P-GLYCOPROTEIN-MEDIATED RENAL TUBULAR SECRETION OF DIGOXIN - THE TOXICOLOGICAL SIGNIFICANCE OF THE URINE-BLOOD BARRIER MODEL

被引:19
作者
ITO, S [1 ]
WOODLAND, C [1 ]
HARPER, PA [1 ]
KOREN, G [1 ]
机构
[1] HOSP SICK CHILDREN,RES INST,DEPT PEDIAT,DIV CLIN PHARMACOL & TOXICOL,555 UNIV AVE,TORONTO M5G 1X8,ONTARIO,CANADA
关键词
D O I
10.1016/0024-3205(93)90667-R
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
We provide direct evidence that verapamil inhibits active digoxin secretion in renal tubular cells (LLC-PK1), and that verapamil increases cellular accumulation of digoxin. These findings suggest that verapamil inhibits the digoxin active secretory transport at the apical membranes, supporting the theory that P-glycoprotein mediates digoxin secretion in the renal tubular cells. Based on existing data on digoxin transport, we present a hypothetical model for the renal handling of digoxin, implying that P-glycoprotein functions as a driving mechanism of a unidirectional ''urine-blood'' barrier.
引用
收藏
页码:PL25 / PL31
页数:7
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