Protein transporters present in cellular membranes can influence the i
ntracellular concentration of a variety of drugs. Pefloxacin is a fluo
roquinolone which is commonly used in systemic infections. Its transpo
rt mechanisms have never been described. In the present study, we demo
nstrated that pefloxacin uptake is carrier-mediated. Pefloxacin crosse
s the membrane in zwitterionic form. The transport seems to differ fro
m that of other fluoroquinolones which use amino acid or organic anion
transporters. Pefloxacin uptake is not influenced by the presence of
hexose in the incubation medium. It does not use a nucleoside transpor
t system to penetrate the cells but adenosine increases the uptake. Th
e carrier is inhibited by verapamil at 60 min and is activated by a Ca
2+-dependent system.