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First published on February 9, 2005; DOI: 10.1124/dmd.104.003319


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Received for publication December 15, 2004.
Revised February 2, 2005.
Accepted for publication February 4, 2005.

Transport of anthelmintic benzimidazole drugs by Breast Cancer Resistance Protein (BCRP/ABCG2)

Gracia Merino 1, Johan W. Jonker 1, Els Wagenaar 1, Mivis M. Pulido 2, Antonio J. Molina 2, Ana I. Alvarez 2, Alfred H. Schinkel 1*

1 The Netherlands Cancer Institute 2 University of Leon

* Address correspondence to: E-mail: a.schinkel{at}nki.nl

Abstract

Methylcarbamate benzimidazoles (albendazole (ABZ), fenbendazole (FBZ), and their respective sulfoxide derivatives, albendazole sulfoxide (ABZSO) and oxfendazole (OXF)) are therapeutically important anthelmintic agents with low bioavailability. We studied their in vitro interaction with the apical ATP binding cassette (ABC) drug efflux transporters, Breast cancer resistance protein (BCRP/ABCG2), P-glycoprotein (ABCB1) and MRP2 (ABCC2) using MDCKII cells transduced with human MDR1, MRP2, BCRP and murine Bcrp1 cDNAs. These ABC drug efflux transporters extrude a wide range of xenotoxins from cells in intestine, liver and other organs, thus affecting the bioavailability of many compounds. In transport experiments, ABZSO and OXF were efficiently transported by murine Bcrp1, moderately by human BCRP, but not by MDR1 or MRP2. ABZ and FBZ were not found to be Bcrp1, MRP2 or P-gp substrates in vitro. OXF was found to be a good BCRP/Bcrp1 inhibitor, with somewhat higher potency in the MDCKII-BCRP cell line. The latter results were confirmed by flow cytometry experiments demonstrating inhibition by OXF of murine Bcrp1- and human BCRP-mediated mitoxantrone transport. Further studies of interactions between OXF and known BCRP/Bcrp1 substrates will be of interest. The use of efficacious BCRP/Bcrp1 inhibitors might increase the extent and duration of systemic exposure to ABZSO and OXF, with possible therapeutically beneficial effects in extra-intestinal infections.


Key words: ABC transporters, active transport, drug efflux, drug interactions, inhibition, membrane transport, p-glycoprotein, transporters


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