Organic anion transporters: discovery, pharmacology, regulation and roles in pathophysiology
Abstract
Our understanding of the mechanisms behind inter- and intra-patient variability in drug response is inadequate. Advances in the cytochrome P450 drug metabolizing enzyme field have been remarkable, but those in the drug transporter field have trailed behind. Currently, however, interest in carrier-mediated disposition of pharmacotherapeutics is on a substantial uprise. This is exemplified by the 2006 FDA guidance statement directed to the pharmaceutical industry. The guidance recommended that industry ascertain whether novel drug entities interact with transporters. This suggestion likely stems from the observation that several novel cloned transporters contribute significantly to the disposition of various approved drugs. Many drugs bear anionic functional groups, and thus interact with organic anion transporters (OATs). Collectively, these transporters are nearly ubiquitously expressed in barrier epithelia. Moreover, several reports indicate that OATs are subject to diverse forms of regulation, much like drug metabolizing enzymes and receptors. Thus, critical to furthering our understanding of patient- and condition-specific responses to pharmacotherapy is the complete characterization of OAT interactions with drugs and regulatory factors. This review provides the reader with a comprehensive account of the function and substrate profile of cloned OATs. In addition, a major focus of this review is on the regulation of OATs including the impact of transcriptional and epigenetic factors, phosphorylation, hormones and gender.
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Renal excretion of conjugates takes advantage of the hydrophilic water-soluble nature of steroid conjugates and the fact that their transport across the cell membrane requires active transport mechanisms which allow for the concentration of the molecules on one side of the membrane.
“Renal excretion of conjugates takes advantage of (1) the hydrophilic water-soluble nature of steroid conjugates and (2) the fact that their transport across the cell membrane requires active transport mechanisms which allow for the concentration of the molecules on one side of the membrane (Pritchard and Miller, 1996, VanWert et al., 2010).”
From Intracrine androgen biosynthesis, metabolism and action revisited (2018) · cites this paper as VanWert et al., 2010
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Boosting drug bioavailability in men but not women through the action of an excipient
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Hampel, P., Römermann, K., Gramer, M., & Löscher, W. (2020) · Epilepsy & Behavior · doi:10.1016/j.yebeh.2020.107616 · Cited by 28 · see citing works
Lai, R. E., Jay, C. E., & Sweet, D. H. (2018) · Journal of Food and Drug Analysis · doi:10.1016/j.jfda.2018.03.002 · Cited by 27 · see citing works
Zhang, J., Yu, Z., & You, G. (2019) · Acta Pharmaceutica Sinica B · doi:10.1016/j.apsb.2019.05.005 · Cited by 27 · see citing works
Basolateral transport of the uraemic toxin p-cresyl sulfate: role for organic anion transporters?
Mutsaers, H. A. M., Wilmer, M. J. G., van den Heuvel, L. P., Hoenderop, J. G. J., & Masereeuw, R. (2011) · Nephrology Dialysis Transplantation · doi:10.1093/ndt/gfr562 · Cited by 27 · see citing works
Wegner, W., Burckhardt, B. C., Burckhardt, G., & Henjakovic, M. (2012) · PLoS ONE · doi:10.1371/journal.pone.0035556 · Cited by 25 · see citing works
- Authors
- VanWert, A. L., Gionfriddo, M. R., & Sweet, D. H.
- Affiliations
- Wilkes University (US)
- Virginia Commonwealth University (US)
- Corresponding author
- Sweet, Douglas H.
- Venue
- Biopharmaceutics & Drug Disposition
- Publisher
- Wiley
- Published
- 2009-12
- Volume
- 31
- Issue
- 1
- Pages
- 1-71
- ISSN
- 0142-2782 (ISSN-L)
- 1099-081X
- OpenAlex
- W2076258322
- Cited by
- 252
- References
- 270
- Citations by year
- 2026: 3 · 2025: 6 · 2024: 7 · 2023: 10 · 2022: 13 · 2021: 12 · 2020: 20 · 2019: 11 · 2018: 15 · 2017: 18 · 2016: 11 · 2015: 20 · 2014: 19 · 2013: 31 · 2012: 29
- FWCI
- 1.63
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Biopharmaceutics & Drug Disposition (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Oncology › Drug Transport and Resistance Mechanisms
- Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Pharmacology › Pharmacogenetics and Drug Metabolism
- Life Sciences › Neuroscience › Neurology › Barrier Structure and Function Studies
- Keywords
- organic anion transporters, drug transporters, drug disposition, transporter regulation, epigenetic regulation, phosphorylation, hormonal regulation, sex differences, drug-drug interactions
- MeSH terms
- Carrier Proteins, Epithelium, Humans, Molecular Structure, Free Radical Scavengers, Cell Polarity, Polymorphism, Single Nucleotide, Organic Anion Transporters, Organic Cation Transport Proteins, Organic Anion Transporters, Sodium-Independent
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