Caco-2 cells - expression, regulation and function of drug transporters compared with human jejunal tissue

S Brück1, J Strohmeier1, D Busch1

  • 1Department of Clinical Pharmacology, Center of Drug Absorption and Transport, University Medicine, Greifswald, Germany.

Abstract

Insights

The Caco-2 cell line is not suitable for predicting drug-drug interactions caused by transporter induction. This study found significant differences in transporter expression compared to human jejunal tissue, rendering it unreliable for induction studies.

Area of Science:

  • Pharmacology
  • Drug Metabolism and Transport

Background:

  • Drug-drug interactions (DDIs) can arise from altered drug transporter activity.
  • Existing in vitro assays primarily assess transporter inhibition, not induction.
  • Investigating induction potential is crucial for comprehensive DDI evaluation.

Purpose of the Study:

  • To evaluate the Caco-2 cell line's suitability for predicting transporter-mediated DDIs caused by induction.
  • To compare drug transporter expression in Caco-2 cells with human jejunal tissue.
  • To assess the impact of culture time and known inducers on transporter expression and function.

Main Methods:

  • Gene and protein expression analysis using TaqMan® low density arrays and LC-MS/MS.
  • Functional assays of ABCB1 (P-glycoprotein) using radiolabeled substrates (digoxin, talinolol).
  • Incubation with prototypical inducers: rifampicin, St John's wort, carbamazepine, and efavirenz.

Main Results:

  • Significant differences observed in drug transporter expression between Caco-2 cells and jejunal tissue.
  • Culture time influenced mRNA and protein levels of some transporters.
  • Prototypical inducers did not alter ABCB1 mRNA, protein abundance, or function in Caco-2 cells.

Conclusions:

  • Caco-2 cell transporter expression varies with culture time and differs from human jejunal tissue.
  • These discrepancies necessitate careful consideration to avoid misinterpreting in vitro DDI data.
  • The Caco-2 cell model is unsuitable for evaluating drug-drug interactions stemming from transporter induction.

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