Transport Characteristics of a Novel Peptide Transporter 1 Substrate, Antihypotensive Drug Midodrine, and Its Amino Acid Derivatives
作者:Masahiro Tsuda、Tomohiro Terada、Megumi Irie、Toshiya Katsura、Ayumu Niida、Kenji Tomita、Nobutaka Fujii、Ken-ichi Inui
DOI:10.1124/jpet.106.102830
日期:2006.7
Midodrine is an oral drug for orthostatic hypotension. This drug is almost completely absorbed after oral administration and converted into its active form, 1-(2′,5′-dimethoxyphenyl)-2-aminoethanol) (DMAE), by the cleavage of a glycine residue. The intestinal H+-coupled peptide transporter 1 (PEPT1) transports various peptide-like drugs and has been used as a target molecule for improving the intestinal absorption of poorly absorbed drugs through amino acid modifications. Because midodrine meets these requirements, we examined whether midodrine can be a substrate for PEPT1. The uptake of midodrine, but not DMAE, was markedly increased in PEPT1-expressing oocytes compared with water-injected oocytes. Midodrine uptake by Caco-2 cells was saturable and was inhibited by various PEPT1 substrates. Midodrine absorption from the rat intestine was very rapid and was significantly inhibited by the high-affinity PEPT1 substrate cyclacillin, assessed by the alteration of the area under the blood concentration-time curve for 30 min and the maximal concentration. Some amino acid derivatives of DMAE were transported by PEPT1, and their transport was dependent on the amino acids modified. In contrast to neutral substrates, cationic midodrine was taken up extensively at alkaline pH, and this pH profile was reproduced by a 14-state model of PEPT1, which we recently reported. These findings indicate that PEPT1 can transport midodrine and contributes to the high bioavailability of this drug and that Gly modification of DMAE is desirable for a prodrug of DMAE.
米多君是一种治疗正性低血压的口服药物。这种药物口服后几乎完全被吸收,并通过一个甘氨酸残基的裂解转化为其活性形式--1-(2′,5′-二甲氧基苯基)-2-氨基乙醇(DMAE)。肠道 H+ 偶联肽转运体 1(PEPT1)转运各种肽类药物,并已被用作通过氨基酸修饰改善吸收不良药物肠道吸收的靶分子。由于米多君符合这些要求,我们研究了米多君是否能成为 PEPT1 的底物。与注射水的卵母细胞相比,表达 PEPT1 的卵母细胞对米多君(而非 DMAE)的吸收明显增加。Caco-2细胞对米多君的吸收是饱和的,并受到各种PEPT1底物的抑制。大鼠肠道对米多君的吸收非常迅速,并且受到高亲和力 PEPT1 底物环青霉素的显著抑制,这是由 30 分钟血药浓度-时间曲线下面积和最大浓度的变化所评估的。PEPT1 可转运 DMAE 的一些氨基酸衍生物,其转运与修饰的氨基酸有关。与中性底物不同,阳离子米多君在碱性 pH 下被大量吸收,我们最近报告的 PEPT1 14 状态模型再现了这种 pH 曲线。这些研究结果表明,PEPT1 可以转运米多君,并对该药物的高生物利用度做出了贡献,因此对 DMAE 进行 Gly 修饰是 DMAE 原药的理想选择。