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Pharmacology

Raltegravir Is a Substrate for SLC22A6: a Putative Mechanism for the Interaction between Raltegravir and Tenofovir

Darren M. Moss, Wai San Kwan, Neill J. Liptrott, Darren L. Smith, Marco Siccardi, Saye H. Khoo, David J. Back, Andrew Owen
Darren M. Moss
1Department of Pharmacology and Therapeutics, University of Liverpool, Liverpool, United Kingdom
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Wai San Kwan
1Department of Pharmacology and Therapeutics, University of Liverpool, Liverpool, United Kingdom
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Neill J. Liptrott
2NIHR Biomedical Research Centre, Royal Liverpool & Broadgreen University Hospitals Trust, Liverpool, United Kingdom
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Darren L. Smith
1Department of Pharmacology and Therapeutics, University of Liverpool, Liverpool, United Kingdom
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Marco Siccardi
1Department of Pharmacology and Therapeutics, University of Liverpool, Liverpool, United Kingdom
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Saye H. Khoo
1Department of Pharmacology and Therapeutics, University of Liverpool, Liverpool, United Kingdom
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David J. Back
1Department of Pharmacology and Therapeutics, University of Liverpool, Liverpool, United Kingdom
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Andrew Owen
1Department of Pharmacology and Therapeutics, University of Liverpool, Liverpool, United Kingdom
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  • For correspondence: aowen@liv.ac.uk
DOI: 10.1128/AAC.00623-10
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  • FIG. 1.
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    FIG. 1.

    (A) [3H]raltegravir (1 μM) accumulation in CEM, CEMVBL100, and CEMVBL100 cells treated with 300 nM tariquidar. (B) [3H]saquinavir (1 μM) accumulation in CEM, CEMVBL100, and CEMVBL100 cells treated with 300 nM tariquidar. Data in A and B are expressed as mean CARs (n = 4 biological replicates; n = 4 experimental replicates per biological replicate) ± SD. *, P < 0.05; **, P < 0.01; ***, P < 0.001. (C) Apparent permeability of [3H]raltegravir and [3H]digoxin in the A-to-B (apical-to-basolateral) and B-to-A (basolateral-to-apical) directions across the Caco-2 transwell membrane, with and without the presence of 300 nM tariquidar. Data are expressed as mean apparent permeabilities (×10−6 cm/s; n = 3 experimental replicates) ± SD. *, P < 0.05; **, P < 0.01; ***, P < 0.001.

  • FIG. 2.
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    FIG. 2.

    (A) SLC22A6- and H2O-injected oocyte uptake of [3H]raltegravir over a 4-h incubation period. (B) SLC22A6- and H2O-injected oocyte uptake of [3H]tenofovir over a 4-h incubation period. (C) SLC22A6- and H2O-injected oocyte uptake of [3H]aminohippuric acid over a 4-h incubation period. Data in A, B, and C are expressed as mean drug accumulations (pmol/oocyte) (n = 5 experimental replicates from one biological replicate) ± standard errors (SE). (D) Concentration dependency of the uptake of [3H]raltegravir by SLC22A6. (E) Concentration dependency of the uptake of [3H]tenofovir by SLC22A6. Data in D and E are expressed as mean rates of [3H]tenofovir transport (pmol/oocyte/h) (n = 4 experimental replicates from one biological replicate) ± SE.

  • FIG. 3.
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    FIG. 3.

    (A) Accumulation of 1 μM [3H]raltegravir in SLC22A6- and H2O-injected oocytes with and without the addition of 300 μM tenofovir. (B) Accumulation of 1 μM [3H]tenofovir in SLC22A6- and H2O-injected oocytes with and without the addition of 300 μM raltegravir. Data in A and B are expressed as mean drug concentrations per oocyte (pmol/oocyte) (n = 5 experimental replicates from one biological replicate) ± SE. *, P < 0.05; **, P < 0.01; ***, P < 0.001. (C) Determination of IC50 for inhibition of 1 μM [3H]raltegravir SLC22A6 transport by tenofovir. Data are expressed as mean [3H]raltegravir oocyte concentrations (pmol/oocyte) (n = 5 experimental replicates from one biological replicate) ± SE. (D) Determination of IC50 for inhibition of 1 μM [3H]tenofovir SLC22A6 transport by raltegravir. Data are expressed as mean [3H]tenofovir oocyte concentrations (pmol/oocyte) (n = 5 experimental replicates from one biological replicate) ± SE.

  • FIG. 4.
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    FIG. 4.

    (A) [3H]raltegravir (1 μM) accumulation in peripheral blood mononuclear cells alone or treated with 300 nM tariquidar, 1 mM probenecid, or 1 mM glycyl sarcosine. (B) [3H]raltegravir (1 μM) accumulation in primary renal proximal tubule cells alone or treated with 1 mM probenecid or 100 μM tenofovir. (C) [3H]tenofovir (1 μM) accumulation in primary renal proximal tubule cells alone or treated with 1 mM probenecid or 100 μM raltegravir. (D) [3H]aminohippuric acid (1 μM) accumulation in primary renal proximal tubule cells alone or treated with 1 mM probenecid. Data in A, B, C, and D are expressed as mean CARs (n = 3 experimental replicates) ± SD. *, P < 0.05; **, P < 0.01; ***, P < 0.001. (E) Relative abundance of transporter RNA in cultured renal proximal tubule cells compared to transporter RNA in whole kidney (log percent) (n = 1 experimental replicate).

Tables

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  • TABLE 1.

    Accumulation of 1 μM raltegravir and various positive-control compounds in oocytesa

    TransporterDrugMean drug concn (pmol/oocyte) ± SDRNA/H2O ratio (P value)
    RNA-injected oocytesH2O-injected oocytes
    SLCO1A2RAL0.39 ± 0.140.35 ± 0.071.11 (0.09)
    E3S1.48 ± 0.630.27 ± 0.095.48 (<0.01)
    SLCO1B1RAL0.41 ± 0.050.38 ± 0.051.08 (0.09)
    E3S2.68 ± 1.550.34 ± 0.177.97 (<0.01)
    SLCO1B3RAL0.63 ± 0.190.65 ± 0.130.97 (0.09)
    E3S0.56 ± 0.230.21 ± 0.032.60 (<0.01)
    SLC22A6RAL0.44 ± 0.120.20 ± 0.032.22 (<0.01)
    AHA9.39 ± 2.640.17 ± 0.0456.9 (<0.01)
    SLC10A1RAL0.20 ± 0.030.20 ± 0.031.03 (0.57)
    TCA0.28 ± 0.100.08 ± 0.053.51 (<0.01)
    SLC15A1RAL0.26 ± 0.120.17 ± 0.031.52 (<0.01)
    GLY0.45 ± 0.130.11 ± 0.054.22 (<0.01)
    SLC15A2RAL0.19 ± 0.040.17 ± 0.031.08 (0.16)
    GLY0.29 ± 0.190.11 ± 0.052.69 (<0.01)
    SLC22A1RAL0.21 ± 0.030.17 ± 0.041.21 (0.06)
    TEA0.34 ± 0.060.17 ± 0.041.99 (<0.01)
    • ↵a Results are expressed as the mean drug concentrations per oocyte (pmol/oocyte) (n ≥ 2 biological replicates; n ≥ 4 experimental replicates per biological replicate) ± standard deviations. Also shown are the ratios of drug accumulation between transporter RNA-injected and H2O-injected oocytes. RAL, raltegravir; E3S, estrone-3-sulfate; AHA, amminohippuric acid; TCA, taurocholic acid; GLY, glycyl sarcosine; TEA, tetraethyl ammonium.

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Raltegravir Is a Substrate for SLC22A6: a Putative Mechanism for the Interaction between Raltegravir and Tenofovir
Darren M. Moss, Wai San Kwan, Neill J. Liptrott, Darren L. Smith, Marco Siccardi, Saye H. Khoo, David J. Back, Andrew Owen
Antimicrobial Agents and Chemotherapy Jan 2011, 55 (2) 879-887; DOI: 10.1128/AAC.00623-10

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Raltegravir Is a Substrate for SLC22A6: a Putative Mechanism for the Interaction between Raltegravir and Tenofovir
Darren M. Moss, Wai San Kwan, Neill J. Liptrott, Darren L. Smith, Marco Siccardi, Saye H. Khoo, David J. Back, Andrew Owen
Antimicrobial Agents and Chemotherapy Jan 2011, 55 (2) 879-887; DOI: 10.1128/AAC.00623-10
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