PMID- 18638470 OWN - NLM STAT- MEDLINE DCOM- 20081024 LR - 20181201 IS - 0014-2999 (Print) IS - 0014-2999 (Linking) VI - 592 IP - 1-3 DP - 2008 Sep 11 TI - pH dependent efflux of methamphetamine derivatives and their reversal through human Caco-2 cell monolayers. PG - 7-12 LID - 10.1016/j.ejphar.2008.06.090 [doi] AB - The purpose of this study was to investigate possible efflux mechanisms involved in amphetamine derivative transport such as for 3,4-methylenedioxymethamphetamine (MDMA), 3,4-methylenedioxyethylamphetamine (MDEA), para-methoxyamphetamine (p-MA), dexamphetamine and pseudoephedrine, especially across pH gradients that exist in intestinal or kidney transport. This was determined using our Caco-2 subclone, CLEFF9. Transport of the amphetamine derivatives was evaluated at pH 7.4 and pH 6/7.4+/-efflux inhibitors. Na+-H+ transporter inhibition via carbonyl cyanide-4-trifluoromethoxy phenylhydrazone (FCCP), and metabolic inhibition using Na-azide and Na-orthovanadate were also conducted, as well as using noradrenalin, adrenalin and other inhibitors of a range of carrier mediated transport systems such as histamine, organic cation transporters and dopamine carrier systems. At pH 7.4, the rate of transport for dexamphetamine, pseudoephedrine and MDMA in both apical to basolateral and reverse directions was all very rapid, confirming extensive passive diffusion at systemic pH. However, creating a pH 6.0/7.4 gradient showed marked increase in basolateral to apical transport of all amphetamines tested, with dexamphetamine, MDEA, MDMA and p-MA having a net efflux ratio of around 16, 14, 13 and 11 respectively and this was not reversed with P-glycoprotein inhibitors. Azide, FCCP, adrenalin, noradrenalin and reserpine were able to reduce the efflux by 2 to 3 fold, although tetraethylammonium could not. This suggested that extraneuronal monoamine transporters (hEMT) could be involved. This data suggests that elevated endogenous adrenalin levels may reduce amphetamine removal from the body based on these in vitro studies. Also, the use of stomach acid lowering drugs could result in more rapid systemic uptake of these amphetamine derivatives. FAU - Crowe, Andrew AU - Crowe A AD - School of Pharmacy, Curtin University of Technology, Perth, Western Australia, Australia. A.P.Crowe@curtin.edu.au FAU - Diep, Susanna AU - Diep S LA - eng PT - Journal Article DEP - 20080702 PL - Netherlands TA - Eur J Pharmacol JT - European journal of pharmacology JID - 1254354 RN - 0 (ATP Binding Cassette Transporter, Subfamily B, Member 1) RN - 0 (Cyclosporins) RN - 0 (Diuretics) RN - 0 (Fluorescent Dyes) RN - 44RAL3456C (Methamphetamine) RN - 7DZO8EB0Z3 (Amiloride) RN - Q7ZP55KF3X (valspodar) RN - X4W3ENH1CV (Norepinephrine) RN - YKH834O4BH (Epinephrine) SB - IM MH - ATP Binding Cassette Transporter, Subfamily B, Member 1/antagonists & inhibitors/metabolism MH - Amiloride/pharmacology MH - Biological Transport, Active/drug effects MH - Caco-2 Cells MH - Chromatography, High Pressure Liquid MH - Cyclosporins/pharmacology MH - Diuretics/pharmacology MH - Epinephrine/pharmacology MH - Fluorescent Dyes MH - Humans MH - Hydrogen-Ion Concentration MH - Methamphetamine/*analogs & derivatives/*metabolism MH - Norepinephrine/pharmacology EDAT- 2008/07/22 09:00 MHDA- 2008/10/25 09:00 CRDT- 2008/07/22 09:00 PHST- 2008/03/14 00:00 [received] PHST- 2008/06/18 00:00 [revised] PHST- 2008/06/27 00:00 [accepted] PHST- 2008/07/22 09:00 [pubmed] PHST- 2008/10/25 09:00 [medline] PHST- 2008/07/22 09:00 [entrez] AID - S0014-2999(08)00704-8 [pii] AID - 10.1016/j.ejphar.2008.06.090 [doi] PST - ppublish SO - Eur J Pharmacol. 2008 Sep 11;592(1-3):7-12. doi: 10.1016/j.ejphar.2008.06.090. Epub 2008 Jul 2.