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Vol. 282, Issue 2, 955-960, 1997
Department of Pharmacy, Kyoto University Hospital, Faculty of
Medicine, Kyoto University, Sakyo-ku, Kyoto 606-01, Japan
The purpose of this study was to characterize the transport mechanisms
involved in the renal tubular secretion of quinolones. The
contribution of P-glycoprotein to the transport of quinolones was
elucidated using a kidney epithelial cell line, LLC-PK1,
and its transfectant derivative cell line, LLC-GA5-COL150, which
expresses human P-glycoprotein on the apical membrane. The
transcellular transport of levofloxacin, a quinolone antibacterial
drug, from the basolateral to apical side was increased in
LLC-GA5-COL150 compared with that in LLC-PK1 monolayers.
The apparent Michaelis constant and maximum velocity values for the
saturable transcellular transport of levofloxacin from the basolateral
to apical side in LLC-GA5-COL 150 monolayers were 3.0 mM and 45 nmol/mg
protein per 15 min, respectively. The increased basolateral-to-apical transport in LLC-GA5-COL150 monolayers was completely inhibited by
cyclosporin A and quinidine to the level observed in
LLC-PK1 monolayers. In addition, 3 mM levofloxacin
inhibited the basolateral-to-apical transport of daunorubicin in
LLC-GA5-COL150 monolayers. The basolateral-to-apical transport of
another quinolone antibacterial drug, DU-6859a, in LLC-GA5-COL150
monolayers greatly exceeded than that in LLC-PK1 monolayers, and was inhibited by levofloxacin. These findings suggest
that quinolone antibacterial drugs are transported by P-glycoprotein,
and that P-glycoprotein may contribute at least in part to the renal
tubular secretion of quinolones.
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