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Updated: May 7, 2026

Murine Model of Intestinal Ischemia-reperfusion Injury
Published on: May 11, 2016
MDR1 is related to intestinal epithelial injury induced by acetylsalicylic acid
Munehiro Kugai1, Kazuhiko Uchiyama, Toshifumi Tsuji
1Molecular Gastroenterology and Hepatology, Kyoto Prefectural University of Medicine, Kyoto, Japan.
Background/Aims:
Although the cytotoxicity of aspirin against the intestinal epithelium is a major clinical problem, little is known about its pathogenesis. We assessed the involvement of Multi Drug Resistance (MDR) 1 in intestinal epithelial cell injury caused by aspirin using MDR1 gene-transfected Caco2 cells.
Methods:
Caco2 cells were treated with various concentrations of aspirin for 24 h. After treatment of Caco2 cells with verapamil, a specific inhibitor of MDR1, we assessed the extent of cell injury using a WST-8 assay at 24 h after aspirin-stimulation. We performed the same procedure in MDR1 gene-transfected Caco2 cells. To determine the function of MDR1 in the metabolism of aspirin, flux study was performed using (14)C-labeled aspirin.
Results:
The level of aspirin-induced cell injury was higher in verapamil-treated Caco2 cells than in control cells and was less serious in MDR1-transfected Caco2 cells than in control vector-transfected cells. The efflux of (14)C-labeled aspirin was higher in verapamil-treated Caco2 cells than in control cells.
Conclusion:
These data suggest that aspirin effux occurs through the MDR1 transporter and that the MDR1 transporter is involved in the pathogenesis of aspirin-induced cell injury.
Insights
Aspirin damages intestinal cells, but the Multi Drug Resistance (MDR) 1 transporter plays a protective role by exporting aspirin. This transporter is key to understanding aspirin-induced intestinal injury.
Area of Science:
- Gastroenterology
- Molecular Biology
- Pharmacology
Background:
- Aspirin's cytotoxicity to the intestinal epithelium is a significant clinical issue.
- The precise mechanisms underlying aspirin-induced intestinal cell injury remain largely unknown.
Purpose of the Study:
- To investigate the role of the Multi Drug Resistance (MDR) 1 transporter in aspirin-induced intestinal epithelial cell damage.
- To utilize MDR1 gene-transfected Caco2 cells to elucidate the involvement of MDR1 in aspirin pathogenesis.
Main Methods:
- Caco2 cells were exposed to varying aspirin concentrations.
- Cell injury was quantified using a WST-8 assay after aspirin stimulation.
- The impact of verapamil (an MDR1 inhibitor) and MDR1 gene transfection on aspirin-induced injury was assessed.
- Aspirin efflux was studied using (14)C-labeled aspirin.
Main Results:
- Aspirin-induced cell injury was exacerbated by verapamil treatment.
- MDR1-transfected cells exhibited reduced aspirin-induced injury compared to control cells.
- Aspirin efflux was significantly higher in verapamil-treated cells, indicating MDR1's role in transport.
Conclusions:
- Aspirin efflux is mediated by the MDR1 transporter.
- The MDR1 transporter is implicated in the pathogenesis of aspirin-induced intestinal cell injury.
- Targeting MDR1 may offer a strategy to mitigate aspirin-related gastrointestinal toxicity.
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