Oseltamivir (Tamiflu) efflux transport at the blood-brain barrier via P-glycoprotein.
Oseltamivir (Tamiflu, Roche, Nutley, NJ), an ester-type prodrug of the anti-influenza drug Ro 64-0802 (oseltamivir carboxylate), has been reported to be associated with neuropsychiatric side effects, which are likely to be caused by distribution of oseltamivir and/or its metabolite into the central nervous system. Enhanced toxicity and brain distribution of oseltamivir in unweaned rats led us to hypothesize that the low level of distribution of oseltamivir and/or Ro 64-0802 in adult brain was caused by the presence of a specific efflux transporter at the blood-brain barrier. We examined the possible role of P-glycoprotein (P-gp) as the determinant of brain distribution of oseltamivir and Ro 64-0802 both in vitro using LLC-GA5-COL150 cells, which overexpress human multidrug resistance protein 1 P-gp on the apical membrane, and in vivo using mdr1a/1b knockout mice. The permeability of oseltamivir in the basal-to-apical direction was significantly greater than that in the opposite direction. The directional transport disappeared on addition of cyclosporin A, a P-gp inhibitor. The brain distribution of oseltamivir was increased in mdr1a/1b knockout mice compared with wild-type mice. In contrast, negligible transport of Ro 64-0802 by P-gp was observed in both in vitro and in vivo studies. These results show that oseltamivir, but not Ro 64-0802, is a substrate of P-gp. Accordingly, low levels of P-gp activity or drug-drug interactions at P-gp may lead to enhanced brain accumulation of oseltamivir, and this may in turn account for the central nervous system effects of oseltamivir observed in some patients.
Morimoto
Kaori
K
Faculty of Pharmacy, Takasaki University of Health and Welfare, Takasaki, Gunma, Japan.
Nakakariya
Masanori
M
Shirasaka
Yoshiyuki
Y
Kakinuma
Chihaya
C
Fujita
Takuya
T
Tamai
Ikumi
I
Ogihara
Takuo
T
D018435:ATP Binding Cassette Transporter, Subfamily B / Q000235:genetics / Q000378:metabolism*; D018528:ATP-Binding Cassette Transporters / Q000235:genetics / Q000378:metabolism*; D000818:Animals; D000998:Antiviral Agents / Q000097:blood / Q000493:pharmacokinetics*; D001812:Blood-Brain Barrier / Q000378:metabolism*; D002460:Cell Line; D002463:Cell Membrane Permeability; D003001:Cloning, Molecular; D006801:Humans; D008297:Male; D051379:Mice; D018345:Mice, Knockout; D053139:Oseltamivir / Q000097:blood / Q000493:pharmacokinetics*; D014018:Tissue Distribution; D000097202:ATP-Binding Cassette Sub-Family B Member 4
D018435:ATP Binding Cassette Transporter, Subfamily B; D018528:ATP-Binding Cassette Transporters; D000998:Antiviral Agents; D053139:Oseltamivir; D000097202:ATP-Binding Cassette Sub-Family B Member 4; C095122:multidrug resistance protein 3