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Department of Pharmacokinetics & Biopharmaceutics, Toho University
School of Pharmaceutical Sciences (M.Y., S.A., R.N.) and
Faculty of
Pharmaceutical Sciences, University of Tokyo (K.N., Y.S.)
The biliary excretion of pravastatin in normal rats and Eisai
hyperbiliruminemic rats (EHBRs) was examined in vivo and
in vitro using bile canalicular membrane vesicles (CMVs).
In vivo, the total body clearances at steady-state
(CLtot) for both rat strains decreased as
the infusion rate increased. At the lowest infusion rate,
CLtot for normal rats was 1.6 times
higher than that for EHBRs. Under this set of conditions, the biliary
excretion clearance (CLbile), defined as
the biliary excretion rate at steady-state divided by the concentration
in the liver (Cliver), for normal rats
was 3-fold higher than that for EHBRs. The
CLbile fell markedly with increasing
Cliver for normal rats and the Michaelis
constant (KM) for
Cliver was 180 µM; in contrast, the
degree of saturation was slight if any in EHBRs. In vitro,
the uptake of pravastatin by CMVs prepared from normal rats exhibited
clear ATP-dependence, whereas only a minimal effect of ATP was observed
on the uptake by CMVs from EHBRs. Transport kinetic studies were
performed over a wide range of pravastatin concentration (0.2-10,000
µM) with a tracer tritium-labeled pravastatin. Saturation was
observed both in the ATP-dependent (KM:
220 µM) and ATP-independent (KM: 480 µM) uptake by CMVs prepared from normal rats. ATP-dependent uptake of
2,4-dinitrophenyl glutathione, a typical substrate for the canalicular
multispecific organic anion transporter (cMOAT), was inhibited by
pravastatin in a concentration-dependent manner and the resultant
inhibitory constant of pravastatin (170 µM) was comparable with the
KM value of ATP-dependent pravastatin uptake itself. In conclusion, biliary excretion of pravastatin is
mediated mainly by cMOAT in normal rats. This can explain the decrease
in the biliary excretion of pravastatin in EHBRs.
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