Abstract
Transporter-mediated absorption or efflux of drug compounds across tissue barriers may affect drug ADME properties. This is exemplified in the present chapter, where we demonstrate how the intestinal proton-coupled amino acid transporter PAT1 may act as a mediator of intestinal gaboxadol absorption. We also discuss how organic anions may be substrates for multiple intestinal transporters. The role of the apical proton co-transporter OATP2B1 and the basolateral facilitative OSTα/β transporter in absorptive and exsorptive transport of the organic anion model substrate E1S is treated in detail.
Distribution of drug compounds across the blood–brain barrier does rely on transporters to a large extent, and we describe the challenges of developing in vitro methods which may predict drug distribution to the CNS.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Abbreviations
- δ-ALA:
-
δ-Aminolevulinic acid
- ABC:
-
ATP-binding cassette
- ADME:
-
Absorption, distribution, metabolism, and excretion
- ASBT:
-
Apical sodium-dependent bile acid transporter
- BBB:
-
Blood–brain barrier
- BCRP:
-
Breast cancer resistance protein
- BSEP:
-
Bile salt export pump
- Caco-2:
-
Colorectal adenocarcinoma cells
- DDI:
-
Drug–drug interactions
- DHEAS:
-
Dihydroepiandrosterone-3-sulfate
- E1S:
-
Estrone-1-sulfate
- EMA:
-
European Medicines Agency
- FDA:
-
US Food and Drug Administration
- K m :
-
Michaelis constant
- l-Pro:
-
l-Proline
- l-Trp:
-
l-Tryptophan
- MATE:
-
Multidrug and toxin extrusion
- MCT:
-
Monocarboxylate transporter
- MRP:
-
Multidrug resistance protein
- NCE:
-
New chemical entity
- NTCP:
-
Na+ taurocholate cotransporting polypeptide (human)
- NVU:
-
Neurovascular unit
- OAT:
-
Organic anion transporter
- OATP:
-
Organic anion transporting polypeptide
- OST:
-
Organic solute transporter
- P APP :
-
Apparent permeability
- PAT:
-
Proton-coupled amino acid transporter
- PEPT:
-
Proton-coupled di-/tripeptide transporter
- P UP :
-
Uptake/influx permeability
- SLC:
-
Solute carrier
- SLCO:
-
Solute carrier organic anion
- TCA:
-
Taurocholic acid
- TJ:
-
Tight junctions
- V max :
-
Maximal transport rate
References
Abbot EL, Grenade DS, Kennedy DJ, Gatfield KM, Thwaites DT (2005) Vigabatrin transport across the human intestinal epithelial (caco-2) brush-border membrane is via the H(+)-coupled amino-acid transporter hPAT1. Br J Pharmacol 147:298–306
Abbott NJ, Patabendige AA, Dolman DE, Yusof SR, Begley DJ (2010) Structure and function of the blood-brain barrier. Neurobiol Dis 37:13–25
Ballatori N, Christian WV, Lee JY, Dawson PA, Soroka CJ, Boyer JL, Madejczyk MS, Li N (2005) OSTalpha-OSTbeta: a major basolateral bile acid and steroid transporter in human intestinal, renal, and biliary epithelia. Hepatology 42:1270–1279
Begley DJ (2004) Delivery of therapeutic agents to the central nervous system: the problems and the possibilities. Pharmacol Ther 104:29–45
Boado RJ, Li JY, Nagaya M, Zhang C, Pardridge WM (1999) Selective expression of the large neutral amino acid transporter at the blood-brain barrier. Proc Natl Acad Sci USA 96:12079–12084
Boll M, Foltz M, Rubio-Aliaga I, Daniel H (2003) A cluster of proton/amino acid transporter genes in the human and mouse genomes. Genomics 82:47–56
Brandsch M (2009) Transport of drugs by proton-coupled peptide transporters: pearls and pitfalls. Expert Opin Drug Metab Toxicol 5:887–905
Brandsch M, Knutter I, Bosse-Doenecke E (2008) Pharmaceutical and pharmacological importance of peptide transporters. J Pharm Pharmacol 60:543–585
Bretschneider B, Brandsch M, Neubert R (1999) Intestinal transport of beta-lactam antibiotics: analysis of the affinity at the H+/peptide symporter (PEPT1), the uptake into Caco-2 cell monolayers and the transepithelial flux. Pharm Res 16:55–61
Broberg ML, Holm R, Tonsberg H, Frolund S, Ewon KB, Nielsen AL, Brodin B, Jensen A, Kall MA, Christensen KV, Nielsen CU (2012) Function and expression of the proton-coupled amino acid transporter Slc36a1 along the rat gastrointestinal tract: implications for intestinal absorption of gaboxadol. Br J Pharmacol 167:654–665
Brodin B, Nielsen CU, Steffansen B, Frokjaer S (2002) Transport of peptidomimetic drugs by the intestinal di/tri-peptide transporter, PepT1. J Pharmacol Toxicol 90:285–296
Broer S, Bailey CG, Kowalczuk S, Ng C, Vanslambrouck JM, Rodgers H, uray-Blais C, Cavanaugh JA, Broer A, Rasko JE (2008) Iminoglycinuria and hyperglycinuria are discrete human phenotypes resulting from complex mutations in proline and glycine transporters. J Clin Invest 118:3881–3892
Chen Z, Fei YJ, Anderson CM, Wake KA, Miyauchi S, Huang W, Thwaites DT, Ganapathy V (2003) Structure, function and immunolocalization of a proton-coupled amino acid transporter (hPAT1) in the human intestinal cell line caco-2. J Physiol 546:349–361
Cooray HC, Blackmore CG, Maskell L, Barrand MA (2002) Localisation of breast cancer resistance protein in microvessel endothelium of human brain. Neuroreport 13:2059–2063
Dahan A, Amidon GL (2009) Small intestinal efflux mediated by MRP2 and BCRP shifts sulfasalazine intestinal permeability from high to low, enabling its colonic targeting. Am J Physiol Gastrointest Liver Physiol 297:G371–G377
Daniel H, Fett C, Kratz A (1989) Demonstration and modification of intervillous pH profiles in rat small intestine in vitro. Am J Physiol 257:G489–G495
Daniel H, Morse EL, Adibi SA (1991) The high and low affinity transport systems for dipeptides in kidney brush border membrane respond differently to alterations in pH gradient and membrane potential. J Biol Chem 266:19917–19924
Del Amo EM, Urtti A, Yliperttula M (2008) Pharmacokinetic role of L-type amino acid transporters LAT1 and LAT2. Eur J Pharm Sci 35:161–174
Doring F, Walter J, Will J, Focking M, Boll M, Amasheh S, Clauss W, Daniel H (1998) Delta-aminolevulinic acid transport by intestinal and renal peptide transporters and its physiological and clinical implications. J Clin Invest 101:2761–2767
Ejsing TB, Hasselstrom J, Linnet K (2006) The influence of P-glycoprotein on cerebral and hepatic concentrations of nortriptyline and its metabolites. Drug Metabol Drug Interact 21:139–162
EMA (2010) Draft Guideline on investigation of drug interactions.The guideline is available at: http://www.ema.europa.eu/docs/en_GB/document_library/Scientific_guideline/2012/07/WC500129606.pdf
Eriksson AH, Ronsted N, Guler S, Jager AK, Sendra JR, Brodin B (2012) In vitro evaluation of the P-glycoprotein interactions of a series of potentially CNS-active amaryllidaceae alkaloids. J Pharm Pharmacol 64:1667–1677
Estudante M, Morais JG, Soveral G,Benet LZ. (2012). Intestinal drug transporters: An overview. Adv Drug Deliv Rev
FDA. Draft Guidance for industry. Drug Interaction Studies: Study Design, Data Analysis, Implications for Dosing, and Labeling recommendations (2012) pp 1–75. http://www.fda.gov/downloads/Drugs/GuidanceComplianceRegulatoryInformation/Guidances/ucm292362.pdf
Franke H, Galla H, Beuckmann CT (2000) Primary cultures of brain microvessel endothelial cells: a valid and flexible model to study drug transport through the blood-brain barrier in vitro. Brain Res Brain Res Protoc 5:248–256
Frolund S, Cutillas O, Larsen M, Brodin B, Nielsen CU (2010) Delta-aminolevulinic acid is a substrate for SLC36A1 (hPAT1). Br J Pharmacol 159:1339–1353
Frolund S, Langthaler L, Kall MA, Holm R, Nielsen CU (2012) Intestinal Drug Transport via the Proton-Coupled Amino Acid Transporter PAT1 (SLC36A1) Is Inhibited by Gly-X(aa) Dipeptides. Mol Pharm 4:2761–2769
Ganapathy V, Leibach FH (1983) Role of pH gradient and membrane potential in dipeptide transport in intestinal and renal brush-border membrane vesicles from the rabbit. Studies with L-carnosine and glycyl-L-proline. J Biol Chem 258:14189–14192
Ganapathy V, Mendicino J, Pashley DH, Leibach FH (1980) Carrier-mediated transport of glycyl-L-proline in renal brush border vesicles. Biochem Biophys Res Commun 97:1133–1139
Gjedde A, Crone C (1975) Induction processes in blood-brain transfer of ketone bodies during starvation. Am J Physiol 229:1165–1169
Gram LK, Rist GM, Lennernas H, Steffansen B (2009a) Impact of carriers in oral absorption: Permeation across Caco-2 cells for the organic anions estrone-3-sulfate and glipizide. Eur J Pharm Sci 37:378–386
Gram LK, Rist GM, Steffansen B (2009b) Impact of transporters in oral absorption: a case study of in vitro and in vivo organic anion absorption. Mol Pharm 6:1457–1465
Grandvuinet AS, Steffansen B (2011) Interactions between organic anions on multiple transporters in Caco-2 cells. J Pharm Sci 100:3817–3830
Grandvuinet AS, Gustavsson L, Steffansen B (2013) new insight into the carrier-mediated transport of estrone-sulfate in the Caco-2 cell model Mol Pharm. 2013 Jul 8. [Epub ahead of print]
Grandvuinet AS, Vestergaard HT, Rapin N, Steffansen B (2012) Intestinal transporters for endogenic and pharmaceutical organic anions: the challenges of deriving in vitro kinetic parameters for the prediction of clinically relevant drug–drug interactions. J Pharm Pharmacol 64:1523–1548
Hakkarainen JJ, Jalkanen AJ, Kaariainen TM, Keski-Rahkonen P, Venalainen T, Hokkanen J, Monkkonen J, Suhonen M, Forsberg MM (2010) Comparison of in vitro cell models in predicting in vivo brain entry of drugs. Int J Pharm 402:27–36
Hayeshi R, Hilgendorf C, Artursson P, Augustijns P, Brodin B, Dehertogh P, Fisher K, Fossati L, Hovenkamp E, Korjamo T, Masungi C, Maubon N, Mols R, Mullertz A, Monkkonen J, O′Driscoll C, Oppers-Tiemissen HM, Ragnarsson EG, Rooseboom M, Ungell AL (2008) Comparison of drug transporter gene expression and functionality in Caco-2 cells from 10 different laboratories. Eur J Pharm Sci 35:383–396
Helms HC, Waagepetersen HS, Nielsen CU, Brodin B (2010) Paracellular tightness and claudin-5 expression is increased in the BCEC/astrocyte blood-brain barrier model by increasing media buffer capacity during growth. AAPS J 12:759–770
Helms HC, Madelung R, Waagepetersen HS, Nielsen CU, Brodin B (2012) In vitro evidence for the brain glutamate efflux hypothesis: brain endothelial cells cocultured with astrocytes display a polarized brain-to-blood transport of glutamate. Glia 60:882–893
Hirano M, Maeda K, Matsushima S, Nozaki Y, Kusuhara H, Sugiyama Y (2005) Involvement of BCRP (ABCG2) in the biliary excretion of pitavastatin. Mol Pharmacol 68:800–807
Ho RH, Leake BF, Roberts RL, Lee W, Kim RB (2004) Ethnicity-dependent polymorphism in Na + -taurocholate cotransporting polypeptide (SLC10A1) reveals a domain critical for bile acid substrate recognition. J Biol Chem 279:7213–7222
Holm R, Kall MA, Frolund S, Nielsen AL, Jensen A, Broberg ML, Nielsen CU (2012) Rectal absorption of vigabatrin, a substrate of the proton coupled amino acid transporter (PAT1, Slc36a1), in rats. Pharm Res 29:1134–1142
Hu YG, Smith DE, Ma K, Jappar D, Thomas W, Hillgren KM (2008) Targeted disruption of peptide transporter Pept1 gene in mice significantly reduces dipeptide absorption in intestine. Mol Pharm 5:1122–1130
Kamal MA, Jiang H, Hu Y, Keep RF, Smith DE (2009) Influence of genetic knockout of Pept2 on the in vivo disposition of endogenous and exogenous carnosine in wild-type and Pept2 null mice. Am J Physiol Regul Integr Comp Physiol 296:R986–R991
Kobayashi Y, Ohshiro N, Sakai R, Ohbayashi M, Kohyama N, Yamamoto T (2005) Transport mechanism and substrate specificity of human organic anion transporter 2 (hOat2 [SLC22A7]). J Pharm Pharmacol 57:573–578
Koenen A, Kock K, Keiser M, Siegmund W, Kroemer HK, Grube M (2012) Steroid hormones specifically modify the activity of organic anion transporting polypeptides. Eur J Pharm Sci 47(4):774–780
Kullak-Ublick GA, Ismair MG, Stieger B, Landmann L, Huber R, Pizzagalli F, Fattinger K, Meier PJ, Hagenbuch B (2001) Organic anion-transporting polypeptide B (OATP-B) and its functional comparison with three other OATPs of human liver. Gastroenterology 120:525–533
Kusuhara H, Furuie H, Inano A, Sunagawa A, Yamada S, Wu C, Fukizawa S, Morimoto N, Ieiri I, Morishita M, Sumita K, Mayahara H, Fujita T, Maeda K, Sugiyama Y (2012) Pharmacokinetic interaction study of sulphasalazine in healthy subjects and the impact of curcumin as an in vivo inhibitor of BCRP. Br J Pharmacol 166:1793–1803
Larsen M, Larsen BB, Frolund B, Nielsen CU (2008) Transport of amino acids and GABA analogues via the human proton-coupled amino acid transporter, hPAT1: Characterization of conditions for affinity and transport experiments in Caco-2 cells. Eur J Pharm Sci 35:86–95
Larsen M, Holm R, Jensen KG, Brodin B, Nielsen CU (2009) Intestinal gaboxadol absorption via PAT1(SLC36A1): modified absorption in vivo following co-administration of L-tryptophan. Br J Pharmacol 157:1380–1389
Larsen M, Holm R, Jensen KG, Sveigaard C, Brodin B, Nielsen CU (2010) 5-Hydroxy-L-tryptophan alters gaboxadol pharmacokinetics in rats: involvement of PAT1 and rOat1 in gaboxadol absorption and elimination. Eur J Pharm Sci 39:68–75
Li J, Wang Y, Zhang W, Huang Y, Hein K, Hildalgo I (2012) The role of a basolateral transporter in rosuvastatin transport and its interplay with apical BCRP in polarized cell monolayer systems. Drug Metab Dispos 40(11):2102–8
Linnet K, Ejsing TB (2008) A review on the impact of P-glycoprotein on the penetration of drugs into the brain. Focus on psychotropic drugs. Eur Neuropsychopharmacol 18:157–169
Lippmann ES, Azarin SM, Kay JE, Nessler RA, Wilson HK, Al-Ahmad A, Palecek SP, Shusta EV (2012) Derivation of blood–brain barrier endothelial cells from human pluripotent stem cells. Nat Biotechnol 30:783–791
Metzner L, Kottra G, Neubert K, Daniel H, Brandsch M (2005) Serotonin, L-tryptophan, and tryptamine are effective inhibitors of the amino acid transport system PAT1. FASEB J 19:1468–1473
Ming X, Knight BM, Thakker DR (2011) Vectorial transport of fexofenadine across Caco-2 cells: involvement of apical uptake and basolateral efflux transporters. Mol Pharm 8:1677–1686
Miyamoto Y, Ganapathy V, Leibach FH (1985) Proton gradient-coupled uphill transport of glycylsarcosine in rabbit renal brush-border membrane vesicles. Biochem Biophys Res Commun 132:946–953
Morrissey KM, Wen CC, Johns SJ, Zhang L, Huang SM, Giacomini KM (2012) The UCSF-FDA TransPortal: a public drug transporter database. Clin Pharmacol Ther 92:545–546
Nielsen CU, Brodin B (2003) Di/tri-peptide transporters as drug delivery targets: regulation of transport under physiological and patho-physiological conditions. Curr Drug Targets 4:373–388
Nielsen CU, Brodin B, Jorgensen FS, Frokjaer S, Steffansen B (2002) Human peptide transporters: therapeutic applications. Expert Opin Ther Pat 12:1329–1350
Nies AT, Jedlitschky G, Konig J, Herold-Mende C, Steiner HH, Schmitt HP, Keppler D (2004) Expression and immunolocalization of the multidrug resistance proteins, MRP1-MRP6 (ABCC1-ABCC6), in human brain. Neuroscience 129:349–360
Noe J, Portmann R, Brun ME, Funk C (2007) Substrate-dependent drug–drug interactions between gemfibrozil, fluvastatin and other organic anion-transporting peptide (OATP) substrates on OATP1B1, OATP2B1, and OATP1B3. Drug Metab Dispos 35:1308–1314
Ocheltree SM, Shen H, Hu Y, Keep RF, Smith DE (2005) Role and relevance of peptide transporter 2 (PEPT2) in the kidney and choroid plexus: in vivo studies with glycylsarcosine in wild-type and PEPT2 knockout mice. J Pharmacol Exp Ther 315:240–247
Ohtsuki S, Terasaki T (2007) Contribution of carrier-mediated transport systems to the blood–brain barrier as a supporting and protecting interface for the brain; importance for CNS drug discovery and development. Pharm Res 24:1745–1758
Patabendige A, Skinner RA, Abbott NJ (2012) Establishment of a simplified in vitro porcine blood–brain barrier model with high transendothelial electrical resistance. Brain Res 1521:1–15
Pillai SM, Meredith D (2010) SLC36A4 (hPAT4) is a high affinity amino acid transporter when expressed in Xenopus laevis oocytes. J Biol Chem 286:2455–2460
Qian YM, Song WC, Cui H, Cole SP, Deeley RG (2001) Glutathione stimulates sulfated estrogen transport by multidrug resistance protein 1. J Biol Chem 276:6404–6411
Roberts LM, Black DS, Raman C, Woodford K, Zhou M, Haggerty JE, Yan AT, Cwirla SE, Grindstaff KK (2008) Subcellular localization of transporters along the rat blood–brain barrier and blood-cerebral-spinal fluid barrier by in vivo biotinylation. Neuroscience 155:423–438
Rolsted K, Rapin N, Steffansen B (2011) Simulating kinetic parameters in transporter mediated permeability across Caco-2 cells. A case study of estrone-3-sulfate. Eur J Pharm Sci 44:218–226
Sai Y, Kaneko Y, Ito S, Mitsuoka K, Kato Y, Tamai I, Artursson P, Tsuji A (2006) Predominant contribution of organic anion transporting polypeptide OATP-B (OATP2B1) to apical uptake of estrone-3-sulfate by human intestinal Caco-2 cells. Drug Metab Dispos 34:1423–1431
Schinkel AH, Smit JJ, van TO, Beijnen JH, Wagenaar E, van DL, Mol CA, van der Valk MA, Robanus-Maandag EC, te Riele HP (1994) Disruption of the mouse mdr1a P-glycoprotein gene leads to a deficiency in the blood–brain barrier and to increased sensitivity to drugs. Cell 77:491–502
Seward DJ, Koh AS, Boyer JL, Ballatori N (2003) Functional complementation between a novel mammalian polygenic transport complex and an evolutionarily ancient organic solute transporter, OSTalpha-OSTbeta. J Biol Chem 278:27473–27482
Shen H, Ocheltree SM, Hu Y, Keep RF, Smith DE (2007) Impact of genetic knockout of PEPT2 on cefadroxil pharmacokinetics, renal tubular reabsorption, and brain penetration in mice. Drug Metab Dispos 35:1209–1216
Shin HJ, Anzai N, Enomoto A, He X (2007) d.K. Kim, H. Endou, and Y. Kanai. Novel liver-specific organic anion transporter OAT7 that operates the exchange of sulfate conjugates for short chain fatty acid butyrate. Hepatology 45:1046–1055
Smith DE, Pavlova A, Berger UV, Hediger MA, Yang T, Huang YG, Schnermann JB (1998) Tubular localization and tissue distribution of peptide transporters in rat kidney. Pharm Res 15:1244–1249
Spears KJ, Ross J, Stenhouse A, Ward CJ, Goh LB, Wolf CR, Morgan P, Ayrton A, Friedberg TH (2005) Directional trans-epithelial transport of organic anions in porcine LLC-PK1 cells that co-express human OATP1B1 (OATP-C) and MRP2. Biochem Pharmacol 69:415–423
Suzuki M, Suzuki H, Sugimoto Y, Sugiyama Y (2003) ABCG2 transports sulfated conjugates of steroids and xenobiotics. J Biol Chem 278:22644–22649
Tamai I, Nezu J-I, Uchino H, Sai Y, Oku A, Shimane M, Tsuji A (2000) Molecular identification and characterization of novel members of the human organic anion transporter (OATP) family. Biochem Biophys Res Commun 273(1):251–260
Tanaka Y, Abe Y, Tsugu A, Takamiya Y, Akatsuka A, Tsuruo T, Yamazaki H, Ueyama Y, Sato O, Tamaoki N (1994) Ultrastructural localization of P-glycoprotein on capillary endothelial cells in human gliomas. Virchows Arch 425:133–138
Tanihara Y, Masuda S, Sato T, Katsura T, Ogawa O, Inui K (2007) Substrate specificity of MATE1 and MATE2-K, human multidrug and toxin extrusions/H(+)-organic cation antiporters. Biochem Pharmacol 74:359–371
Thwaites DT, Anderson CM (2007) H + -coupled nutrient, micronutrient and drug transporters in the mammalian small intestine. Exp Physiol 92:603–619
Thwaites DT, Anderson CM (2011) The SLC36 family of proton-coupled amino acid transporters and their potential role in drug transport. Br J Pharmacol 164:1802–1816
Uchida Y, Ohtsuki S, Katsukura Y, Ikeda C, Suzuki T, Kamiie J, Terasaki T (2011) Quantitative targeted absolute proteomics of human blood-brain barrier transporters and receptors. J Neurochem 117:333–345
Uhernik AL, Tucker C, Smith JP (2011) Control of MCT1 function in cerebrovascular endothelial cells by intracellular pH. Brain Res 1376:10–22
Vanslambrouck JM, Broer A, Thavyogarajah T, Holst J, Bailey CG, Broer S, Rasko JE (2010) Renal imino acid and glycine transport system ontogeny and involvement in developmental iminoglycinuria. Biochem J 428:397–407
Varma MV, Rotter CJ, Chupka J, Whalen KM, Duignan DB, Feng B, Litchfield J, Goosen TC, El-Kattan AF (2011) pH-sensitive interaction of HMG-CoA reductase inhibitors (statins) with organic anion transporting polypeptide 2B1. Mol Pharm 8:1303–1313
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Copyright information
© 2013 Springer Science+Business Media New York
About this chapter
Cite this chapter
Steffansen, B., Nielsen, C.U., Brodin, B. (2013). Membrane Transporters in ADME. In: Sugiyama, Y., Steffansen, B. (eds) Transporters in Drug Development. AAPS Advances in the Pharmaceutical Sciences Series, vol 7. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-8229-1_1
Download citation
DOI: https://doi.org/10.1007/978-1-4614-8229-1_1
Published:
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4614-8228-4
Online ISBN: 978-1-4614-8229-1
eBook Packages: Biomedical and Life SciencesBiomedical and Life Sciences (R0)