Eight-Organ Transporter Validation | Spirographic AI
SPIROGRAPHIC AI · VALIDATION REPORT

Eight-Organ Transporter
Validation Report

Spirographic AI LLC | October 19, 2026 | Author: Brandy Stoffel, MSN, RN
Executive summary

Transporter screening across eight organ barriers

Spirographic AI predicts drug behavior across 8 organ barrier systems (57 transporter-organ pairs), a dual cardiac safety panel.

This report documents validation accuracy for every component against curated ground truth with full confusion matrices.

91.4%Overall accuracy
2,613Drug–transporter predictions
89.2%Sensitivity
93.8%Specificity
1,211True positives (TP)
1,178True negatives (TN)
78False positives (FP)
146False negatives (FN)
Organ-level results

Per-organ summary

OrganCorrect/TotalAccuracyTransporters
Placental298/31594.6%7 (PGP, MRP1, MRP2, MRP5, ENT, LAT1, OATP2B1)
Milk498/52994.1%10 (BCRP, CNT1, CNT3, ENT1, MATE1, MRP1, MRP2, OCT1, OCT2, PGP)
Pulmonary189/20393.1%4 (BCRP, MRP1, MRP5, PGP)
Retinal241/26092.7%5 (BCRP, MRP1, MRP4, MRP5, PGP)
Gut409/45490.1%10 (BCRP, CNT2, MCT1, MCT4, MRP2, OATP1A2, OATP2B1, OCT1, PEPT1, PGP)
Renal211/23589.8%7 (MATE1, MATE2K, MRP2, MRP4, OAT1, OAT3, OCT2)
BBB259/29288.7%7 (GLUT1, LAT1, MCT1, MRP2, MRP4, OATP2B1, PGP)
Hepatic284/32587.4%9 (BCRP, BSEP, MRP2, MRP4, OATP1B1, OATP1B3, OATP2B1, OCT1, PGP)
Detailed validation

Transporter-level confusion matrices

Expand each organ to review transporter-level counts, sensitivity, specificity, accuracy, and the reported misclassifications.

2. Blood-Brain Barrier (BBB)88.7% accuracy

Validated transporters across endothelial tight junctions of cerebral capillaries. Efflux transporters (PGP, MRP2, MRP4) pump drugs back to blood. Influx transporters (LAT1, MCT1, OATP2B1, GLUT1) facilitate nutrient and drug entry into the brain.

TransporterNTPTNFPFNSensSpecAcc
GLUT1*2313910100.0%90.0%95.7%
LAT1*237130370.0%100.0%87.0%
MCT12916120194.1%100.0%96.6%
MRP24528130487.5%100.0%91.1%
MRP459153211157.7%97.0%79.7%
OATP2B13518150290.0%100.0%94.3%
PGP78402801080.0%100.0%87.2%
TOTAL29213712223181.5%98.4%88.7%

* Sample size is too small (N < 25); interpret these transporter-specific results cautiously.

Misclassified drugs

Misclassified drugs: GLUT1 FP: L_glucose. LAT1 FN: apomorphine, ketamine, melphalan. MCT1 FN: pravastatin. MRP2 FN: baicalin, bromosulfophthalein, furosemide, naringin. MRP4 FP: amoxicillin. MRP4 FN: azathioprine, chlorothiazide, ciprofloxacin, dasatinib, etoposide, folate, imatinib, olmesartan, teniposide, topotecan, valsartan. OATP2B1 FN: dheas, talinolol. PGP FN: alprazolam, budesonide, cyclosporine, dolasetron, fentanyl, granisetron, palonosetron, prednisone, quinidine, tacrolimus.

3. Intestinal Absorption (Gut)90.1% accuracy

Validated transporters across enterocytes lining the gastrointestinal tract. Apical efflux (PGP, BCRP, MRP2) limits oral bioavailability. Influx transporters (PEPT1, OATP2B1, CNT2, MCT1) facilitate drug absorption.

TransporterNTPTNFPFNSensSpecAcc
BCRP6330264390.9%86.7%88.9%
CNT27648242296.0%92.3%94.7%
MCT136251100100.0%100.0%100.0%
MCT44922260195.7%100.0%98.0%
MRP2271580478.9%100.0%85.2%
OATP1A24530101488.2%90.9%88.9%
OATP2B15218252772.0%92.6%82.7%
OCT1*33000100.0%—100.0%
PEPT14916242769.6%92.3%81.6%
PGP5422262484.6%92.9%88.9%
TOTAL454229180133287.7%93.3%90.1%

* Sample size is too small (N < 25); interpret these transporter-specific results cautiously.

Misclassified drugs

Misclassified drugs: BCRP FP: fluconazole, furosemide, loperamide, warfarin. BCRP FN: carboplatin, cisplatin, oxaliplatin. CNT2 FP: acyclovir, tenofovir. CNT2 FN: showdomycin, tegafur. MCT4 FN: simvastatin_acid. MRP2 FN: cisplatin, furosemide, indomethacin, telmisartan. OATP1A2 FP: lopinavir. OATP1A2 FN: ciprofloxacin, gatifloxacin, levofloxacin, telmisartan. OATP2B1 FP: dabigatran, penicillin_v. OATP2B1 FN: aliskiren, bromosulfophthalein, ciprofloxacin, dheas, levofloxacin, sorafenib, sulfasalazine. PEPT1 FP: atenolol, furosemide. PEPT1 FN: 5_aminolevulinic_acid, benzylpenicillin, cefdinir, cefixime, ceftibuten, fosinopril, oseltamivir. PGP FP: amlodipine, pioglitazone. PGP FN: amitriptyline, carboplatin, cisplatin, morphine.

4. Hepatic Transporters87.4% accuracy

Validated transporters across hepatocytes governing drug uptake, biliary excretion, and DILI risk. Sinusoidal uptake (OATP1B1/1B3/2B1, OCT1) and canalicular efflux (PGP, BCRP, MRP2, BSEP, MRP4).

TransporterNTPTNFPFNSensSpecAcc
BCRP3525910100.0%90.0%97.1%
BSEP3323010100.0%96.8%97.0%
MRP2327160943.8%100.0%71.9%
MRP45723282485.2%93.3%89.5%
OATP1B1*236121460.0%92.3%78.3%
OATP1B3*23014090.0%100.0%60.9%
OATP2B1*1308050.0%100.0%61.5%
OCT13222910100.0%90.0%96.9%
PGP7747261394.0%96.3%94.8%
TOTAL32513215273479.5%95.6%87.4%

* Sample size is too small (N < 25); interpret these transporter-specific results cautiously.

Misclassified drugs

Misclassified drugs: BCRP FP: ibuprofen. BSEP FP: fluvastatin. MRP2 FN: atorvastatin, ceftriaxone, diclofenac, ibuprofen, naproxen, rosuvastatin, sulfamethoxazole, sulfasalazine, trimethoprim. MRP4 FP: imatinib, rosuvastatin. MRP4 FN: benzylpenicillin, cefazolin, diclofenac, indomethacin. OATP1B1 FP: amoxicillin. OATP1B1 FN: bosentan, repaglinide, rifampicin, valsartan. OATP1B3 FN: atorvastatin, bosentan, fluvastatin, olmesartan, pitavastatin, pravastatin, rifampicin, rosuvastatin, telmisartan. OATP2B1 FN: atorvastatin, fexofenadine, fluvastatin, montelukast, rosuvastatin. OCT1 FP: ampicillin. PGP FP: piroxicam. PGP FN: atorvastatin, palonosetron, tipranavir.

5. Breast Milk Transfer94.1% accuracy

Validated transporters across mammary epithelial cells. Concentrating transporters (BCRP, OCT1, CNT1/3, MRP2, MATE1) may accumulate drug in milk.

TransporterNTPTNFPFNSensSpecAcc
BCRP6931342293.9%94.4%94.2%
CNT14923222292.0%91.7%91.8%
CNT350252500100.0%100.0%100.0%
ENT17015540193.8%100.0%98.6%
MATE147252200100.0%100.0%100.0%
MRP147152930100.0%90.6%93.6%
MRP26322309291.7%76.9%82.5%
OCT14723184292.0%81.8%87.2%
OCT2*106400100.0%100.0%100.0%
PGP7749261198.0%96.3%97.4%
TOTAL529234264211095.9%92.6%94.1%

* Sample size is too small (N < 25); interpret these transporter-specific results cautiously.

Misclassified drugs

Misclassified drugs: BCRP FP: elvitegravir, entecavir. BCRP FN: gemifloxacin, lapatinib. CNT1 FP: cladribine, fludarabine. CNT1 FN: emtricitabine, tegafur. ENT1 FN: sofosbuvir. MRP1 FP: bromocriptine, ledipasvir, posaconazole. MRP2 FP: bromocriptine, clindamycin, epirubicin, itraconazole, lapatinib, lopinavir, nilotinib, ponatinib, posaconazole. MRP2 FN: cdcf, cisplatin. OCT1 FP: amoxicillin, clindamycin, erythromycin, verapamil. OCT1 FN: lamotrigine, ondansetron. PGP FP: piroxicam. PGP FN: cisplatin.

6. Placental Barrier94.6% accuracy

Validated transporters across syncytiotrophoblast barrier. Protective efflux (PGP, MRP1, MRP2) limits fetal exposure. Influx/bidirectional transporters (ENT, LAT1, OATP2B1) may increase transfer.

TransporterNTPTNFPFNSensSpecAcc
ENT65125300100.0%100.0%100.0%
LAT1*198100188.9%100.0%94.7%
MRP143122830100.0%90.3%93.0%
MRP23215151193.8%93.8%93.8%
MRP5308191280.0%95.0%90.0%
OATP2B14922240388.0%100.0%93.9%
PGP7748243296.0%88.9%93.5%
TOTAL3151251738993.3%95.6%94.6%

* Sample size is too small (N < 25); interpret these transporter-specific results cautiously.

Misclassified drugs

Misclassified drugs: LAT1 FN: apomorphine. MRP1 FP: bromocriptine, ledipasvir, posaconazole. MRP2 FP: diltiazem. MRP2 FN: pravastatin. MRP5 FP: acyclovir. MRP5 FN: indomethacin, thioguanine. OATP2B1 FN: aliskiren, ciprofloxacin, levofloxacin. PGP FP: diazepam, lidocaine_topical, piroxicam. PGP FN: atorvastatin, cisplatin.

7. Pulmonary93.1% accuracy

Validated transporters across pulmonary epithelial cells. MRP1 (basolateral efflux) and MRP5 (intracellular) affect inhaled drug distribution.

TransporterNTPTNFPFNSensSpecAcc
BCRP5332146197.0%70.0%86.8%
MRP1439310375.0%100.0%93.0%
MRP5307191370.0%95.0%86.7%
PGP77502700100.0%100.0%100.0%
TOTAL20398917793.3%92.9%93.1%

Misclassified drugs

Misclassified drugs: BCRP FP: bromocriptine, ceritinib, ibuprofen, itraconazole, piperaquine, posaconazole. BCRP FN: epirubicin. MRP1 FN: bilirubin_glucuronide, estrone_3_sulfate, ritonavir. MRP5 FP: acyclovir. MRP5 FN: indomethacin, mercaptopurine, thioguanine.

8. Retinal / Ocular92.7% accuracy

Validated transporters across the blood-retinal barrier. MRP1 (outer BRB/RPE) and MRP5 (intracellular) limit ocular drug penetration.

TransporterNTPTNFPFNSensSpecAcc
BCRP5332146197.0%70.0%86.8%
MRP143123100100.0%100.0%100.0%
MRP45719273870.4%90.0%80.7%
MRP5309200190.0%100.0%96.7%
PGP77502700100.0%100.0%100.0%
TOTAL26012211991092.4%93.0%92.7%

Misclassified drugs

Misclassified drugs: BCRP FP: bromocriptine, ceritinib, ibuprofen, itraconazole, piperaquine, posaconazole. BCRP FN: epirubicin. MRP4 FP: aspirin, caffeine, gabapentin. MRP4 FN: alprostadil, benzylpenicillin, cidofovir, diclofenac, dinoprostone, indomethacin, leucovorin, torsemide. MRP5 FN: indomethacin.

9. Renal Clearance89.8% accuracy

Validated transporters across proximal tubular cells. Basolateral uptake (OCT2, OAT1, OAT3) and apical efflux (MATE1, MATE2K, MRP4) govern active renal secretion.

TransporterNTPTNFPFNSensSpecAcc
MATE130181110100.0%91.7%96.7%
MATE2K301991195.0%90.0%93.3%
MRP23210160662.5%100.0%81.2%
MRP4261770289.5%100.0%92.3%
OAT13920153195.2%83.3%89.7%
OAT33921124291.3%75.0%84.6%
OCT2392972196.7%77.8%92.3%
TOTAL23513477111391.2%87.5%89.8%

Misclassified drugs

Misclassified drugs: MATE1 FP: ranitidine. MATE2K FP: ranitidine. MATE2K FN: berberine. MRP2 FN: ciprofloxacin, diclofenac, ibuprofen, naproxen, norfloxacin, trimethoprim. MRP4 FN: benzylpenicillin, cefazolin. OAT1 FP: cefadroxil, gabapentin, pravastatin. OAT1 FN: lamivudine. OAT3 FP: atorvastatin, cefaclor, gabapentin, tenofovir. OAT3 FN: ranitidine, torsemide. OCT2 FP: lisinopril, quinine. OCT2 FN: tenofovir.

Methodology

Validation Protocol

Leave-none-out validation: every drug with ground truth is screened by the engine and compared against curated literature labels. No drug is excluded from the denominator unless the SMILES string is incomplete.

Data Sources

Ground Truth: Curated from UCSF-FDA TransPortal, DrugBank and primary literature. All data processed as SMILES strings.

Report generated: October 19, 2026 · Spirographic AI LLC