TABLE 1

IC50 values for hOAT3 in MTX uptake and plasmatic concentrations of proton pump inhibitors according to CYP2C19 genetic polymorphism and plasma unbound fraction

PPI dosage and maximal total PPI concentration in the systemic circulation (Cmax) were obtained from the indicated references. [I] = (Cmax total) * (% plasma unbound fraction)/100].

CompoundsUptake MTX IC50 hOAT3 DoseGenotype CYP2C19Cmax Observed in Humans [I][I]/IC50References
µMmgµM
Omeprazole6.80 ± 1.1620EM1.6 ± 1.00.05 ± 0.030,007(Regardh et al., 1990; Yasuda et al., 1995)
PM3.1 ± 0.90.10 ± 0.030,015
Lansoprazole1.14 ± 0.2630EM2.44 ± 0.70.07 ± 0.020,061(Ieiri et al., 2001; Freston et al., 2003)
PM4.9 ± 0.080.15 ± 0.020,132
Pantoprazole4.45 ± 1.6240EM5.4 ± 1.40.11 ± 0.030,025(Regardh et al., 1990; Pue et al., 1993)
PM11.5 ± 7.800.23 ± 0.160,052
  • PM, poor metabolizer phenotype; EM, extensive metabolizer phenotype. [I], unbound inhibitor concentration.