RT Journal Article SR Electronic T1 Methotrexate Is Excreted into the Bile by Canalicular Multispecific Organic Anion Transporter in Rats JF Cancer Research JO Cancer Res FD American Association for Cancer Research SP 3506 OP 3510 VO 57 IS 16 A1 Masuda, Masayuki A1 I'izuka, Yuji A1 Yamazaki, Masayo A1 Nishigaki, Ryuichiro A1 Kato, Yukio A1 Ni'inuma, Kayoko A1 Suzuki, Hiroshi A1 Sugiyama, Yuichi YR 1997 UL http://cancerres.aacrjournals.org/content/57/16/3506.abstract AB Methotrexate [(+) amethopterin, L-MTX] has two carboxyl groups in its structure and is eliminated mainly by excretion into urine and bile. To investigate the biliary excretion mechanism of L-MTX, we performed in vivo and in vitro studies using mutant rats, Eisai hyperbilirubinemic rats (EHBRs), whose canalicular multispecific organic anion transporter (cMOAT) is defective as a consequence of heredity. After i.v. administration of L-MTX to EHBRs, its plasma disappearance and biliary excretion was slower than in normal Sprague Dawley rat (SDR). ATP-dependence and overshoot phenomena were observed in the uptake of [3H]L-MTX by canalicular membrane vesicles (CMV) prepared from SDR, whereas no ATP-dependence was observed in CMV from EHBRs. The ATP-dependent uptake of L-MTX by SDR CMV exhibited saturable kinetics with a Km of 295 µm. L-MTX competitively inhibited the ATP-dependent uptake of [3H]2,4-dinitrophenyl-S-glutathione, a typical substrate for cMOAT, and the inhibition constant (Ki) of L-MTX was comparable with its own Km. These results suggest that L-MTX is excreted into bile by cMOAT. The inhibitory effects of L-MTX and its optical isomer, (-) amethopterin (D-MTX), on the uptake of [3H]L-MTX differed with Kis of 326 and 93 µm, respectively, indicating that the biologically inactive D form has a higher affinity for cMOAT than L-MTX. ©1997 American Association for Cancer Research.