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Mechanisms Underlying Gut Hormone Secretion Using the Isolated Perfused Rat Small Intestine
Published on: February 26, 2019
Intestinal Absorption of Alogliptin Is Mediated by a Fruit-Juice-Sensitive Transporter
Kaori Morimoto1, Momona Sasaki1, Erika Oikawa1
1Faculty of Pharmaceutical Sciences, Tohoku Medical and Pharmaceutical University.
Alogliptin, a diabetes drug, is absorbed via a carrier-mediated process in the intestine. This absorption is inhibited by fruit juices, suggesting a transporter other than OATP2B1 is involved.
Area of Science:
- Pharmacology
- Drug Metabolism and Transport
Background:
- Alogliptin (ALG) is a dipeptidylpeptidase-4 inhibitor for type 2 diabetes.
- ALG exhibits high oral absorption (>60-71%) despite low lipophilicity (logP=-1.4).
Purpose of the Study:
- To elucidate the intestinal absorption mechanism of Alogliptin.
- To identify the specific transporters involved in ALG absorption.
Main Methods:
- In vitro studies using Caco-2 cells and HEK293 cells overexpressing OATP2B1.
- Inhibition assays with known transporter substrates and inhibitors.
- In vivo studies in rats using apple juice intervention.
Main Results:
- ALG uptake in Caco-2 cells was time-, temperature-, and concentration-dependent, not saturable up to 10 mmol/L.
- Uptake was inhibited by OATP inhibitors (fexofenadine, DIDS) and fruit juices, but not by OCT/OCTN or PEPT1 substrates.
- No difference in ALG uptake was observed in HEK293 cells overexpressing OATP2B1.
- Apple juice reduced oral ALG systemic exposure in rats.
Conclusions:
- Alogliptin intestinal absorption is carrier-mediated.
- A fruit-juice-sensitive transporter, distinct from OATP2B1, is likely involved in ALG absorption.
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