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Vol. 283, Issue 3, 1039-1042, 1997
Department of Pharmacy, Kyoto University Hospital, Faculty of
Medicine, Kyoto University, Sakyo-ku, Kyoto 606-01, Japan
We recently cloned and characterized the rat kidney-specific organic
anion transporter, OAT-K1, which was suggested to mediate renal tubular
transport of methotrexate. In this study, we investigated the
interactions of nonsteroidal anti-inflammatory drugs (NSAIDs) with
OAT-K1 by evaluating the effects of these drugs on renal distribution
of methotrexate in vivo, and on methotrexate
accumulation in the stably transfected LLC-PK1 cells
expressing OAT-K1 (LLC-OAT-K1). NSAIDs such as indomethacin and
ketoprofen had significant inhibitory effects on renal accumulation of
methotrexate in rats after coadministration. Indomethacin and
ketoprofen inhibited methotrexate accumulation by LLC-OAT-K1 cells in a
competitive manner with the apparent inhibition constant values of 1.0 mM and 1.9 mM, respectively. Other NSAIDs including ibuprofen,
flufenamate and phenylbutazone also showed potent inhibitory effects on
methotrexate accumulation. However, indomethacin was not transported
via OAT-K1. These results indicate that NSAIDs have
potent inhibitory effects against the OAT-K1-mediated methotrexate
transport, which suggests that the OAT-K1 may be one of interaction
sites for methotrexate and NSAIDs in the kidney.
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