K. Fattinger et al., Rifamycin SV and rifampicin exhibit differential inhibition of the hepaticrat organic anion transporting polypeptides, Oatp1 and Oatp2, HEPATOLOGY, 32(1), 2000, pp. 82-86
The antibiotics, rifamycin SV and rifampicin, are known to interfere with h
epatic bile salt and organic anion uptake. The aim of this study was to exp
lore which transport systems are affected. In short-term-cultured rat hepat
ocytes, low concentrations (10 mu mol/L) of both compounds inhibited mainly
sodium-independent taurocholate uptake, whereas higher concentrations (100
mu mol/L) also inhibited sodium-dependent taurocholate uptake. In Xenopus
laevis oocytes expressing the Na+/taurocholate cotransporting polypeptide (
Ntcp), high rifamycin SV and rifampicin concentrations were required for in
hibition of taurocholate uptake. In contrast, sodium-independent taurochola
te uptake mediated by the organic anion transporting polypeptides, Oatp1 an
d Oatp2, was already substantially inhibited by 10 mu mol/L rifamycin SV. R
ifampicin potently inhibited Oatp2-mediated taurocholate uptake, but did no
t interfere with Oatp1-mediated taurocholate uptake. Similar effects of rif
amycin SV and rifampicin were found for Oatp1- and Oatp2-mediated estradiol
-17 beta-glucuronide transport. Dixon plot analysis yielded a pattern compa
tible with competitive inhibition of estradiol-17 beta-glucuronide transpor
t with K-i estimates of 6.6 mu mol/L and 7.3 mu mol/L for rifamycin SV-indu
ced inhibition of Oatp1 and Oatp2, respectively, and of 1.4 mu mol/L for ri
fampicin-induced inhibition of Oatp2. These results demonstrate that rifamy
cin SV and rifampicin exhibit differential inhibition on Oatp1 and Oatp2, a
nd identify rifampicin as a selective Oatp2 inhibitor. The data indicate th
at these inhibitors can be used to determine the in vivo relevance of Oatp1
and Oatp2 for the overall bioavailability and disposition of drugs and oth
er Oatp1/2, substrates.