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Received for publication January 29, 2009.
Revised May 10, 2009.
Accepted for publication May 11, 2009.
Oseltamivir, an ester-type prodrug of the neuraminidase inhibitor Ro 64-0802, has been developed for the treatment of A and B strains of the influenza virus, but has neuropsychiatric and other side effects. In this study, we characterized the transport across intestinal epithelial cells and the absorption of oseltamivir in rats. Uptake by Caco-2 cells (human carcinoma cell line) and HeLa cells transfected with peptide transporter1 (HeLa/PEPT1) was time- and temperature-dependent, and was inhibited by typical PEPT1 inhibitors such as glycyl-sarcosine (Gly-Sar). The uptake by Caco-2 cells and HeLa/PEPT1 was saturable, with similar Km values. Oseltamivir absorption in adult rats was greatly reduced by simultaneous administration of milk, casein or Gly-Sar. Further, the plasma and brain concentrations of oseltamivir were higher in fasting than in non-fasting rats after oral administration. These results suggest that oseltamivir is a substrate of PEPT1, and that PEPT1 is involved in its intestinal absorption.
Key words:
absorption, active transport, drug absorption, drug transport, intestinal bioavailability, intestinal transport, membrane transport, oral absorption, pharmacokinetics, prodrugs