Table 1. List of the most important hepatic transporters, their locations, functions and drugs that act as their inhibitors.
Hepatic transporter | Location in hepatocytes | Function | Inhibitors |
BSEP | Canalicular membrane | ATP-dependent transport of bile salts, taxol and pravastatin | Bosentan, cyclosporine, rifampin, troglitazone, sulindac, erythromycin, glibenclamide, progesterone metabolites, estradiol 17β-glucuronide |
MDR3 | Canalicular membrane | ATP-dependent excretion of phosphatidylcholine | Itraconazole, chlorpromazine, imipramine, haloperidol, ketoconazole, clotrimazole, troglitazone |
MRP2 | Canalicular membrane | ATP-dependent efflux of numerous drugs, organic anions and bile acids, bile salt-independent bile flow by GSH transport | Cyclosporine, efavirenz, benzbromarone, probenecid |
MDR1 | Canalicular membrane | ATP-dependent efflux of numerous drugs, organic cations and bile acids | Cyclosporine, carvedilol, clarithromycin, amiodarone, itraconazole, lapatinib, verapamil |
BCRP | Canalicular membrane | ATP-dependent efflux of anticancer drugs | Gefitinib, mesylate, 17ß-estradiol, ritonavir, omeprazole, cyclosporine |
MRP3 | Basolateral membrane | ATP-dependent efflux of drug glucuronide conjugates | Tenofovir, indomethacin, furosemide, probenecid, non-nucleoside reverse transcriptase inhibitors (delavirdine, efavirenz, and nevirapine), and nucleoside reverse transcriptase inhibitors (emtricitabine and lamivudine) |
MRP4 | Basolateral membrane | ATP-dependent efflux of sulfated drugs and bile acids | Troglitazone sulfate, NSAIDs, phosphodiesterase inhibitors, verapamil, losartan, silymarin, probenecid |
NTCP | Basolateral membrane | Uptake of bile-salts from portal blood, transport of rosuvastatin | Cyclosporine, bosentan, troglitazone, propranolol, furosemide, ketoconazole, renin inhibitors and a somatostatin analogue, rifamycin |
OATPs | Basolateral membrane | Sodium-independent uptake of bile salts, organic anions, and numerous drugs | Itraconazole, nefazodone, nifedipine, reserpine, diazepam, sulfasalazine |
Abbreviations: BCRP, Breast cancer resistance protein; BSEP, bile salt export pump; MDR, multidrug resistance; MRP, multidrug resistance-associated protein; NSAID, nonsteroidal anti-inflammatory drugs; NTCP, sodium-taurocholate cotransporting polypeptide; OATPs, organic anion transporting polypeptides.