Comparison of P-gp surface densities and P-gp elementary kinetic rate constants for binding and transport in Caco-2 and MDCKII-hMDR1-NKI cells to extend in vitro/in vivo extrapolations (IVIVE). Zhou Meng & Joe Bentz, Department of Biology, College of Arts & Sciences, Drexel University, Philadelphia, PA Abstract Results Cells [P-gp] k1 2 AMP QND LPM -1 kr -1 k2 -1 kA -1 P-gp Pgp k1 Cinner monolayer kr Cim KPC Ccytosol PBC Passive Passive permeability CB -1 (Pgp / µm ) (M s ) (s ) (s ) (s ) Caco-2 180±40 (1.7±0.5)E+08 (4±1)E+04 12±2 0 0 MDCK 800±200 (1±0.4)E+08 (7±3)E+04 30±8 0 0 Caco-2 Same as AMP Same as AMP (7±2)E+03 1.2±0.2 0 0 MDCK Same as AMP Same as AMP (4±2)E+03 3±0.4 0 0 Caco-2 Same as AMP Same as AMP (1±0.4)E+04 1.2±0.02 0 CBasolateral chamber P-gp expressing cells T0 + Cim k1 DGX MDCK Same as AMP Same as AMP (2±1)E+04 0.4±0.08 0 kr T1 B:B>A 1 A:A>B B:A>B Caco-2 Same as AMP Same as AMP (5.3±2.5)E+04 7.6±1.5 0+ MDCK Same as AMP Same as AMP (3±1)E+04 3±1 0 2 4 6 Time (h) 37±3 40±20 40±3 1B Table 1: Comparison of fitted consensus kinetic values between MDCKIIhMDR1 and Caco-2 cell monolayers. +Needed a time course >12hrs 1.6 1.4 Symbols: measured data Dotted Lines: fits using the only P-gp fitted kinetic parameters. Solid Lines: Fits using P-gp and basolateral uptake transporter fitted kinetic parameters 1 µM Digoxin 1.2 Efflux active P-gp surface density Relative Pgp expression by western blot mRNA Absolute Pgp expression by LCMS Predicted number of efflux active Pgp P-gp/ µm 2 Copies of P-gp mRNA /ng Pgp expression level by densitometry pmol Pgp/well pmol Pgp/well 1 0.6 0.4 800±200 6748±? 25.1 0.65±0.25 0.5 Caco-2 180±40 918±? 26.2 0.8±0.3 0.1 0.2 Ratio of MDCK/Caco-2 ~4.6 ~7 ~1 ~1 ~5 0 0 +Same amount of protein was loaded for each cell line in gel electrophoresis. Table 2: Correlation of active P-gp and total P-gp in MDCK-hMDR1 and Caco-2 cell lines. 2 Time (h) 4 6 Figure 1: Transport data of amprenavir and digoxin over 6 hours and their fitted curves across Caoco-2 cell monolayers. For Caco-2 cells, only the Pgp near the top of the microvilli is efflux active. Acharya et al.(2006) predicted that the efflux active P-gp would be less than the total P-gp (LCMS data in Table 2) due to re-adsorption of previously effluxed P-gp substrates by microvilli before they can diffuse to the aqueous apical chamber, since substrates are amphipathic. The extent of re-adsorption would increase with increased height and/or closer spacing between adjacent microvilli. For the MDCKII-hMDR1-NKI cells, the reduction is a modest 30%. For the Caco-2 cells, the reduction is a whopping 8-fold. Following the same hypothesis, we would predict that the microvilli of the Caco2 cells are substantially taller and/or more closely spaced than those of the MDCKhMDR1-NKI cells. Best fits with basolateral uptake transporter 0.8 MDCKII-hMDR1 Conclusions • The similarity in P-gp elementary rate constants in two different cell lines shows these can be extrapolated between systems. • In vitro to in vivo extrapolation (IVIVE) is typically based on the hybrid parameters Km, Vmax and total Pgp present in plasma membrane. For P-gp present in micro-villous membranes, only Pgp at the micro-villous tip succeeds in terminal removal of substrate from cell, i.e. contributes to Vmax. • With the current emphasis on mechanistic PBPK modeling, the availability of the elementary kinetic parameters and a measure of efflux active transporter level (which constitute the hybrid Km and Vmax values) will support robust model building and validation. T0 + CA Mass action reaction 2 100±7 CA k2 Only P-gp kr &k2 value are required for fitting 23±3 PAC CC 3 0 Structural Mass Action Kinetic Model (SMAKM) CApical chamber A:B>A 2µm Amprenavir kB + k2 1A Conc. (µM) Drug Efflux Active Dissociation Efflux to Other P-gp Association from P-gp to Apical Bidirectiona Surface to P-gp Apical Bilayer Chamber l transporter Density Conc. (µM) Purpose Can elementary on-, off- and efflux rate constants (k1, kr and k2) to Pgp be extrapolated between cell lines of different origin and for in vitro/in vivo extrapolation (IVIVE)? Methods Caco-2 cells were seeded on 12 well transwell plates and used for experiments 21 days after seeding. Transport of amprenavir, quinidine, loperamide and digoxin was measured in the basolateral-to-apical as well as apical-to-basolateral direction as a function of time and drug concentration. P-gp surface density and elementary rate constants were fitted as described in Agnani et al., PLoS-One, 2011. P-gp mRNA levels were determined by RT-PCR and P-gp protein level was quantified by LC/MS/MS in MDCKII-hMDR1 and Caco-2 cells. Results The results show that the elementary rate constant for the above P-gp substrates obtained in Caco-2 cells are very similar in magnitude (within 4 fold difference) to those obtained previously in MDCKII-hMDR1 cells. Similarly, the total P-gp protein level is almost the same between two cell lines. On the contrary, the fitted efflux active P-gp surface densities and measured mRNA levels are substantially different between the cell lines. Efflux active P-gp surface density was 4.5 fold and mRNA levels 7 fold lower in Caco-2 compared to the MDCKII-hMDR1 cells. Conclusion The similarity in P-gp elementary rate constants in two different cell lines suggests that these elementary rate constants can be extrapolated to in vivo. In vitro to in vivo extrapolation (IVIVE) is typically based on the hybrid parameters developed from Michaelis-Menten theory published over 100 years ago from the accepted mass action kinetic model for enzymology (Vmax & Km), and appended to membrane transport without a clear idea of assumptions. With the current FDA emphasis on mechanistic PBPK modeling, the availability of the elementary kinetic parameters provide the ability to upgrade PBPK modellng. 4 References Acharya, P., T. T. Tran, J. W. Polli, A. Ayrton, H. Ellens and J. Bentz. Biochemistry. 45:15505-15519 (2006). Created by