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 Overview of the proton-coupled MCT (SLC16A) family of transporters:  characterization, function and role in the transport of the drug of abuse  gamma-hydroxybutyric acid Morris ME; Felmlee MAAAPS J  2008[Jun]; 10 (2): 311-21The transport of monocarboxylates, such as lactate and pyruvate, is mediated by  the SLC16A family of proton-linked membrane transport proteins known as  monocarboxylate transporters (MCTs). Fourteen MCT-related genes have been  identified in mammals and of these seven MCTs have been functionally  characterized. Despite their sequence homology, only MCT1-4 have been  demonstrated to be proton-dependent transporters of monocarboxylic acids. MCT6,  MCT8 and MCT10 have been demonstrated to transport diuretics, thyroid hormones  and aromatic amino acids, respectively. MCT1-4 vary in their regulation, tissue  distribution and substrate/inhibitor specificity with MCT1 being the most  extensively characterized isoform. Emerging evidence suggests that in addition to  endogenous substrates, MCTs are involved in the transport of pharmaceutical  agents, including gamma-hydroxybuytrate (GHB),  3-hydroxy-3-methyl-glutaryl-coenzyme A reductase inhibitors (statins), salicylic  acid, and bumetanide. MCTs are expressed in a wide range of tissues including the  liver, intestine, kidney and brain, and as such they have the potential to impact  a number of processes contributing to the disposition of xenobiotic substrates.  GHB has been extensively studied as a pharmaceutical substrate of MCTs; the renal  clearance of GHB is dose-dependent with saturation of MCT-mediated reabsorption  at high doses. Concomitant administration of GHB and L: -lactate to rats results  in an approximately two-fold increase in GHB renal clearance suggesting that  inhibition of MCT1-mediated reabsorption of GHB may be an effective strategy for  increasing renal and total GHB elimination in overdose situations. Further  studies are required to more clearly define the role of MCTs on drug disposition  and the potential for MCT-mediated detoxification strategies in GHB overdose.|*Monocarboxylic Acid Transporters/chemistry/metabolism/physiology[MESH]|Animals[MESH]|Humans[MESH]|Hydroxybutyrates/*pharmacokinetics[MESH]|Illicit Drugs/*pharmacokinetics[MESH]|Tissue Distribution[MESH]
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