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Vol. 28, Issue 3, 329-334, March 2000
Department of Biopharmaceutical Sciences, University of California,
San Francisco, California (L.Z., W.G., D.L.K., K.M.G.); and Department
of Medicine, Division of Clinical Pharmacology, Stanford University
Medical Center, Stanford, California (C.B.W., T.F.B.)
Recently, we cloned a human organic cation transporter, hOCT1,
which is expressed primarily in the liver. hOCT1 plays an important role in the cellular uptake and elimination of various xenobiotics including therapeutically important drugs. HIV protease inhibitors are
a new class of therapeutic agents. The purpose of this study was to
elucidate the interactions of HIV protease inhibitors with hOCT1 and to
determine whether hOCT1 is involved in the elimination of these
compounds. We studied the interactions of HIV protease inhibitors with
hOCT1 in a transiently transfected human cell line, HeLa. Uptake
studies were carried out 40 h post-transfection using the
radiolabeled model organic cation,
[14C]tetraethylammonium (TEA), under different
experimental conditions. In cis-inhibition studies, all
of the HIV protease inhibitors tested, i.e., indinavir
(IC50 of 62 µM), nelfinavir (IC50 of 22 µM), ritonavir (IC50 of 5.2 µM), and saquinavir
(IC50 of 8.3 µM) inhibited TEA uptake in HeLa cells
expressing hOCT1. However, none of the HIV protease inhibitors
trans-stimulated [14C]TEA uptake,
suggesting that they are poorly translocated by hOCT1. Nelfinavir,
ritonavir, and saquinavir demonstrated an apparent "trans-inhibition" effect. No enhanced uptake of
[14C]saquinavir was observed in hOCT1 DNA-transfected
cells versus empty vector-transfected cells. These data suggest that
HIV protease inhibitors are potent inhibitors, but poor substrates, of
hOCT1. Some HIV protease inhibitors may potently inhibit the uptake and elimination of cationic drugs that are substrates for hOCT1, leading to
potential drug-drug interactions. Other transporters, e.g., MDR1 and
MRP1, in HIV-targeted cells may control the intracellular concentrations of HIV protease inhibitors.
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