51. Renal drug transporters and their significance in drug–drug interactions
- Author
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Jia Yin and Joanne Wang
- Subjects
0301 basic medicine ,SLC, solute carrier ,CL, plasma clearance ,TMD, transmembrane domain ,IC50, half maximal inhibitory concentration ,Review ,Pharmacology ,MW, molecular weight ,P-gp, P-glycoprotein ,GSH, glutathione ,OATP or Oatp, organic anion-transporting peptide ,Organic cations ,OAT or Oat, organic anion transporters ,General Pharmacology, Toxicology and Pharmaceutics ,BBB, blood–brain barrier ,Nephrotoxicity ,media_common ,Kidney ,biology ,Chemistry ,Reabsorption ,ABC, ATP-binding cassette ,NSAID, non-steroidal anti-inflammatory drugs ,Organic anions ,MPP+, 1-methyl-4-phenylpyridimium ,3. Good health ,medicine.anatomical_structure ,Biochemistry ,Toxicity ,Renal drug transporters ,SNP, single-nucleotide polymorphism ,MATE, multidrug and toxin extrusion protein ,Organic anion ,Drug–drug interactions ,Drug ,ATP, adenosine triphosphate ,media_common.quotation_subject ,Ki, inhibitory constant ,OC, organic cation ,NME, new molecular entity ,CHO, Chinese hamster ovary ,TEA, tetraethylammonium ,Cmax, maximum plasma concentration ,HEK, human embryonic kidney ,03 medical and health sciences ,MSD, membrane-spanning domain ,medicine ,OCTN, Organic zwitterions/cation transporters ,CLR, renal clearance ,NBD, nucleotide-binding domain ,OA, organic anion ,lcsh:RM1-950 ,ITC, International Transporter Consortium ,HEK 293 cells ,MRP, multidrug resistance-associated protein ,Transporter ,AUC, area under the plasma concentration curve ,DDIs, drug–drug interactions ,fe, fraction of the absorbed dose excreted unchanged in urine ,PAH, p-aminohippurate ,FDA, U.S. Food and Drug Administration ,lcsh:Therapeutics. Pharmacology ,030104 developmental biology ,URAT, urate transporter ,biology.protein ,OCT or Oct, organic cation transporter - Abstract
The kidney is a vital organ for the elimination of therapeutic drugs and their metabolites. Renal drug transporters, which are primarily located in the renal proximal tubules, play an important role in tubular secretion and reabsorption of drug molecules in the kidney. Tubular secretion is characterized by high clearance capacities, broad substrate specificities, and distinct charge selectivity for organic cations and anions. In the past two decades, substantial progress has been made in understanding the roles of transporters in drug disposition, efficacy, toxicity and drug–drug interactions (DDIs). In the kidney, several transporters are involved in renal handling of organic cation (OC) and organic anion (OA) drugs. These transporters are increasingly recognized as the target for clinically significant DDIs. This review focuses on the functional characteristics of major human renal drug transporters and their involvement in clinically significant DDIs., Graphical abstract Renal drug transporters, expressed in the basolateral and apical membrane of renal proximal tubules, play an important role in tubular secretion and reabsorption of drug molecules in the kidney. These transporters are increasingly recognized as the target for clinically significant drug–drug interactions.
- Published
- 2016