Differential Kinetics of Transport of 2′,3′-Dideoxyinosine and Adenosine via Concentrative Na+ Nucleoside Transporter CNT2 Cloned from Rat Blood-Brain Barrier

  1. Jian Yi Li,
  2. Ruben J. Boado and
  3. William M. Pardridge
  1. Department of Medicine, UCLA School of Medicine, Los Angeles, California
  1. Dr. William M. Pardridge, UCLA Warren Hall (13-164), 900 Veteran Ave., Los Angeles, CA 90024. E-mail:wpardridge{at}mednet.ucla.edu

Abstract

The concentrative Na+ nucleoside transporter type 2 (CNT2), cloned from a rat blood-brain barrier cDNA library, yields very high flux ratios for purine nucleosides after expression in frog oocytes. This high activity of the rat CNT2 produced from the blood-brain barrier-derived cDNA, designated clone A-11, enabled a kinetic analysis of 2′,3′-dideoxyinosine transport via the rat CNT2. CNT2 transported both adenosine and 2′,3′-dideoxyinosine. The 2′,3′-dideoxyinosine transport parameters included a Km of 29.2 ± 8.3 μM, a Vmax of 0.40 ± 0.11 pmol/oocyte/min, and a constant of nonsaturable transport (KD) of 15.7 ± 0.6 nl/oocyte/min. The 2′,3′-dideoxyinosine Vmax was 27-fold lower than the adenosine Vmax and the 2′,3′-dideoxyinosine KD was >15-fold greater than the KD of adenosine transport. Adenosine inhibited both the saturable component of 2′,3′-dideoxyinosine transport with a KI of 14.8 ± 1.6 μM, and inhibited the nonsaturable component of 2′,3′-dideoxyinosine transport. Both the saturable and nonsaturable components of 2′,3′-dideoxyinosine transport were sodium-dependent with a sodium K0.5 of 8.7 ± 0.9 mM, and a Hill coefficient of 1.00 ± 0.10. The transport of 2′,3′-dideoxyinosine was strongly inhibited by thymidine, whereas thymidine was a weak inhibitor of adenosine transport via rat CNT2. Thymidine was transported by rat CNT2 with aKm = 130 ± 44 μM and aVmax = 1.7 ± 0.5 pmol/oocyte/min. These studies provide evidence for asymmetric transport sites on rat CNT2, where 2′,3′-dideoxyinosine and thymidine compete selectively at a low Vmax site on the transporter, whereas adenosine is transported at a high Vmaxsite.

The human immunodeficiency virus selectively infects the central nervous system to cause neurologic manifestations of acquired immune deficiency syndrome (AIDS) (Masliah et al., 2000). A significant problem in the treatment of AIDS is the poor penetration into brain from blood of antiretroviral drugs (Pardridge, 2001). 2′,3′-Dideoxyinosine (DDI) is effective as an AIDS therapeutic in peripheral tissues (Butler et al., 1991). However, the treatment of the neurologic involvement of AIDS with DDI is hindered by the poor transport of DDI into brain (Anderson et al., 1990; Morgan et al., 1992). The distribution of circulating drugs into brain is a function of drug transport at the brain capillary endothelial wall, which forms the blood-brain barrier (BBB) in vivo. Both diminished influx from blood to brain and increased efflux from brain to blood of antiretroviral drugs contribute to poor brain penetration. Antiretroviral drugs such as 3′-azido-3′-deoxythymidine (AZT) or DDI are both substrates for a putative active efflux transporter at the BBB (Takasawa et al., 1997), although the molecular characteristics of the active efflux system at the BBB for AZT or DDI are presently not known. The parent compound of DDI, inosine, is a purine nucleoside, and purine nucleosides are transported from blood to brain by a purine nucleoside-specific BBB transporter (Cornford and Oldendorf, 1975;Pardridge et al., 1994). The BBB adenosine carrier has recently been cloned from a rat brain capillary cDNA library (Li et al., 2001), and demonstrated to be identical to the rat concentrative Na+ nucleoside cotransporter type 2 (CNT2) (Cass et al., 1998). DDI is also a substrate for CNT2 that was cloned from human small intestine and expressed in frog oocytes (Ritzel et al., 1998). However, the flux of DDI via the cloned human CNT2 was low, 0.005 pmol/oocyte/min at a DDI concentration of 10 μM (Ritzel et al., 1998). This low activity makes difficult any kinetic analysis of DDI transport in frog oocytes via cloned CNT2.

A CNT2 isoform, designated clone A-11, has been isolated from a rat brain capillary cDNA library; the flux ratio of adenosine transport in frog oocytes expressing the A-11 CNT2 clone is 50-fold higher than flux ratios obtained with rat CNT2 clones isolated from peripheral tissues (Li et al., 2001). The high activity of the BBB A-11 CNT2 clone enables a kinetic analysis of substrates such as DDI that have reduced CNT2 transport activity. Therefore, the purpose of the present studies was to express the rat BBB A-11 CNT2 clone in frog oocytes and perform a kinetic analysis of DDI transport. The DDI kinetic parameters are then compared with those reported previously for adenosine transport via the A-11 CNT2 clone expressed in frog oocytes (Li et al., 2001). The results show marked differences in the transport properties of DDI and adenosine via the cloned rat CNT2.

Experimental Procedures

Materials.

The mMessage mMachine in vitro transcription kit was obtained from Ambion (Austin, TX). [2,8-3H]adenosine (38.6 Ci/mmol) and [14C]sucrose (0.6 Ci/mmol) were purchased from PerkinElmer Life Science Products (Boston, MA). [2′,3′-3H(N)] Dideoxyinosine (34.9 Ci/mmol) was purchased from Moravek Biochemicals (Brea, CA). [methyl-3H]Thymidine (86.0 Ci/mmol) was purchased from Amersham Pharmacia Biotech (Arlington Heights, IL). Unlabeled DDI, 2′,3′-dideoxyadenosine (DDA), adenosine, and other molecular biology grade reagents were obtained from Sigma Chemical (St. Louis, MO). NotI was obtained from New England Biolabs (Beverly, MA). Female oocyte-positive Xenopus frogs (50–70 g) were purchased from Nasco (Fort Atkinson, WI).

In Vitro Transcription and Expression in Oocytes.

Rat CNT2 RNA was synthesized with the full-length A-11 CNT2 clone in the expression vector pSPORT, which was isolated from rat BBB cDNA library, as described previously (Li et al., 2001). Clone A-11 is 2905 nucleotides in length, with a 252 nucleotide 5′-untranslated region, a 1977 nucleotide coding region, a stop codon, and a 629 nucleotide 3′-untranslated region followed by a 44-mer poly A tail (Li et al., 2001). The pSPORT-A-11 vector was linearized with NotI and incubated with T7 polymerase for the production of 5′-capped cloned RNA (cRNA) using the mMessage mMachine kit. Capped cRNA was characterized by denaturing gel electrophoresis and ethidium bromide staining. Frog oocytes were isolated as described previously (Boado et al., 1999) and injected with 50 nl of water or cRNA solution (20 ng/oocyte) using a nanoliter injector (World Precision Instruments, Sarasota, FL). Oocytes were kept in Barth's/gentamycin solution for 3 days at 18°C to allow for expression of the mRNA within the oocyte.

Transport Assays.

The uptake, also called clearance, of labeled DDI or adenosine by oocytes injected with either water or CNT2 RNA was measured as previously described (Li et al., 2001). Seven to eight healthy oocytes were incubated in 100 μl of sodium buffer (0.1 M NaCl, 2 mM KCl, 1 mM MgCl2, 1 mM CaCl2, 10 mM Hepes, pH 7.5) containing 2 μCi3H-nucleoside, and 0.08 μCi [14C]sucrose at 22°C for 5 min. The reaction was stopped with 3 ml of ice-cold choline buffer (0.1 M choline chloride, 2 mM KCl, 1 mM MgCl2, 1 mM CaCl2, 10 mM Hepes, pH 7.4), followed by three additional washes with the same buffer. Oocytes were individually dissolved in 0.5 ml of 1 M NaOH for 30 min at 60°C. The radioactivity was measured in a liquid scintillation counter. The volume of distribution (VD), microliter per oocyte, for either the labeled nucleoside or the labeled sucrose was calculated as follows: VD = (dpm per oocyte)/(dpm per μl of medium). The VD for [14C]sucrose was subtracted from the total VD for 3H-nucleoside. The clearance is the VD divided by the time of incubation. The flux ratio is the VD in RNA-injected oocytes divided by the VD in water-injected oocytes. Substrate influx into the RNA-injected oocytes was linear for at least 30 min. Each transport saturation study was performed on one to three different oocyte isolates, and a total of 10 frog oocyte isolations was performed for this study. A water-injected oocyte control uptake measurement was performed for each study, and this nonspecific uptake by water injected oocytes was 0.2, 1.4, and 7% of the uptake by cRNA-injected oocytes for adenosine, DDI, and thymidine, respectively.

Parameter Estimation.

TheKm andVmax of DDI, thymidine, or adenosine uptake, and the constant of nonsaturable transportKD, were determined by fitting the clearance (Cl) data to the Michaelis-Menten equation Cl = [Vmax/(Km+ S)] + KD using a nonlinear regression analysis (P3R of the BMDP Statistical Software package; UCLA Biomedical Computing Facility, Los Angeles, CA), where S is the medium substrate concentration. Clearance is the ratio of influx/S, and the clearance plot is formally equivalent to a Michaelis-Menten plot. The adenosine self-inhibition plot was performed in the presence of a constant concentration, 100 μM, of unlabeled DDI, and in this case the apparent Km(Kmapp) was computed, where Kmapp=Km(1 + [I]/KI), andKm is the absolute adenosineKm for CNT2, [I] is the concentration of DDI, and KI is the concentration of DDI that yields half-inhibition of adenosine transport. The uptake of a tracer concentration, 0.5 μM, of [3H]DDI by the oocytes was measured in the presence of increasing concentrations of either unlabeled adenosine or DDA. The [3H]DDI clearance was fit to the following equation: Cl = {(Vmax/Km)[KI/(KI+ I)] + KD}, whereVmax,Km, andKD are parameters of DDI transport,KI is the adenosine or DDA half-inhibition constant, and I is the concentration of unlabeled adenosine or DDA, and the [3H]DDI is present at tracer concentrations. The parameters of sodium dependence were determined from the Hill equation, which isv/Vmax = Nan/(Kn + Nan), where v is the transport flux,Vmax is the flux at maximal sodium, K is the sodium K0.5, Na is the sodium concentration, and n is the Hill coefficient, which is the number of sodium ions that are cotransported with each adenosine molecule.

Statistical significance was determined with analysis of variance and ap < 0.05 was considered statistically significant.

Results

The uptake of [3H]DDI by frog oocytes injected with the cloned A-11 CNT2 RNA was 16-fold higher than the uptake of DDI by oocytes injected with water (Fig.1A). DDI transport into the oocytes expressing CNT2 was completely suppressed by 2 mM concentrations of purine nucleosides (adenosine, guanosine, inosine), and the pyrimidine nucleosides (thymidine, uridine), but was marginally inhibited by 2 mM concentrations of AZT, DDA, or DDI, and was not inhibited by dideoxycytidine (DDC) (Fig. 1A). In contrast, the flux ratio of adenosine transport into oocytes expressing the A-11 CNT2 clone was 470 (Fig. 1B), or 29-fold higher than the flux ratio for DDI (Fig. 1A). Whereas adenosine transport was strongly self-inhibited, there was only minor cross-competition of adenosine transport by 2 mM DDI or thymidine (Fig. 1B).

Figure 1
View larger version:
Figure 1

A, volume of distribution of [3H]DDI was measured in frog oocytes after the injection of either the cloned A-11 CNT2 RNA (control) or comparable volumes of H2O. [3H]DDI transport was measured over a 5-min uptake period. Oocytes were injected with 20 ng/oocyte of A-11 CNT2 RNA. The DDI flux ratio in the RNA injected oocyte, relative to water-injected oocytes, was 16, and this was strongly inhibited by 2 mM guanosine, inosine, thymidine, or uridine, and was partially competed by 2 mM AZT, DDA, or DDI, and was not inhibited by DDC. B, volume of distribution of [3H]adenosine in oocytes injected with A-11 CNT2 RNA or comparable volumes of water is shown. Adenosine transport via the A-11 CNT2 was strongly inhibited by 2 mM unlabeled adenosine, but only marginally inhibited by 2 mM DDI or thymidine.

DDI transport into frog oocytes expressing the A-11 CNT2 clone was sodium-dependent (Fig. 2). The half saturation constant (K0.5) was 8.7 ± 0.9 mM sodium and the Hill coefficient (n) was 1.00 ± 0.10 at a [DDI] of 0.5 μM. These values are similar to the K0.5 and Hill coefficient for adenosine transport via the A-11 CNT2 clone (Table1).

Figure 2
View larger version:
Figure 2

[3H]DDI uptake over 5 min is plotted versus sodium concentration in oocytes injected with 20 ng of cloned A-11 rat CNT2 RNA. Fitting of the saturation data to the Hill equation yielded a K0.5 for sodium of 8.7 ± 0.9 mM and a Hill coefficient (n) of 1.00 ± 0.10. The concentration of DDI was fixed at 0.5 μM.

Table 1

Kinetic parameters of DDI, thymidine, and adenosine transport via cloned rat BBB CNT2 expressed in X. laevis oocytes

The clearance (uptake) of [3H]DDI by oocytes expressing the A-11 CNT2 clone was self-inhibited by increasing concentrations of DDI (Fig. 3). Approximately 50% of the DDI transport was nonsaturable. The data in Fig. 3 were fit to the Michaelis-Menten equation (underExperimental Procedures) to yield a DDIKm of 29.2 ± 8.3 μM, a DDIVmax of 0.40 ± 0.11 pmol/oocyte/min, and a nonsaturable transport constant (KD) of 15.7 ± 0.6 nl/oocyte/min (Fig. 3; Table 1). The [(Vmax/Km) + KD] determined from the transport parameters for DDI is 16 nl/oocyte/min, which is 29-fold less than the calculated [(Vmax/Km) + KD] for adenosine, which is 468 nl/oocyte/min (Table 1).

Figure 3
View larger version:
Figure 3

Clearance of [3H]DDI by oocytes injected with A-11 CNT2 RNA was measured in the presence of increasing concentrations of unlabeled DDI, and these transport data were fit to the Michaelis-Menten equation to yield theKm, Vmax, andKD values shown in the figure.

The clearance of [3H]DDI by the oocyte expressing the A-11-CNT2 clone was cross-inhibited by increasing concentrations of adenosine, and a kinetic analysis of these data yielded an adenosineKI of 14.8 ± 1.6 μM and a DDIKD of 0.66 ± 0.47 nl/oocyte/min (Fig. 4). The clearance of [3H]DDI by oocytes expressing the A-11 CNT2 clone was also cross-inhibited by increasing concentrations of DDA and a kinetic analysis of these data yielded a DDAKI of 8.7 ± 2.2 μM and a DDIKD of 13.9 ± 0.6 nl/oocyte/min (Fig. 5).

Figure 4
View larger version:
Figure 4

Clearance of [3H]DDI by oocytes injected with the A-11 CNT2 RNA was measured in the presence of increasing concentrations of unlabeled adenosine. The adenosineKI and DDI KDvalues shown in the figure were computed by nonlinear regression analysis and fitting the saturation data to the Michaelis-Menten equation (under Experimental Procedures).

Figure 5
View larger version:
Figure 5

Clearance of [3H]DDI by oocytes injected with the A-11 CNT2 RNA was measured in the presence of increasing concentrations of unlabeled DDA. The saturation data were fit to the Michaelis-Menten equation, and this analysis yields the DDIVmax/Km ratio, the DDI KD, and the DDAKI (under Experimental Procedures). The DDIVmax/Km ratio determined from this analysis was 12.8 ± 1.2 nl/oocyte/min, which approximates the DDIVmax/Km ratio determined from the DDI self-inhibition curve (Fig. 3). The DDIKD and the DDA KIvalues are shown in the figure.

A comparison of the adenosine and DDI kinetic parameters indicated theKm value for both ligands was comparable, but the Vmax for DDI transport via the A-11 CNT2 clone was 27-fold lower than theVmax of adenosine (Table 1). To further examine the mechanism of the interaction of adenosine and DDI with the A-11 CNT2 transporter, the self-inhibition of uptake of [3H]adenosine into oocytes expressing the A-11 CNT2 clone was examined in the presence of a fixed concentration (100 μM) of DDI. In the presence of 100 μM DDI, the adenosineKmapp was 73.3 ± 12.2 μM with a Vmax of 19.2 ± 2.8 pmol/oocyte/min (Fig. 6).

Figure 6
View larger version:
Figure 6

Clearance of [3H]adenosine in oocytes injected with the A-11 CNT2 RNA was measured in the presence of increasing concentrations of adenosine. All incubations included a fixed concentration of 100 μM DDI. TheKmapp andVmax values of adenosine transport were determined by nonlinear regression analysis and fitting of the transport data to the Michaelis-Menten equation (underExperimental Procedures).

The inhibition of [3H]DDI transport by thymidine (Fig. 1A) suggested thymidine is transported by rat CNT2, and a thymidine saturation curve is shown in Fig.7. The parameters of CNT2 transport of thymidine are Km = 130 ± 44 μM, Vmax = 1.7 ± 0.5 pmol/oocyte/min, and KD = 2.7 ± 0.5 nl/oocyte/min (Fig. 7). The clearance of a tracer concentration of [3H]thymidine by the CNT2-injected oocytes was 15 nl/oocyte/min (Fig. 7), and this was 16-fold greater than the uptake of [3H]thymidine in water-injected oocytes. Thymidine transport into oocytes injected with the A-11 cRNA was sodium-dependent, and the sodium saturation curve (not shown) for [3H]thymidine yielded a sodiumK0.5 = 8.4 ± 0.6 mM (Table 1) with a Hill coefficient (n) = 1.1 ± 0.1 in the presence of 0.2 μM thymidine. Adenosine inhibited the uptake of [3H]thymidine by the oocytes injected with A-11 cRNA; the curve of adenosine inhibition of [3H]thymidine uptake (not shown) was similar to the adenosine inhibition of [3H]DDI uptake (Fig. 4). A kinetic analysis of the inhibition of [3H]thymidine transport by unlabeled adenosine yielded an adenosine KI of 27.8 ± 11.0 μM, a [3H]thymidineVmax/Kmratio of 13.2 ± 1.2 nl/oocyte/min, and a thymidineKD not significantly different from zero. This adenosine KI is not significantly different from the Km of adenosine transport via CNT2 (Table 1). Unlabeled thymidine inhibited the uptake of [3H]DDI by the oocytes injected with A-11 cRNA. The curve of thymidine inhibition of [3H]DDI uptake is shown in Fig.8, and a kinetic analysis (underExperimental Procedures) of this inhibition data yielded an thymidine KI of 347 ± 113 μM, a [3H]DDIVmax/Kmratio of 17.9 ± 1.7 nl/oocyte/min, and a DDIKD of 0.87 ± 1.79 nl/oocyte/min, which was not significantly different from zero. This thymidineKI is not significantly different from the Km of thymidine transport via CNT2 (Table 1).

Figure 7
View larger version:
Figure 7

Clearance of [3H]thymidine by oocytes injected with A-11 CNT2 RNA was measured in the presence of increasing concentrations of unlabeled thymidine, and these transport data were fit to the Michaelis-Menten equation to yield theKm, Vmax, andKD values shown in the figure.

Figure 8
View larger version:
Figure 8

Clearance of [3H]DDI by oocytes injected with the A-11 CNT2 RNA was measured in the presence of increasing concentrations of unlabeled thymidine. The saturation data were fit to the Michaelis-Menten equation, and this analysis yields the DDI Vmax/Kmratio, the DDI KD, and the thymidineKI (under Experimental Procedures). The DDIVmax/Km ratio determined from this analysis was 17.9 ± 1.7 nl/oocyte/min, which approximates the DDIVmax/Km ratio determined from the DDI self-inhibition curve (Table 1). The DDIKD in the presence of saturating thymidine concentrations was not significantly different from zero. The thymidineKI value is shown in the figure.

Discussion

The results of these studies are consistent with the following conclusions. First, DDI, adenosine, and thymidine are transported via the A-11 clone of rat CNT2 that was isolated from a rat BBB cDNA library (Fig. 1; Table 1) in a sodium-dependent mechanism (Fig. 2; Table 1). Second, DDI and adenosine have comparableKm values, but theVmax of adenosine transport is 27-fold greater than the Vmax of DDI transport (Fig. 3; Table 1). DDI, but not adenosine, has a significant nonsaturable component of transport, represented by theKD value (Fig. 3; Table 1). However, this nonsaturable transport is not free diffusion; the DDIKD determined with either saturating adenosine or thymidine concentrations is low and near zero (Figs. 4 and8), and comparable with the low KDvalue for adenosine (Table 1). Fourth, the nonsaturable component of DDI transport is not inhibited by high concentrations of DDA (Fig. 5), although the KI of DDA (Fig. 5) is comparable with the Km of adenosine transport via CNT2 (Table 1). Fifth, the total inhibitory effect of DDI on adenosine transport is modest (Fig. 1) owing to the reduced DDIVmax, but kinetic evidence supports a mechanism of competitive inhibition of adenosine and DDI transport via rat CNT2 (Fig. 6). Sixth, thymidine is transported via CNT2 with reduced affinity (high Km) and reduced capacity (low Vmax) compared with adenosine (Table 1); thymidine strongly suppresses DDI transport (Figs.1 and 8), but is a weak inhibitor of adenosine transport (Fig. 1).

The transport of DDI via the CNT2 cloned from the rat BBB (rCNT2) confirms previous findings showing DDI transport via CNT2 cloned for human small intestine (hCNT2) (Ritzel et al., 1998). However, the DDI flux into oocytes expressing the A-11 rCNT2 clone, 0.25 pmol/oocyte/min at [DDI] = 10 μM (Fig. 3), is 50-fold greater than DDI flux on the hCNT2, which is 0.005 pmol/oocyte/min at 10 μM DDI (Ritzel et al., 1998). The high rate of transport of DDI via the A-11 rCNT2 clone parallels similar findings with adenosine transport via the A-11 CNT2 clone. Adenosine transport via the rCNT2 transporter expressed from clone A-11 RNA is characterized by aVmax value (Li et al., 2001) that is 50-fold higher than the Vmax values of adenosine transport via rCNT2 or hCNT2 isoforms cloned from peripheral rat or human tissues (Che et al., 1995; Yao et al., 1996; Ritzel et al., 1998). There is a high degree of homology between rCNT2 and hCNT2 with a 81% conservation of amino acids. The molecular mechanism causing the high activity of the A-11 rCNT2 clone is unclear, but may be related to a high level of expression of the transporter in frog oocytes, owing to the very long poly A tail (44 nucleotides) of the A-11 rCNT2 clone. The long poly A tail may either stabilize the mRNA or enhance the efficiency of translation leading to increase transporter protein in oocytes. This high transporter activity of the A-11 clone enables a detailed kinetic analysis of substrate transport via the rCNT2, such as described here for DDI. Owing to the reducedVmax of DDI transport on rCNT2, it would be difficult to analyze the kinetics of transport into oocytes expressing the cloned CNT2 if the activity of the transporter was reduced up to 50-fold.

The transport of DDI via rCNT2 is much slower than the flux of adenosine on this transporter. The oocyte volume of distribution at tracer concentrations of [3H]DDI, 0.14 μl/oocyte, is 7-fold less than theVD value of [3H]adenosine at tracer concentrations (Fig.1). The reduced VD value for DDI is due in part to the 27-fold lower Vmaxof DDI transport on rCNT2, compared with theVmax of adenosine transport via this carrier (Table 1). The DDI VD is not reduced in proportion to the DDI Vmaxbecause approximately 50% of DDI transport is contributed by the nonsaturable component (KD), whereas the KD value for adenosine transport is nearly zero (Table 1). The reducedVmax of DDI via the BBB CNT2 explains, in part, the very low rate of DDI penetration through the BBB in vivo (Anderson et al., 1990).

The molecular mechanism underlying the significantKD value for DDI does not appear to be free diffusion. The removal of the 2′ and 3′ hydroxyl groups would be expected to increase the lipid solubility of DDI, compared with the lipid solubility of adenosine. However, if free diffusion were responsible for the DDI KD, then the nonsaturable component of transport would not be subject to either 1) inhibition by high concentrations of adenosine (Fig. 4) or thymidine (Fig. 8), or 2) inhibition by removal of sodium (Fig. 2). The [3H]DDI clearance is reduced to a very low value at high adenosine concentrations (Fig. 4); the DDIKD value at saturating adenosine concentrations, 0.66 ± 0.47 nl/oocyte/min (Fig. 4), is not significantly different from the KDvalue reported previously for adenosine (Table 1). In contrast, in the presence of high concentrations of either unlabeled DDI (Fig. 3) or DDA (Fig. 5), the [3H]DDI clearance is not reduced below a value of 14 to 16 nl/oocyte/min, which is equal to theKD value of DDI transport (Table 1). The nonsaturable component of DDI transport is also sodium-dependent. Whereas the KD of DDI transport represents more than 50% of the total DDI transport (Fig. 3), the complete removal of sodium from the media effectively eliminates any DDI transport via the rCNT2 (Fig. 2). Free diffusion of DDI owing to lipid solubility of the molecule would not be sodium-dependent.

The two principal differences in the kinetic parameters of DDI and adenosine transport via the A-11 rCNT2 are the 27-fold lowerVmax for DDI relative to adenosine, and the >16-fold increase in the KDvalue for DDI relative to adenosine (Table 1). These findings are consistent with a model of asymmetric CNT2 transport sites within the membrane: a high Vmax site favored by adenosine and a low Vmax site favored by DDI. Further evidence for this model is the finding that thymidine is also transported by CNT2 (Fig. 7) and that thymidine is a strong inhibitor of DDI transport (Fig. 8), but a weak inhibitor of adenosine transport (Fig. 1). Adenosine is transported by both sites, because adenosine strongly inhibits both DDI transport (Fig. 4) and thymidine transport (under Results). DDI may be bound by the highVmax site, but not transported. The inhibition of the principal adenosine transport site by DDI is shown in Fig. 6. The Kmapp of adenosine transport via rCNT2 is 73.3 ± 12.2 μM in the presence of 100 μM DDI (Fig. 6). In the absence of competitive inhibitors, theKm of adenosine transport via the A-11 rCNT2 clone is 23.1 ± 3.7 μM (Table 1). Therefore, theKmapp/Kmratio for adenosine is 73.3/23.1 = 3.2 at a [DDI] = 100 μM. If the mechanism of inhibition of adenosine transport by DDI was competitive inhibition, then theKmapp/Kmratio should equal the [I]/KI ratio, where [I] = the DDI concentration (100 μM) and theKI is equal to theKm of DDI transport, 29.2 ± 8.3 μM (Table 1). Given [I] = 100 μM andKI = 29.2 μM, the I/KI ratio is 100/29.2 = 3.4, which is not different from the adenosineKmapp/Kmratio. These findings indicate DDI inhibits at the principal adenosine transporter site.

These kinetic results are consistent with a CNT2 transporter model of asymmetric transport sites within the membrane, which is comprised of a high Vmax site, used primarily by adenosine and not by DDI or thymidine, and a lowVmax site, used by DDI and thymidine. These kinetic properties of the transporter may be indicative of complex topology of the rCNT2 transporter protein within the membrane. Other sodium cotransporters form homodimeric structures within the membrane (Kilic and Rudnick, 2000), and electron microscopy provides evidence for asymmetric structures of transport monomers within the functional oligomeric unit (Tate et al., 2001). The structural asymmetry of the transporter subunits enables an alternating two-site mechanism (van Veen et al., 2000).

In summary, the present study demonstrates that DDI is transported via the rat CNT2 cloned from the BBB (Li et al., 2001). However, the influx of DDI into brain via transport on the BBB adenosine carrier does not lead to the accumulation in brain of DDI in pharmacologically significant amounts. There is decreased influx of DDI from blood to brain, owing to the reduced Vmax of the BBB CNT2 for DDI (Table 1), and there is increased efflux from brain to blood of DDI (Takasawa et al., 1997). These combined influx and efflux mechanisms explain the reduced brain penetration of circulating DDI (Anderson et al., 1990; Morgan et al., 1992).

Footnotes

  • This study was supported by National Institutes of Health Grant MH-61138.

  • Abbreviations:
    AIDS
    acquired immune deficiency syndrome
    DDI
    dideoxyinosine
    BBB
    blood-brain barrier
    AZT
    azidothymidine
    CNT2
    concentrative Na+ nucleoside transporter type 2
    DDA
    dideoxyadenosine
    cRNA
    cloned RNA
    VD
    volume of distribution
    Cl
    clearance
    DDC
    dideoxycytidine
    rCNT2
    rat concentrative Na+ nucleoside transporter type 2
    hCNT2
    human concentrative Na+ nucleoside transporter type 2
    • Received June 12, 2001.
    • Accepted August 6, 2001.

References

« Previous | Next Article »Table of Contents