RESUMO
Erythropoietin (EPO) is a cytokine originally used for its effects on the hematopoietic system, and is widely prescribed around the world. In the present study, the effects of EPO administration on p-aminohippurate (PAH, a prototype organic anion) pharmacokinetics and on the renal expression of PAH transporters were evaluated. Male Wistar rats were treated with EPO or saline (control group). After 42 h, PAH was administered, and plasma samples were obtained at different time points to determine PAH levels. PAH levels in renal tissue and urine were also assessed. The renal expression of PAH transporters was evaluated by Western blotting. EPO-treated rats showed an increase in PAH systemic clearance, in its elimination rate constant, and in urinary PAH levels, while PAH in renal tissue was decreased. Moreover, EPO administration increased the expression of the transporters of the organic anions evaluated. The EPO-induced increase in PAH clearance is accounted for by the increase in its renal secretion mediated by the organic anion transporters. The goal of this study is to add important information to the wide knowledge gap that exists regarding drug-drug interactions. Owing to the global use of EPO, these results are useful in terms of translation into clinical practice.
Assuntos
Ânions/farmacocinética , Eritropoetina/farmacologia , Rim/efeitos dos fármacos , Rim/metabolismo , Animais , Masculino , Ratos , Ratos WistarRESUMO
AIM: To examine renal expression of organic anion transporter 5 (Oat5) and sodium-dicarboxylate cotransporter 1 (NaDC1), and excretion of citrate in rats with acute extrahepatic cholestasis. METHODS: Obstructive jaundice was induced in rats by double ligation and division of the common bile duct (BDL group). Controls underwent sham operation that consisted of exposure, but not ligation, of the common bile duct (Sham group). Studies were performed 21 h after surgery. During this period, animals were maintained in metabolic cages in order to collect urine. The urinary volume was determined by gravimetry. The day of the experiment, blood samples were withdrawn and used to measure total and direct bilirubin as indicative parameters of hepatic function. Serum and urine samples were used for biochemical determinations. Immunoblotting for Oat5 and NaDC1 were performed in renal homogenates and brush border membranes from Sham and BDL rats. Immunohistochemistry studies were performed in kidneys from both experimental groups. Total RNA was extracted from rat renal tissue in order to perform reverse transcription polymerase chain reaction. Another set of experimental animals were used to evaluate medullar renal blood flow (mRBF) using fluorescent microspheres. RESULTS: Total and direct bilirubin levels were significantly higher in BDL animals, attesting to the adequacy of biliary obstruction. An important increase in mRBF was determined in BDL group (Sham: 0.53 ± 0.12 mL/min per 100 g body weight vs BDL: 1.58 ± 0.24 mL/min per 100 g body weight, P < 0.05). An increase in the urinary volume was observed in BDL animals. An important decrease in urinary levels of citrate was seen in BDL group. Besides, a decrease in urinary citrate excretion (Sham: 0.53 ± 0.11 g/g creatinine vs BDL: 0.07 ± 0.02 g/g creatinine, P < 0.05) and an increase in urinary excretion of H(+) (Sham: 0.082 ± 0.03 µmol/g creatinine vs BDL: 0.21 ± 0.04 µmol/g creatinine, P < 0.05) were observed in BDL animals. We found upregulations of both proteins Oat5 and NaDC1 in brush border membranes where they are functional. Immunohistochemistry technique corroborated these results for both proteins. No modifications were observed in Oat5 mRNA and in NaDC1 mRNA levels in kidney from BDL group as compared with Sham ones. CONCLUSION: Citrate excretion is decreased in BDL rats, at least in part, because of the higher NaDC1 expression. Using the outward gradient of citrate generated by NaDC1, Oat5 can reabsorb/eliminate different organic anions of pathophysiological importance.
Assuntos
Colestase Extra-Hepática/metabolismo , Transportadores de Ácidos Dicarboxílicos/metabolismo , Icterícia Obstrutiva/metabolismo , Rim/metabolismo , Transportadores de Ânions Orgânicos Dependentes de Sódio/metabolismo , Simportadores/metabolismo , Animais , Bilirrubina/sangue , Biomarcadores/sangue , Biomarcadores/urina , Colestase Extra-Hepática/sangue , Colestase Extra-Hepática/genética , Colestase Extra-Hepática/urina , Ácido Cítrico/urina , Ducto Colédoco/cirurgia , Transportadores de Ácidos Dicarboxílicos/genética , Modelos Animais de Doenças , Icterícia Obstrutiva/sangue , Icterícia Obstrutiva/genética , Icterícia Obstrutiva/urina , Ligadura , Masculino , Transportadores de Ânions Orgânicos Dependentes de Sódio/genética , Ratos Wistar , Circulação Renal , Eliminação Renal , Simportadores/genética , Fatores de Tempo , Regulação para CimaRESUMO
Obstructive jaundice occurs in patients suffering from cholelithiasis and from neoplasms affecting the pancreas and the common bile duct. The absorption, distribution and elimination of drugs are impaired during this pathology. Prolonged cholestasis may alter both liver and kidney function. Lactam antibiotics, diuretics, non-steroidal anti-inflammatory drugs, several antiviral drugs as well as endogenous compounds are classified as organic anions. The hepatic and renal organic anion transport pathways play a key role in the pharmacokinetics of these compounds. It has been demonstrated that acute extrahepatic cholestasis is associated with increased renal elimination of organic anions. The present work describes the molecular mechanisms involved in the regulation of the expression and function of the renal and hepatic organic anion transporters in extrahepatic cholestasis, such as multidrug resistance-associated protein 2, organic anion transporting polypeptide 1, organic anion transporter 3, bilitranslocase, bromosulfophthalein/bilirubin binding protein, organic anion transporter 1 and sodium dependent bile salt transporter. The modulation in the expression of renal organic anion transporters constitutes a compensatory mechanism to overcome the hepatic dysfunction in the elimination of organic anions.
Assuntos
Ácidos e Sais Biliares/metabolismo , Colestase Extra-Hepática/metabolismo , Icterícia Obstrutiva/metabolismo , Rim/metabolismo , Fígado/metabolismo , Transportadores de Ânions Orgânicos/metabolismo , Adaptação Fisiológica , Animais , Transporte Biológico , Humanos , Preparações Farmacêuticas/metabolismo , FarmacocinéticaRESUMO
An ion chromatography procedure, employing an IonPac AC15 concentrator column was used to investigate on line preconcentration for the simultaneous determination of inorganic anions and organic acids in river water. Twelve organic acids and nine inorganic anions were separated without any interference from other compounds and carry-over problems between samples. The injection loop was replaced by a Dionex AC15 concentrator column. The proposed procedure employed an auto-sampler that injected 1.5 ml of sample into a KOH mobile phase, generated by an Eluent Generator, at 1.5 mL min-1, which carried the sample to the chromatographic columns (one guard column, model AG-15, and one analytical column, model AS15, with 250 x 4mm i.d.). The gradient elution concentrations consisted of a 10.0 mmol l-1 KOH solution from 0 to 6.5 min, gradually increased to 45.0 mmol l-1 KOH at 21 min., and immediatelly returned and maintained at the initial concentrations until 24 min. of total run. The compounds were eluted and transported to an electro-conductivity detection cell that was attached to an electrochemical detector. The advantage of using concentrator column was the capability of performing routine simultaneous determinations for ions from 0.01 to 1.0 mg l-1 organic acids (acetate, propionic acid, formic acid, butyric acid, glycolic acid, pyruvate, tartaric acid, phthalic acid, methanesulfonic acid, valeric acid, maleic acid, oxalic acid, chlorate and citric acid) and 0.01 to 5.0 mg l-1 inorganic anions (fluoride, chloride, nitrite, nitrate, bromide, sulfate and phosphate), without extensive sample pretreatment and with an analysis time of only 24 minutes.
A metodologia analítica foi desenvolvida empregando coluna pré-concentradora AC15 em linha na cromatografia iônica na determinação simultânea de ânions orgânicos e inorgânicos, com uso de coluna de guarda AG15 e analítica AS15, 250 x 4 mm i.d. (Dionex Corp.). O gradiente de concentração do eluente foi fixo em 10,0 mmol.l-1 KOH nos tempos de retenção de 0 até 6,5 min, seguido do aumento da concentração até 45,0 mmol.l-1 KOH a 21 min, imediatamente retornando e mantendo a concentração inicial até o tempo total de análise de 24 min. Os compostos foram separados com boa resolução e deslocados para uma cela de detecção de condutividade elétrica acoplada a um detector eletroquímico. O emprego da coluna pré-concentradora em linha apresentou vantagens analíticas na determinação de rotina dos íons na faixa linear de 0,01 até 1,0 mg l-1 (r=0,9989) de ácidos orgânicos (acético, propiônico, fórmico, butírico, glicólico, pirúvico, tartárico, ftálico, metanossulfônico, valérico, maleico, oxálico e cítrico) e 0,01 até 5,0 mg.l-1 (r=0,9987) de ânions inorgânicos (fluoreto, cloreto, nitrito, brometo, nitrato, sulfato, clorato e fosfato) sem pré-tratamento da amostra. Um tempo de análise de 24 min e limite de detecção de 5 µ.l-1 foram obtidos para os ânions orgânicos ácido ácetico, ácido fórmico, ácido butírico, ácido glicólico, ácido valérico, ácido cítrico e de 10 µg.l-1 para ácido propiônico, piruvato, ácido tartárico, ácido ftálico, ácido metasulfônico e ácido maleico. Para os ânions inorgânicos 2 µg.l-1 de fluoreto, cloreto, nitrato, brometo, sulfato e 10 µg.l-1 de clorato, nitrito e fosfato foram estimados, segundo metodologia sugerida por IUPAC.
RESUMO
An ion chromatography procedure, employing an IonPac AC15 concentrator column was used to investigate on line preconcentration for the simultaneous determination of inorganic anions and organic acids in river water. Twelve organic acids and nine inorganic anions were separated without any interference from other compounds and carry-over problems between samples. The injection loop was replaced by a Dionex AC15 concentrator column. The proposed procedure employed an auto-sampler that injected 1.5 ml of sample into a KOH mobile phase, generated by an Eluent Generator, at 1.5 mL min-1, which carried the sample to the chromatographic columns (one guard column, model AG-15, and one analytical column, model AS15, with 250 x 4mm i.d.). The gradient elution concentrations consisted of a 10.0 mmol l-1 KOH solution from 0 to 6.5 min, gradually increased to 45.0 mmol l-1 KOH at 21 min., and immediatelly returned and maintained at the initial concentrations until 24 min. of total run. The compounds were eluted and transported to an electro-conductivity detection cell that was attached to an electrochemical detector. The advantage of using concentrator column was the capability of performing routine simultaneous determinations for ions from 0.01 to 1.0 mg l-1 organic acids (acetate, propionic acid, formic acid, butyric acid, glycolic acid, pyruvate, tartaric acid, phthalic acid, methanesulfonic acid, valeric acid, maleic acid, oxalic acid, chlorate and citric acid) and 0.01 to 5.0 mg l-1 inorganic anions (fluoride, chloride, nitrite, nitrate, bromide, sulfate and phosphate), without extensive sample pretreatment and with an analysis time of only 24 minutes.
A metodologia analítica foi desenvolvida empregando coluna pré-concentradora AC15 em linha na cromatografia iônica na determinação simultânea de ânions orgânicos e inorgânicos, com uso de coluna de guarda AG15 e analítica AS15, 250 x 4 mm i.d. (Dionex Corp.). O gradiente de concentração do eluente foi fixo em 10,0 mmol.l-1 KOH nos tempos de retenção de 0 até 6,5 min, seguido do aumento da concentração até 45,0 mmol.l-1 KOH a 21 min, imediatamente retornando e mantendo a concentração inicial até o tempo total de análise de 24 min. Os compostos foram separados com boa resolução e deslocados para uma cela de detecção de condutividade elétrica acoplada a um detector eletroquímico. O emprego da coluna pré-concentradora em linha apresentou vantagens analíticas na determinação de rotina dos íons na faixa linear de 0,01 até 1,0 mg l-1 (r=0,9989) de ácidos orgânicos (acético, propiônico, fórmico, butírico, glicólico, pirúvico, tartárico, ftálico, metanossulfônico, valérico, maleico, oxálico e cítrico) e 0,01 até 5,0 mg.l-1 (r=0,9987) de ânions inorgânicos (fluoreto, cloreto, nitrito, brometo, nitrato, sulfato, clorato e fosfato) sem pré-tratamento da amostra. Um tempo de análise de 24 min e limite de detecção de 5 µ.l-1 foram obtidos para os ânions orgânicos ácido ácetico, ácido fórmico, ácido butírico, ácido glicólico, ácido valérico, ácido cítrico e de 10 µg.l-1 para ácido propiônico, piruvato, ácido tartárico, ácido ftálico, ácido metasulfônico e ácido maleico. Para os ânions inorgânicos 2 µg.l-1 de fluoreto, cloreto, nitrato, brometo, sulfato e 10 µg.l-1 de clorato, nitrito e fosfato foram estimados, segundo metodologia sugerida por IUPAC.