Electrogenic properties and substrate specificity of the polyspecific rat cation transporter rOCT1.

The previously cloned rat cation transporter rOCT1 detected in renal proximal tubules and hepatocytes (Gründemann, D., Gorboulev, V., Gambaryan, S., Veyhl, M., and Koepsell, H. (1994) Nature 372, 549-552) was expressed in Xenopus oocytes, and transport properties were analyzed using tracer uptake studies and electrophysiological measurements. rOCT1 induced highly active transport of a variety of cations, including the classical substrates for cation transport, such as N-1-methylnicotinamide, 1-methyl-4-phenylpyridinium (MPP), and tetraethylammonium (TEA), but also the physiologically important choline. In oocytes rOCT1 also mediated efflux of MPP, which could be trans-stimulated by MPP and TEA. Cation transport via rOCT1 was electrogenic. In voltage-clamped oocytes, transport of TEA and choline via rOCT1 produced inwardly directed currents, which were independent of extracellular ion composition or pH. The choline- and TEA-induced currents were voltage-dependent at nonsaturating concentrations, and the apparent affinity of these cations was decreased at depolarized voltages. Other substrates transported by rOCT1 were the polyamines spermine and spermidine. Interestingly, the previously described potent inhibitors of rOCT1, cyanine 863, quinine, and D-tubocurarine were substrates themselves. The data indicate that rOCT1 is an effective transport system that is responsible for electrogenic uptake of a wide variety of organic cations into epithelial cells of renal proximal tubules and hepatocytes.

Drugs and xenobiotics are excreted into the urine and bile by epithelial cells of proximal renal tubules and hepatocytes (1)(2)(3)(4). Translocation steps across two plasma membranes are involved, first, the uptake across the basolateral membrane into the cells and second, the secretion across the luminal membrane into urine or bile. In vivo measurements as well as measurements with plasma membrane vesicles have demonstrated translocation of anions, cations, and uncharged compounds by polyspecific transport systems. In renal proximal tubules three polyspecific cation transport systems with over-lapping substrate specificity have been described, distinct potential dependent systems in the basolateral and luminal membrane and an electroneutral H ϩ -cation antiporter in the luminal membrane (2,(5)(6)(7)(8)(9)(10)(11)(12). In the liver a H ϩ -cation antiporter (13), a transport system for small cations (type I) and a transporter for larger cations (type II) have been proposed on the basis of functional studies (1,4,14). In these studies, different transport systems with overlapping substrate specificities may have not been distinguished. Thus, these classifications must remain hypothetical until the involved transport systems have been cloned, functionally characterized, and checked for their in vivo contribution.
We identified the primary structure of a polyspecific cation transporter from rat kidney using expression cloning (15). This new membrane protein named rOCT1 1 is also expressed in liver and contains 12 potential membrane-spanning ␣-helices (15). Since tetraethylammonium (TEA) 2 uptake expressed by rOCT1 was inhibited by a variety of cations with different molecular structures, and preliminary experiments also suggested the induction of 1-methyl-4-phenylpyridinium (MPP) transport, rOCT1 was defined as a polyspecific cation transporter. Previous observations indicated that rOCT1-induced TEA uptake may be potential-dependent and that the apparent K m was nearly identical to the K m value that had been estimated for potential-dependent TEA uptake over basolateral membranes of rat renal proximal tubules (5,6,16). Therefore, the hypothesis was raised that rOCT1 is responsible for basolateral cation uptake in renal proximal tubules. In the present work the functional properties of rOCT1 were further investigated in an attempt to elucidate (i) whether rOCT1 transfers net charge over the membrane, (ii) whether a variety of inhibitors of rOCT1 are also transported, (iii) whether rOCT1 may be identical to either the hypothesized type I or type II liver transporter, (iv) whether rOCT1 can be trans-stimulated by organic cations, and (v) whether the mode of action of OCT1 is consistent with the established uniporter model.

EXPERIMENTAL PROCEDURES
Expression of rOCT1 in Oocytes of Xenopus laevis-To yield high expression, rOCT1 was subcloned in a pRSSP vector which contained 5Ј-and 3Ј-untranslated regions of the Xenopus ␤-globin gene (pRSSP vector was a kind gift of Dr. R. Schöpfer, Heidelberg, Germany). cRNA encoding rOCT1 was synthesized in vitro as described previously (15). Dissection of X. laevis ovaries and collection and handling of the oocytes has been described in detail (17). The oocytes were stored in 100 mM NaCl, 5 mM MOPS-NaOH, 3  were performed on oocytes injected with 10 ng of cRNA/oocyte. Tracer Influx Measurements-3 days after cRNA injection, the oocytes were incubated 15 min (19°C) with 200 l of ORi buffer in the absence or presence of inhibitors. Then radioactively labeled substrates (6 -9 kBq/200 l) were added, and the oocytes were incubated for 60 min at 19°C. During this time period linear uptake rates were observed. Transport was stopped with ice-cold ORi buffer. The oocytes were washed four times with ORi buffer (0°C), solubilized with 100 l 5% (w/v) SDS, and analyzed for radioactivity. The indicated uptake rates represent medians of 8 -10 oocytes Ϯ S.E.
Tracer Efflux Measurements-3 days after cRNA injection the oocytes were injected with 50 nl of [ 3 H]MPP (0.4 kBq, 0.1 pmol) and immediately transferred to a test well containing 100 l of ORi buffer either without addition of cations or with addition of 164 M MPP or 1 mM TEA. After 1, 2, 3, 4, and 5 min, the respective incubation media were removed for determination of radioactivity and were replaced by 100 l of the respective incubation media. Finally, the oocyte was solubilized with SDS and analyzed for radioactivity as described above. For each experimental condition three to four oocytes were analyzed independently, and mean values Ϯ S.D. were calculated. The amounts of MPP in the oocytes for time 0 and for the different incubation times are indicated in Fig. 2. The initial efflux rates were estimated from monoexponential curves which were fitted to the data.
Electrophysiological Measurements-Two-electrode current or voltage-clamp recordings were performed at room temperature 3-8 days after cRNA injection. The data were filtered at 10 Hz and recorded with a MacLab D/A converter and software for data acquisition and analysis (ADInstruments, Castle Hill, Australia). The external control solution (superfusate) contained 96 mM NaCl, 2 mM KCl, 1.8 mM CaCl 2 , 1 mM MgCl 2 , and 5 mM HEPES. It was titrated with NaOH or HCl to the indicated pH values. To study the Na ϩ and Cl Ϫ dependence of cationinduced currents, NaCl was replaced by 200 mM D-glucose (0 NaCl). In these experiments LiOH was used for titration. For one set of experiments all extracellular Na ϩ was replaced by an equimolar concentration of K ϩ . The flow rate of superfusion was 20 ml/min, and a complete exchange of the bath solution was reached within about 10 s. The reported currents and depolarizations represent maximal values, which were measured during a 30 -45-s period (as indicated) of substrate superfusion. The data are given as means Ϯ S.E., n indicating the number of experiments. The size of cation-induced currents varied significantly, depending on the time period after cRNA injection and on the batch of oocytes (from different animals). Data are shown for sets of experiments which were each obtained on the same day. All experiments were repeated with two to three batches of oocytes, and qualitative similar results were obtained. A paired Student's t test was used to test for statistical significance. Materials-[ 3 H]Choline chloride (2.6 TBq/mmol) was obtained from Amersham Buchler (Braunschweig, Germany), [ 3 H]-1-methyl-4-phenylpyridinium acetate (3.1 TBq/mmol) from Du Pont de Nemours (Dreieich, Germany), and [ 3 H]-N-1-methylnicotinamide (0.11 Tbq/ mmol) from ICN Biochemicals (Meckenheim, Germany). MOPS, TEA, NMN, cyanine 863 chloride, quinine hydrochloride, quinidine hydrochloride, lidocaine hydrochloride, pancuronium bromide, D-tubocurarine chloride, spermine tetrahydrochloride, and spermidine trihydrochloride were purchased from Sigma (Deisenhofen, Germany). Choline chloride and tetrapentylammonium chloride were supplied by Fluka (Neu-Ulm, Germany) and 1-methyl-4-phenylpyridinium (MPP) by Research Biochemicals/Biotrend (Köln, Germany).

Uptake and Efflux Measurements with Radioactively Labeled
Substrates of rOCT1-To characterize the transport kinetics of substrates other than TEA (15), uptake measurements with radioactively labeled MPP, NMN, and choline were performed in X. laevis oocytes which had been injected with cRNA of rOCT1. The expressed total uptake rates were corrected for uptake observed in the presence of 36 M cyanine 863, a specific inhibitor of organic cation transport with high affinity to rOCT1 (15,18). Water-injected control oocytes showed some endogeneous uptake of MPP, NMN, and choline which increased linearily with the substrate concentration (r 2 Ͼ 0.98). The endogeneous uptake was not significantly inhibited by 36 M cyanine 863 ( Fig. 1) and was not electrogenic. The endogeneous uptake rates were 41 Ϯ 2 (MPP), 20 Ϯ 1 (NMN), and 103 Ϯ 3 (choline) pmol ϫ oocyte Ϫ1 ϫ h Ϫ1 ϫ mM Ϫ1 . We observed that rOCT1 is also able to transport MPP, NMN, and choline. In order to test rOCT1-mediated cation transport for symmetry and to elucidate whether transport can be observed under trans-zero conditions and can be trans-stimulated, we performed efflux measurements with Xenopus oocytes into which 0.1 pmol of [ 3 H]MPP was injected (Fig. 2). Water-injected control oocytes exhibited a slow efflux of [ 3 H]MPP, which was not significantly trans-stimulated by cations in the bath (see legend to Fig. 2). After expression of rOCT1 the initial efflux rate of [ 3 H]MPP was significantly increased (p Ͻ 0.01). Under trans-zero conditions the initial efflux rates of water-injected control oocytes and of rOCT1 injected oocytes were 0.09 Ϯ 0.01 and 0.26 Ϯ 0.03 pmol ϫ oocyte Ϫ1 ϫ h Ϫ1 , respectively. The data suggest that rOCT1 translocates cations in both directions and is able to operate under trans-zero conditions. When saturating concen- trations of MPP (160 M) or TEA (1.6 mM) were added to the bath the initial rate of rOCT1-mediated [ 3 H]MPP efflux was significantly stimulated (p Ͻ 0.01). The initial efflux rates were 0.58 Ϯ 0.17 (trans-MPP) and 0.63 Ϯ 0.10 (trans-TEA) pmol ϫ oocyte Ϫ1 ϫ h Ϫ1 . The efflux rates are probably underestimated since the oocytes contain endogeneous cations that may be competitive inhibitors.
Electrical Properties of Organic Cation Uptake-Previous tracer flux measurements showed that TEA uptake expressed by rOCT1 was decreased when the membrane potential was reduced (15). Employing the two microelectrode voltage-clamp technique in oocytes we investigated whether rOCT1-mediated transport carries a net electrical charge over the plasma membrane. Superfusion of noninjected oocytes with 1 mM TEA at a holding potential of Ϫ50 mV did not induce a significant change in the holding current (⌬I was Ϫ0.1 Ϯ 0.1 nA; n ϭ 20). In contrast, in oocytes expressing the cation transporter rOCT1, TEA produced a concentration-dependent inward current. Fig.  3 shows that the TEA-induced currents occurred with an apparent K m value of 35 Ϯ 7 M at Ϫ50 mV with a Hill coefficient of 0.92 (n ϭ 6). The apparent K m for TEA was voltage-dependent. At Ϫ90 mV and Ϫ10 mV, the estimated K m values were 14 Ϯ 1 M and 49 Ϯ 3 M, respectively (n ϭ 6). The data were best fitted with Hill coefficients of 0.79 Ϯ 0.01 and 1.07 Ϯ 0.02 at Ϫ90 and Ϫ10 mV (difference p Ͻ 0.01), respectively. In parallel experiments with identical batches of oocytes, we tested how the current induced by 1 mM TEA compares with tracer uptake of 1 mM TEA. In these experiments the electrical measurements were performed at the mean membrane potential which was measured in the respective oocyte batch. The tracer uptake was approximately 4 -5 times smaller (345 Ϯ 43 pmol ϫ oocyte Ϫ1 ϫ h Ϫ1 ) than the net positive charge transfer which was calculated from the induced currents (1584 Ϯ 313 pmol ϫ oocyte Ϫ1 ϫ h Ϫ1 ). These data could indicate the presence of a cation leak (slippage) in rOCT1-expressing oocytes as has been described for a great variety of mammalian transporters (19). However, simple technical reasons may also contribute to this difference. For example, in voltage-clamped oocytes the membrane potential is stable, while the oocytes in uptake studies are expected to depolarize during cation uptake (see also Fig. 4c) which could in part explain a decreased substrate uptake.
Subsequently, the electric properties of choline transport were analyzed in detail. Similar to the results with TEA, choline-induced currents were also concentration-and voltage-dependent. At holding potentials of Ϫ90, Ϫ50, and Ϫ10 mV, half-maximal currents were observed at approximately 130 Ϯ 4 M, 240 Ϯ 11 M, and 500 Ϯ 13 M choline, respectively ( Fig.  4a; n ϭ 6). Moreover, the Hill coefficient for the concentrationcurrent relationship was changed significantly from 0.98 Ϯ 0.02 at Ϫ90 mV to 1.23 Ϯ 0.02 at Ϫ10 mV (p Ͻ 0.05), a behavior similar to that observed for TEA. Choline-induced currents were not dependent on extracellular NaCl. Isoosmotic replacement of extracellular NaCl in the control solution by glucose did not alter the choline-induced current in rOCT1-expressing oocytes ( Fig. 4b; n ϭ 5). Moreover, depletion of Ca 2ϩ or Mg 2ϩ in the superfusion solution did not affect the TEA-and cholineinduced currents (both at 1 mM; data not shown). Choline-and TEA-induced currents mediated by rOCT1 were not significantly different in the pH range from 6.5 to 9.0 (substrates at 1 mM, Ϫ50 mV, data not shown; n ϭ 6). Similar results were previously obtained with TEA uptake experiments (15). In current clamp experiments (Fig. 4c) choline (0.3 mM) depolarized the oocyte membrane by 18.3 Ϯ 2.6 mV (from Ϫ64.4 Ϯ 5.4 mV to Ϫ48.5 Ϯ 3.0 mV; n ϭ 5). Increase of the extracellular K ϩ concentration to 100 mM altered the resting potential of the oocytes to Ϫ38 Ϯ 5.4 mV and decreased the choline mediated depolarization by 26% to 13.5 Ϯ 3.2 mV. In contrast, an increase of the extracellular K ϩ concentration to 100 mM in voltage-clamped oocytes (at Ϫ50 mV) did not alter the inward currents induced by choline (compare left and middle trace in Fig. 4d). However, depolarizing the voltage to 0 mV decreased the choline-induced current by 50% to Ϫ18.7 Ϯ 3.8 nA (right trace in Fig. 4d; n ϭ 5). The data show that the membrane voltage affects choline transport but is not the only driving force, as there are significant inward currents at 0 mV. Substrate Specificity of rOCT1-In search for other physiologically relevant cations, we tested the organic cations spermine, spermidine, and the dibasic amino acids L-arginine and L-lysine (all at 1 mM) for electrogenic transport via rOCT1. The polyamines spermidine and spermine induced inward currents of different proportions, while the dibasic amino acids had no significant effects. There was no significant difference between spermine-and spermidine-induced currents (Ϫ4.6 Ϯ 0.5 nA versus Ϫ4.3 Ϯ 0.4 nA; n ϭ 5 for both compounds). However, both compounds (1 mM) produced significantly smaller currents than choline (Ϫ12.4 Ϯ 2.0 nA; n ϭ 5). Next we investigated whether the high affinity cation transport inhibitors quinine, quinidine, and cyanine 863 are transported by rOCT1. We also analyzed the muscle relaxants D-tubocurarine and pancuronium. Quinine, pancuronium, and D-tubocurarine had previously been defined as type II substrates of cation transport in the liver (1,4,14). Quinine and its diastereomer quinidine produced inward currents. At a holding potential of Ϫ50 mV, for quinine and quinidine half-maximal currents were observed at 0.27 Ϯ 0.05 M and 2.2 Ϯ 0.62 M, respectively ( Fig. 5; n ϭ 5). Measuring choline-induced currents in the presence of the high affinity inhibitor cyanine 863 (15) currents induced by 1 mM choline were half-maximal inhibited by cyanine 863 concentrations of 63 Ϯ 5 nM (n ϭ 6). When superfused alone 1 M cyanine 863 produced an inward current of Ϫ20.3 nA (n ϭ 5). This current was not different from the maximal current induced by TEA in the same batch of oocytes (Ϫ23.7 Ϯ 1.8 nA; n ϭ 5). With 0.1 mM D-tubocurarine and pancuronium, the current induced by 1 mM choline was reduced to 49.7 Ϯ 5.8% (n ϭ 6) and 33.5 Ϯ 3.6% (n ϭ 5), respectively. Superfusion of 0.1 mM Dtubocurarine and pancuronium alone (Ϫ50 mV holding potential) produced inward currents of Ϫ17.3 Ϯ 6.2 nA (n ϭ 6) and Ϫ8.9 Ϯ 1.0 nA (n ϭ 6). In this batch of oocytes the inward current produced by 1 mM TEA was Ϫ27.2 Ϯ 3.7 nA. For the analysis of D-tubocurarine-induced currents at Ϫ50 mV an apparent K m of 2.9 Ϯ 0.6 M was estimated (Fig. 5).
Following the demonstration that rOCT1 is able to translocate small and large mono-, di-, and polyvalent cations we were interested in determining how rOCT1 can transport the charged and uncharged form of a weak base. For this purpose we analyzed the local anesthetic lidocaine (pK a of 7.9) at pH 9 (fraction of unprotonated lidocaine, Ͼ90%) and 6.5 (fraction of protonated lidocaine, Ͼ90%). At pH 6.5, lidocaine produced maximal currents (at 3 mM) that were not significantly different from the maximal currents induced by TEA. However, increasing the pH value to 9.0 shifted the concentration-current relation for lidocaine to higher lidocaine concentrations. For the currents induced at pH 6.5 and 9.0, apparent K m values of 180 Ϯ 29 M and Ͼ1 mM were estimated. The K m for lidocaine at pH 9 can be considered only as a rough estimate, because the highest superfused lidocaine concentration (3 mM) is clearly not saturating (see Fig. 6). When these currents were plotted against the calculated concentrations of protonated lidocaine (assuming a pK a for lidocaine of 7.9) apparent K m values of 180 Ϯ 28 M (pH 9.0) and 110 Ϯ 23 M (pH 6.5) were estimated. The data suggest that current is generated by transport of protonated lidocaine and that noncharged lidocaine may bind to the substrate binding site of rOCT1. This interpretation is supported by the observation that 10, 30, and 100 M lidocaine did not produce significant inward currents at pH 9.0 but inhibited TEA-induced currents by 11.9 Ϯ 3.1%, 22.9 Ϯ 2.0%, and 26.9 Ϯ 2.1% (n ϭ 5), respectively (see Fig. 6, insert).

DISCUSSION
In this study we investigated the transport specificity of the organic cation transporter rOCT1 (15) and further characterized its functional properties. rOCT1 has been cloned from rat kidney and belongs to a new transporter family with 12 putative membrane-spanning ␣-helices. Previously we have shown that rOCT1 mediates uptake of TEA, which could be inhibited by many structurally different cations. Thus, we raised the hypothesis that rOCT1 is a polyspecific cation transporter. The following results from our laboratory suggest that rOCT1 is an important cation transporter at the sinusoidal membrane of rat hepatocytes and at the basolateral membrane of rat renal proximal tubules. 1) Performing Northern blots with an rOCT1specific probe, which does not hybridize with a recently isolated rOCT1-homologous cDNA from rat (rOCT2), 3 we demonstrated that rOCT1 is significantly transcribed in kidney, liver, colon, and small intestine. 2) Immunological data indicated that rOCT1 is localized at the sinusoidal membrane of rat hepatocytes. 3) Employing microdissected nephron segments from rat, transcription of rOCT1 could be demonstrated in all three segments of renal proximal tubules. 4 4) The localization of rOCT1 at the basolateral membrane of rat proximal tubules is 3 The sequence of rOCT2 has been submitted to the GenBank TM / EMBL Data Bank with the accession no. X98334. 4  . When the extracellular K ϩ was increased to 100 mM (K 100) by exchanging K ϩ for Na ϩ , the membrane was also depolarized. Under this condition the depolarization induced by 0.3 mM choline was reduced compared to the control. d, in oocytes clamped at Ϫ50 mV, the choline-induced currents were not different when the oocytes were superfused in the presence of Na ϩ (left trace) or after replacement of Na ϩ with K ϩ (middle trace). When the oocytes were clamped to 0 mV and superfused with control solution (right trace), the choline-induced current was reduced. suggested from the functional comparison of organic cation transport expressed by rOCT1 with that obtained by microperfusion experiments with rat renal proximal tubules. Thus, rOCT1 mediated uptake is electrogenic and pH-independent, and the apparent K m values for transport of TEA, NMN, and choline are nearly identical with the apparent K m and K i values obtained for potential dependent uptake across the basolateral membrane of renal proximal tubules (5,6,16). However, the K m values described here differ by one order of magnitude from the respective values which have been determined for potentialdependent uptake over the luminal membrane (16). Altogether, the data indicate that rOCT1 mediates the cellular uptake of endogenous and exogenous cations representing the first step in renal and hepatic excretion of cationic metabolites, xenobiotics and drugs.
This report describes that rOCT1 translocates electrical charge over the plasma membrane and can be functionally characterized by electrical measurements. We show that cation uptake by rOCT1 is sodium-independent and not altered by pH gradients or alterations of other ion concentrations. Our hypothesis that rOCT1 is a polyspecific transporter was verified. Diverse cations that were previously shown to inhibit TEA uptake (15) were also found to be transported by rOCT1. This was even true for the high affinity inhibitor cyanine 863 which has an apparent K i value of less than 0.2 M. We demonstrated that rOCT1 translocates monovalent, divalent (pancuronium), and even polyvalent cations (spermine has at physiological pH four positive charges) of different structures, which may be small and hydrophilic or large and also hydrophobic. We showed that noncharged hydrophobic molecules such as corticosterone (previous study) and lidocaine (present study) inhibit cation transport by rOCT1. Whether they interact at the cation binding site and are translocated by rOCT1 must be elucidated in future experiments.
For the following monovalent cations apparent K m values were determined by tracer flux measurements (underlined) and/or by electrical measurements with holding potentials of In this respect polyspecific transport via rOCT1 can be compared with polyspecific transport mediated by the multi-drug resistance protein MDR1 (20). In contrast some classical substrate-specific transporters may allow some low rate, low affinity transport of related compounds (for example the Na ϩ -D-glucose cotransporter SGLT1 (21,22)). Unlike MDR1, which is an ATP dependent extrusion pump for lipophilic intracellular molecules, rOCT1 is an electrogenic import system for organic cations into cells. Whereas MDR1 probably removes lipophilic compounds which have been solved in the lipid bilayer (23), rOCT1 accepts cations from the aqueous phase of the extracellular fluid.
To understand the functional role of rOCT1 in cation excretion in liver and kidney, it is not sufficient to know the cellular localization and membrane topology of rOCT1 and other cation transporters in the same cells. In addition, the transport mechanism must be further elucidated, including clarification of transport asymmetry, driving forces, and substrate specificity. In this respect our present data allow only a limited understanding. The efflux measurements indicate some symmetry of rOCT1-mediated cation transport and show that, in the efflux mode, rOCT1 may function as a uniporter since the unloaded transporter may switch from an outside to the inside conformation. Further, the observation that MPP efflux was transstimulated by MPP or by TEA is consistent with a uniporter model. We have shown that rOCT1 mediates electrogenic transport of cations since electrical currents were induced by the cations TEA, choline, NMN, and MPP which were identified as substrates by tracer uptake experiments and for TEA and choline similar apparent K m values were estimated by both methods. A comparison of the currents induced by TEA with the tracer uptake of TEA suggests some nonspecific charge transfer during the transport cycle. The potential dependence observed at low substrate concentrations suggests that the driving force for cation transport by rOCT1 may be provided by the membrane potential. However, tracer uptake of TEA (15) and cation induced currents (see Fig. 4d) were also observed when the membrane potential was zero. Because the transport was apparently independent of any extracellular ions or pH the driving force may be also provided by the chemical gradients of the transported substrates. Further studies employing more sophisticated methods in which the substrate composition on both membrane sides can be varied independently and individual transport steps can be resolved may help in the understanding of polyspecific transport of organic cations mediated by rOCT1.
FIG. 6. Current-concentration relationship for rOCT1-mediated currents induced by lidocaine at distinct pH values. The experiment was performed, and the data were analyzed as in Fig. 3. The data for each oocyte were normalized at the maximal induced currents at the individual pH. At pH 9 the apparent affinity of lidocaine is decreased, and 3 mM is not sufficient to saturate rOCT1. The inset shows the inhibition of TEA (1 mM)-induced current by lidocaine at pH 9.0.