Mice lacking multidrug resistance protein 3 show altered morphine pharmacokinetics and morphine-6-glucuronide antinociception

Proc Natl Acad Sci U S A. 2005 May 17;102(20):7274-9. doi: 10.1073/pnas.0502530102. Epub 2005 May 10.

Abstract

Glucuronidation is a major detoxification pathway for endogenous and exogenous compounds in mammals that results in the intracellular formation of polar metabolites, requiring specialized transporters to cross biological membranes. By using morphine as a model aglycone, we demonstrate that multidrug resistance protein 3 (MRP3/ABCC3), a protein present in the basolateral membrane of polarized cells, transports morphine-3-glucuronide (M3G) and morphine-6-glucuronide in vitro. Mrp3(-/-) mice are unable to excrete M3G from the liver into the bloodstream, the major hepatic elimination route for this drug. This results in increased levels of M3G in liver and bile, a 50-fold reduction in the plasma levels of M3G, and in a major shift in the main disposition route for morphine and M3G, predominantly via the urine in WT mice but via the feces in Mrp3(-/-) mice. The pharamacokinetics of injected morphine-glucuronides are altered as well in the absence of Mrp3, and this results in a decreased antinociceptive potency of injected morphine-6-glucuronide.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • ATP Binding Cassette Transporter, Subfamily B / deficiency
  • ATP Binding Cassette Transporter, Subfamily B / metabolism*
  • ATP-Binding Cassette Transporters / metabolism*
  • Animals
  • Bile / metabolism
  • Cell Line
  • Glucuronosyltransferase
  • Humans
  • Liver / metabolism
  • Mice
  • Mice, Knockout
  • Morphine / pharmacokinetics*
  • Morphine Derivatives / blood
  • Morphine Derivatives / metabolism*
  • Morphine Derivatives / pharmacokinetics
  • Morphine Derivatives / pharmacology
  • Pain Measurement / drug effects
  • Protein Transport
  • Spodoptera
  • Tissue Distribution
  • Transport Vesicles / metabolism

Substances

  • ATP Binding Cassette Transporter, Subfamily B
  • ATP-Binding Cassette Transporters
  • Morphine Derivatives
  • morphine-6-glucuronide
  • Morphine
  • multidrug resistance protein 3
  • UGT2B7 protein, human
  • Glucuronosyltransferase
  • morphine-3-glucuronide