4. Transport mechanisms across
biological membranes
• Passive diffusion (Non ionic / simple diffusion)
• Filtration
• Specialized transport
– Active transport
– Facilitated diffusion
• Pinocytosis or Phagocytosis
5. Passive diffusion
• Bidirectional process
• Drug molecules move from a region of higher
concentration to lower concentration until
equilibrium is attained
• The rate of diffusion is directly proportional to conc.
Gradient across cell membrane
• Lipid soluble drugs are transported across membrane
by passive diffusion
• It does not require energy
6. AQUEOUS DIFFUSION
• Most biological
membranes are water
permeable.
• In gut, cells are joined
tight epithelial junction,
water passes through
the cells.
• Water carries water
soluble substances of
LMW.
• Urea, alcohol
LIPID DIFFUSION
• Hydrophobic lipid
substances are
dissolved in this
manner.
• O2,CO2,N2, unionized
substances.
8. Factors affecting drug absorption
• Aqueous solubility(transport across membrane)
• Effect of pH
• Area of absorbing surface
– More the area more is absorption hence maximum
absorption occurs in the intestine even for acidic drugs.
• Vascularity of the absorbing surface
– More vascularity more is absorption
• Route of administration
– Sublingual absorption is more than oral for lipid soluble
drugs
9. Effect of pH
• Henderson-Hasselbalch equation
• For acids
• For bases
10. What can we understand from
Henderson-Hasselbalch equation
• pKa value is more for strong base and weak
acid and vice a versa
• Weakly acidic drugs like aspirin, phenytoin
remain predominantly unionized in acidic
medium and weak basic drugs remain
unionized in alkaline medium
• Weakly basic drugs better absorbed from the
intestine where pH is alkaline
11. What can we understand from
Henderson-Hasselbalch equation
• pKa = pH at which unionized and ionized form
of the drug is at equilibrium
• 1 unit increase or decrease in pH, leads to 10
times increase or decrease in ionization
depending on whether it is acidic or basic drug
• Strongly acidic drugs are ionized at all pH
12. FILTRATION
• Involves transport of drugs through
intercellular/ paracellular spaces or aqueos
channels
• Occurs along conc. gradient
• Doesn’t require energy
• MW<100 can pass through it.
• Capillaries have large pores, except BBB.
14. Specialized transport
• Facilitated diffusion
– Carrier mediated transport but does not require
energy
– The drug attaches to carrier in the membrane
which facilitates its diffusion across the membrane
– transport of molecules from region of higher
concentration to lower concentration
– E.g:
• Glucose transport in muscles by GLUT-4
• Absorption of Vit B12 from gut
• Transport of Amino acids in brain
16. Active transport
• The drug molecules move from region of low
concentration to high concentration against
the conc. gradient
• It requires energy
• Active transport can be
– Primary active transport
– Secondary active transport
17. Primary active transport
• Energy obtained directly by hydrolysis of ATP
• They mediate only efflux of solutes from
cytoplasm either to extracellular fluids or into
intracellular organelli
• E.g P-glycoprotein transporter
19. Secondary active transport
• Symport
– Carrier moves the substrate A
against its conc. gradient by utilizing
energy from down hill movement of
another substrate B in same
direction
• Antiport
– Carrier moves substrate A against
its conc. gradient and is energized
by downhill movement of another
substrate B in opposite direction
A
B
A
B
22. Examples of active transport
• Transport of glucose and amino acids and
neurotransmitters
• L dopa & methyl dopa actively absorbed from
gut by aromatic amino acid transporter
23. Pinocytosis
• Process of transport across cell in particulate
form by formation of vesicles
• Proteins and big molecules can rarely be
transported by this mechanism
• Insulin transport in Brain
24. Membrane transporters
• ABC super family: (ATP Binding cassette
superfamily)
– Example P glycoprotein (ABCB1 or MDR1 )
– Active transport
• Solute Linked carrier group (SLC)
– Facilitated as well as Active transport
– Examples
• Neurotransmitter transporters: SERT, DAT, NET
• Others: glucose, cholesterol transporter
26. References
• Principles of Pharmacology By HL Sharma, KK
Sharma 3rd edition.
• Essentials of Medical Pharmacology by KD
Tripathi 8th Edition
• Basic and Clinical Pharmacology by Betram G
Katzung, 14th edition
Editor's Notes
This is bilayer of 100 Angstrom thick of phospholipid and cholesterol molecules. Polar groups are oriented at the two surfaces, and non polar hydrocarbon chains are embedded in matrix to form a continous sheet. Extrinsic and intinsic protein molecules are adsorbed on protein bilayer. Glycoproteins or glycolipids are formed on surface by attachment to polymeric sugars amino sugars or sialic acid. Some intrinsic protein extend through full thickness of membrane, surround fine aqueos pore. Paracellular spaces, channels may also be present in some epithelial cells/ endothelial cells. Other adsorbed proteins have enzymatic activity, carrier, receptor, or signal transduction properties,
Non ionized drugs can diffuse passively across biological membranes at a rate proportional to their lipid : water partition coefficient . This means drugs which are highly lipid soluble can diffuse rapidly whereas drugs which are less lipid solubkle diffuse slowly
Polar drugs , heparin and ions aminoglycosides are lipid insoluble and cannot cross cell membrane by diffusion and are not absorbed from GIT and remain more or loss confined in ECF
Size of intercellular spaces is variable from region to region in intestinal epithelium it is only 4 Angstrom . And allows passage of only very small water soluble molecules <100 MW can pass through it e.g urea.
Capillary endothelial cells in muscle and fat have large pores 40 A, and helps in transport of relatively large water souluble molecules
Filtration is very important mechanism of of transport of drugs after parenteral administration by subcutaneous route and intramuscular route.
In CNS the gap between vascular endothelial cells is almost zero (Tight junction and no water souluble molecule can pass through it
This may be carrier mediated or by pinocytosis
The drug molecules move from region of low concentration to high concentration against the conc. gradient
Resulting in selective accumulation of drug on one side of the membrane
Drugs related to normal metabolites can utilize the transport processes meant for these. Eg L dopa and methyl dopa are actively absorbed from gut by aromatic amino acid transporter . In additon body has developed some non selective transporters like P-Glycoprotoein to deal with xenobiotics
Primary active transport or secondary active transport depending upon source of driving force
Transporters belong to superfamily of ATP binding cassete whose intracellular loops have ATPase activity
Intraneuronal and granular uptake of NE in symapthetic neurons