的分泌。这两种药物的联合使用可能导致相互作用并增加顺铂引起的全身毒性。鉴于体内观察到的帕唑帕尼血浆浓度存在广泛变异性,因此这种相互作用可能在临床环境中发生,尤其是在过度暴露的患者中。当帕唑帕尼与这些转运体的底物联合使用时,应研究药物-药物相互作用的存在。
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