ABSTRACT:Methylcarbamate benzimidazoles [albendazole (ABZ), fenbendazole (FBZ), and their respective sulfoxide derivatives, albendazole sulfoxide (ABZSO) and oxfendazole (OXF)] are therapeutically important anthelmintic agents with low bioavailability. We studied their in vitro interaction with the apical ATP-binding cassette (ABC) drug efflux transporters, breast cancer resistance protein (BCRP/ ABCG2), P-glycoprotein (ABCB1), and MRP2 (ABCC2) using MD-CKII cells transduced with human MDR1, MRP2, and BCRP, and murine Bcrp1 cDNAs. These ABC drug efflux transporters extrude a wide range of xenotoxins from cells in intestine, liver, and other organs, thus affecting the bioavailability of many compounds. In transport experiments, ABZSO and OXF were transported efficiently by murine Bcrp1 and moderately by human BCRP, but not by MDR1 or MRP2. ABZ and FBZ were not found to be Bcrp1, MRP2, or P-glycoprotein substrates in vitro. OXF was found to be a good BCRP/Bcrp1 inhibitor, with somewhat higher potency in the MDCKII-BCRP cell line. The latter results were confirmed by flow cytometry experiments demonstrating inhibition by OXF of murine Bcrp1-and human BCRP-mediated mitoxantrone transport. Further studies of interactions between OXF and known BCRP/Bcrp1 substrates will be of interest. The use of efficacious BCRP/Bcrp1 inhibitors might increase the extent and duration of systemic exposure to ABZSO and OXF, with possible therapeutically beneficial effects in extra-intestinal infections.Albendazole (ABZ), fenbendazole (FBZ), and their sulfoxide derivatives (albendazole sulfoxide/ricobendazole, ABZSO; and fenbendazole-sulfoxide/oxfendazole, OXF) are methylcarbamate benzimidazoles with a broad-spectrum anthelmintic activity, widely used in human and veterinary medicine. They are used against several systemic parasitoses including nematodoses, hydatidosis, taeniasis, and others (Campbell, 1990). They are also active against various protozoa (Katiyar et al., 1994) and Grampositive bacteria (Elnima et al., 1981). ABZ is used to treat microsporidial and cryptosporidial infections, which can cause lethal diarrhea in patients treated with immunosuppressive drugs or those infected with HIV (Zulu et al., 2002;Didier et al., 2004). In addition, ABZ has shown antitumor activity (Morris et al., 2001;Pourgholami et al., 2004). Both sulfoxide derivatives (ABZSO and OXF) are the main active metabolites found in plasma after oral administration of the parent compounds, ABZ and FBZ (Lanusse and Prichard, 1993), but they are also available as commercial formulations themselves.Especially FBZ, but also ABZ, and their sulfoxides are poorly absorbed from the gastrointestinal tract (Lanusse and Prichard, 1993;Lanusse et al., 1995;Capece et al., 2000). For treatment of intestinal luminal parasites, this is ideal: intestinal concentration of the drug remains high, and there is little risk of systemic toxicity. However, for systemic treatments elsewhere in the body, substantial (systemic) uptake of the drugs is needed, and low benzimidazole bio...