Urinary excretion of endogenous and exogenous compounds is determined by glomerular filtration and tubular secretion. Secretion of organic cations (OCs), which include endogenous compounds (choline, dopamine), drugs (metformin, cimetidine, cisplatin) and xenobiotics (tetraethylammonium (TEA), 1-methyl-4-phenylpyridinium), is a vectorial transcellular transport process involving uptake of OCs across the basolateral and secretion into urine across the apical side of proximal tubular cells.
1-4)A number of basolateral organic cation transporters (OCTs) have been identified in humans and rodents. [5][6][7][8][9][10] These are at least three subtypes of facilitated OCTs, namely, OCT1 (SLC22A1), OCT2 (SLC22A2), and OCT3 (SLC22A3). Among the OCTs expressed in basolateral membrane, OCT2 is considered as the most important OCT in renal proximal tubule. A decrease in OCT2 expression associated with a decrease in OC secretion has been noted in such pathological conditions as diabetes and chronic renal failure. 11,12) At the apical side, candidates for extrusion of OC via H ϩ /organic cation antiporters include organic cation/ carnitine transporter (OCTN1) 13) and OCTN2. 14) Recently, a multidrug and toxin extrusion (MATE) transporter family was identified as a transporter responsible for the extrusion step.15) Two MATE genes, MATE1 and MATE2, are involved in OC secretion in the kidney. [15][16][17][18] However, little is known about the transport mechanisms and regulation of MATEs.Sex steroid hormones have been implicated in the regulation of renal OC transport. TEA uptake into renal cortical slices and basolateral membrane vesicles of renal proximal tubular cells is higher in male than that of female rat, which correlates with higher mRNA expression level of OCT2, but not of OCT1 or OCT3. 19,20) Testosterone regulates OCT2 function via an androgen receptor-mediated transcriptional pathway.21) Recently, we reported testosterone-stimulated transport of OC in male mice. 22) Estrogen administration produced a small decrease in OCT2 expression level and TEA uptake in male rat and MDCK cells. 20,23) In addition, estrogen reduced OC transport in opossum kidney cell culture via a reduction in OCT1 protein expression. 24) However, there has been no study on the effect of estrogen in vivo, which is important when considering its physiological roles in the whole body. A comprehensive study (molecular, cellular, tissue and intact animal level) of the effects of estrogen on OC transport has received little attention.Therefore, this study was undertaken to determine the role and mechanism of estrogen in the regulation of OC transport in whole animal (mouse) and isolated renal proximal tubules. Studies of gene expression and function of candidate OC transporters were also performed. Our findings showed that estrogen down-regulated OC transport by interfering with OCT2 function at the basolateral membrane. This study examined the effect of estrogen (17b b-estradiol) on renal handling of organic cation, tetraethylammonium (TEA), both in v...