ABCB1 c.2677G>T/c.3435C>T diplotype increases the early-phase oral absorption of losartan
½ÅÈ¿ºó, Á¤ÀÇÇö, °Çª¸§, ÀÓâ¿ì, ¿À°æ¿, Á¶Ã¢±Ù, ÀÌÀ±Á¤, ÃÖâÀÍ, ÀåÃá°ï, À̼®¿ë, ¹èÁ¤¿ì,
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½ÅÈ¿ºó ( Shin Hyo-Bin ) - Sungkyunkwan University School of Pharmacy
Á¤ÀÇÇö ( Jung Eui-Hyun ) - Sungkyunkwan University School of Pharmacy
°Çª¸§ ( Kang Pu-Reum ) - Sungkyunkwan University School of Pharmacy
ÀÓâ¿ì ( Lim Chang-Woo ) - Sungkyunkwan University School of Pharmacy
¿À°æ¿ ( Oh Kyung-Yul ) - Sungkyunkwan University School of Pharmacy
Á¶Ã¢±Ù ( Cho Chang-Keun ) - Sungkyunkwan University School of Pharmacy
ÀÌÀ±Á¤ ( Lee Yun-Jeong ) - Dankook University College of Pharmacy
ÃÖâÀÍ ( Choi Chang-Ik ) - Dongguk University College of Pharmacy
ÀåÃá°ï ( Jang Choon-Gon ) - Sungkyunkwan University School of Pharmacy
À̼®¿ë ( Lee Seok-Yong ) - Sungkyunkwan University School of Pharmacy
¹èÁ¤¿ì ( Bae Jung-Woo ) - Keimyung University College of Pharmacy
Abstract
Losartan has been shown to be a substrate of the drug-efflux transporter MDR1, encoded by the ABCB1 gene. ABCB1 c.2677G>T and c.3435C>T variants are known to be associated with reduced expression and function of P-glycoprotein (P-gp). We investigated the effects of ABCB1 diplotype on the pharmacokinetics of losartan. Thirty-eight healthy Korean volunteers with different ABCB1 diplotypes [c.2677G>?T and c.3435C>T; carriers of GG/CC (n?=?13), GT/CT (n?=?12) and TT/TT (n?=?13) diplotype] were recruited and administered a single 50 mg oral dose of losartan potassium. Losartan and its active metabolite E-3174 samples in plasma and urine were collected up to 10 and 8 h after drug administration, respectively, and the concentrations of both samples were determined by HPLC method. Significant differences were observed in Cmax of losartan and losartan plus E-3174 (Lo?+?E) among the three diplotype groups (both P?0.01). However, the power of the performed test is less than the desired power (0.800). The tmax of losartan and E-3174 in three diplotype groups were also significantly different (both P?0.01). The AUC values of Lo?+?E were significantly different among the three diplotype groups until 6 h after losartan administration (P?0.01). On the contrary, AUC at the periods of 8?10 h and 10 h-infinity of Lo?+?E were significantly lower in the TT/TT group than in the GG/CC group. Urinary excretion of losartan until 4 h after losartan administration in the TT/TT group was higher than that of the GG/CC group. These results suggest that c.2677G>T/c.3435C>T diplotypes of ABCB1 may significantly increase the early-phase absorption of losartan, but not the total absorption.
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Losartan; ABCB1; MDR1; Diplotype; Pharmacogenomics; Pharmacokinetics
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