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Impact of transporter-mediated drug absorption, distribution, elimination and drug interactions in antimicrobial chemotherapy

  • REVIEW ARTICLE
  • Published:
Journal of Infection and Chemotherapy

Abstract

A comprehensive list of drug transporters has recently become available as a result of extensive genome analysis. Membrane transporters play important roles in determining the pharmacokinetic aspects of intestinal absorption, tissue distribution, and the urinary and biliary excretions of a wide variety of therapeutic drugs. The identification and characterization of transporters responsible for the transfer of nutrients and xenobiotics, including drugs, is expected to provide a scientific basis for understanding drug disposition, as well as the molecular mechanisms of drug–drug/drug–food/drug–protein interactions and inter-individual/inter-species differences. This review focuses on the influence of transporters on the pharmacokinetics of β-lactam antibiotics, new quinolones, and other antimicrobial agents, as well as focusing on the drug–drug interactions associated with transporter-mediated uptake from the small intestine and transporter-mediated elimination from the kidney and liver.

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References

  1. Y Shitara T Horie Y Sugiyama (2006) ArticleTitleTransporters as determinant of drug clearance and tissue distribution Eur J Pharm Sci 27 425–46 Occurrence Handle16488580 Occurrence Handle1:CAS:528:DC%2BD28Xit1Chtrc%3D Occurrence Handle10.1016/j.ejps.2005.12.003

    Article  PubMed  CAS  Google Scholar 

  2. H Daniel (2004) ArticleTitleMolecular and integrative physiology of intestinal peptide transport Ann Rev Physiol 66 361–84 Occurrence Handle1:CAS:528:DC%2BD2cXjt1emtrk%3D Occurrence Handle10.1146/annurev.physiol.66.032102.144149

    Article  CAS  Google Scholar 

  3. A Tsuji I Tamai (1996) ArticleTitleCarrier-mediated intestinal transport of drugs Pharm Res 13 963–77 Occurrence Handle8842032 Occurrence Handle1:CAS:528:DyaK28Xks1Srur0%3D Occurrence Handle10.1023/A:1016086003070

    Article  PubMed  CAS  Google Scholar 

  4. T Terada K Inui (2004) ArticleTitlePeptide transporters: structure, functions, regulation and application for drug delivery Curr Drug Metab 5 85–94 Occurrence Handle14965252 Occurrence Handle1:CAS:528:DC%2BD2cXhvVCisLk%3D Occurrence Handle10.2174/1389200043489153

    Article  PubMed  CAS  Google Scholar 

  5. TM Garrigues T Martin JE Peris-Ribera LF Prescott (1991) ArticleTitleDose-dependent absorption and elimination of cefadroxil in man Eur J Clin Pharmacol 29 495–502

    Google Scholar 

  6. B Bretschneider M Brandsch R Neubert (1999) ArticleTitleIntestinal transport of β-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 Occurrence Handle9950279 Occurrence Handle1:CAS:528:DyaK1MXmtlGmsQ%3D%3D Occurrence Handle10.1023/A:1018814627484

    Article  PubMed  CAS  Google Scholar 

  7. I Tamai K Nakanishi K Hayashi T Terao Y Sai T Shigara et al. (1997) ArticleTitleThe predominant contribution of oligopeptide transporter PepT1 to intestinal absorption of β-lactam antibiotics in rat small intestine J Pharm Pharmacol 49 796–801 Occurrence Handle9379359 Occurrence Handle1:CAS:528:DyaK2sXmt1WqsLg%3D

    PubMed  CAS  Google Scholar 

  8. T Nozawa H Toyobuku D Kobayashi K Kuruma A Tsuji (2003) ArticleTitleEnhanced intestinal absorption of drugs by activation of peptide transporter PEPT1 using proton-releasing polymer J Pharm Sci 92 2208–16 Occurrence Handle14603506 Occurrence Handle1:CAS:528:DC%2BD3sXovFCrs7s%3D Occurrence Handle10.1002/jps.10491

    Article  PubMed  CAS  Google Scholar 

  9. JF Westphal JH Trouvin A Deslandes C Carbon (1990) ArticleTitleNifedipine enhances amoxycillin absorption kinetics and bioavailability in humans J Pharmacol Exp Ther 255 312–17 Occurrence Handle2213563 Occurrence Handle1:CAS:528:DyaK3cXmt1Cit74%3D

    PubMed  CAS  Google Scholar 

  10. M Irie T Terada M Okuda K Inui (2004) ArticleTitleEfflux properties of basolateral peptide transporter in human intestinal cell line Caco-2 Pflugers Arch 449 186–94 Occurrence Handle15340850 Occurrence Handle1:CAS:528:DC%2BD2cXhtVejurvO Occurrence Handle10.1007/s00424-004-1326-x

    Article  PubMed  CAS  Google Scholar 

  11. V Launay-Vacher H Izzedine S Karie JS Hulot A Baumelou G Deray (2006) ArticleTitleRenal tubular drug transporters Nephron Physiol 103 97–106 Occurrence Handle10.1159/000092212 Occurrence Handle1:CAS:528:DC%2BD28XmtVaku78%3D

    Article  CAS  Google Scholar 

  12. KJ Ullrich G Rumurich S Kloss (1989) ArticleTitleContraluminal organic anion and cation transport in the proximal renal tubule: V. interaction with sulfamoyl and phenoxy diuretics and β-lactam antibiotics Kidney Int 36 78–88 Occurrence Handle2811057 Occurrence Handle1:CAS:528:DyaL1MXkvV2ku7c%3D

    PubMed  CAS  Google Scholar 

  13. A Tsuji T Terasaki I Tamai K Takeda (1990) ArticleTitleIn vivo evidence for carrier-mediated uptake of β-lactam antibiotics through organic anion transport systems in rat kidney and liver J Pharmacol Exp Ther 253 315–30 Occurrence Handle2329514 Occurrence Handle1:CAS:528:DyaK3cXktVSisbs%3D

    PubMed  CAS  Google Scholar 

  14. BM Tune (1975) ArticleTitleRelationship between the transport and toxicity of cephalosporins in the kidney J Infect Dis 132 189–94 Occurrence Handle1159324 Occurrence Handle1:CAS:528:DyaE2MXlt1Kgsb4%3D

    PubMed  CAS  Google Scholar 

  15. T Sekine N Watanabe M Hosoyamada Y Kanai H Endou (1997) ArticleTitleExpression cloning and characterization of a novel multispecific organic anion transporter J Biol Chem 277 18 526–29

    Google Scholar 

  16. SH Cha T Sekine JI Fukushima Y Kanai Y Kobayashi T Goya H Endou (2001) ArticleTitleIdentification and characterization of human organic anion transporter 3 expressing predominantly in the kidney Mol Pharmacol 59 1277–86 Occurrence Handle11306713 Occurrence Handle1:CAS:528:DC%2BD3MXjt1aqtbo%3D

    PubMed  CAS  Google Scholar 

  17. T Sekine SH Cha H Endou (2000) ArticleTitleThe multispecific organic anion (AAT) family Pflugers Arch 440 337–50 Occurrence Handle10954321 Occurrence Handle1:CAS:528:DC%2BD3cXjvFCgtbg%3D Occurrence Handle10.1007/s004240000297

    Article  PubMed  CAS  Google Scholar 

  18. S Jariyawat T Sekine M Takeda N Apiwattanakul Y Kanai S Sophasan et al. (1999) ArticleTitleThe interaction and transport of beta-lactam antibiotics with the cloned rat renal organic anion transporter 1 J Pharmacol Exp Ther 290 672–77 Occurrence Handle10411577 Occurrence Handle1:CAS:528:DyaK1MXkvVKns7w%3D

    PubMed  CAS  Google Scholar 

  19. Y Uwai H Saito K Inui (2002) ArticleTitleRat renal organic anion transporter rOAT1 mediates transport of urinary-excreted cephalosporins, but not of biliary-excreted cefoperazone Drug Metabol Pharmacokin 17 125–9 Occurrence Handle1:CAS:528:DC%2BD38XlvVCks7w%3D Occurrence Handle10.2133/dmpk.17.125

    Article  CAS  Google Scholar 

  20. Y Sakurai H Motohashi K Ogasawara T Terada S Masuda T Katsutra et al. (2005) ArticleTitlePharmacokinetic significance of renal OAT3 (SLC22A8) for anionic drug elimination in patients with mesangial proliferative glomerulonephritis Pharm Res 22 21 016–22 Occurrence Handle10.1007/s11095-005-8383-5 Occurrence Handle1:CAS:528:DC%2BD2MXhtlemtbnE

    Article  CAS  Google Scholar 

  21. H Ueo H Motohashi T Katsura K Inui (2005) ArticleTitleHuman organic anion transporter hOAT3 is a potent transporter of cephalosporin antibiotics, in comparison with hOAT1 Biochem Pharmacol 70 1104–13 Occurrence Handle16098483 Occurrence Handle1:CAS:528:DC%2BD2MXpvFegsrc%3D Occurrence Handle10.1016/j.bcp.2005.06.024

    Article  PubMed  CAS  Google Scholar 

  22. SH Cha T Sekine H Kusuhara E Yu JY Kim DK Kim et al. (2000) ArticleTitleMolecular cloning and characterization of multispecific organic anion transporter 4 expressed in the placenta J Biol Chem 275 4507–12 Occurrence Handle10660625 Occurrence Handle1:CAS:528:DC%2BD3cXht12ns74%3D Occurrence Handle10.1074/jbc.275.6.4507

    Article  PubMed  CAS  Google Scholar 

  23. FD Laouari R Yang C Veau I Blanke G Friedlander (2001) ArticleTitleTwo apical multidrug transporters, P-gp and MRP2, are differently altered in chronic renal failure Am J Physiol 280 F636–F45 Occurrence Handle1:CAS:528:DC%2BD3MXjtV2gsrw%3D

    CAS  Google Scholar 

  24. RA Van Aubel PHE Smeets JG Peters RJM Bindels FG Russel (2002) ArticleTitleThe MRP4/ABCC4 gene encodes a novel apical organic anion transporter in human kidney proximal tubules: putative efflux pump for urinary cAMP and cGMP J Am Soc Nephrol 13 595–603 Occurrence Handle11856762 Occurrence Handle1:CAS:528:DC%2BD38Xit1Wrtrg%3D

    PubMed  CAS  Google Scholar 

  25. P Jutabha Y Kanai M Hosoyamada A Chairoungdua DK Kim Y Iribe et al. (2003) ArticleTitleIdentification of a novel voltage-driven organic anion transporter present at apical membrane of renal proximal tubule J Biol Chem 278 279430–8 Occurrence Handle10.1074/jbc.M303210200 Occurrence Handle1:CAS:528:DC%2BD3sXlsFKku74%3D

    Article  CAS  Google Scholar 

  26. S Ekaratanawong N Anzai P Jutabha H Miyazaki R Noshiro M Takeda et al. (2004) ArticleTitleHuman organic anion transporter 4 is a renal apical organic anion/dicarboxylate exchanger in the proximal tubules J Pharmacol Sci 94 297–304 Occurrence Handle15037815 Occurrence Handle1:CAS:528:DC%2BD2cXislCnu78%3D Occurrence Handle10.1254/jphs.94.297

    Article  PubMed  CAS  Google Scholar 

  27. H Uchino I Tamai H Yabuuchi K China K Miyamoto E Takeda et al. (2000) ArticleTitleFaropenem transport across the renal epithelial luminal membrane via inorganic phosphate transporter Npt1 Antimicrob Agents Chemother 44 574–7 Occurrence Handle10681320 Occurrence Handle1:CAS:528:DC%2BD3cXhsVGhur4%3D Occurrence Handle10.1128/AAC.44.3.574-577.2000

    Article  PubMed  CAS  Google Scholar 

  28. H Uchino I Tamai K Yamashita Y Minemoto Y Sai H Yabuuchi et al. (2000) ArticleTitleP-Aminohippuric acid transport at renal membrane mediated by human inorganic phosphate transporter NPT1 Biochem Biophys Res Commun 270 254–9 Occurrence Handle10733936 Occurrence Handle1:CAS:528:DC%2BD3cXhvFClsrw%3D Occurrence Handle10.1006/bbrc.2000.2407

    Article  PubMed  CAS  Google Scholar 

  29. I Leier J Hummel-Eisenbeiss T Chi D Keppler (2000) ArticleTitleATP-dependent para-aminohippurate transport by apical multidrug resistance protein MRP2 Kidney Int 57 1636–42 Occurrence Handle10760098 Occurrence Handle1:CAS:528:DC%2BD3cXjtVOrtb8%3D Occurrence Handle10.1046/j.1523-1755.2000.00007.x

    Article  PubMed  CAS  Google Scholar 

  30. PAMH van Aubel JGP Peters R Masereeuw CH Van Os GM Russel (2000) ArticleTitleMultidrug resistance protein Mrp2 mediates ATP-dependent transport of classical renal organic anion p-aminohippurate Am J Physiol Renal Physiol 279 F713–7 Occurrence Handle10997921 Occurrence Handle1:CAS:528:DC%2BD3cXns1egu7g%3D

    PubMed  CAS  Google Scholar 

  31. I Muraoka T Hasegawa M Nadai L Wang S Haghgoo O Tagawa et al. (1995) ArticleTitleBiliary and renal excretion of cefpiramide in Eisai hyperbilirubinemic rats Antimicrob Agents Chemother 39 70–4 Occurrence Handle7695332 Occurrence Handle1:CAS:528:DyaK2MXislKks70%3D

    PubMed  CAS  Google Scholar 

  32. S Ramamoorthy W Liu YY Ma TL Yang-Feng V Ganapathy FH Leibach (1995) ArticleTitleProton/peptide cotransporter (PEPT2) from human kidney: functional characterization and chromosomal localization Biochim Biophys Acta 1240 1–4 Occurrence Handle7495840 Occurrence Handle10.1016/0005-2736(95)00178-7

    Article  PubMed  Google Scholar 

  33. P Luckner M Brandsch (2005) ArticleTitleInteraction of 31 β-lactam antibiotics with the H+/peptide symporter PEPT2: analysis of affinity constants and comparison with PEPT1 Eur J Pharm Biopharm 59 17–24 Occurrence Handle15567297 Occurrence Handle1:CAS:528:DC%2BD2cXhtValsrvL Occurrence Handle10.1016/j.ejpb.2004.07.008

    Article  PubMed  CAS  Google Scholar 

  34. ME Ganapathy M Brandsch PD Prasad V Ganapathy FH Leibach (1995) ArticleTitleDifferential recognition of β-lactam antibiotics by intestinal and renal peptide transporters, PEPT1 and PEPT2 J Biol Chem 270 25 672–7 Occurrence Handle1:CAS:528:DyaK2MXovFyksr0%3D

    CAS  Google Scholar 

  35. J Nezu I Tamai A Oku R Ohashi H Yabuuchi N Hashimoto et al. (1999) ArticleTitlePrimary systemic carnitine deficiency is caused by mutations in a gene encoding sodium ion-dependent carnitine transporter Nat Genet 21 91–4 Occurrence Handle9916797 Occurrence Handle1:CAS:528:DyaK1MXltlWjsQ%3D%3D Occurrence Handle10.1038/5030

    Article  PubMed  CAS  Google Scholar 

  36. ME Ganapathy W Huang DP Rajan AL Carter M Sugawara K Iseki et al. (2000) ArticleTitleβ-Lactam antibiotics as substrates for OCTN2, an organic cation/carnitine transporter J Biol Chem 275 1699–707 Occurrence Handle10636865 Occurrence Handle1:CAS:528:DC%2BD3cXotFWksA%3D%3D Occurrence Handle10.1074/jbc.275.3.1699

    Article  PubMed  CAS  Google Scholar 

  37. WE Wright VD Line (1980) ArticleTitleBiliary excretion of cephalosporins in rats: influence of molecular weight Anitimicrob Agents Chemother 17 842–6 Occurrence Handle1:CAS:528:DyaL3cXkvVynsrg%3D

    CAS  Google Scholar 

  38. Y Shitara H Sato Y Sugiyama (2005) ArticleTitleEvaluation of drug-drug interaction in the hepatobiliary and renal transport of drugs Ann Rev Pharmacol Pharmatox 44 101 802–44

    Google Scholar 

  39. S Khamdang M Takeda E Babu R Noshiro A Onozato ML Tojo et al. (2003) ArticleTitleInteraction of human and rat organic anion transporter 2 with various cephalosporin antibiotics Eur J Pharmacol 465 1–7 Occurrence Handle12650826 Occurrence Handle1:CAS:528:DC%2BD3sXitV2ntrc%3D Occurrence Handle10.1016/S0014-2999(03)01381-5

    Article  PubMed  CAS  Google Scholar 

  40. I Tamai J Nezu H Uchino Y Sai A Oku M Shimane A Tsuji (2000) ArticleTitleMolecular identification and characterization of novel members of the human organic anion transporter (OATP) family Biochem Biophys Res Commun 273 251–60 Occurrence Handle10873595 Occurrence Handle1:CAS:528:DC%2BD3cXkt1Kmsrk%3D Occurrence Handle10.1006/bbrc.2000.2922

    Article  PubMed  CAS  Google Scholar 

  41. H Yabuuchi I Tamai K Morita T Kouda K Miyamoto E Takeda et al. (1998) ArticleTitleHepatic sinusoidal membrane transport of anionic drugs mediated by anion transporter Npt1 J Pharmacol Exp Ther 286 1391–6 Occurrence Handle9732402 Occurrence Handle1:CAS:528:DyaK1cXmt1GqsL8%3D

    PubMed  CAS  Google Scholar 

  42. HJ Verkade MJ Wolbers R Havinga DR Uges RJ Vonk F Kuipers (1990) ArticleTitleThe uncoupling of biliary lipid from bile acid secretion by organic anions in the rat Gastroenterology 99 1485–92 Occurrence Handle2210257 Occurrence Handle1:CAS:528:DyaK3MXlsFGktQ%3D%3D

    PubMed  CAS  Google Scholar 

  43. K Ito T Koresawa K Nakano T Horie (2003) ArticleTitleMrp2 is involved In benzylpenicillin-induced choleresis Am J Physiol Gastrointest Liver Physiol 287 G42–9 Occurrence Handle10.1152/ajpgi.00416.2003

    Article  Google Scholar 

  44. K Sathirakul H Suzuki K Yasuda M Hanano O Tagaya T Horie et al. (1993) ArticleTitleKinetic analysis of hepatobiliary transport of organic anions in Eisai hyperbilirubinemic mutant rats J Pharmacol Exp Ther 265 1301–12 Occurrence Handle8510010 Occurrence Handle1:CAS:528:DyaK3sXltlKrtbg%3D

    PubMed  CAS  Google Scholar 

  45. M Maliepaard GL Scheffer IF Faneyete MA van Gastelen ACLM Pijnenborg et al. (2001) ArticleTitleSubcellular localization and distribution of the breast cancer resistance protein transporter in normal human tissues Cancer Res 61 3458–64 Occurrence Handle11309308 Occurrence Handle1:CAS:528:DC%2BD3MXjtFSju7o%3D

    PubMed  CAS  Google Scholar 

  46. H Akita H Suzuki T Hirohashi H Takikawa Y Sugiyama (2002) ArticleTitleTransport activity of human MRP3 expressed in Df9 cells: comparative studies with rat MRP3 Pharm Res 19 34–41 Occurrence Handle11837698 Occurrence Handle1:CAS:528:DC%2BD38XhtVSmsbw%3D Occurrence Handle10.1023/A:1013699130991

    Article  PubMed  CAS  Google Scholar 

  47. A Tsuji K Nishide H Minami E Nakashima T Terasaki T Yamana (1985) ArticleTitlePhysiologically based pharmacokinetic model for cefazolin in rabbits and its preliminary extrapolation to man Drug Metab Dispos 13 729–39 Occurrence Handle2867880 Occurrence Handle1:CAS:528:DyaL28XmtFCltw%3D%3D

    PubMed  CAS  Google Scholar 

  48. Y Deguchi R Koshida E Nakashima R Watanabe N Taniguchi F Ichimura A Tsuji (1988) ArticleTitleInterindividual changes in volume of distribution of cefazolin in newborn infants and its prediction based on physiological pharmacokinetic concepts J Pharm Sci 77 674–8 Occurrence Handle3210156 Occurrence Handle1:CAS:528:DyaL1cXlsVWqurY%3D Occurrence Handle10.1002/jps.2600770807

    Article  PubMed  CAS  Google Scholar 

  49. DA Groneberg A Fisher K Fan Chung H Daniel (2004) ArticleTitleMolecular mechanisms of pulmonary peptidomimetic drug and peptide transport Am J Respir Cell Mol Biol 30 251–60 Occurrence Handle14969997 Occurrence Handle1:CAS:528:DC%2BD2cXitV2mur8%3D Occurrence Handle10.1165/rcmb.2003-0315TR

    Article  PubMed  CAS  Google Scholar 

  50. PM Bahadduri VM D'Souza JK Pinsonneault W Sadee S Bao DL Knoell et al. (2005) ArticleTitleFunctional characterization of the peptide transporter PEPT2 in primary cultures of human upper airway epithelium Am J Respir Cell Mol Biol 32 319–25 Occurrence Handle15626774 Occurrence Handle1:CAS:528:DC%2BD2MXivFGltrs%3D Occurrence Handle10.1165/rcmb.2004-0322OC

    Article  PubMed  CAS  Google Scholar 

  51. T Zhu XZ Chen A Steel MA Hediger DE Smith (2000) ArticleTitleDifferential recognition of ACE inhibitors in Xenopus laevis oocytes expressing rat PEPT1 and PEPT2 Pharm Res 17 526–32 Occurrence Handle10888303 Occurrence Handle1:CAS:528:DC%2BD3cXksVGqur4%3D Occurrence Handle10.1023/A:1007556630189

    Article  PubMed  CAS  Google Scholar 

  52. T Nakanishi I Tamai Y Sai T Sasaki A Tsuji (1997) ArticleTitleCarrier-mediated transport of oligopeptides in the human fibrosarcoma cell line HT1080 Cancer Res 57 4118–22 Occurrence Handle9307302 Occurrence Handle1:CAS:528:DyaK2sXmtFehtr0%3D

    PubMed  CAS  Google Scholar 

  53. DE Gonzalez (1998) ArticleTitleAn oligopeptide transporter is expressed at high levels in the pancreatic carcinoma cell lines AsPc-1 and Capan-2 Cancer Res 58 519–25 Occurrence Handle9458100 Occurrence Handle1:CAS:528:DyaK1cXnsFeitQ%3D%3D

    PubMed  CAS  Google Scholar 

  54. T Nakanishi I Tamai A Takaki A Tsuji (2000) ArticleTitleCancer cell-targeted drug delivery utilizing oligopeptide transport activity Int J Cancer 88 274–80 Occurrence Handle11004680 Occurrence Handle1:CAS:528:DC%2BD3cXntlynurc%3D Occurrence Handle10.1002/1097-0215(20001015)88:2<274::AID-IJC20>3.0.CO;2-5

    Article  PubMed  CAS  Google Scholar 

  55. H Matsushita H Suzuki Y Sugiyama Y Sawada T Iga Y Kawaguchi et al. (1991) ArticleTitleFacilitated transport of cefodizime into the rat central nervous system J Pharmacol Exp Ther 259 620–5 Occurrence Handle1941610 Occurrence Handle1:CAS:528:DyaK38Xjtlyltg%3D%3D

    PubMed  CAS  Google Scholar 

  56. R Kikuchi H Kusuhara D Sugiyama Y Sugiyama (2003) ArticleTitleContribution of organic anion transporter 3 (Slc22a8) to the elimination of p-aminohippuric acid and benzylpenicillin across the blood-brain barrier J Pharmacol Exp Ther 306 51–8 Occurrence Handle12684544 Occurrence Handle1:CAS:528:DC%2BD3sXkvF2ltb0%3D Occurrence Handle10.1124/jpet.103.049197

    Article  PubMed  CAS  Google Scholar 

  57. VA Levin (1980) ArticleTitleRelationship of octanol/water partition coefficient and molecular weight to rat brain capillary permeability J Med Chem 23 682–4 Occurrence Handle7392035 Occurrence Handle1:CAS:528:DyaL3cXktFyrtro%3D Occurrence Handle10.1021/jm00180a022

    Article  PubMed  CAS  Google Scholar 

  58. I Tamai A Tsuji (2000) ArticleTitleTransporter-mediated permeation of drugs across the blood-brain barrier J Pharm Sci 89 1371–88 Occurrence Handle11015683 Occurrence Handle1:CAS:528:DC%2BD3cXnvVygsbs%3D Occurrence Handle10.1002/1520-6017(200011)89:11<1371::AID-JPS1>3.0.CO;2-D

    Article  PubMed  CAS  Google Scholar 

  59. A Tsuji I Tamai (1999) ArticleTitleCarrier-mediated or specialized transport of drugs across the blood-brain barrier Adv Drug Deliv Rev 36 277–90 Occurrence Handle10837720 Occurrence Handle1:CAS:528:DyaK1MXhvVCnsr0%3D Occurrence Handle10.1016/S0169-409X(98)00084-2

    Article  PubMed  CAS  Google Scholar 

  60. AH Schinkel JJ Smit O van Tellingen JH Beijnen E Wagenaar L Van Deemter et al. (1994) ArticleTitleDisruption 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 Occurrence Handle7910522 Occurrence Handle1:CAS:528:DyaK2cXkt1Knsbc%3D Occurrence Handle10.1016/0092-8674(94)90212-7

    Article  PubMed  CAS  Google Scholar 

  61. AH Schinkel (1999) ArticleTitleP-Glycoprotein, a gatekeeper in the blood-brain barrier Adv Drug Deliv Rev 36 179–94 Occurrence Handle10837715 Occurrence Handle1:CAS:528:DyaK1MXhvVCgu7Y%3D Occurrence Handle10.1016/S0169-409X(98)00085-4

    Article  PubMed  CAS  Google Scholar 

  62. H Sun H Dai N Shaik WE Elmquist (2003) ArticleTitleDrug efflux transporters in the CNS Adv Drug Deliv Rev 55 83–105 Occurrence Handle12535575 Occurrence Handle1:CAS:528:DC%2BD3sXivVWntA%3D%3D Occurrence Handle10.1016/S0169-409X(02)00172-2

    Article  PubMed  CAS  Google Scholar 

  63. S Mori H Takanaga S Otsuki T Deguchi Y Kang K Hosoya T Terasaki (2003) ArticleTitleRat organic anion transporter 3 (rOAT3) is responsible for brain-to-blood efflux of homovanillic acid at the abluminal membrane of brain capillary endothelial cells J Cereb Blood Flow Metab 23 432–40 Occurrence Handle12679720 Occurrence Handle1:CAS:528:DC%2BD3sXis1Citbo%3D Occurrence Handle10.1097/00004647-200304000-00007

    Article  PubMed  CAS  Google Scholar 

  64. S Mori S Otsuki H Takanaga T Kikkawa T Terasaki (2004) ArticleTitleOrganic anion transporter 3 (rOAT3) is involved in the brain-to-blood efflux transport of thiopurine nucleobase analogs J Neurochem 90 931–41 Occurrence Handle15287899 Occurrence Handle1:CAS:528:DC%2BD2cXntFeitb0%3D Occurrence Handle10.1111/j.1471-4159.2004.02552.x

    Article  PubMed  CAS  Google Scholar 

  65. DS Miller SN Nobmann H Gutmann M Toeroek J Drewe G Fricker (2000) ArticleTitleXenobiotic transport across isolated brain microvessels studied by confocal microscopy Mol Pharmacol 58 1357–67 Occurrence Handle11093774 Occurrence Handle1:CAS:528:DC%2BD3cXovFeqs7w%3D

    PubMed  CAS  Google Scholar 

  66. Y Zhang H Haqn WFR Elmqust DW Miller (2000) ArticleTitleExpression of various multidrug resistance-associated protein (MRP) homologues in brain microvessel endothelial cells Brain Res 876 148–53 Occurrence Handle10973603 Occurrence Handle1:CAS:528:DC%2BD3cXmtVCrtL8%3D Occurrence Handle10.1016/S0006-8993(00)02628-7

    Article  PubMed  CAS  Google Scholar 

  67. RA Fishman (1966) ArticleTitleBlood-brain and CSF barriers to penicillin and related organic acids Arch Neurol 15 113–24 Occurrence Handle5945968 Occurrence Handle1:STN:280:CCmC28bmsFU%3D

    PubMed  CAS  Google Scholar 

  68. R Spector AV Lorenzo (1974) ArticleTitleInhibition of penicillin transport from the cerebrospinal fluid after intracisternal inoculation of bacteria J Clin Invest 54 316–25 Occurrence Handle4546548 Occurrence Handle1:CAS:528:DyaE2MXisFKisQ%3D%3D Occurrence Handle10.1172/JCI107767

    Article  PubMed  CAS  Google Scholar 

  69. M Kuroda H Kusuhara H Endou T Sugiyama (2005) ArticleTitleRapid elimination of cefaclor from the cerebrospinal fluid is mediated by a benzylpenicillin sensitive mechanism distinct from organic anion transporter 3 J Pharmacol Exp Ther 314 855–61 Occurrence Handle15894718 Occurrence Handle1:CAS:528:DC%2BD2MXntVSisbg%3D Occurrence Handle10.1124/jpet.105.085027

    Article  PubMed  CAS  Google Scholar 

  70. UV Berger MA Hediger (1999) ArticleTitleDistribution of peptide transporter PEPT2 mRNA in the rat nervous system Anal Embryol 199 439–49 Occurrence Handle1:STN:280:DyaK1M3js1Kntg%3D%3D Occurrence Handle10.1007/s004290050242

    Article  CAS  Google Scholar 

  71. H Shen DE Smith RF Keep J Xiang FC Brosius Suffix3rd (2003) ArticleTitleImmunolocalization of the proton-coupled oligopeptide transporter PEPT2 in developing rat brain Mol Pharmacol 1 248–56

    Google Scholar 

  72. H Shen RF Keep Y Hu DE Smith (2005) ArticleTitlePEPT2 (Slc152a)-mediated unidirectional transport of cefadroxil from cerebrospinal fluid into choroid plexus J Pharmacol Exp Ther 315 1101–8 Occurrence Handle16107517 Occurrence Handle1:CAS:528:DC%2BD2MXhtlalurvI Occurrence Handle10.1124/jpet.105.090654

    Article  PubMed  CAS  Google Scholar 

  73. R Allikmets LM Schriml A Hutchinson V Romano-Spica M Dean (1998) ArticleTitleA human placenta-specific ATP-binding cassette gene (ABCP) on chromosome 4q22 that is involved in multidrug resistance Cancer Res 58 5337–9 Occurrence Handle9850061 Occurrence Handle1:CAS:528:DyaK1cXotVSkt7Y%3D

    PubMed  CAS  Google Scholar 

  74. R Kekuda PD Prasad X Wu H Wang YJ Fei FH Leibach V Ganapathy (1998) ArticleTitleCloning and functional characterization of a potential-sensitive, polyspecific organic cation transporter (OCT3) most abundantly expressed in placenta J Biol Chem 273 15 971–9 Occurrence Handle1:CAS:528:DyaK1cXkt1Gitbg%3D Occurrence Handle10.1074/jbc.273.26.15971

    Article  CAS  Google Scholar 

  75. F Sorgel U Jaehde K Naber U Stephan (1989) ArticleTitlePharmacokinetic disposition of quinolones in human body fluids and tissues Clin Pharmacokinet 16 IssueIDSuppl 1 5–24 Occurrence Handle2653696 Occurrence Handle10.2165/00003088-198900161-00004

    Article  PubMed  Google Scholar 

  76. M Murata I Tamai Y Sai O Nagata H Kato A Tsuji (1999) ArticleTitleCarrier-mediated lung distribution of HSR-903, a new quinolone antimicrobial agent J Pharmacol Exp Ther 289 79–84 Occurrence Handle10086990 Occurrence Handle1:CAS:528:DyaK1MXit1Kiu7Y%3D

    PubMed  CAS  Google Scholar 

  77. H Sasabe Y Kato T Suzuki M Itose G Miyamoto Y Sugiyama (2005) ArticleTitleCarrier-mediated uptake of grapafloxacin, a fluoroquinolone antibiotic, by the isolated rat lung cells Drug Metab Pharmacokinet 20 491–5 Occurrence Handle16415534 Occurrence Handle1:CAS:528:DC%2BD28XitVOmtr4%3D Occurrence Handle10.2133/dmpk.20.491

    Article  PubMed  CAS  Google Scholar 

  78. Y Kohno H Yoshida T Suwa T Suga (1990) ArticleTitleUptake of clarithromycin by rat lung cells J Antimicrob Chemother 26 503–13 Occurrence Handle2147673 Occurrence Handle1:CAS:528:DyaK3MXlsFansA%3D%3D

    PubMed  CAS  Google Scholar 

  79. T Ooie T Terasaki H Suzuki Y Sugiyama (1997) ArticleTitleQuantitative brain microdialysis study on the mechanism of quinolones distribution in the central nervous system Drug Metab Dispos 25 784–9 Occurrence Handle9224772 Occurrence Handle1:CAS:528:DyaK2sXkvFCgtbk%3D

    PubMed  CAS  Google Scholar 

  80. T Ooie T Terasaki H Suzuki Y Sugiyama (1997) ArticleTitleKinetic evidence for active efflux transport across the blood-brain barrier of quinolone antibiotics J Pharmacol Exp Ther 283 293–304 Occurrence Handle9336336 Occurrence Handle1:CAS:528:DyaK2sXmslCltbw%3D

    PubMed  CAS  Google Scholar 

  81. I Tamai J Yamashita Y Kido A Ohnari Y Sai Y Shima et al. (2000) ArticleTitleLimited distribution of new quinolone antibacterial agents into brain caused by multiple efflux transporters at the blood-brain barrier J Pharmacol Exp Ther 295 146–52 Occurrence Handle10991972 Occurrence Handle1:CAS:528:DC%2BD3cXnt1ygur8%3D

    PubMed  CAS  Google Scholar 

  82. M Murata I Tamai H Kato O Nagata A Tsuji (1999) ArticleTitleEfflux transport of a new quinolone antibacterial agent, HSR-903, across the blood-brain barrier J Pharmacol Exp Ther 290 51–7 Occurrence Handle10381759 Occurrence Handle1:CAS:528:DyaK1MXktFKisrs%3D

    PubMed  CAS  Google Scholar 

  83. Y Yagi S Shibutani N Hodoshima K Ishiwata N Okudaira Q Li et al. (2003) ArticleTitleInvolvement of multiple transport systems in the disposition of an active metabolite of a prodrug-type new quinolone antibiotic, prulifloxacin Drug Metab Pharmacokinet 18 381–9 Occurrence Handle15618759 Occurrence Handle1:CAS:528:DC%2BD2cXhs1Cjs7o%3D Occurrence Handle10.2133/dmpk.18.381

    Article  PubMed  CAS  Google Scholar 

  84. H Sasabe Y Kato T Terasaki A Tsuji (1999) ArticleTitleDifferences in the hepatobiliary transport of two quinolone antibiotics, grepafloxacin and lomefloxacin, in the rat Biopharm Drug Dispos 20 151–8 Occurrence Handle10211868 Occurrence Handle1:CAS:528:DyaK1MXit1KqtL8%3D Occurrence Handle10.1002/(SICI)1099-081X(199904)20:3<151::AID-BDD168>3.0.CO;2-P

    Article  PubMed  CAS  Google Scholar 

  85. H Sasabe A Tsuji Y Sugiyama (1998) ArticleTitleCarrier-mediated mechanism for the biliary excretion of the quinolone antibiotic grepafloxacin and its glucuronide in rats J Pharmacol Exp Ther 284 1033–9 Occurrence Handle9495864 Occurrence Handle1:CAS:528:DyaK1cXhs1ygsrk%3D

    PubMed  CAS  Google Scholar 

  86. H Sasabe Y Kato A Tsuji Y Sugiyama (1998) ArticleTitleStereoselective hepatobiliary transport of the quinolone antibiotic grepafloxacin and its glucuronide in the rat J Pharmacol Exp Ther 284 661–8 Occurrence Handle9454812 Occurrence Handle1:CAS:528:DyaK1cXhtFWkt70%3D

    PubMed  CAS  Google Scholar 

  87. M Murata I Tamai Y Sai O Nagata H Kato Y Sugiyama A Tsuji (1998) ArticleTitleHepatobiliary transport kinetics of HSR-903, a new quinolone antibacterial agent Drug Metab Dispos 26 1113–9 Occurrence Handle9806954 Occurrence Handle1:CAS:528:DyaK1cXnt1Gru7g%3D

    PubMed  CAS  Google Scholar 

  88. NM Griffiths BH Hirst NL Simmons (1993) ArticleTitleActive secretion of the fluoroquinolone ciprofloxacin by human intestinal epithelial Caco-2 cell layers Br J Pharmacol 108 575–6 Occurrence Handle8467353 Occurrence Handle1:CAS:528:DyaK3sXitVCltb4%3D

    PubMed  CAS  Google Scholar 

  89. K Naruhashi I Tamai N Inoue H Muraoka Y Sai N Suzuki A Tsuji (2001) ArticleTitleActive intestinal secretion of new quinolone antimicrobials and the partial contribution of P-glycoprotein J Pharmacol Exp Ther 53 699–709 Occurrence Handle1:CAS:528:DC%2BD3MXktVWlt74%3D

    CAS  Google Scholar 

  90. M Niemi JT Backman MF Fromm PJ Neuvonen KT Kivisto (2003) ArticleTitlePharmacokinetic interactions with rifampicin: clinical relevance Clin Pharmacokinet 42 819–50 Occurrence Handle12882588 Occurrence Handle1:CAS:528:DC%2BD3sXntl2htr8%3D Occurrence Handle10.2165/00003088-200342090-00003

    Article  PubMed  CAS  Google Scholar 

  91. H Glaeser S Drescher M Eichelbaum MF Fromm (2005) ArticleTitleInfluence of rifampicin on the expression and function of human intestinal cytochrome P450 enzymes Br J Clin Pharmacol 59 199–206 Occurrence Handle15676042 Occurrence Handle1:CAS:528:DC%2BD2MXitFOgsLY%3D Occurrence Handle10.1111/j.1365-2125.2004.02265.x

    Article  PubMed  CAS  Google Scholar 

  92. B Greiner M Eichelbaum P Fritz HP Kreichgauer O von Richter J Zundler HK Kroemer (1999) ArticleTitleThe role of intestinal P-glycoprotein in the interaction of digoxin and rifampin J Clin Invest 104 147–53 Occurrence Handle10411543 Occurrence Handle1:CAS:528:DyaK1MXkslSmsb8%3D

    PubMed  CAS  Google Scholar 

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Correspondence to Akira Tsuji.

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Tsuji, A. Impact of transporter-mediated drug absorption, distribution, elimination and drug interactions in antimicrobial chemotherapy. J Infect Chemother 12, 241–250 (2006). https://doi.org/10.1007/s10156-006-0478-3

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