This study was performed to characterize the transport of the endogenous
photosensitizer delta-aminolevulinic acid in
tumor cells of the extrahepatic biliary duct. Uptake of [(3)H]
delta-aminolevulinic acid into human
cholangiocarcinoma SK-ChA-1 cells was linear for up to 10 min, independent of a Na(+) gradient, but stimulated 3- to 4-fold by an inwardly directed H(+) gradient. Uptake of
delta-aminolevulinic acid was mediated by a single transport system with an apparent affinity (K(t)) of 2.1 mM and a maximal velocity (V(max)) of 60.1 nmol. 10 min(-1). mg of protein(-1).
Glycylsarcosine,
alanylalanine, and
cefadroxil strongly inhibited the [(3)H]
delta-aminolevulinic acid uptake with K(i) values of 1.3, 0.2, and 3.6 mM, respectively. In contrast,
gamma-aminobutyric acid,
glycine,
L-glutamic acid, and
L-aspartic acid (all 10 mM) had no effect on the total [(3)H]
delta-aminolevulinic acid uptake, neither at pH 6.0 nor at pH 7.5. Applying a Dixon type of experiment and the ABC test revealed that
glycylsarcosine and
delta-aminolevulinic acid are transported via the same system, PEPT1. Treatment of the cells with
phorbol 12-myristate 13-acetate, a
phorbol ester that activates
protein kinase C, resulted in a significant inhibition of the transport rate. This inhibition could be blocked by cotreatment with
staurosporine. We conclude that
delta-aminolevulinic acid is transported by the H(+)/
peptide cotransporter PEPT1 into epithelial cells of the extrahepatic biliary duct.
delta-Aminolevulinic acid can be accumulated specifically in bile duct
tumor cells before
photodynamic therapy.