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Am J Physiol Renal Physiol 296: F1504-F1513, 2009. First published April 8, 2009; doi:10.1152/ajprenal.90754.2008
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Organic cation transporters OCT1, 2, and 3 mediate high-affinity transport of the mutagenic vital dye ethidium in the kidney proximal tubule

Wing-Kee Lee,1 Markus Reichold,2 Bayram Edemir,3 Giuliano Ciarimboli,3 Richard Warth,2 Hermann Koepsell,4 and Frank Thévenod1

1Department of Physiology and Pathophysiology, University of Witten/Herdecke, Witten; 2Institute of Physiology, University of Regensburg, Regensburg; 3Experimentelle Nephrologie, Universitätsklinikum Münster, Medizinische Klinik und Poliklinik D, Münster; and 4Institute of Anatomy and Cell Biology, Bayerische Julius-Maximilians Universität, Würzburg, Germany

Submitted 17 December 2008 ; accepted in final form 1 April 2009

The positively charged fluorescent dyes ethidium (Et+) and propidium (Pr2+) are widely used as DNA and necrosis markers. Et+ is cytotoxic and mutagenic. The polyspecific organic cation transporters OCT1 (SLC22A1), OCT2 (SLC22A2), and OCT3 (SLC22A3) mediate electrogenic facilitated diffusion of small (≤500 Da) organic cations with broad specificities. In humans, OCT2 mediates basolateral uptake by kidney proximal tubules (PT), whereas in rodents OCT1/2 are involved. In mouse kidney, perfused Et+ accumulated predominantly in the S2/S3 segments of the PT, but not Pr2+. In cells stably overexpressing human OCTs (hOCTs), Et+ uptake was observed with Km values of 0.8 ± 0.2 µM (hOCT1), 1.7 ± 0.5 µM (hOCT2), and 2.0 ± 0.5 µM (hOCT3), whereas Pr2+ was not transported. Accumulation of Et+ was inhibited by OCT substrates quinine, 3-methyl-4-phenylpyridinium (MPP+), cimetidine, and tetraethylammonium (TEA+). For hOCT1 and hOCT2, the IC50 values for MPP+, TEA+, and cimetidine were higher than for inhibition of previously tested transported substrates. For hOCT2, the inhibition of Et+ uptake by MPP+ and cimetidine was shown to be competitive. Et+ also inhibited transport of 0.1 µM [3H]MPP+ by all hOCT isoforms with IC50 values between 0.4 and 1.3 µM, and the inhibition of hOCT1-mediated uptake of MPP+ by Et+ was competitive. In Oct1/2–/– mice, Et+ uptake in the PT was almost abolished. The data demonstrate that Et+ is taken up avidly by the PT, which is mediated by OCT1 and/or OCT2. Considering the high affinity of OCTs for Et+ and their strong expression in various organs, strict safety guidelines for Et+ handling should be reinforced.

SLC22A; cancer; epithelia; homidium; toxicity



Address for reprint requests and other correspondence: F. Thévenod, Dept. of Physiology and Pathophysiology, Univ. of Witten/Herdecke, Stockumer Strasse 12, D-58453 Witten, Germany (e-mail: frank.thevenod{at}uni-wh.de) or H. Koepsell, Institute of Anatomy and Cell Biology, University of Würzburg, Koellikerstr. 6, D-97070 Würzburg, Germany (e-mail: Hermann{at}Koepsell.de)







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