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Organic Anion Transporting Polypeptides

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Intro to Pharmacology

Definition

Organic anion transporting polypeptides (OATPs) are a family of membrane transport proteins that facilitate the uptake of various organic anions, including drugs and endogenous compounds, into cells. These proteins play a critical role in drug absorption by influencing how well drugs are taken up in various tissues, especially in the liver and intestines, which are key sites for drug metabolism and distribution.

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5 Must Know Facts For Your Next Test

  1. OATPs are essential for the hepatic uptake of many drugs, affecting their bioavailability and therapeutic effectiveness.
  2. Different OATP isoforms have varying substrate specificities, meaning they can transport different types of organic anions.
  3. Genetic variations in OATP genes can lead to differences in drug response among individuals, highlighting the importance of pharmacogenomics.
  4. OATPs can be influenced by various factors such as diet, other medications, and disease states, which can affect drug absorption.
  5. Some OATPs also play a role in the absorption of bile acids and other important endogenous compounds, linking them to metabolic processes.

Review Questions

  • How do organic anion transporting polypeptides (OATPs) impact drug absorption and bioavailability?
    • OATPs significantly influence drug absorption by facilitating the uptake of various organic anions into cells, particularly in the liver and intestines. Their activity directly affects the bioavailability of drugs; if a drug is effectively transported by OATPs, it is more likely to enter systemic circulation and exert its therapeutic effects. Conversely, drugs that are poorly transported by OATPs may have reduced absorption and efficacy.
  • Discuss the implications of genetic variations in OATP transporters on personalized medicine and drug therapy.
    • Genetic variations in OATP transporters can lead to significant differences in how individuals metabolize and respond to medications. For example, certain polymorphisms may result in reduced transporter function, leading to decreased drug absorption and effectiveness. Understanding these variations is crucial for personalized medicine, as it allows healthcare providers to tailor drug choices and dosages based on an individual's genetic makeup to optimize treatment outcomes.
  • Evaluate how factors such as diet and concomitant medication use can alter the function of OATPs and subsequently affect drug absorption.
    • Dietary components and concomitant medications can significantly alter the function of OATPs, impacting drug absorption. For example, certain food items may inhibit or enhance the activity of specific OATP isoforms, leading to altered drug bioavailability. Additionally, other medications may compete for OATP transporters, further affecting how well drugs are absorbed. Recognizing these interactions is essential for clinicians to prevent adverse effects and ensure effective pharmacotherapy.

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