PMID- 16552717 OWN - NLM STAT- MEDLINE DCOM- 20061114 LR - 20181201 IS - 0142-2782 (Print) IS - 0142-2782 (Linking) VI - 27 IP - 5 DP - 2006 Jul TI - Apparent active transport of MDMA is not mediated by P-glycoprotein: a comparison with MDCK and Caco-2 monolayers. PG - 219-27 AB - Amphetamines and their methylenedioxy derivatives generically display similar behavioral, physiologic and toxic effects. Inconsistent pharmacokinetic and toxicity data for methylenedioxymethamphetamine (MDMA) may suggest that active drug transporters are interacting with these compounds, and thus altering drug absorption and tissue distribution. In vitro models of CNS accumulation and intestinal drug transport were used to assess efflux transport of MDMA. Madin-Darby kidney cell epithelial (MDCK) monolayers displayed a 4-fold increase in accumulation in the basolateral to apical orientation relative to the apical to basolateral orientation, although no differential accumulation was noted between MDCK-WT and MDCK-MDR1 monolayers. Caco-2 monolayers demonstrated an approximate 2-fold increase in accumulation of MDMA. Exposure of various inhibitors of active drug transporters demonstrated mixed results; ritonavir, progesterone and indomethacin produced an approximately 50% reduction of MDMA transport, while verapamil, MK-571 and probenecid had no effect. Based on these data, it is concluded that MDMA efflux is mediated via the activity of a transporter distinct from P-glycoprotein. The possible inhibitory effects of amphetamines on rhodamine-123 transport were also assessed. MDMA, methylenedioxyamphetamine, amphetamine and methamphetamine, at physiologically relevant concentrations, did not significantly alter the transport of rhodamine-123 in Caco-2 monolayers or the LS180 cell line, suggesting that these compounds do not alter the function of P-glycoprotein. CI - Copyright 2006 John Wiley & Sons, Ltd. FAU - Bertelsen, Kirk M AU - Bertelsen KM AD - Department of Pharmacology and Experimental Therapeutics, Tufts University School of Medicine, Boston, MA 02111, USA. FAU - Greenblatt, David J AU - Greenblatt DJ FAU - von Moltke, Lisa L AU - von Moltke LL LA - eng GR - AG-17880/AG/NIA NIH HHS/United States GR - AI-58784/AI/NIAID NIH HHS/United States GR - AT-01381/AT/NCCIH NIH HHS/United States GR - DA-05258/DA/NIDA NIH HHS/United States GR - DA-13209/DA/NIDA NIH HHS/United States GR - DK-13834/DK/NIDDK NIH HHS/United States GR - DK-58496/DK/NIDDK NIH HHS/United States GR - MH-58435/MH/NIMH NIH HHS/United States PT - Comparative Study PT - Journal Article PT - Research Support, N.I.H., Extramural PL - England TA - Biopharm Drug Dispos JT - Biopharmaceutics & drug disposition JID - 7911226 RN - 0 (ATP Binding Cassette Transporter, Subfamily B, Member 1) RN - 0 (Propionates) RN - 0 (Quinolines) RN - 1N3CZ14C5O (Rhodamine 123) RN - 4G7DS2Q64Y (Progesterone) RN - 5Q9O54P0H7 (verlukast) RN - CJ0O37KU29 (Verapamil) RN - KE1SEN21RM (N-Methyl-3,4-methylenedioxyamphetamine) RN - O3J8G9O825 (Ritonavir) RN - PO572Z7917 (Probenecid) RN - XXE1CET956 (Indomethacin) SB - IM MH - ATP Binding Cassette Transporter, Subfamily B, Member 1/antagonists & inhibitors/*metabolism MH - Animals MH - Biological Transport/drug effects MH - Caco-2 Cells MH - Cell Line MH - Dogs MH - Humans MH - Indomethacin/pharmacology MH - N-Methyl-3,4-methylenedioxyamphetamine/*metabolism MH - Probenecid/pharmacology MH - Progesterone/pharmacology MH - Propionates/pharmacology MH - Quinolines/pharmacology MH - Rhodamine 123/metabolism MH - Ritonavir/pharmacology MH - Verapamil/pharmacology EDAT- 2006/03/23 09:00 MHDA- 2006/11/15 09:00 CRDT- 2006/03/23 09:00 PHST- 2006/03/23 09:00 [pubmed] PHST- 2006/11/15 09:00 [medline] PHST- 2006/03/23 09:00 [entrez] AID - 10.1002/bdd.501 [doi] PST - ppublish SO - Biopharm Drug Dispos. 2006 Jul;27(5):219-27. doi: 10.1002/bdd.501.