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Vol. 286, Issue 3, 1166-1170, September 1998
Department of Drug Delivery, Pharmaceutical Technologies,
Smithkline Beecham Pharmaceuticals, Collegeville, Pennsylvania
It has been reported that conjugating acyclovir, a potent antiviral
with low oral bioavailability, to L-valine increases its urinary excretion in rats. However, it was also reported that this
increase is not found for the D-valine ester, suggesting that a carrier-mediated mechanism is involved in its intestinal absorption. Therefore, mechanisms involved in the transepithelial transport of L-valine-acyclovir were investigated using the
intestinal cell line, Caco-2, as a model system for the intestinal
epithelium. Only the mucosal-to-serosal transport of acyclovir was
increased by conjugation with L-valine (~7-fold),
suggesting the involvement of a carrier-mediated mechanism. This
conclusion was supported by the finding that this increase was
saturable. The mucosal-to-serosal transport of
L-valine-acyclovir could be inhibited by
L-glycylsarcosine, but not by L-valine,
suggesting the involvement of the dipeptide carrier. Also it was found
that L-valine-acyclovir inhibits the uptake of cephalexin,
a substrate for the oligopeptide transporter. Stability of the esters
in either the mucosal or serosal bathing solution is more than 90%
after completion of the transport study. However, after transport, the
receiver solution contained approximately 90% of acyclovir. Based on
these findings it was concluded that absorption of the
L-valine ester of acyclovir occurs as a result of uptake by
the oligopeptide transporter at the apical cell membrane followed by
intracellular hydrolysis of the ester and efflux of acyclovir.
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