![]() |
|
|
Vol. 293, Issue 2, 376-382, May 2000
Dr. Margarete Fischer-Bosch-Institute of Clinical Pharmacology,
Stuttgart, Germany (C.P.-M., O.v.R., O.B., A.Z., M.E., M.F.F.);
Division of Internal Medicine, Robert-Bosch-Hospital, Stuttgart,
Germany (C.P.-M., T.M.); and Division of Clinical Pharmacology,
Eberhard-Karls-University, Tübingen, Germany (M.E.)
Verapamil is subject to extensive oxidative metabolism mediated by
cytochrome P450 enzymes with less than 5% of an oral dose being
excreted unchanged in urine. Furthermore, verapamil is known to be a
potent inhibitor of P-glycoprotein function. There is evidence from in
vivo investigations that some verapamil metabolites might be actively
transported. The aim of the present study was to investigate
P-glycoprotein-mediated transport and inhibition properties of
verapamil and its metabolites norverapamil, D-620, D-617, and D-703.
Polarized transport of these compounds was assessed in
P-glycoprotein-expressing Caco-2 and L-MDR1 cells (LLC-PK1 cells stably
transfected with human MDR1-P-glycoprotein). Inhibition of
P-glycoprotein-mediated transport by these compounds was determined using digoxin as P-glycoprotein substrate. At concentrations of 5 µM,
significant differences between basal-to-apical and apical-to-basal apparent permeability coefficients were observed for D-617 and D-620 in
all P-glycoprotein-expressing cell monolayers, indicating that both are
P-glycoprotein substrates. In contrast, no P-glycoprotein-dependent transport was found for verapamil, norverapamil, and D-703 in Caco-2
cells and for D-703 in L-MDR1 cells. Moreover, verapamil, norverapamil,
and D-703 inhibited P-glycoprotein-mediated digoxin transport with
IC50 values of 1.1, 0.3, and 1.6 µM, respectively, whereas D-617 and D-620 did not (at concentrations up to 100 µM). We
conclude that verapamil phase I metabolites exhibit different P-glycoprotein substrate and inhibition characteristics, with the
N-dealkylated metabolites D-617 and D-620 being
P-glycoprotein substrates and norverapamil and D-703 being inhibitors
of P-glycoprotein function, which may influence
P-glycoprotein-dependent drug disposition and elimination.
This article has been cited by other articles:
![]() |
K. May, V. Minarikova, K. Linnemann, M. Zygmunt, H. K. Kroemer, C. Fusch, and W. Siegmund Role of the Multidrug Transporter Proteins ABCB1 and ABCC2 in the Diaplacental Transport of Talinolol in the Term Human Placenta Drug Metab. Dispos., April 1, 2008; 36(4): 740 - 744. [Abstract] [Full Text] [PDF] |
||||
![]() |
K.-A. Kim, P.-W. Park, K.-H. Liu, K.-B. Kim, H.-J. Lee, J.-G. Shin, and J.-Y. Park Effect of Rifampin, an Inducer of CYP3A and P-glycoprotein, on the Pharmacokinetics of Risperidone J. Clin. Pharmacol., January 1, 2008; 48(1): 66 - 72. [Abstract] [Full Text] [PDF] |
||||
![]() |
B. Sarkadi, L. Homolya, G. Szakacs, and A. Varadi Human Multidrug Resistance ABCB and ABCG Transporters: Participation in a Chemoimmunity Defense System. Physiol Rev, October 1, 2006; 86(4): 1179 - 1236. [Abstract] [Full Text] [PDF] |
||||
![]() |
A. Takano, H. Kusuhara, T. Suhara, I. Ieiri, T. Morimoto, Y.-J. Lee, J. Maeda, Y. Ikoma, H. Ito, K. Suzuki, et al. Evaluation of In Vivo P-Glycoprotein Function at the Blood-Brain Barrier Among MDR1 Gene Polymorphisms by Using 11C-Verapamil J. Nucl. Med., September 1, 2006; 47(9): 1427 - 1433. [Abstract] [Full Text] [PDF] |
||||
![]() |
Y. Ikoma, A. Takano, H. Ito, H. Kusuhara, Y. Sugiyama, R. Arakawa, T. Fukumura, R. Nakao, K. Suzuki, and T. Suhara Quantitative Analysis of 11C-Verapamil Transfer at the Human Blood-Brain Barrier for Evaluation of P-glycoprotein Function J. Nucl. Med., September 1, 2006; 47(9): 1531 - 1537. [Abstract] [Full Text] [PDF] |
||||
![]() |
P. Hsiao, L. Sasongko, J. M. Link, D. A. Mankoff, M. Muzi, A. C. Collier, and J. D. Unadkat Verapamil P-glycoprotein Transport across the Rat Blood-Brain Barrier: Cyclosporine, a Concentration Inhibition Analysis, and Comparison with Human Data J. Pharmacol. Exp. Ther., May 1, 2006; 317(2): 704 - 710. [Abstract] [Full Text] [PDF] |
||||
![]() |
Y.-J. Lee, J. Maeda, H. Kusuhara, T. Okauchi, M. Inaji, Y. Nagai, S. Obayashi, R. Nakao, K. Suzuki, Y. Sugiyama, et al. In Vivo Evaluation of P-glycoprotein Function at the Blood-Brain Barrier in Nonhuman Primates Using [11C]Verapamil J. Pharmacol. Exp. Ther., February 1, 2006; 316(2): 647 - 653. [Abstract] [Full Text] [PDF] |
||||
![]() |
U. Troger, H. Lins, J.-M Scherrmann, C.-W. Wallesch, and S. M Bode-Boger Tetraparesis associated with colchicine is probably due to inhibition by verapamil of the P-glycoprotein efflux pump in the blood-brain barrier BMJ, September 17, 2005; 331(7517): 613 - 613. [Full Text] [PDF] |
||||
![]() |
O. Burk, K. A. Arnold, A. K. Nussler, E. Schaeffeler, E. Efimova, B. A. Avery, M. A. Avery, M. F. Fromm, and M. Eichelbaum Antimalarial Artemisinin Drugs Induce Cytochrome P450 and MDR1 Expression by Activation of Xenosensors Pregnane X Receptor and Constitutive Androstane Receptor Mol. Pharmacol., June 1, 2005; 67(6): 1954 - 1965. [Abstract] [Full Text] [PDF] |
||||
![]() |
I. Cascorbi, M. Paul, and H. K. Kroemer Pharmacogenomics of heart failure - focus on drug disposition and action Cardiovasc Res, October 1, 2004; 64(1): 32 - 39. [Abstract] [Full Text] [PDF] |
||||
![]() |
A. Harrison, A. Betts, K. Fenner, K. Beaumont, A. Edgington, S. Roffey, J. Davis, P. Comby, and P. Morgan NONLINEAR ORAL PHARMACOKINETICS OF THE {alpha}-ANTAGONIST 4-AMINO-5-(4-FLUOROPHENYL)-6,7-DIMETHOXY-2-[4-(MORPHOLINOCARBONYL)-PERHYDRO-1,4-DIAZEPIN-1-YL]QUINOLINE IN HUMANS: USE OF PRECLINICAL DATA TO RATIONALIZE CLINICAL OBSERVATIONS Drug Metab. Dispos., February 1, 2004; 32(2): 197 - 204. [Abstract] [Full Text] [PDF] |
||||
![]() |
Y.-H. Wang, D. R. Jones, and S. D. Hall PREDICTION OF CYTOCHROME P450 3A INHIBITION BY VERAPAMIL ENANTIOMERS AND THEIR METABOLITES Drug Metab. Dispos., February 1, 2004; 32(2): 259 - 266. [Abstract] [Full Text] [PDF] |
||||
![]() |
T. Litman, T. Skovsgaard, and W. D. Stein Pumping of Drugs by P-Glycoprotein: A Two-Step Process? J. Pharmacol. Exp. Ther., December 1, 2003; 307(3): 846 - 853. [Abstract] [Full Text] [PDF] |
||||
![]() |
K. M. M. Doan, J. E. Humphreys, L. O. Webster, S. A. Wring, L. J. Shampine, C. J. Serabjit-Singh, K. K. Adkison, and J. W. Polli Passive Permeability and P-Glycoprotein-Mediated Efflux Differentiate Central Nervous System (CNS) and Non-CNS Marketed Drugs J. Pharmacol. Exp. Ther., December 1, 2002; 303(3): 1029 - 1037. [Abstract] [Full Text] [PDF] |
||||
![]() |
R. K. Bhardwaj, H. Glaeser, L. Becquemont, U. Klotz, S. K. Gupta, and M. F. Fromm Piperine, a Major Constituent of Black Pepper, Inhibits Human P-glycoprotein and CYP3A4 J. Pharmacol. Exp. Ther., August 1, 2002; 302(2): 645 - 650. [Abstract] [Full Text] [PDF] |
||||
![]() |
S. Ekins, R. B. Kim, B. F. Leake, A. H. Dantzig, E. G. Schuetz, L.-B. Lan, K. Yasuda, R. L. Shepard, M. a Winter, J. D. Schuetz, et al. Application of Three-Dimensional Quantitative Structure-Activity Relationships of P-Glycoprotein Inhibitors and Substrates Mol. Pharmacol., May 1, 2002; 61(5): 974 - 981. [Abstract] [Full Text] [PDF] |
||||
![]() |
J. W. Polli, S. A. Wring, J. E. Humphreys, L. Huang, J. B. Morgan, L. O. Webster, and C. S. Serabjit-Singh Rational Use of in Vitro P-glycoprotein Assays in Drug Discovery J. Pharmacol. Exp. Ther., November 1, 2001; 299(2): 620 - 628. [Abstract] [Full Text] [PDF] |
||||
![]() |
J. H. Hochman, M. Chiba, M. Yamazaki, C. Tang, and J. H. Lin P-glycoprotein-Mediated Efflux of Indinavir Metabolites in Caco-2 Cells Expressing Cytochrome P450 3A4 J. Pharmacol. Exp. Ther., July 1, 2001; 298(1): 323 - 330. [Abstract] [Full Text] |
||||
![]() |
R. Yumoto, T. Murakami, M. Sanemasa, R. Nasu, J. Nagai, and M. Takano Pharmacokinetic Interaction of Cytochrome P450 3A-Related Compounds with Rhodamine 123, a P-Glycoprotein Substrate, in Rats Pretreated with Dexamethasone Drug Metab. Dispos., February 1, 2001; 29(2): 145 - 151. [Abstract] [Full Text] |
||||
![]() |
G. da Silva Xavier, A. Varadi, E. K. Ainscow, and G. A. Rutter Regulation of Gene Expression by Glucose in Pancreatic beta -Cells (MIN6) via Insulin Secretion and Activation of Phosphatidylinositol 3'-Kinase J. Biol. Chem., November 10, 2000; 275(46): 36269 - 36277. [Abstract] [Full Text] [PDF] |
||||