Characterization of cytochrome P450 (CYP) 2D6 drugs as substrates of human organic cation transporters and multidrug and toxin extrusion proteins

نویسندگان

چکیده

Background and Purpose The metabolic activity of cytochrome P450 (CYP) 2D6 is highly variable CYP2D6 genotypes insufficiently explain the extensive intermediate phenotypes, limiting prediction drug response plus adverse reactions. Since prototypic substrates are positively charged, aim this study was to evaluate organic cation transporters (OCTs) multidrug toxin extrusion proteins (MATEs) as potential contributors variability hydroxylation debrisoquine, dextromethorphan, diphenhydramine, perhexiline sparteine. Experimental Approach OCT1/ SLC22A1 ‐, OCT2/ SLC22A2 OCT3/ SLC22A3 MATE1/ SLC47A1 MATE2K/ SLC47A2 ‐overexpressing cell lines were used investigate transport selected drugs. Individuals from a cohort, well defined with respect genotype sparteine pharmacokinetics, genotyped for common OCT1 variants rs12208357 (OCT1‐R61C), rs34130495 (OCT1‐G401S), rs202220802 (OCT1‐Met420del), rs34059508 (OCT1‐G465R), OCT2 variant rs316019 (OCT2‐A270S) MATE1 rs2289669. Sparteine pharmacokinetics stratified according , or genotype. Key Results OCTs debrisoquine high affinity in vitro, but OCT‐ MATE1‐dependent diphenhydramine not detected. depends on genotype; however, independent Conclusions Implications Some drugs that also MATE1, suggesting overlapping specificities. Variability metabolizers cannot be explained by genetic indicating presence other factors. Dose‐dependent toxicities appear MATEs.

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ژورنال

عنوان ژورنال: British Journal of Pharmacology

سال: 2021

ISSN: ['0007-1188', '1476-5381']

DOI: https://doi.org/10.1111/bph.15370