Stereoselectivity
can be most relevant in drug metabolism and receptor
binding. Although drug membrane transport might be equally important
for small-molecule pharmacokinetics, the extent of stereoselectivity
in membrane transport is largely unknown. Here, we characterized the
stereoselective transport of 18 substrates of SLC22 organic cation
transporters (OCTs) 1, 2, and 3. OCT2 and OCT3 showed highly stereoselective
cell uptake with several substrates and, interestingly, often with
opposite stereoselectivity. In contrast, transport by OCT1 was less
stereoselective, although (
R
)-tamsulosin was transported
by OCT1 with higher apparent affinity than the (
S
)-enantiomer. Using OCT1 and CYP2D6 co-overexpressing cells, an additive
effect of the stereoselectivities was demonstrated. This indicates
that pharmacokinetic stereoselectivity may be the result of combined
effects in transport and metabolism. This study highlights that the
pronounced polyspecificity of OCTs not contradicts stereoselectivity
in the transport. Nevertheless, stereoselectivity is highly substrate-specific
and for most substrates and OCTs, there was no major selectivity.