6533b821fe1ef96bd127c23f

RESEARCH PRODUCT

Transintestinal secretion of ciprofloxacin, grepafloxacin and sparfloxacin: in vitro and in situ inhibition studies.

Virginia MerinoM. Montalar-monteroR. Nalda-molinaTeresa María GarriguesM. Rodriguez-ibanezMarival Bermejo

subject

QuinidineMalePharmaceutical ScienceBiological AvailabilityPharmacologyIn Vitro TechniquesModels BiologicalIntestinal absorptionPiperazinesAnti-Infective AgentsCiprofloxacinmedicineAnimalsHumansRats WistarChromatography High Pressure LiquidAntibacterial agentDrug CarriersOrganic cation transport proteinsbiologyGeneral MedicineGrepafloxacinIn vitroRatsSparfloxacinIntestinal Absorptionbiology.proteinVerapamilCaco-2 CellsBiotechnologymedicine.drugFluoroquinolones

description

The influence of the secretion process on the absorption of ciprofloxacin, grepafloxacin and sparfloxacin has been evaluated by means of inhibition studies. Two well known P-glycoprotein inhibitors (cyclosporine, verapamil), a mixed inhibitor of P-glycoprotein and the organic cation transporter OCT1 (quinidine) and a well established MRP substrate (p-aminohipuric acid) have been selected in order to distinguish the possible carriers implicated. An in situ rat gut perfusion model and CACO-2 permeability studies are used. Both methods suggest the involvement of several types of efflux transporters for every fluoroquinolone. The relevance of the secretory pathway depends on the intrinsic permeability of the quinolone. The in vitro model seems to be more suitable for discriminating mechanisms underlying the absorption process, while in situ studies are less sensitive to inhibition studies.

10.1016/s0939-6411(02)00185-6https://pubmed.ncbi.nlm.nih.gov/12637104