Editorial
Austin Therapeutics. 2015; 2(1): 1017.
Organic Anion Transporting Polypeptides (OATPs)
Varun Khurana¹*, Ravi D Vaishya¹ and Priyanka Agarwal²
¹INSYS Therapeutics Inc, USA
²Department of Ophthalmology, Buchanan Ocular Therapeutics Unit, New Zealand National Eye Centre, New Zealand
*Corresponding author: Varun Khurana, INSYS Therapeutics Inc, 444 South Ellis Road, Chandler, AZ 85224, USA
Received: October 13, 2015; Accepted: October 06, 2015; Published: October 19, 2015
Editorial
Orally administered drugs need to pass through the intestinal wall and enter the portal blood before they reach the systemic circulation. Membrane transporters [influx and efflux] play a vital role in defining the rate and extent of intestinal absorption of drugs, as well as the hepatic drug clearance for both first-pass and elimination [1-4]. Moreover, renal membrane transporters determine the amount of drug excreted via the kidneys, while the distribution of drugs to their sites of action [brain, eye etc.] is influenced by the transporters at the blood-tissue borders. These membrane transporters are either localized on the apical or the basolateral side of the membrane and are classified in two categories [i] influx [uptake into cell] and [ii] efflux [out of cell] [5-7]. Chemistry of these transporters along with metabolic reactions [Phase I and II] may be considered as a requirement for chronological navigation of the basolateral and apical membranes [1,8-10].
Organic Anion Transporting Polypeptides [OATPs] are the plasma membrane transporters involved in cellular uptake of amphipathic drugs in tissues such as the intestine, liver and kidneys [11]. Several molecules/ substrates, such as bile salts, steroid conjugates, thyroid hormones, anionic oligopeptides, anti-cancer drugs, anti-retroviral drugs, and other therapeutic moieties traverse via OATPs. These transporters based on their localization [apical and basolateral] in tissues, such as brain, liver or kidneys, may affect the pharmacokinetics and efficacy of drugs transported through them. The absorption of drugs in the GI tract is facilitated by OATPs which are localized on the apical side of intestinal enterocytes. Hepatic OATPs expressed on the basolateral side of hepatocytes help in transport of drugs from blood into hepatocytes. Physico-chemical characteristics of the drug molecule can affect its systemic clearance if the drug molecule gets transported via hepatic or renal OATPs. Hepatic OATPs can further affect or limit the volume of distribution of drugs which are distributed mainly via the liver or enterohepatic circulation. Also, elimination of drugs in urine can be significantly enhanced or diminished by renal OATPs. Expression of OATPs on the Blood-Brain Barrier [BBB] may also alter the CNS distribution of drug therapeutics [11-14].
Human OATPs include 11 members and are encoded by the genes of Solute Carrier Organic Anion transporter [SLCO] super family [11]. OATPs are known to contain 12 transmembrane domains based on hydropathy analysis. A recent computational study suggests that the transport mechanism of substrates via OATPs is through a positively charged central pore in a so-called rocker-switch type mechanism. The uptake mechanism via OATPs is known to be independent of potassium, chloride and sodium gradients, membrane potential and ATP levels. As per published literature, cellular uptake via OATPs take place by electro neutral exchange, wherein the organic anions get attached to the efflux of neutralizing anions, such as glutathione or glutathione-S-conjugates and bicarbonate, although, the nature of the neutralizing anions for human OATPs still remains unknown [15]. A comprehensive list for Human OATP transporters, their gene names, tissue distribution, substrates and inhibitors has been provided in (Table 1).
OATP
Gene Name
Tissue Distribution
Substrates
Inhibitors
OATP1A2
SLCO1A2
Brain, kidney, liver,
Intestine
Fexofenadine,
levofloxacin,
pitavastatin,
rocuronium,
rosuvastatin,
saquinavir,
Thyroxin
Grapefruit juice,
orange juice,
apple juice,
naringin,
hesperidin,
rifampicin,
rifamycin SV
OATP1B1
SLCO1B1
Liver
Atorvastatin,
atrasentan,
benzylpenicillin,
bosentan,
caspofungin,
cerivastatin,
enalapril,
fluvastatin,
irinotecan(SN-38metabolite),
methotrexate,
olmesartan,
pitavastatin,
pravastatin,
repaglinide,
rifampicin,
rosuvastatin,
simvastatin acid,
temocapril,
troglitazone
sulphate,
valsartan,
nilotinib,
vandetanib,
pazopanib
Cyclosporine,
gemfibrozil,
gemfibrozil-O-
glucuronide,
rifampicin,
rifamycin SV,
clarithromycin,
erythromycin,
roxithromycin,
telithromycin,
indinavir,
ritonavir,
saquinavir,
pazopanib,
nilotinib
OATP1B3
SLCO1B3
Liver
Bosentan,
digoxin,
docetaxel,
enalapril,
fexofenadine,
fluvastatin,
methotrexate,
olmesartan,
paclitaxel,
pitavastatin,
rifampicin,
rosuvastatin,
telmisartan,
thyroxine,
valsartan,
canertinib,
nilotinib,
vandetanib,
pazopanib
Cyclosporine,
rifampicin,
rifamycin SV,
clarithromycin,
erythromycin,
roxithromycin,
telithromycin,
vandetanib
OATP1C1
SLCO1C1
Brain, testis, ciliary body
Thyroxine
OATP2A1
SLCO2A1
Ubiquitous
Latanoprost
Diclofenac,
furosemid, 4,4'-
Diisothiocyano-2,2'-
stilbenedisulfonic
acid (DIDS),
niflumic acid
OATP2B1
SLCO2B1
Liver, placenta,
intestine, heart, skin
Atorvastatin,
benzylpenicillin,
fexofenadine,
fluvastatin,
glibenclamide,
pravastatin,
rosuvastatin
Cyclosporine,
gemfibrozil
OATP3A1
SLCO3A1
Ubiquitous
Benzylpenicillin,
thyroxine,
vasopressin
-
OATP4A1
SLCO4A1
Ubiquitous
Benzylpenicillin, thyroxine
-
OATP4C1
SLCO4C1
Kidney
Digoxin,
methotrexate,
sitagliptin,
thyroxine
-
OATP5A1
SLCO5A1
Unknown
-
-
OATP6A1
SLCO6A1
Testis
-
-
Table 1: Human OATP transporters, their gene names, tissue distribution, substrates and inhibitors [16-21].
Recent findings have shown critical involvement of OATPs in the absorption and disposition of a large number of drug therapeutics. The roles of OATPs has been highly scrutinized and widely recognized in Drug-Drug Interactions [DDIs], as well as in elucidating pharmacokinetic inter-individual variability of various drug molecules. Genetic variation in OATP-encoding genes and inhibition of OATP function has clinically significant consequences on drug therapy. In recent years, these transporters have been regarded as crucial molecular targets for potential DDIs. These transporters, in conjunction with the metabolizing enzymes and efflux proteins, may eventually determine the total flux or loss of the therapeutic agents. Better understanding of OATPs would help in determining the disposition of drug molecules and predict potential adverse drug reactions associated with transporter mediated DDIs.
References
- Niemi M. Role of OATP transporters in the disposition of drugs. Pharmacogenomics. 2007; 8: 787-802.
- Shitara Y, Horie T, Sugiyama Y. Transporters as a determinant of drug clearance and tissue distribution. European journal of pharmaceutical sciences: official journal of the European Federation for Pharmaceutical Sciences. 2006; 27: 425-446.
- Ho RH, Kim RB. Transporters and drug therapy: implications for drug disposition and disease. Clinical pharmacology and therapeutics. 2005; 78: 260-277.
- Marzolini C, Tirona RG, Kim RB. Pharmacogenomics of the OATP and OAT families. Pharmacogenomics. 2004; 5: 273-282.
- Minocha M, Khurana V, Mitra AK. Determination of pazopanib (GW-786034) in mouse plasma and brain tissue by liquid chromatography-tandem mass spectrometry (LC/MS-MS). Journal of chromatography B, Analytical technologies in the biomedical and life sciences. 2012; 901: 85-92.
- Minocha M, Khurana V, Qin B, Pal D, Mitra AK. Enhanced brain accumulation of pazopanib by modulating P-gp and Bcrp1 mediated efflux with canertinib or erlotinib. International journal of pharmaceutics. 2012; 436: 127-134.
- Minocha M, Khurana V, Qin B, Pal D, Mitra AK. Co-administration strategy to enhance brain accumulation of vandetanib by modulating P-glycoprotein (P-gp/Abcb1) and breast cancer resistance protein (Bcrp1/Abcg2) mediated efflux with m-TOR inhibitors. International journal of pharmaceutics. 2012; 434: 306-314.
- Kalliokoski A, Niemi M. Impact of OATP transporters on pharmacokinetics. British journal of pharmacology. 2009; 158: 693-705.
- Nies AT, Schwab M, Keppler D. Interplay of conjugating enzymes with OATP uptake transporters and ABCC/MRP efflux pumps in the elimination of drugs. Expert opinion on drug metabolism & toxicology. 2008; 4: 545-568.
- Quesenberry PJ. Biomodulation of chemotherapy-induced myelosuppression. Seminars in oncology. 1992; 19: 8-13.
- Hagenbuch B, Meier PJ. Organic anion transporting polypeptides of the OATP/ SLC21 family: phylogenetic classification as OATP/ SLCO super family, new nomenclature and molecular/functional properties. Pflugers Archiv: European journal of physiology. 2004; 447: 653-665.
- Smith NF, Figg WD, Sparreboom A. Role of the liver-specific transporters OATP1B1 and OATP1B3 in governing drug elimination. Expert opinion on drug metabolism & toxicology. 2005; 1: 429-445.
- Konig J, Seithel A, Gradhand U, Fromm MF. Pharmacogenomics of human OATP transporters. Naunyn-Schmiedeberg's archives of pharmacology. 2006; 372: 432-443.
- Kerb R. Implications of genetic polymorphisms in drug transporters for pharmacotherapy. Cancer letters. 2006; 234: 4-33.
- Mahagita C, Grassi SM, Piyachaturawat P, Ballatori N. Human organic anion transporter 1B1 and 1B3 function as bidirectional carriers and do not mediate GSH-bile acid co-transport. American journal of physiology Gastrointestinal and liver physiology. 2007; 293: G271-G278.
- Khurana V, Minocha M, Pal D, Mitra AK. Inhibition of OATP-1B1 and OATP-1B3 by tyrosine kinase inhibitors. Drug metabolism and drug interactions. 2014; 29: 249-259.
- Khurana V, Minocha M, Pal D, Mitra AK. Role of OATP-1B1 and/or OATP-1B3 in hepatic disposition of tyrosine kinase inhibitors. Drug metabolism and drug interactions. 2014; 29: 179-190.
- Zimmerman EI, Hu S, Roberts JL, Gibson AA, Orwick SJ, Li L, et al. Contribution of OATP1B1 and OATP1B3 to the disposition of sorafenib and sorafenib-glucuronide. Clinical cancer research: an official journal of the American Association for Cancer Research. 2013; 19: 1458-1466.
- International Transporter C, Giacomini KM, Huang SM, Tweedie DJ, Benet LZ, Brouwer KL, et al. Membrane transporters in drug development. Nature reviews Drug discovery. 2010; 9: 215-236.
- Kraft ME, Glaeser H, Mandery K, Konig J, Auge D, Fromm MF, et al. The prostaglandin transporter OATP2A1 is expressed in human ocular tissues and transports the antiglaucoma prostanoid latanoprost. Investigative ophthalmology & visual science. 2010; 51: 2504-2511.
- Khurana V, Patel SP, Agrahari V, Pal D, Mitra AK. Novel Pent block Copolymer Based Nanoparticles Containing Pazopanib: A Potential Therapy for Ocular Neovascularization. Recent Patents on Nanomedicine. 2014; 4: 57-68.