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Updated: Jul 2, 2026

Expression, Detergent Solubilization, and Purification of a Membrane Transporter, the MexB Multidrug Resistance Protein
Published on: December 3, 2010
Increasing systemic exposure of methotrexate by active efflux mediated by multidrug resistance-associated protein 3
Yoshiaki Kitamura1, Masakazu Hirouchi, Hiroyuki Kusuhara
1Department of Molecular Pharmacokinetics, Graduate School of Pharmaceutical Sciences, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-0033, Japan.
Abstract:
The aim of this study was to investigate the functional importance of multidrug resistance-associated protein (Mrp)3/Abcc3 and Mrp4/Abcc4 in the pharmacokinetics of methotrexate. Compared with the corresponding wild-type mice, the plasma concentrations of methotrexate given orally were similar in Abcc4(-/-) mice and were significantly lower in Abcc3(-/-) mice. Pharmacokinetic parameters related to hepatobiliary transport were determined under steady-state conditions in wild-type and Abcc3(-/-) mice that were given a constant intravenous infusion of methotrexate. The biliary clearance, based on the plasma concentration, was 1.6-fold greater in Abcc3(-/-) mice than in wild-type mice (23 and 15 ml/min/kg, respectively, P < 0.05). Because the basolateral uptake and canalicular efflux clearances of methotrexate were similar in wild-type and Abcc3(-/-) mice, this result suggests that the basolateral efflux clearance of methotrexate is decreased in the liver of Abcc3(-/-) mice. Furthermore, a lower fraction of absorption of methotrexate (F(a) F(g)) was suggested in Abcc3(-/-) mice (0.49 and 0.29 in wild-type and Abcc3(-/-) mice, respectively). The mucosal-to-serosal transport rate of methotrexate, determined in vitro using everted sacs, was highest in the duodenum and was significantly decreased in Abcc3(-/-) mice compared with wild-type mice. This is ascribed to the reduced intrinsic efflux clearance of methotrexate across the serosal membrane (22 and 5.3 mul/min/sac in wild-type and Abcc3(-/-) mice, respectively, P < 0.05). These results suggest that Mrp3 mediates basolateral efflux of methotrexate in the liver and duodenum, thereby serving to increase systemic exposure, whereas Mrp4 is likely to play only a limited role in the systemic methotrexate exposure.
Insights
Multidrug resistance-associated protein 3 (Mrp3) significantly impacts methotrexate pharmacokinetics by mediating basolateral efflux in the liver and duodenum, increasing systemic exposure. Mrp4 plays a minor role.
Area of Science:
- Pharmacology
- Drug Metabolism
- Biochemistry
Background:
- Multidrug resistance-associated proteins (Mrps) are crucial efflux transporters involved in drug disposition.
- Understanding the role of Mrp3 and Mrp4 in methotrexate pharmacokinetics is essential for optimizing its therapeutic use.
Purpose of the Study:
- To investigate the functional significance of Mrp3 (Abcc3) and Mrp4 (Abcc4) in the pharmacokinetics of methotrexate.
- To elucidate the specific transport mechanisms and sites of action for Mrp3 and Mrp4 in methotrexate disposition.
Main Methods:
- Pharmacokinetic studies in wild-type, Abcc3(-/-), and Abcc4(-/-) mice.
- Oral and intravenous administration of methotrexate.
- Determination of plasma concentrations and pharmacokinetic parameters.
- In vitro everted sac experiments to assess mucosal-to-serosal transport.
Main Results:
- Oral methotrexate plasma concentrations were significantly lower in Abcc3(-/-) mice compared to wild-type mice.
- Biliary clearance of methotrexate was 1.6-fold greater in Abcc3(-/-) mice, indicating altered hepatobiliary transport.
- Reduced basolateral efflux clearance in the liver and decreased serosal membrane efflux clearance in the duodenum of Abcc3(-/-) mice were observed.
- Mrp4 knockout mice showed similar plasma concentrations to wild-type mice, suggesting a limited role.
Conclusions:
- Mrp3 plays a significant role in the basolateral efflux of methotrexate in the liver and duodenum, contributing to increased systemic exposure.
- Mrp4 appears to have a limited role in systemic methotrexate exposure.
- These findings highlight Mrp3 as a key transporter influencing methotrexate pharmacokinetics and suggest potential therapeutic implications.
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