Absorption PepTl-mediated

Wenzel, U., B. Meissner, F. Doring, and H. Daniel. PEPTl-mediated uptake of dipeptides enhances the intestinal absorption of amino adds via transport system b(0, +), J. Cell. Physiol. 2001, 386, 251-259... 

In other studies, bisphosphonate-pamidronate or alendronate were linked to the terminal carboxylic acid of the stabilized dipeptide Pro-Phe to improve the bioavailability of bisphosphonates by hPepTl-mediated absorption. In-situ single-pass perfused rat intestine studies revealed competitive inhibition of transport by Pro-Phe, suggesting carrier-mediated transport. Oral administration of the dipeptidyl prodrugs resulted in a 3-fold increase in drug absorption following oral administration to rats. The authors suggested that oral bioavailability of bisphosphonates may be improved by PepTl-mediated absorption when administered as peptidyl prodrugs [53]. Future mechanistic studies may prove if hPepTl is involved in the absorption process. 

Uptake transporter prodrug substrates have been used to improve drug absorption through GI tract. The most successful example is an antiviral prodrug valacyclovir, which shows oral bioavailability three to live times greater than its parent drug acyclovir (Weller et al., 1993). The increased oral bioavailability is attributed to PEPTl-mediated absorption, which was demonstrated by in situ rat perfusion model, Caco-2 cells, and PEPTl-transfected CHO cells (Balimane et al., 1998). 

Carrier-mediated prodrug absorption has especially focused upon the use of PepTl, and a variety of strategies using stabilized dipeptides and amino acid-based prodrugs with affinity to hPepTl appear promising. In retrospect, it has been shown that the commercially available prodrugs valaciclovir and valganciclovir are both absorbed via hPepTl, which provides evidence for the value of the carrier-mediated concept. 

After the break down of proteins by proteolytic enzymes, the pancreas, and brush border peptidases, the di- and trip-eptides are absorbed through the epithelial cell membrane. Many studies have shown that intact di- and tripeptides are absorbed across the epithelial cell membrane by active transport via specific carrier systems. The absorption process is mediated by the hydrogen-coupled peptide transporter (PEPTl) located in the intestinal apical cell membrane. Because there are 20 amino acids, there may be 400... 

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