Differential Effect of Grapefruit Juice on Intestinal Absorption of Statins Due to Inhibition of Organic Anion Transporting Polypeptide and/or P-glycoprotein

The purpose of this study is to examine the contributions of organic anion transporting polypeptide (Oatp) and/or P-glycoprotein (P-gp) to grapefruit juice (GFJ) interaction with two statins, pravastatin and pitavastatin, which undergo negligible metabolism in rats. The two statins were found to be...

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Veröffentlicht in:Journal of pharmaceutical sciences 2011-09, Vol.100 (9), p.3843-3853
Hauptverfasser: Shirasaka, Yoshiyuki, Suzuki, Kensuke, Nakanishi, Takeo, Tamai, Ikumi
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container_issue 9
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creator Shirasaka, Yoshiyuki
Suzuki, Kensuke
Nakanishi, Takeo
Tamai, Ikumi
description The purpose of this study is to examine the contributions of organic anion transporting polypeptide (Oatp) and/or P-glycoprotein (P-gp) to grapefruit juice (GFJ) interaction with two statins, pravastatin and pitavastatin, which undergo negligible metabolism in rats. The two statins were found to be substrates of both Oatp1a5 and Oatp2b1, whereas pitavastatin, but not pravastatin, was a substrate of P-gp. The plasma concentration of pravastatin after oral administration was significantly decreased by GFJ and naringin, whereas that of pitavastatin was significantly increased. Naringin inhibited Oatp1a5- and Oatp2b1-mediated uptake of pravastatin and Oatp1a5-mediated, but not Oatp2b1-mediated, uptake of pitavastatin. Naringin also inhibited P-gp-mediated transport of pitavastatin. These results suggested that the decrease of pravastatin absorption in the presence of GFJ is due to the inhibitory effect of naringin on Oatp, whereas the increase of pitavastatin is due to the inhibition of P-gp. These observations are consistent with the results of in situ absorption studies. In conclusion, Oatp and/or P-gp contribute to the intestinal absorption of statins, and the differential effect of GFJ on pravastatin and pitavastatin absorption is at least partly accounted for by the different inhibitory effects of naringin on these transporters. © 2011 Wiley-Liss, Inc. and the American Pharmacists Association J Pharm Sci 100:3843–3853, 2011
doi_str_mv 10.1002/jps.22586
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The two statins were found to be substrates of both Oatp1a5 and Oatp2b1, whereas pitavastatin, but not pravastatin, was a substrate of P-gp. The plasma concentration of pravastatin after oral administration was significantly decreased by GFJ and naringin, whereas that of pitavastatin was significantly increased. Naringin inhibited Oatp1a5- and Oatp2b1-mediated uptake of pravastatin and Oatp1a5-mediated, but not Oatp2b1-mediated, uptake of pitavastatin. Naringin also inhibited P-gp-mediated transport of pitavastatin. These results suggested that the decrease of pravastatin absorption in the presence of GFJ is due to the inhibitory effect of naringin on Oatp, whereas the increase of pitavastatin is due to the inhibition of P-gp. These observations are consistent with the results of in situ absorption studies. In conclusion, Oatp and/or P-gp contribute to the intestinal absorption of statins, and the differential effect of GFJ on pravastatin and pitavastatin absorption is at least partly accounted for by the different inhibitory effects of naringin on these transporters. © 2011 Wiley-Liss, Inc. and the American Pharmacists Association J Pharm Sci 100:3843–3853, 2011</description><identifier>ISSN: 0022-3549</identifier><identifier>EISSN: 1520-6017</identifier><identifier>DOI: 10.1002/jps.22586</identifier><identifier>PMID: 21520088</identifier><identifier>CODEN: JPMSAE</identifier><language>eng</language><publisher>Hoboken: Elsevier Inc</publisher><subject>Animals ; ATP-Binding Cassette, Sub-Family B, Member 1 - antagonists &amp; inhibitors ; Beverages ; Biological and medical sciences ; Chromatography, Liquid ; Citrus paradisi ; Flavanones - pharmacology ; General pharmacology ; grapefruit juice ; Hydroxymethylglutaryl-CoA Reductase Inhibitors - pharmacokinetics ; interaction ; Intestinal Absorption ; LLC-PK1 Cells ; Male ; Medical sciences ; naringin ; OATP ; Organic Anion Transporters - antagonists &amp; inhibitors ; P-glycoprotein ; Pharmaceutical technology. 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Pharm. Sci</addtitle><description>The purpose of this study is to examine the contributions of organic anion transporting polypeptide (Oatp) and/or P-glycoprotein (P-gp) to grapefruit juice (GFJ) interaction with two statins, pravastatin and pitavastatin, which undergo negligible metabolism in rats. The two statins were found to be substrates of both Oatp1a5 and Oatp2b1, whereas pitavastatin, but not pravastatin, was a substrate of P-gp. The plasma concentration of pravastatin after oral administration was significantly decreased by GFJ and naringin, whereas that of pitavastatin was significantly increased. Naringin inhibited Oatp1a5- and Oatp2b1-mediated uptake of pravastatin and Oatp1a5-mediated, but not Oatp2b1-mediated, uptake of pitavastatin. Naringin also inhibited P-gp-mediated transport of pitavastatin. 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Pharm. Sci</addtitle><date>2011-09</date><risdate>2011</risdate><volume>100</volume><issue>9</issue><spage>3843</spage><epage>3853</epage><pages>3843-3853</pages><issn>0022-3549</issn><eissn>1520-6017</eissn><coden>JPMSAE</coden><abstract>The purpose of this study is to examine the contributions of organic anion transporting polypeptide (Oatp) and/or P-glycoprotein (P-gp) to grapefruit juice (GFJ) interaction with two statins, pravastatin and pitavastatin, which undergo negligible metabolism in rats. The two statins were found to be substrates of both Oatp1a5 and Oatp2b1, whereas pitavastatin, but not pravastatin, was a substrate of P-gp. The plasma concentration of pravastatin after oral administration was significantly decreased by GFJ and naringin, whereas that of pitavastatin was significantly increased. Naringin inhibited Oatp1a5- and Oatp2b1-mediated uptake of pravastatin and Oatp1a5-mediated, but not Oatp2b1-mediated, uptake of pitavastatin. Naringin also inhibited P-gp-mediated transport of pitavastatin. These results suggested that the decrease of pravastatin absorption in the presence of GFJ is due to the inhibitory effect of naringin on Oatp, whereas the increase of pitavastatin is due to the inhibition of P-gp. These observations are consistent with the results of in situ absorption studies. In conclusion, Oatp and/or P-gp contribute to the intestinal absorption of statins, and the differential effect of GFJ on pravastatin and pitavastatin absorption is at least partly accounted for by the different inhibitory effects of naringin on these transporters. © 2011 Wiley-Liss, Inc. and the American Pharmacists Association J Pharm Sci 100:3843–3853, 2011</abstract><cop>Hoboken</cop><pub>Elsevier Inc</pub><pmid>21520088</pmid><doi>10.1002/jps.22586</doi><tpages>11</tpages><oa>free_for_read</oa></addata></record>
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subjects Animals
ATP-Binding Cassette, Sub-Family B, Member 1 - antagonists & inhibitors
Beverages
Biological and medical sciences
Chromatography, Liquid
Citrus paradisi
Flavanones - pharmacology
General pharmacology
grapefruit juice
Hydroxymethylglutaryl-CoA Reductase Inhibitors - pharmacokinetics
interaction
Intestinal Absorption
LLC-PK1 Cells
Male
Medical sciences
naringin
OATP
Organic Anion Transporters - antagonists & inhibitors
P-glycoprotein
Pharmaceutical technology. Pharmaceutical industry
Pharmacology. Drug treatments
pitavastatin
pravastatin
Rats
Rats, Wistar
Swine
Tandem Mass Spectrometry
Xenopus laevis
title Differential Effect of Grapefruit Juice on Intestinal Absorption of Statins Due to Inhibition of Organic Anion Transporting Polypeptide and/or P-glycoprotein
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