Abstract
Purpose
Recent controversial publications, citing studies purporting to show that P-gp mediates the transport of propranolol, proposed that passive biological membrane transport is negligible. Based on the BDDCS, the extensively metabolized-highly permeable-highly soluble BDDCS class 1 drug, propranolol, shows a high passive permeability at concentrations unrestricted by solubility that can overwhelm any potential transporter effects. Here we reinvestigate the effects of passive diffusion and carrier-mediated transport on S-propranolol.
Methods
Bidirectional permeability and inhibition of efflux transport studies were carried out in MDCK, MDCK-MDR1 and Caco-2 cell lines at different concentrations. Transcellular permeability studies were conducted at different apical pHs in the rat jejunum Ussing chamber model and PAMPA system.
Results
S-propranolol exhibited efflux ratios lower than 1 in MDCK, MDCK-MDR1 and Caco-2 cells. No significant differences of Papp, B->A in the presence and absence of the efflux inhibitor GG918 were observed. However, an efflux ratio of 3.63 was found at apical pH 6.5 with significant decrease in Papp, A->B and increase in Papp, B->A compared to apical pH 7.4 in Caco-2 cell lines. The pH dependent permeability was confirmed in the Ussing chamber model. S-propranolol flux was unchanged during inhibition by verapamil and rifampin. Furthermore, pH dependent permeability was also observed in the PAMPA system.
Conclusions
S-propranolol does not exhibit active transport as proposed previously. The “false” positive efflux ratio can be explained by the pH partition theory. As expected, passive diffusion, but not active transport, plays the primary role in the permeability of the BDDCS class 1 drug propranolol.
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Abbreviations
- ASBT:
-
Apical sodium/bile acid co-transporter
- BCRP:
-
Breast cancer resistance protein
- BDDCS:
-
Biopharmaceutics drug disposition classification system
- FBS:
-
Fetal bovine serum
- GG918(GF120918):
-
N-{4-[2-(1,2,3,4-tetrahydro-6,7-dimethoxy-2-isoquinolinyl)-ethyl]-phenyl}-9,10-dihydro-5-methoxy-9-oxo-4-acridinecarboxamide
- HBSS:
-
Hank’s balanced salt solution
- MCT:
-
Monocarboxylic acid transporter
- MDCK:
-
Madin-Darby canine kidney
- MRP:
-
multidrug resistance like protein
- OATP:
-
Organic anion transporting polypeptide
- OCT:
-
Organic cation transporter
- PAMPA:
-
Parallel artificial membrane permeability assay
- Papp :
-
Apparent permeability coefficient
- Papp A->B :
-
Apical-to-basolateral Papp
- Papp B->A :
-
Basolateral-to-apical Papp
- PEPT:
-
Proton-coupled oligopeptide transporter
- P-gp (MDR1):
-
P-glycoprotein
- TEER:
-
Transepithelial electrical resistance
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ACKNOWLEDGMENTS AND DISCLOSURES
We thank the Chinese Scholarship Council for providing financial support for Yi Zheng to study and carry out these studies in Dr. Benet’s laboratory at the University of California, San Francisco. The studies in Dr. Benet’s lab were funded in part by NIH grants RR031474 and GM061390.
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Zheng, Y., Benet, L.Z., Okochi, H. et al. pH Dependent but not P-gp Dependent Bidirectional Transport Study of S-propranolol: The Importance of Passive Diffusion. Pharm Res 32, 2516–2526 (2015). https://doi.org/10.1007/s11095-015-1640-3
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DOI: https://doi.org/10.1007/s11095-015-1640-3