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Vol. 303, Issue 2, 487-496, November 2002
Division of Pharmaceutical Sciences, College of Pharmacy (J.A.,
P.J.M.), and Department of Pediatrics (X.L., J.A.M.), University of
Kentucky, Lexington, Kentucky
Transporter-mediated processes in the lactating mammary gland may
explain the significant accumulation of certain drugs in breast milk.
The purpose of this study was to identify potential candidate drug
transport proteins involved in drug accumulation in milk. Quantitative
reverse transcription-polymerase chain reaction methods were
developed to determine the relative RNA levels of 30 different drug
transporter genes. Transporter gene RNA levels in lactating mammary
epithelial cells (MEC) purified from pooled fresh breast milk samples
were compared with levels in nonlactating MEC, liver, and kidney
tissue. Transcripts were detected in lactating MEC for OCT1, OCT3,
OCTN1, OCTN2, OATP-A, OATP-B, OATP-D, OATP-E, MRP1, MRP2, MRP5, MDR1,
CNT1, CNT3, ENT1, ENT3, NCBT1, PEPT1, and PEPT2. No transcripts were
detected for OCT2, OAT1, OAT2, OAT3, OAT4, OATP-C, MRP3, MRP4, CNT2,
ENT2, and NCBT2. Lactating MEC demonstrated more than 4-fold higher RNA
levels of OCT1, OCTN1, PEPT2, CNT1, CNT3, and ENT3, and more than
4-fold lower RNA levels of MDR1 and OCTN2 relative to nonlactating MEC.
Lactating MEC showed significantly higher RNA levels of CNT3 relative
to liver and kidney, increased PEPT2 RNA levels relative to liver, and increased OATP-A RNA levels relative to kidney. These data imply CNT3
may play a specialized role in nucleoside accumulation in milk and may
identify an important role for PEPT2 and OATP-A transporters at the
lactating mammary epithelium. Furthermore, transporters expressed in
lactating MEC identify a potential role for these transporters in drug
disposition at the mammary gland.
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