Role of human placental apical membrane transporters in the efflux of glyburide, rosiglitazone, and metformin.

Role of human placental apical membrane transporters in the efflux of glyburide, rosiglitazone, and metformin.
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DOI:
10.1016/j.ajog.2010.01.035
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发表时间:
2010-04
影响因子:
9.8
通讯作者:
Ahmed MS
Ahmed MS
中科院分区:
医学1区
文献类型:
--
作者:
Hemauer SJ;Patrikeeva SL;Nanovskaya TN;Hankins GD;Ahmed MS

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Substrates of placental efflux transporters could compete for a single transporter, which could result in an increase in the transfer of each substrate to the fetal circulation. Our aim was to determine the role of placental transporters in the biodisposition of oral hypoglycemic drugs that could be used as monotherapy or in combination therapy for gestational diabetes. Inside-out brush border membrane vesicles from term placentas were used to determine the efflux of glyburide, rosiglitazone, and metformin by P-gp, Breast Cancer Resistance Protein (BCRP), and Multidrug Resistance Protein (MRP1). Glyburide was transported by MRP1 (43 ± 4%); BCRP (25 ± 5%); and P-gp (9 ± 5%). Rosiglitazone was transported predominantly by P-gp (71 ± 26%). Metformin was transported by P-gp (58 ± 20%) and BCRP (25 ± 14%). Multiple placental transporters contribute to efflux of glyburide, rosiglitazone, and metformin. Administration of drug combinations could lead to their competition for efflux transporters.
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