PMID- 38367298 OWN - NLM STAT- MEDLINE DCOM- 20240422 LR - 20240422 IS - 1880-0920 (Electronic) IS - 1347-4367 (Linking) VI - 55 DP - 2024 Apr TI - Preferential meropenem absorption activated by 1alpha,25-dihydroxyvitamin D(3) and shared with foscarnet, a phosphate transporter substrate, in the rat ileum. PG - 100997 LID - S1347-4367(24)00003-X [pii] LID - 10.1016/j.dmpk.2024.100997 [doi] AB - Meropenem (MEPM) is used for the treatment of serious infectious diseases solely as. INJECTABLE: Therefore, the development of an oral formulation would expand its clinical utility. To this end, an exact understanding of the absorption characteristics of MEPM is essential. In this study, MEPM absorption in the rat small intestine was investigated using an in situ loop technique and an in vitro diffusion chamber method. The disappearance ratios of MEPM (0.1 mM) were in the order of ileum > duodenum > jejunum. The extensive MEPM disappearance in the ileum was significantly reduced in the presence of foscarnet, a Na(+)-dependent phosphate transporter (NaPi-T) substrate, whereas glycylsarcosine, thiamine, taurocholic acid, and biapenem had no effects. The mucosal-to-serosal (M-to-S) permeation of MEPM across the rat ileal segments was very small under normal experimental conditions. However, on addition of 1alpha,25-dihydroxyvitamin D(3) (1,25(OH)(2)D(3)) to the experimental medium, the M-to-S permeation of MEPM markedly increased, showing a more than 7-fold greater apparent permeation coefficient. The present results suggest that MEPM is preferentially absorbed in the rat ileum, sharing with foscarnet, and that 1,25(OH)(2)D(3) potentially activates the absorption of MEPM there. A likely candidate for involvement in MEPM absorption was NaPi-T or a related transporter. CI - (c) 2024 Published by Elsevier Ltd on behalf of The Japanese Society for the Study of Xenobiotics. FAU - Saito, Toshihide AU - Saito T AD - Department of Pharmaceutics, School of Pharmaceutical Sciences, Health Sciences University of Hokkaido, Ishikari, Tobetsu, Hokkaido, 061-0293, Japan. FAU - Ichimura, Yuichi AU - Ichimura Y AD - Department of Pharmaceutics, School of Pharmaceutical Sciences, Health Sciences University of Hokkaido, Ishikari, Tobetsu, Hokkaido, 061-0293, Japan. FAU - Oda, Masako AU - Oda M AD - Department of Pharmaceutics, School of Pharmaceutical Sciences, Health Sciences University of Hokkaido, Ishikari, Tobetsu, Hokkaido, 061-0293, Japan. FAU - Saitoh, Hiroshi AU - Saitoh H AD - Department of Pharmaceutics, School of Pharmaceutical Sciences, Health Sciences University of Hokkaido, Ishikari, Tobetsu, Hokkaido, 061-0293, Japan. Electronic address: saitoh@hoku-iryo-u.ac.jp. LA - eng PT - Journal Article DEP - 20240111 PL - England TA - Drug Metab Pharmacokinet JT - Drug metabolism and pharmacokinetics JID - 101164773 RN - 66772-14-3 (1,25-dihydroxyvitamin D) RN - 364P9RVW4X (Foscarnet) RN - FV9J3JU8B1 (Meropenem) RN - 0 (Phosphate Transport Proteins) RN - 1406-16-2 (Vitamin D) SB - IM MH - Rats MH - Animals MH - *Foscarnet/pharmacology MH - Meropenem/pharmacology MH - *Phosphate Transport Proteins MH - Ileum MH - Intestinal Absorption MH - Vitamin D/*analogs & derivatives OTO - NOTNLM OT - 1alpha,25-dihydroxyvitamin D(3) OT - Foscarnet OT - In situ and in vitro discrepancy OT - Meropenem absorption OT - Rat ileum COIS- Declaration of competing interest None. EDAT- 2024/02/17 21:44 MHDA- 2024/04/22 06:42 CRDT- 2024/02/17 18:00 PHST- 2023/10/03 00:00 [received] PHST- 2023/12/24 00:00 [revised] PHST- 2024/01/09 00:00 [accepted] PHST- 2024/04/22 06:42 [medline] PHST- 2024/02/17 21:44 [pubmed] PHST- 2024/02/17 18:00 [entrez] AID - S1347-4367(24)00003-X [pii] AID - 10.1016/j.dmpk.2024.100997 [doi] PST - ppublish SO - Drug Metab Pharmacokinet. 2024 Apr;55:100997. doi: 10.1016/j.dmpk.2024.100997. Epub 2024 Jan 11.