RT Journal Article SR Electronic T1 Oseltamivir (Tamiflu) Is a Substrate of Peptide Transporter 1 JF Drug Metabolism and Disposition JO Drug Metab Dispos FD American Society for Pharmacology and Experimental Therapeutics SP 1676 OP 1681 DO 10.1124/dmd.109.026922 VO 37 IS 8 A1 Takuo Ogihara A1 Takashi Kano A1 Tamae Wagatsuma A1 Sho Wada A1 Hikaru Yabuuchi A1 Shigeki Enomoto A1 Kaori Morimoto A1 Yoshiyuki Shirasaka A1 Shoko Kobayashi A1 Ikumi Tamai YR 2009 UL http://dmd.aspetjournals.org/content/37/8/1676.abstract AB Oseltamivir, an ester-type prodrug of the neuraminidase inhibitor [3R,4R,5S]-4-acetamido-5-amino-3-(1-ethylpropoxy)-1-cyclohexene-1-carboxylate phosphate (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 transporter 1 (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. Furthermore, the plasma and brain concentrations of oseltamivir were higher in fasting than in nonfasting rats after oral administration. These results suggest that oseltamivir is a substrate of PEPT1 and that PEPT1 is involved in its intestinal absorption.