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Research ArticleArticle

Organic Cation Transporter 3 Facilitates Fetal Exposure to Metformin during Pregnancy

Nora Lee, Mary F. Hebert, David J. Wagner, Thomas R. Easterling, C. Jason Liang, Kenneth Rice and Joanne Wang
Molecular Pharmacology October 2018, 94 (4) 1125-1131; DOI: https://doi.org/10.1124/mol.118.112482
Nora Lee
Departments of Pharmaceutics (N.L., D.J.W., J.W.), Pharmacy (M.F.H.), Obstetrics and Gynecology (M.F.H., T.R.E.), Biostatistics (C.J.L., K.R.), and Obstetric-fetal Pharmacology Research Unit (N.L., M.F.H., T.R.E., J.W.), University of Washington, Seattle, Washington
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Mary F. Hebert
Departments of Pharmaceutics (N.L., D.J.W., J.W.), Pharmacy (M.F.H.), Obstetrics and Gynecology (M.F.H., T.R.E.), Biostatistics (C.J.L., K.R.), and Obstetric-fetal Pharmacology Research Unit (N.L., M.F.H., T.R.E., J.W.), University of Washington, Seattle, Washington
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David J. Wagner
Departments of Pharmaceutics (N.L., D.J.W., J.W.), Pharmacy (M.F.H.), Obstetrics and Gynecology (M.F.H., T.R.E.), Biostatistics (C.J.L., K.R.), and Obstetric-fetal Pharmacology Research Unit (N.L., M.F.H., T.R.E., J.W.), University of Washington, Seattle, Washington
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Thomas R. Easterling
Departments of Pharmaceutics (N.L., D.J.W., J.W.), Pharmacy (M.F.H.), Obstetrics and Gynecology (M.F.H., T.R.E.), Biostatistics (C.J.L., K.R.), and Obstetric-fetal Pharmacology Research Unit (N.L., M.F.H., T.R.E., J.W.), University of Washington, Seattle, Washington
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C. Jason Liang
Departments of Pharmaceutics (N.L., D.J.W., J.W.), Pharmacy (M.F.H.), Obstetrics and Gynecology (M.F.H., T.R.E.), Biostatistics (C.J.L., K.R.), and Obstetric-fetal Pharmacology Research Unit (N.L., M.F.H., T.R.E., J.W.), University of Washington, Seattle, Washington
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Kenneth Rice
Departments of Pharmaceutics (N.L., D.J.W., J.W.), Pharmacy (M.F.H.), Obstetrics and Gynecology (M.F.H., T.R.E.), Biostatistics (C.J.L., K.R.), and Obstetric-fetal Pharmacology Research Unit (N.L., M.F.H., T.R.E., J.W.), University of Washington, Seattle, Washington
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Joanne Wang
Departments of Pharmaceutics (N.L., D.J.W., J.W.), Pharmacy (M.F.H.), Obstetrics and Gynecology (M.F.H., T.R.E.), Biostatistics (C.J.L., K.R.), and Obstetric-fetal Pharmacology Research Unit (N.L., M.F.H., T.R.E., J.W.), University of Washington, Seattle, Washington
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  • Fig. 1.
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    Fig. 1.

    Localization of OCT3 in human term placenta. Human term placenta sections were colabeled with antibodies for OCT3 (B, F, and J; green) and various membrane markers (C, CD31-PECAM1; G, laminin; K, the transferrin receptor; red). The nuclei were shown in blue (A, E, and I). Merged images are shown in (D, H, and L). Arrow indicates representative staining of fetal capillaries (D) and basal membrane of trophoblasts (H).

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    Fig. 2.

    Expression of various organic cation transporters in the placentas of Oct3+/+ and Oct3−/− mice. Transcript of various organic cation and monoamine transporters in Oct3+/+ (n = 3) and Oct3−/− (n = 3) mouse placentas at gd 19 was determined by real-time PCR.

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    Fig. 3.

    Maternal plasma metformin concentration-time profile in pregnant Oct3+/+ (▢) and Oct3−/− mice (■). Pregnant (gd 19) Oct3+/+ (▢) and Oct3−/− (■) mice were given a dose (15 mg/kg) containing 0.2 mCi/kg of [14C]metformin by oral gavage. At various time points (0–480 minutes) after drug administration, animals were sacrificed and blood, tissues, and fetuses were collected. Metformin concentrations in maternal plasma were measured by liquid scintillation counting. Data represent mean ± 1.96 S.E. (n = 3–5 mice/time point). Inset depicts the same data on a semilogarithmic scale.

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    Fig. 4.

    Fetal metformin concentration-time profile in Oct3+/+ and Oct3−/− mice following oral administration. Pregnant (gd 19) Oct3+/+ (▢) and Oct3−/− (■) mice were given a dose (15 mg/kg) containing 0.2 mCi/kg of [14C]metformin by oral gavage. At various time points (0–480 minutes) after drug administration, animals were euthanized, and blood, tissues, and fetuses were collected. Metformin concentrations in fetus homogenates were determined by liquid scintillation counting. Data represent mean ± 1.96 S.E. (n = 3–5 mice/time point).

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    Fig. 5.

    Metformin AUC0-480 in various tissues in pregnant Oct3+/+ (▢) and Oct3−/− mice (■). Pregnant (gd 19) Oct3+/+ (▢) and Oct3−/− (■) mice were given a 15 mg/kg metformin dose containing 0.2 mCi/kg of [14C]metformin by oral gavage. At various time points (0–480 minutes) after drug administration, animals were euthanized, and blood, tissues, and fetuses were collected. Metformin concentrations in various maternal tissues were determined and AUC0–480 was calculated as described under Materials and Methods. Data represent mean ± 95% confidence interval. Two-sided P values were calculated using the permutation test as described under Materials and Methods (*P < 0.05).

  • Fig. 6.
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    Fig. 6.

    A proposed model for organic cation transport at the human placenta barrier. Organic cations, such as metformin, in the maternal circulation are first transported into the syncytiotrophoblast cells by NET, SERT, or OCTN2 at the apical membrane. Organic cations are then effluxed down their electrochemical gradient into the fetal side by OCT3 at the basal membrane. Larger and more lipophilic cations can be actively pumped back to the maternal circulation by P-gp and/or BCRP located at the apical membrane. BCRP, breast cancer resistance protein; NET, norepinephrine transporter; OCTN2, organic cation transporter novel type 2; P-gp, P-glycoprotein; SERT, serotonin transporter. This model is based on data in the present study and references (Vähäkangas and Myllynen, 2009; Ganapathy et al., 2000).

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    TABLE 1

    Metformin pharmacokinetic parameters from pregnant Oct3+/+ and Oct3−/− mice

    Data are presented as mean ± S.E. (Cmax) or with 95% confidence intervals in parentheses.

    Oct3+/+Oct3−/−
    Cmax (µg/ml)3.31 ± 0.454.17 ± 0.37
    AUC0–480min (μg/ml*min)609 (564, 698)513 (452, 569)*
    AUC0–∞ (μg/ml*min)661 (616, 753)556 (494, 615)
    CL/F[(ml/min)/kg]24.6 (21.5, 26.6)29.3 (26.4, 33.2)
    t1/2, β (min)119 (107, 195)154 (99.2, 234)
    Vβ (l/kg)4.21 (3.60, 7.11)6.51 (4.23, 10.3)
    • ↵* Significantly different from Oct3+/+ (P < 0.05).

    • View popup
    TABLE 2

    Fetal metformin AUC and AUC ratios in Oct3+/+ and Oct3−/− pregnant mice

    Data are presented as mean with 95% confidence intervals in parentheses.

    Oct3+/+Oct3−/−% Change
    AUCfetal, 0–480 min (μg/g*min)127 (82.6, 146)77.2 (66.9, 87.4)*39%
    AUC0–480 fetal-to-maternal ratio0.21 (0.14, 0.25)0.15 (0.13, 0.18)*29%
    AUCfetal, 0-∞ (μg/g*min)181 (136, 204)95.7 (86.2, 104)*47%
    AUC0-∞ fetal-to-maternal ratio0.27 (0.20, 0.32)0.17 (0.15, 0.20)*44%
    • ↵* Significantly different from Oct3+/+ (P < 0.05).

Additional Files

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    • Supplemental Figure -

      Uptake of [14C]metformin by HEK 293 cells stably expressing hOCT3

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Molecular Pharmacology: 94 (4)
Molecular Pharmacology
Vol. 94, Issue 4
1 Oct 2018
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Research ArticleArticle

OCT3 Facilitates Fetal Metformin Disposition in Pregnancy

Nora Lee, Mary F. Hebert, David J. Wagner, Thomas R. Easterling, C. Jason Liang, Kenneth Rice and Joanne Wang
Molecular Pharmacology October 1, 2018, 94 (4) 1125-1131; DOI: https://doi.org/10.1124/mol.118.112482

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Research ArticleArticle

OCT3 Facilitates Fetal Metformin Disposition in Pregnancy

Nora Lee, Mary F. Hebert, David J. Wagner, Thomas R. Easterling, C. Jason Liang, Kenneth Rice and Joanne Wang
Molecular Pharmacology October 1, 2018, 94 (4) 1125-1131; DOI: https://doi.org/10.1124/mol.118.112482
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