PMID- 24281836 OWN - NLM STAT- MEDLINE DCOM- 20141028 LR - 20140306 IS - 1521-009X (Electronic) IS - 0090-9556 (Linking) VI - 42 IP - 4 DP - 2014 Apr TI - Malaria infection alters the expression of hepatobiliary and placental drug transporters in pregnant mice. PG - 603-10 LID - 10.1124/dmd.113.053983 [doi] AB - Preventing and treating malaria in pregnancy is a global health priority. However little is known regarding the impact of malaria infection on the maternal and fetal disposition of pharmaceuticals and other xenobiotics. Our objective was to characterize expression of key determinants of drug-disposition in maternal and fetal tissues in a validated murine model of experimental placental malaria. Balb/c mice were infected with Plasmodium berghei at mid gestation [gestational day (GD) 13] and maternal, placental, and fetal tissues were collected at GD19. Expression of key ABC drug transporters and Cyp3a11 was examined by quantitative polymerase chain reaction. Western blotting was used to examine the protein expression of multidrug resistance protein 1 (MDR1, ABCB1). Compared with controls, placental mRNA expression of Abcb1a, Abcb1b, Abcc1, Abcc2, Abcc3, and Abcg2 were significantly downregulated in the malaria-infected group (P < 0.05), as was placental MDR1 protein (P < 0.05). Significantly decreased hepatic expression of Abcc2, Abcg2, and Abcb11 and significantly increased expression of Abcb1b, Abcc1, and Abcc3 were seen in malaria-infected dams (P < 0.05) in comparison with uninfected controls. The expression of Abcb1a and Abcg2 was significantly decreased in fetal liver of infected dams, whereas levels of Abcb1b were increased (P < 0.05). Maternal and fetal hepatic expression of Cyp3a11 was significantly downregulated in the malaria group (P < 0.05). Together, malaria-induced alterations in the expression of transporters and drug-metabolizing enzymes in maternal and fetal tissues may alter the disposition of endogenous and therapeutic substrates, potentially impacting maternal and fetal outcomes. FAU - Cressman, Alex M AU - Cressman AM AD - Department of Pharmaceutical Sciences, Leslie Dan Faculty of Pharmacy, University of Toronto, Toronto, Ontario, Canada (A.M.C., M.P.-M.); and Sandra Rotman Centre for Global Health, University Health Network-Toronto General Hospital, Toronto, Ontario, Canada (C.R.M., K.S., K.C.K.). FAU - McDonald, Chloe R AU - McDonald CR FAU - Silver, Karlee AU - Silver K FAU - Kain, Kevin C AU - Kain KC FAU - Piquette-Miller, Micheline AU - Piquette-Miller M LA - eng GR - 13721/Canadian Institutes of Health Research/Canada GR - 57688/Canadian Institutes of Health Research/Canada GR - MOP-115160/Canadian Institutes of Health Research/Canada PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20131126 PL - United States TA - Drug Metab Dispos JT - Drug metabolism and disposition: the biological fate of chemicals JID - 9421550 RN - 0 (Bile Acids and Salts) RN - 0 (Carrier Proteins) RN - 0 (Membrane Proteins) RN - 0 (Pharmaceutical Preparations) RN - EC 1.14.14.1 (Cyp3a11 protein, mouse) RN - EC 1.14.14.1 (Cytochrome P-450 CYP3A) SB - IM MH - Animals MH - Bile Acids and Salts/blood MH - Biological Transport MH - Carrier Proteins/*genetics/metabolism MH - Cytochrome P-450 CYP3A/genetics/metabolism MH - Disease Models, Animal MH - Female MH - Liver/embryology/*metabolism MH - Malaria/*metabolism/parasitology MH - Membrane Proteins/genetics/metabolism MH - Mice MH - Mice, Inbred BALB C MH - Oxidative Stress MH - Pharmaceutical Preparations/*metabolism MH - Placenta/*metabolism MH - Plasmodium berghei/pathogenicity MH - Pregnancy MH - Pregnancy Complications, Parasitic/*metabolism/parasitology MH - Tissue Distribution EDAT- 2013/11/28 06:00 MHDA- 2014/10/29 06:00 CRDT- 2013/11/28 06:00 PHST- 2013/11/28 06:00 [entrez] PHST- 2013/11/28 06:00 [pubmed] PHST- 2014/10/29 06:00 [medline] AID - dmd.113.053983 [pii] AID - 10.1124/dmd.113.053983 [doi] PST - ppublish SO - Drug Metab Dispos. 2014 Apr;42(4):603-10. doi: 10.1124/dmd.113.053983. Epub 2013 Nov 26.