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Organic anion transporting polypeptide 1B1 (OATP1B1) and Organic anion transporting polypeptide 1B3 (OATP1B3) (OATP1B1 (for Organic anion transporting polypeptide 1B1), OATP1B3 (for Organic anion transporting polypeptide 1B3))

Target
OATP1B1 (for Organic anion transporting polypeptide 1B1), OATP1B3 (for Organic anion transporting polypeptide 1B3)
Molecular classification
Transporter, Solute carrier (SLC) superfamily, Organic anion transporter polypeptide family
01

Overview

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].

Other names
SLCO1B1 (gene name for OATP1B1)SLCO1B3 (gene name for OATP1B3)HBLRR (OATP1B1)LST-1 (OATP1B1)LST1 (OATP1B1)OATP-C (OATP1B1)OATP2 (OATP1B1)OATPC (OATP1B1)SLC21A6 (OATP1B1)LST-2 (OATP1B3)OATP8 (OATP1B3)SLC21A8 (OATP1B3)
02

Mechanism of action

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)

03

Biological functions

Hepatic uptake of endogenous and exogenous organic anionsTransport of bile acids, bilirubin, steroid hormone conjugates, thyroid hormonesHepatic clearance of drugs and toxinsRegulation of drug pharmacokinetics and bioavailability
04

Disease associations

Drug-induced myopathy (especially statin-induced rhabdomyolysis)Altered pharmacokinetics in liver disease (fibrosis, cirrhosis, liver cancer)Cancer (due to altered expression in certain tumors)Other (impact on endocrine and systemic homeostasis)
05

Safety considerations

Increased risk of adverse drug reactions (e.g., myopathy, rhabdomyolysis) due to drug-drug interactions or genetic polymorphismsUnpredictable drug pharmacokinetics in patients with hepatic impairment or transporter polymorphismsClinically significant drug-drug interactions requiring dose adjustments or contraindications
06

Interacting drugs

Statins (e.g., pravastatin, rosuvastatin, simvastatin)

10 more in the full profile.

07

Biomarkers

Genetic polymorphisms in SLCO1B1 and SLCO1B3 for predicting drug response or adverse effects (e.g., myopathy risk with statins)Plasma levels of transporter substrates (e.g., statins, bilirubin)

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