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Vol. 59, Issue 5, 974-980, May 2001
Laboratory of Experimental Hepatology, Department of
Gastroenterology (C.G.D., D.R.W., R.O., R.P.J.O.) and Surgical
Laboratory, Department of Surgery (I.G.S.), Academic Medical Center,
Amsterdam, The Netherlands
MRP2 is an apical transporter expressed in hepatocytes and the
epithelial cells of the small intestine and kidney proximal tubule. It
extrudes organic anions, conjugated compounds, and some uncharged
amphipaths. We studied the transport of an abundant food-derived
carcinogen,
2-amino-1-methyl-6-phenylimidazo[4,5-b]pyridine (PhIP)
in vitro, using an MRP2 transfected epithelial cell line (MDCK II) and intestinal explants from Wistar and MRP2-deficient TR
rats in Ussing chambers. In the experiments with the
transfected cell line, we could demonstrate more than 3-fold higher
transport from basolateral to apical than vice versa, whereas the
transport in the parent cell line was equal in both directions. These
results were confirmed in studies using isolated pieces of small
intestine from Wistar and TR
rats in the Ussing chamber.
Subsequent in vivo experiments demonstrated that after oral
administration, absorption of PhIP was 2-fold higher in the
TR
rat than in the Wistar rat. Consequently, PhIP tissue
levels in several organs (liver, kidney, lung, and colon) were 1.7- to 4-fold higher 48 h after oral administration. MRP2 mediated
transport of unchanged PhIP probably involves intracellular GSH,
because GSH depletion by BSO-treatment in Wistar rats reduced
intestinal secretion in the Ussing chamber to the same level as in
TR
rats. In accordance, BSO treatment increased oral
bioavailability in intact Wistar rats. This study shows for the first
time that MRP2-mediated extrusion reduces oral bioavailability of a
xenobiotic and protects against an abundant food-derived carcinogen.
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