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Updated: Jul 14, 2026

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Published on: July 3, 2026
Bacampicillin uptake is shared with thiamine in Caco-2 cells
Masako Oda1, Kaori Fujimoto, Michiya Kobayashi
1Department of Pharmaceutics, Faculty of Pharmaceutical Sciences, Health Sciences University of Hokkaido, Ishikari-Tobetsu, Hokkaido, Japan.
Bacampicillin, a prodrug for ampicillin, is transported via a saturable system in Caco-2 cells. This transport system appears to share a carrier with thiamine, a cationic vitamin.
Area of Science:
- Pharmacology
- Cell Biology
- Drug Transport
Background:
- Bacampicillin is a prodrug designed to enhance ampicillin's intestinal absorption.
- Understanding the transport mechanisms of bacampicillin is crucial for optimizing its delivery and efficacy.
Purpose of the Study:
- To characterize the transport of bacampicillin in Caco-2 cells.
- To investigate potential carrier-mediated transport systems involved in bacampicillin uptake.
Main Methods:
- Caco-2 cell monolayers were used to study bacampicillin uptake kinetics.
- Inhibition and trans-stimulation studies were performed using various organic cations and thiamine.
- Apical-to-basolateral transport was assessed across cell monolayers.
Main Results:
- Bacampicillin uptake was significantly higher than ampicillin and pivampicillin, indicating saturable transport (Km = 3.6 mM, Vmax = 23.9 nmol/mg protein/min).
- Thiamine, diphenhydramine, and procainamide inhibited bacampicillin uptake, while thiamine preloading enhanced it, suggesting carrier involvement.
- Bacampicillin transport shared characteristics with thiamine transport, including pH dependence and inhibition by amiloride and oxythiamine, but not with pivampicillin.
Conclusions:
- Bacampicillin is transported by a saturable, carrier-mediated system in Caco-2 cells.
- This system appears to involve shared carriers with thiamine, suggesting a potential interaction.
- These findings provide insights into the intestinal absorption mechanisms of bacampicillin.
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