Literature DB >> 19918100

P-glycoprotein, multidrug resistance-associated proteins and human organic anion transporting polypeptide influence the intracellular accumulation of atazanavir.

Omar Janneh1, Tariq Anwar, Christof Jungbauer, Stefan Kopp, Saye H Khoo, David J Back, Peter Chiba.   

Abstract

BACKGROUND: Drug efflux (for example, P-glycoprotein [P-gp], multidrug resistance-associated proteins [MRPs] and breast cancer resistance protein [BCRP]) and influx (for example, human organic anion transporting polypeptide [hOCTP] or human organic anion transporting polypeptide [hOATP]) transporters alter the cellular concentrations of some HIV protease inhibitors (HPIs). Here, we studied the lipophilicity and uptake of [(3)H]-atazanavir (ATV) in CEM (parental), CEM(VBL) (P-gp-overexpressing), CEM(E1000) (MRP1-overexpressing) and peripheral blood mononuclear cells (PBMCs), and evaluate the effects of modulators of drug transporters on uptake.
METHODS: Lipophilicity was measured by octanol/saline partition method. The influence of influx/efflux transporters on uptake was evaluated in the absence and presence of inhibitors of P-gp (GPV031), P-gp/BCRP (tariquidar and GF120918), P-gp/MRP1 (dipyridamole and daidzein), MRP1/2 (frusemide and genistein), hOATP/hOCTP (estrone-3-sulfate [E-3-S]) and hOATP/hOCTP/MRP (probenecid). The effects of a number of HPIs on uptake were also evaluated. Data from digitonin permeabilized cells allowed the evaluation of the contribution of cellular binding to total drug uptake, whereas the inhibitory effect of ATV on P-gp was assessed by daunomycin efflux/uptake assays.
RESULTS: [(3)H]-ATV is lipophilic and accumulates in the cultured cells as follows: CEM>CEM(E1000)>CEM(VBL). Tariquidar, GF120918 and daidzein significantly increased the uptake of [(3)H]-ATV in the cultured cells. By contrast, only daidzein and tipranavir significantly increased uptake in PBMCs, with tariquidar and frusemide devoid of effects, whereas dipyridamole, E-3-S, GPV031 and genistein significantly decreased accumulation. ATV inhibits P-gp activity; manipulation of uptake with digitonin suggests binding of [(3)H]-ATV to P-gp.
CONCLUSIONS: [(3)H]-ATV is lipophilic, a P-gp, MRP and hOATP substrate and an inhibitor of P-gp. Concomitant administration of ATV with drugs and dietary components (for example, daidzein and genistein) that interact with these transporters could alter its pharmacokinetics.

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Year:  2009        PMID: 19918100     DOI: 10.3851/IMP1399

Source DB:  PubMed          Journal:  Antivir Ther        ISSN: 1359-6535


  14 in total

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Journal:  Antimicrob Agents Chemother       Date:  2010-10-04       Impact factor: 5.191

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5.  Role of drug efflux and uptake transporters in atazanavir intestinal permeability and drug-drug interactions.

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6.  In Vitro and In Situ evaluation of pH-dependence of atazanavir intestinal permeability and interactions with acid-reducing agents.

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7.  Cerebrospinal fluid concentrations of tenofovir and emtricitabine in the setting of HIV-1 protease inhibitor-based regimens.

Authors:  Cecile D Lahiri; Kedria Reed-Walker; Anandi N Sheth; Edward P Acosta; Aswani Vunnava; Ighovwerha Ofotokun
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8.  Effect of the African Traditional Medicine, Sutherlandia frutescens, on the Bioavailability of the Antiretroviral Protease Inhibitor, Atazanavir.

Authors:  Adrienne C Müller; Michael F Skinner; Isadore Kanfer
Journal:  Evid Based Complement Alternat Med       Date:  2013-12-12       Impact factor: 2.629

9.  Tenofovir/emtricitabine metabolites and endogenous nucleotide exposures are associated with p16(INK4a) expression in subjects on combination therapy.

Authors:  Julie B Dumond; Owen Francis; Mackenzie Cottrell; Christine Trezza; Heather Ma Prince; Katie Mollan; Craig Sykes; Chad Torrice; Nicole White; Stephanie Malone; Ruili Wang; Cornelius Van Dam; Kristine B Patterson; Michael G Hudgens; Norman E Sharpless; Alan Forrest
Journal:  Antivir Ther       Date:  2016-01-05

10.  A potential daidzein derivative enhances cytotoxicity of epirubicin on human colon adenocarcinoma Caco-2 cells.

Authors:  Yu-Li Lo
Journal:  Int J Mol Sci       Date:  2012-12-21       Impact factor: 5.923

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