Dmd049148 754..762

نویسندگان

  • Jens P. Bankstahl
  • Marion Bankstahl
  • Kerstin Römermann
  • Thomas Wanek
  • Johann Stanek
  • Albert D. Windhorst
  • Maren Fedrowitz
  • Thomas Erker
  • Markus Müller
  • Wolfgang Löscher
  • Oliver Langer
  • Claudia Kuntner
چکیده

Elacridar (ELC) and tariquidar (TQD) are generally thought to be nontransported inhibitors of P-glycoprotein (Pgp) and breast cancer resistance protein (BCRP), but recent data indicate that they may also be substrates of these multidrug transporters (MDTs). The present study was designed to investigate potential transport of ELC and TQD by MDTs at the blood-brain barrier at tracer doses as used in positron emission tomography (PET) studies. We performed PET scans with carbon-11-labeled ELC and TQD before and after MDT inhibition in wild-type and transporterknockout mice as well as in in vitro transport assays in MDToverexpressing cells. Brain entrance of [C]ELC and [C]TQD administered in nanomolar tracer doses was found to be limited by Pgpand Bcrp1-mediated efflux at the mouse blood-brain barrier. At higher, MDT-inhibitory doses, i.e., 15 mg/kg for TQD and 5 mg/kg for ELC, brain activity uptake of [C]ELC at 25 minutes after tracer injection was 5.8 6 0.3, 2.1 6 0.2, and 7.5 6 1.0-fold higher in wild-type, Mdr1a/b, and Bcrp1 mice, respectively, but remained unchanged in Mdr1a/bBcrp1 mice. Activity uptake of [C]TQD was 2.8 6 0.2 and 6.8 6 0.4-fold higher in wild-type and Bcrp1 mice, but remained unchanged in Mdr1a/b and Mdr1a/bBcrp1 mice. Consistent with the in vivo findings, in vitro uptake assays in Pgpand Bcrp1-overexpressing cell lines confirmed low intracellular accumulation of ELC and TQD at nanomolar concentrations and increased uptake at micromolar concentrations. As this study shows that microdoses can behave pharmacokinetically differently fromMDT-inhibitory doses if a compound interacts with MDTs, conclusions from microdose studies should be drawn carefully.

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تاریخ انتشار 2013