摘要
目的 介绍肾、肝及肠道等器官上分布的药物转运体,阐述相关转运体在药物排泄过程中的作用及基于转运体影响药物排泄的各种因素。方法 查阅转运体与药物排泄的相关文献。结果 药物转运体与药物在体内的排泄密切相关;疾病、性别及种属等多种因素能够影响药物转运体的表达及其底物药物的排泄。结论 深入了解药物排泄中转运体的作用机制,对防范临床联合用药的风险具有重要意义。
关键词
药物转运体 /
排泄 /
肾 /
肝胆 /
肠道
{{custom_keyword}} /
马莉*,饶志,武新安*.
药物转运体在药物排泄中的作用[J]. 中国药学杂志, 2013, 48(8): 582-586 https://doi.org/10.11669/cpj.2013.08.002
中图分类号:
R969.1
{{custom_clc.code}}
({{custom_clc.text}})
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
参考文献
[1] FROMM M F, KIM R B. Drug Transporters. Erlangen:Springer Verlag Berlin Heidelberg, 2011:5.
[2] HE X, WU W H, OUYANG D S, et al. Progress in transporters of ABCC2. Chin Pharm J(中国药学杂志), 2007, 42(23):1764-1767.
[3] MAXEREEUW R, RUSSEL F. Screening for the role of transporters in hepatic and renal drug handling . Drug Discov Today, 2004, 1(4):357-364.
[4] SHITARA Y, HORIEA T, SUGIYAMA Y. Transporters as a determinant of drug clearance and tissue distribution . Eur J Pharm Sci, 2006, 27(5):425-446.
[5] SEKINE T, WATANABE N, HOSOYAMADA M, et al. Expression cloning and characterization of a novel multispecific organic anion transporter . J Biol Chem, 1997, 272(30):18526-18529.
[6] SWEET D H, WOLFF N A, PRITCHARD J B. Expression cloning and characteri-zation of rOAT1. The basolateral organic anion transporter in rat kidney . J Biol Chem, 1997, 272(48):30088-30095.
[7] KOJIMA R, SEKINE T, KAWACHI M, et al. Immunolocalization of multispecific organic anion transporters, OAT1, OAT2, and OAT3, in rat kidney . J Am Soc Nephrol, 2002, 13(4):848-857.
[8] SEKINE T, CHA S H, TSUDA M,et al. Identification of multispecific organic anion transporter 2 expressed predominantly in the liver. Febs Lett,1998,429(2):179-182.
[9] MINEMATSU T, HASHIMOTO T, AOKI T, et al. Role of organic anion trans-porters in the pharmacokinetics of zonampanel, an alpha-amino-3-hydroxy-5-methylisoxazole-4-propionate receptor antagonist, in rats . Drug Metab Dispos, 2008, 36(8):1496-1504.
HAN Y H, BUSLER D, HONG Y, et al. Transporter studies with the 3-O-sulfate-conjugate of 17 alpha-ethinylestradiolAssessment of human kidney drug transpor-ters . Drug Metab Dispos, 2010, 38(7):1064-1071.
MEYER Z U, SCHWABEDISSEN H E, KIM R B. Hepatic OATP1B transporters and nuclear receptors PXR and CARInterplay, regulation of drug disposition genes, and single nucleotide polymorphisms . Mol Pharm, 2009, 6(6):1644-1661.
SEKINE T, MIYAZAKI H, ENDOU H. Molecular physiology of renal organic anion transporters . Am J Physiol Renal Physiol, 2006, 290(2):251-261.
HIRANO M, MAEDA K, SHITARA Y, et al. Contribution of OATP2(OATP1B1) and OATP8(OATP1B3) to the hepatic uptake of pitavastatin in humans . J Pharmacol Exp Ther, 2004, 311(1):139-146.
YAMASHIRO W, MAEDA K, HIROUCHI M, et al. Involvement of transporters in the hepatic uptake and biliary excretion of valsartan, a selective antagonist of the angiotensin Ⅱ AT 1-receptor, in humans . Drug Metab Dispos, 2006, 34(7):1247-1254.
GRUNDEMANN D, GORBOULEV V, GAMBARYAN S, et al. Drug excretion mediated by a new prototype of polyspecific transporter . Nature, 1994, 372(6505):549-552.
STEPHEN H. Role of organic cation transporters in the renal handling of therapeutic agents and xenobiotics . Toxicol Appl Pharm, 2005, 204(3):309-319.
KATHLEEN M, GIACOMINI, SHIEW M H, et al. Membrane transporters in drug development . Nat Rev Drug Discov, 2010, 9(3):215-236.
TOMOKO N F, DAVID R. Renal excretion of emtricitabine IEffects of orga-nic anion, organic cation, and nucleoside transport inhibitors on emtricitabine excretion . J Pharm Sci, 2008, 97(12):5401-5410.
FUNK C, PONELLE C, SCHEUERMANN G, et al. Cholestatic potential of troglitazone as a possible factor contributing to troglitazone-induced hepatotoxi-cityIn vivo and in vitro interaction at the canalicular bile salt export pump(Bsep) in the rat. Mol Pharmacol, 2001, 59(3):627-635.
FATTINGER K, FUNK C, PANTZE M, et al. The endothelin antagonist bosentan inhibits the canalicular bile salt export pumpA potential mechanism for hepatic adverse reactions. Clin Pharmacol Ther, 2001, 69(4):223-231.
MILNE R W, LARSEN L A, JORGENSEN K L,et al. Hepatic disposition of fex-ofenadine:influence of the transport inhibitors erythromycin and dibromosulpho-thalein . Pharm Res, 2000, 17(12):1511-1515.
SPEEG K V, MALDONAD A L. Effect of the nonimmunosuppressive cycolspo-rin analog SDZ PSC-833 on colchicines and doxorubicin biliary secretion by the rat in vivo . Cancer Chemother Pharmacol, 1994, 34(2):133-136.
BARDELMEIJER H A, OUWEHAND M, BEIJNEN J H,et al. Efficacy of novel p-glycoprotein inhibitors to increase the oral uptake of paclitaxel in mice . Invest New Drugs, 2004, 22(3):219-229.
ZUYLEN L V, VERWEIJ J, NOOTER K. Role of intestinal P-glycoprotein in the plasma and fecal disposition of docetaxel in humans . Clin Cancer Res, 2000, 6:2598-2603.
JAGER W, GEHRING E, HAGENAUER B,et al. Biliary excretion of flavopiri-dol and its glucuronides in the isolated perfused rat liverRole of multidrug resistance protein 2(Mrp2) . Life Sci, 2003, 73(2):2841-2854.
HASEGAWA M, KUSUHARA H, ADACHI M, et al. Multidrug resistance-associated protein 4 is involved in the urinary excretion of hydrochlorothiazide and furosemide . J Am Soc Nephrol, 2007, 18(1):37-45.
IEIRI I, HIGUCHI S, SUGIYAMA Y. Genetic polymorphisms of uptake(OATP1 B1, 1B3) and efflux (MRP2, BCRP) transportersImplications fornter-individual differences in the pharmacokinetics and pharmacodynamics of statins and other clinically relevant drugs . Expert Opin Drug Metab Toxicol, 2009, 5(7):703-729.
FRANKE R M, SCHERKENBACH L A, SPARREBOOM A. Pharmacogenetics of the organic anion transporting polypeptide 1A2 . Pharmacogenomics, 2009, 10(3):339-344.
NISHIZATO Y, IEIRI I, SUZUKI H, et al. Polymorphisms of OATP-C(SLC21A6) and OAT3(SLC22A8) genesConsequences for pravastatin pharmacokinetics . Clin Pharmacol Ther, 2003, 73(6):554-565.
HORIKAWA M, KATO Y, TYSON C A, et al. The potential for an interaction between MRP2 (ABCC2) and various therapeutic agentsProbenecid as a candidate inhibitor of the biliary excretion of irinotecan metabolites . Drug Metab Pharmacokinet, 2002, 17(1):23-33.
BAUER L A, HORN J R, PETTIT H. Mixed-effect modeling for detection and evaluation of drug interactionsDigoxin-quinidine and digoxin-verapamil combi-nations . Ther Drug Monit, 1996, 18(1):46-52.
KODAWARA T, YANO I,MASUDA S, et al. Interaction of azole antifungal agents with human P-glycoprotein expressed in a kidney epithelial cell line, LLC-PK1 . Xenobiol Metabol Dispos, 2001, 16(1):5-11.
AYRTON A, MORGAN P. Role of transport proteins in drug absorption, distribution and excretion . Xenobiotica, 2001, 31(8-9):469-497.
SAKURAI Y, MOTOHASHI H, UEO H, et al. Expression levels of renal organic anion transporters(OATs) and their correlation with anionic drug excretion in patients with renal diseases . Pharm Res, 2004, 21(1):61-67.
ANABEL B, VILLAR S R, PICENA J C, et al. Expression of rat renal corti-cal OAT1 and OAT3 in response to acute biliary obstruction . Hepatology, 2006, 43(5):1092-1100.
BRCAKOVA E, FUKSA L, CERMANOVA J, et al. Alteration of methotrexate biliary and renal elimination during extrahepatic and intrahepatic cholestasis in rats . Biol Pharm Bull, 2009,32(12):1978-1985.
URAKAMI Y, NAKAMURA N, TAKAHASHI K, et al. Gender differences in expression of organic cation transporter OCT2 in rat kidney . FEBS Lett, 1999, 461(3):339-342.
MORRIS M E, LEE H J, PREDKO L M. Gender differences in the membrane transporter of endogenous and exogenous compounds . Pharmacol Rev, 2003, 55(2):229-240.
MERINO G, VAN HERWAARDEN A E, WAGENAAR E, et al. Sex dependent expression and activity of the ATP binding cassette transporter breast cancer resistance protein(BCRP/ABCG2) in liver. Mol Pharmacol, 2005, 67(5):1765-1771.
PAHLMAN I, ANDERSSON S, GUNNARSSON K, et al. Extensive biliary excretion of the sulfasalazine analogue, susalimod, but different concentrations in various animal species correlating to species-specific hepatobiliary toxicity . Pharmacol Toxicol, 1999, 85(5):123-129.
LAVE T, PORTMANN R, SCHENKER G, et al. Inter-species pharmacokinetic comparisons and allometric scaling of napsagatran, a low molecular weight thro-mbin inhibitor . J Pharm Pharmacol, 1999, 51(1):85-91.
KELLY A R, VSEVOLOD K, JASMINDER S. Hepatobiliary disposition in pri-mary cultures of dog and monkey hepatocytes . Mol Pharm, 2006, 3(3):266-274.
{{custom_fnGroup.title_cn}}
脚注
{{custom_fn.content}}