ABSTRACT:Genetic variants of three human organic cation transporter genes (hOCTs) were extensively explored in a Korean population. The functional changes of hOCT2 variants were evaluated in vitro, and those genetic polymorphisms of hOCTs were compared among different ethnic populations. From direct DNA sequencing, 7 of 13 coding variants were nonsynonymous single-nucleotide polymorphisms (SNPs), including four variants from hOCT1 (F160L, P283L, P341L, and M408V) and three from hOCT2 (T199I, T201M, and A270S), whereas 6 were synonymous SNPs. The linkage disequilibrium analysis presented for three independent LD blocks for each hOCT gene showed no significant linkage among all three hOCT genes. The transporter activities of MDCK cells that overexpress the hOCT2-T199I, -T201M, and -A270S variants showed significantly decreased uptake of showed a 2-to 5-fold increase in K m values and a 10-to 20-fold decrease in V max values. The allele frequencies of the five functional variants hOCT1-P283L, -P341L, and hOCT2-T199I, -T201M, and -A270S were 1.3, 17, 0.7, 0.7, and 11%, respectively, in a Korean population; the frequency distributions of these variants were not significantly different from those of Chinese and Vietnamese populations. These findings suggest that genetic variants of hOCTs are not linked among three genes in a Korean population, and several of the hOCT genetic variants cause decreased transport activity in vitro compared with the wild type, although the clinical relevance of these variants remains to be evaluated.The human organic cation transporters hOCT1, hOCT2, and hOCT3 mediate electrogenic transport of small organic cations with different molecular structures, independent of sodium gradient (Koepsell, 1999). These organic cation substrates include clinically important therapeutics (e.g., metformin, procainamide, and cimetidine), endogenous compounds (e.g., dopamine and norepinephrine), as well as toxic substances [e.g., tetraethylammonium bromide (TEA), HPP ϩ , and methyl-4-phenylpyridinium acetate (MPP ϩ )] (Gorboulev et al., 1997;Zhang et al., 1997;Kang et al., 2006). Although these transporters show extensive overlaps in their substrate specificities, they exhibit distinct differences in tissue distribution; hOCT1 is primarily found in the sinusoidal membrane of hepatocytes and, to a lesser extent, in intestinal epithelial cells, whereas hOCT2 is mainly expressed in the basolateral membrane of kidney proximal tubules, and hOCT3 shows a widespread tissue distribution that includes the brain, heart, and liver. Based on their properties and tissue distributions, hOCT1, hOCT2, and hOCT3 are thought to play important roles in the excretion and distribution of organic cations in the liver, kidney, and brain (Jonker and Schinkel, 2004).Knockout mouse models have been generated for the Oct1, Oct2, and Oct3 genes to elucidate the in vivo function of the OCT transporters. Oct1-, Oct2-, and Oct3-deficient mice are viable and display no obvious phenotypic abnormalities (Jonker et al., 2001Zwart et al., 2001...