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Drug Transporters

Drug Transporters

Glynis Nicholls | Kuresh Youdim

(2016)

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Book Details

Abstract

Understanding and quantifying the effects of membrane transporters within the human body is essential for modulating drug safety and drug efficacy. The first volume comprehensively reviewed current knowledge and techniques in the transporter sciences and their relations to drug metabolism and pharmacokinetics. In this second volume on Drug Transporters, emphasis is placed on emerging sciences and technologies, highlighting potential areas for future advances within the drug transporter field.

The topics covered in both volumes ensure that all relevant aspects of transporters are described across the drug development process, from in silico models and preclinical tools through to the potential impact of transporters in the clinic. Contributions are included from expert leaders in the field, at-the-bench industrial scientists, renowned academics and international regulators. Case studies and emerging developments are highlighted, together with the merits and limitations of the available methods and tools, and extensive references to reviews on specific in-depth topics are also included for those wishing to pursue their knowledge further.

As such, this text serves as an essential handbook of information for postgraduate students, academics, industrial scientists and regulators who wish to understand the role of transporters in absorption, distribution, metabolism, and excretion processes. In addition, it is also a useful reference tool on the models and calculations necessary to predict their effect on human pharmacokinetics and pharmacodynamics.


Dr Glynis Nicholls has over 18 years experience within the pharmaceutical field in both academia and industry (including 7 years at GlaxoSmithKline and 5 years at AstraZeneca), specializing in drug transporter science from discovery through to clinical development. Dr Nicholls has played a leading role in writing and implementing internal transporter strategies within the industry, as well as collaborating across multiple international locations with internal and external colleagues on transporter-related projects and scientific developments, including PhD projects. Dr Kuresh Youdim has 9 years academic experience in the field of nutrition and neuroscience, plus 10 years pharmaceutical experience across multiple disciplines within drug discovery and development (including 8 years at Pfizer and 2 years at Roche) predominantly in the field of drug-drug interactions and PBPK modelling.

Table of Contents

Section Title Page Action Price
Cover Cover
Contents xvii
Preface vii
Acknowledgements ix
Abbreviations x
Chapter 1 Emerging Transporter Science and Challenges for the Future 1
1.1 Introduction 1
1.2 Membrane Transporters of Emerging Importance 2
1.3 Membrane Transporters in Less-studied Organs and Tissues 3
1.3.1 Placenta 3
1.3.2 Retina 4
1.3.3 Heart 5
1.3.4 Skin 6
1.4 Organotypic In vitro Technologies 6
1.4.1 Microfluidics 7
1.4.2 3D Microplatforms 9
1.4.3 3D Bioprinting 9
1.5 Summary 10
References 11
Chapter 2 Enabling Dynamic Response to Chemical Challenge: Nuclear Receptor-mediated Control of Transporter Expression 19
2.1 General Introduction 19
2.2 Nuclear Receptor Overview 20
2.2.1 General Introduction 20
2.2.2 Structure of Nuclear Receptors 21
2.3 Localisation and Function of Nuclear Receptors 24
2.3.1 Trans-activation 25
2.3.2 Trans-repression 26
2.4 Nuclear Receptors as Chemical Sensors 27
2.5 Nuclear Receptors and Drug Transporters 29
2.6 The ABC Superfamily 29
2.6.1 ABCA Subfamily 30
2.6.2 ABCB Subfamily 30
2.6.3 ABCC Subfamily 31
2.6.4 ABCD Subfamily 32
2.6.5 ABCE and ABCF Subfamilies 32
2.6.6 ABCG Subfamily 32
2.7 SLC Superfamily 33
2.7.1 Oligopeptide Transporters (SLC15A) 33
2.7.2 Folate Transporters (SLC19A) 33
2.7.3 Concentrative Nucleoside Transporters (SLC28A) 34
2.7.4 Equilibrative Nucleoside Transporters (SLC29A) 34
2.7.5 Organic Anion Transporters (SLCO/SLC21) 35
2.7.6 Organic Cation Transporters (SLC22) 35
2.7.7 Multidrug and Toxin Extrusion Proteins (SLC47) 36
2.8 Conclusion 36
References 37
Chapter 3 Targeted Proteomics to Support Transporter IVIVE and PBPK 44
3.1 Introduction 44
3.1.1 In vitro to In vivo Extrapolation (IVIVE) of Transporter Activity 46
3.2 Methods for Quantitative Proteomics 48
3.2.1 Mass Spectrometry-based Proteomics 48
3.3 Utility of Transporter Proteomic Data in the Translation of Transporter Activity in Human Tissues 56
3.3.1 IVIVE of Actively Transported Substrate Drugs 56
3.3.2 IVIVE and PBPK of Hepatobiliary Transport 57
3.3.3 IVIVE and PBPK of Intestinal Transport 60
3.3.4 IVIVE and PBPK of Transport Through the Blood-Brain Barrier 61
3.3.5 IVIVE and PBPK of Renal Transport 62
3.4 Current Status and Future Challenges 63
References 65
Chapter 4 Interplay Between Enzymes and Transporters: Impact on the Prediction of Pharmacokinetics and Drug–Drug Interactions 73
4.1 Introduction 73
4.2 Evidence of the Clinical Impact of the Interplay Between Enzymes and Transporters 76
4.2.1 Impact of the Interplay Between Enzymes and Transporters on Absorption 76
4.2.2 Impact of the Interplay Between Enzymes and Transporters on Distribution 80
4.2.3 Impact of the Interplay Between Enzymes and Transporters on Elimination 82
4.2.4 Interplay Due to Regulation of Enzymes and Transporters 85
4.3 Prediction of the Impact of the Interplay Between Enzymes and Transporters on Pharmacokinetics 87
4.3.1 Preclinical Investigation of the Enzyme-Transporter Interplay 87
4.3.2 Applications and Limitations of Traditional Physiological Models for In vitro–In vivo Extrapolation in the Case of Interplay Between Enzymes and Transporters 92
4.3.3 Application of PBPK Modelling to Predict the Impact of the Enzyme–Transporter Interplay 94
4.4 Prediction of Complex DDIs Involving CYP450 and Transporters 97
4.5 Conclusions 99
Acknowledgments 100
References 100
Chapter 5 Pharmacogenomics of Drug Transporters: Clinical Implications 114
5.1 Introduction 114
5.2 Pharmacogenomics and Transporters 115
5.3 Pharmacogenomics of Current Clinically-relevant Transporters 117
5.3.1 OATP1B1 (SLCO1B1) 117
5.3.2 OATP1B3 (SLCO1B3) 120
5.3.3 OATP2B1 (SLCO2B1) 120
5.3.4 MATE1 (SLC47A1) 123
5.3.5 MATE2-K (SLC47A2) 125
5.3.6 BCRP (ABCG2) 125
5.3.7 MDR1 (P-glycoprotein, ABCB1) 127
5.3.8 OATs (SLC22A) 127
5.3.9 OCTs (SLC22A) 133
5.4 Pharmacogenomics of Other Transporters of Interest 136
5.4.1 MRP2 (ABCC2) 136
5.4.2 BSEP (ABCB11) 136
5.5 Conclusion 136
References 137
Chapter 6 The Role of In vivo Imaging in the Study of Transporter Interactions in Animals and Humans 143
6.1 Introduction 143
6.2 In vivo Imaging within Drug Development 145
6.3 Pharmacokinetic and Pharmacodynamic Imaging Techniques 147
6.3.1 Magnetic Resonance Imaging (MRI) 147
6.3.2 Radionuclide Imaging 152
6.3.3 Multimodality Imaging 157
6.4 The Application of Imaging in Evaluating Transporter Drug–Drug Interactions 158
6.4.1 Blood-Brain Barrier (BBB) 159
6.4.2 Liver 162
6.4.3 Kidney 167
6.4.4 Gastrointestinal (GI) Tract 169
6.4.5 Imaging in Other ADME Organs 170
6.5 The Use of Imaging to Assess Transporter Function and Expression In vivo 170
6.6 Personalised Healthcare: Potential Applications 172
6.7 Future Perspectives 173
References 174
Chapter 7 Methods and Resources for Transport Proteins in Bioinformatics and Cheminformatics 195
7.1 Introduction 195
7.2 Bioinformatics Methods 196
7.2.1 Transporter Classification 197
7.2.2 Data Integration 198
7.3 Cheminformatics Methods 199
7.3.1 Ligand-based Methods 199
7.3.2 Structure-based Methods 204
7.4 Resources 205
7.4.1 Resourceome for the Transportome 205
7.4.2 Transporter Data Sources in Drug Discovery 213
7.5 Conclusions 215
References 216
Subject Index 227