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OATP1B1 and OATP1B3 are liver-specific membrane transporters belonging to the organic anion transporting polypeptides (OATP) family within the solute carrier (SLC) superfamily[2][3][5]. These proteins mediate the sodium-independent uptake of a broad range of endogenous substances (such as bile acids, bilirubin, steroid and thyroid hormone conjugates) and exogenous compounds (including many drugs) into hepatocytes for metabolism and biliary excretion[2][3][5][9]. They play a key role in determining drug pharmacokinetics, and their function is impacted by genetic variants and drug-drug interactions[5][8][9]. Clinical inhibitors and substrates include several statins, cyclosporine, gemfibrozil, repaglinide, methotrexate, and various antibiotics and antivirals[3][5][4]. Alterations in their activity, due to pharmacological inhibition or genetic variation, can cause significant safety concerns (such as statin-induced rhabdomyolysis) and necessitate adjustments in drug dosing[3][8][5]. Both OATP1B1 and OATP1B3 are recommended targets for regulatory evaluation in drug development due to their clinical relevance in drug disposition and the potential for drug-drug interactions[2][5][8].
Substrate for hepatic uptake via OATP1B1/OATP1B3 Inhibition (drugs or genetic variants block OATP1B1/OATP1B3 function, resulting in increased plasma concentration of substrates) Modulation of transporter expression or function (polymorphism or drug interaction alters transporter activity)
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