Adverse perinatal environment alters the expression of renal organic cation transporters in adult rats in a gender specific fashion. Paulina Nguyen Mentor: Dr. Ganesh Cherala 1 OSU/OHSU College of Pharmacy ~1 in every 12 babies (8.33%) in the United States is born fullterm with low birth weight (LBW) Global incidence of LBW ~17% 2 Maternal Low Protein Diet Full-term Low Birth Weight babies Fetal Programming Altered Physiology Altered Morphology Kidney; Liver Altered excretion of xenobiotic substances out of body •Hypertension •Hyperlipidemia •Diabetes Mellitus •Obesity Require altered optimal drug dosage for patient Altered Pharmacokinetics 3 Pharmacokinetics (PK) Study of how drug travels through the body A o Absorption D o Distribution M o Metabolism E o Excretion Drug Metabolism and Transport Renal Excretion Organic Cation Transporters (OCTs) 4 Proximal Tubule LUMEN OCT2 OCTN1 OCTN2 Basolateral Membrane Transporters • OCT5 Fold difference (relative to control) Day 150 mRNA levels for males and females 60 50 40 30 20 10 0 -10 OCT2 OCTN1 OCTN2 -20 -30 -40 -50 Transporters Males Females * Statistically Significant 6 Adverse perinatal environment leaves a long term permanent effect on the expression of organic cation transporters in a gender dependent fashion mediated by sex hormones. 7 Control Low Protein (LP) Weaned onto regular diet Birth weights noted; litters culled 8 To quantify protein expression of renal OCTN2 – Western blotting • OCTN2 (Day 150 males and females) 9 2 1 4 3 5 Infared Dye 10 11 OCTN2 Molecular marker Plasma Membrane Cytosol Microsome 12 2 1 4 3 5 Infared Dye Blocking Peptide 13 1° Ab + 2° Ab 1° Ab + B. peptide + 2° Ab Molecular marker Molecular marker OCTN2 OCTN2 Β-actin 2° Ab Only Β-actin B. peptide + 2° Ab Molecular marker Molecular marker 14 Used to account for – Technician error (pipetting) – Error during transfer onto membrane – Loading control 15 Accounts for errors during transfer onto membrane Doesn’t account for • Pipetting error • Loading error %CV is <5% Dilute samples to same protein concentration for loading equal sample volume 16 Positive Control OCTN2 Molecular marker 17 OCTN2 - Western Blotting Density of OCTN2 Band (relative to pos. control) 0.9 0.8 0.7 0.6 0.5 LP 0.4 control 0.3 0.2 0.1 0 Male Female 18 Found fold increases in mRNA expression of OCTN2 – Prominent changes in females No changes in western blotting protein expression. 19 Establish an assay to assess functionality of OCTN2 • Carnitine – reabsorbed by OCTN2 Carrier of activated fatty acids of variable chain length, esterified to its hydroxyl group. Essential for the mitochondrial beta oxidation of acyl-CoA esters for energy generation 20 Carnitine + Acetyl-CoA Carnitine acetyltransferase Acetylcarnitine + CoASH DTNB TNB (λ412nm) + CoAS-SNB 21 • Urine • Kidney or Liver Tissue • Plasma Perchloric Acid KHCO3 Removal of protein Free Carnitine H2O Total Carnitine KOH HCl Hydrolyze acylcarnitine 22 Free Carnitine •Reagent solution o DTNB o Acetyl CoA o DI H2O • Carnitine Acetyl Transferase (CAT) Total Carnitine • Reagent solution o DTNB o Acetyl CoA o DI H2O • Carnitine Acetyl Transferase (CAT) 23 Carnitine Assay Standard Curve 0.4 0.35 y = 0.0083x + 0.1868 R² = 0.8838 Absorbance (Abs) 0.3 0.25 y = 0.0075x + 0.1758 R² = 0.9678 0.2 free carnitine total carnitine 0.15 0.1 0.05 0 0 5 10 15 20 25 Carnitine Concentrations (mg/L) 24 Determine the functional status of OCTN2 – Measure carnitine levels in: • Urine • Blood Plasma • Various organ tissues 25 Howard Hughes Medical Institute Cripps Funding OSU-College of Pharmacy Dr. Kevin Ahern Cherala Lab • Dr. Ganesh Cherala • Dr. Shobana Ganesan • Ali Aldakhil • Barent DuBois • Bonnie Hastings • Tahir Mahmood • Shawn Mahmood •Jacob Pearson 26