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Effects of Various Pharmaceutical Excipients on the Intestinal Transport and Absorption of Sulfasalazine,a Typical Substrate of Breast Cancer Resistance Protein Transporter
Authors:Kasirawat Sawangrat  Masaki Morishita  Kosuke Kusamori  Hidemasa Katsumi  Toshiyasu Sakane  Akira Yamamoto
Affiliation:Department of Biopharmaceutics, Kyoto Pharmaceutical University, Misasagi, Yamashina-Ku, Kyoto, Japan
Abstract:Breast cancer resistance protein (BCRP) transporter is an efflux transporter that utilizes energy from adenosine triphosphate hydrolysis to push its substrates, regardless of the concentration gradient. Its presence on the apical membrane of the intestinal mucosa is a major obstacle for the intestinal absorption of its substrates. In this study, we examined the effects of various pharmaceutical excipients on the intestinal transport and absorption of sulfasalazine, a BCRP substrate. Four excipients, including 0.05% and 0.075% BL-9EX, 0.01% and 0.05% Brij 97, 0.075% Labrasol, and 0.05% and 0.1% Tween 20 decreased the secretory transport of sulfasalazine in an in vitro diffusion chamber. Further investigation in an in situ closed loop experiment in rats showed that 0.05% and 0.1% BL-9EX and 0.1% Brij 97 effectively enhanced the intestinal absorption of sulfasalazine while maintaining minimal toxicity to the intestinal mucosa. However, 0.1% Brij 97 also increased the intestinal absorption of 5(6)-carboxyfluorescein, a paracellular marker compound. These findings suggest that BL-9EX might effectively inhibit the BCRP-mediated efflux of sulfasalazine in vivo, indicating that BL-9EX could improve the intestinal absorption of sulfasalazine and other BCRP substrates.
Keywords:ATP-binding cassette (ABC) transporters(s)  breast cancer resistance protein (BCRP)  efflux pump(s)  excipient(s)  intestinal transport  intestinal absorption  FTC  fumitremorgin C  CF  5(6)-carboxyfluorescein  PEG  polyethylene glycol  LDH  lactate dehydrogenase  HLB  hydrophilic lipophilic balance  MDR  multidrug resistance  w/v  weight by volume  PBS  phosphate buffered saline  apparent permeability coefficient  ER  efflux ratio  BCRP  breast cancer resistance protein  ABC  ATP-binding cassette transporter  P-gp  P-glycoprotein  CMC  critical micellar concentration  AUC  area under plasma concentration time curve  time to maximum plasma concentration  maximum plasma concentration
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