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Quantitative Targeted Absolute Proteomics of Transporters and Pharmacoproteomics-based Reconstruction of P-Glycoprotein Function in Mouse Small Intestine TAKANORI AKAZAWA, Yasuo Uchida, Masanori Tachikawa, Sumio Ohtsuki, and Tetsuya Terasaki Mol. Pharmaceutics, Just Accepted Manuscript • DOI: 10.1021/acs.molpharmaceut.6b00196 • Publication Date (Web): 08 Jun 2016 Downloaded from http://pubs.acs.org on June 14, 2016
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Molecular Pharmaceutics
1
Quantitative
Targeted
Absolute
Proteomics
of
Transporters
and
2
Pharmacoproteomics-based Reconstruction of P-Glycoprotein Function in Mouse
3
Small Intestine
4 5
Takanori Akazawa†, Yasuo Uchida†, Masanori Tachikawa†, Sumio Ohtsuki‡, and
6
Tetsuya Terasaki*,†
7 8
†
9
Pharmaceutical Sciences, Tohoku University, 6-3 Aoba, Aramaki, Aoba-ku, Sendai
Division of Membrane Transport and Drug Targeting, Graduate School of
10
980-8578, Miyagi, Japan
11
‡
12
University, 5-1 Oe-honmachi, Chuo-ku, Kumamoto 862-0973, Kumamoto, Japan
Department of Pharmaceutical Microbiology, Faculty of Life Sciences, Kumamoto
13 14
KEYWORDS: small intestine, drug absorption, transporter, P-glycoprotein/multidrug
15
resistance protein 1a, protein quantification, quantitative targeted absolute proteomics,
16
pharmacoproteomics
17
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ABSTRACT: The purpose of this study was to investigate whether a pharmacokinetic
2
model integrating in vitro mdr1a efflux activity (which we previously reported) with in
3
vitro/in vivo differences in protein expression level can reconstruct intestinal mdr1a
4
function. In situ intestinal permeability-surface area product ratio between wild-type
5
and mdr1a/1b (-/-) mice is one of the parameters used to describe intestinal mdr1a
6
function. The reconstructed ratios of 6 mdr1a substrates (dexamethasone, digoxin,
7
loperamide, quinidine, verapamil, vinblastine) and 1 non-substrate (diazepam) were
8
consistent with the observed values reported by Adachi et al. within 2.1-fold difference.
9
Thus, intestinal mdr1a function can be reconstructed by our pharmacoproteomic
10
modeling approach. Furthermore, we evaluated regional differences in protein
11
expression levels of mouse intestinal transporters. Sixteen (mdr1a, mrp4, bcrp, abcg5,
12
abcg8, glut1, 4f2hc, sglt1, lat2, pept1, mct1, slc22a18, ostβ, villin1, Na+/K+-ATPase,
13
γ-gtp) out of 46 target molecules were detected by employing our established
14
quantitative targeted absolute proteomics technique. The protein expression amounts of
15
mdr1a and bcrp increased progressively from duodenum to ileum. Sglt1, lat2, and 4f2hc
16
were highly expressed in jejunum and ileum. Mct1 and ostβ were highly expressed in
17
ileum. The quantitative expression profiles established here should be helpful to
18
understand and predict intestinal transporter functions.
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Molecular Pharmaceutics
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INTRODUCTION
2
In drug development, it is important to predict the rate of drug absorption in the small
3
intestine quantitatively. Various transporters are expressed in small intestinal epithelial
4
cells, and are key players in determining the rate of oral drug absorption.1 Therefore, a
5
quantitative understanding of the transport activity of individual transporters in small
6
intestine is required for predicting the rate of drug absorption.
7
Previous studies of the activities of individual transporters in small intestine
8
have generally employed gene-knockout rodents2-13 or measured changes of the plasma
9
concentration of probe substrates coadministered with inhibitors in humans.14-18 To
10
predict in vivo transporter functions from in vitro findings, transporter-transfected cells
11
have often been used. Adachi et al. have evaluated the PS product, which is defined as
12
the product of apical-to-basolateral permeability coefficient and surface area, by means
13
of transcellular transport study and in situ intestinal perfusion study, respectively.2 They
14
reported that in vitro MDR1 activity (in vitro PS product ratio between
15
MDR1-transfected cells and parental cells) was correlated with intestinal MDR1 activity
16
(in situ PS product ratio between mdr1a/1b (-/-) and wild-type mice).2 However, the
17
absolute values of the in vitro PS product ratio were not the same as those of in situ PS
18
product ratio.2 One of the causes of differences of MDR1 activity between in vitro and
19
in vivo is considered to be differences of MDR1 protein expression levels in the two
20
situations. Therefore, it is important to take account of this difference of protein
21
expression levels of transporters for quantitative prediction.
22
To address this problem, we have proposed a pharmacoproteomics (PPx)-based
23
reconstruction method.19-21 In vivo transporter function is the outcome of both intrinsic
24
activity (transport activity per transporter protein) and protein expression level. The 3 ACS Paragon Plus Environment
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former can be obtained by means of in vitro transcellular transport studies and the latter
2
by means of measurements of in vivo protein expression level in cells expressing the
3
transporter. The concept of our PPx-based reconstruction method is therefore to
4
reconstruct the in vivo function of a targeted transporter by integration of the separately
5
determined intrinsic activity and in vivo protein expression level. It has been
6
demonstrated that the efflux activities of several MDR1/mdr1a substrates at the
7
blood-brain barrier (BBB) could be accurately reconstructed in mouse and monkey by
8
employing this method.19-21 Hence, we anticipated that the intrinsic transport activities
9
of individual intestinal transporters could be identified by applying this method to the
10
transporters expressed in small intestine.
11
An important issue for such reconstruction in the small intestine is what kind of
12
samples should be used to obtain the values of the absolute protein expression levels. In
13
previous work, various methods, such as scraping the mucosa from the underlying
14
lamina propria mucosae and muscular layer with a glass microscope side22 or blocking
15
Ca2+-dependent epithelial cell adhesion with EDTA,23 have been employed to isolate
16
small intestinal epithelial cells, in which transporters are expressed. In isolation of
17
intestinal epithelial cells, the EDTA procedure affords epithelial cells with relatively
18
little contamination from lamina propria mucosae or muscular layer, as compared with
19
scraping the mucosa from the underlying lamina propria mucosae and muscular layer.
20
Further, absolute protein expression analyses of transporters in isolated intestinal
21
epithelial cells has been performed with samples of crude membrane fractions.24,25 In
22
the present study, we isolated intestinal epithelial cells with EDTA and quantified the
23
absolute protein expression levels in the plasma membrane fractions, because the EDTA
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procedure afforded epithelial cells with higher purity and the plasma membrane is the
2
site of functional activity of transporters.
3
To verify whether the PPx-based reconstruction strategy is applicable to
4
intestinal transporters, it is important to choose a model transporter for which the
5
observed activity can be determined in vivo without interference from the activities of
6
the other transporters. MDR1/mdr1a is a major contributor to drug transport in the small
7
intestine.2-4,9,13-16,26 Adachi et al. reported that efflux transport of several mdr1a
8
substrates was not affected by other transport systems in mouse jejunum.2 Therefore, if
9
we use mdr1a and its substrates as employed in Adachi’s study, we can evaluate whether
10
the PPx-based method is able to reconstruct the transport functions of intestinal
11
transporters.
12
The primary aim of this study was to examine whether transport activities of
13
mdr1a in mouse small intestine can be reconstructed from in vitro transport activities by
14
integrating the protein expression levels in the plasma membrane fractions of mouse
15
jejunal epithelial cells isolated with the EDTA method23 and in vitro mdr1a-transfected
16
cells. Indeed, we found the mdr1a transport activities could be successfully
17
reconstructed, indicating that the absolute protein expression levels of transporters in
18
plasma membrane fraction of epithelial cells isolated with the EDTA method are
19
suitable to reconstruct and understand the transport activities in small intestine. Several
20
transporters exhibit regional differences in intestinal expression.3,7,10,27-32 Thus, it is also
21
important to clarify the absolute expression levels of multiple transporters in each
22
intestinal region for a better understanding of absorption throughout the entire small
23
intestine. Therefore, a secondary aim of this study was to determine the absolute protein
24
expression levels of 46 molecules, including 43 transporters, in mouse duodenum, 5 ACS Paragon Plus Environment
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jejunum, and ileum by using plasma membrane fractions of epithelial cells isolated from
2
those sites by the EDTA method.
3
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EXPERIMENTAL SECTION
2
Chemicals. All peptides (Tables S1 and S2) were chosen by employing the in
3
silico selection criteria described previously,33 and synthesized by Thermo Electron
4
Corporation (Sedanstrabe, Germany) with > 95% peptide purity. The concentrations of
5
peptide solutions were determined by quantitative amino acid analysis (Lachrom Elite,
6
Hitachi, Tokyo, Japan). Other chemicals were commercial products of analytical grade.
7 8
Animals. Ten male ddY mice (9–10 weeks of age) were purchased from
9
Charles River (Yokohama, Japan). Mice were maintained on a 12-h light/dark cycle in a
10
temperature-controlled environment with free access to food and water; they were
11
denied access to food for 16 h before experiments. All experiments were approved by
12
the Institutional Animal Care and Use Committee in Tohoku University, and were
13
performed in accordance with the guidelines of Tohoku University.
14 15
Preparation of Plasma Membrane Fractions of Mouse Small Intestinal
16
Epithelial Cells and L-mdr1a Cells. We prepared pooled plasma membrane fractions
17
from ten mice for each intestinal segment (duodenum, jejunum, and ileum). Intestinal
18
epithelial cells were isolated by agitation in phosphate-buffered saline (PBS) with 2 mM
19
EDTA and 0.5 mM dithiothreitol as reported with minor modifications (Figure S1).23
20
Under anesthesia with pentobarbital (25.9 mg/kg), the mouse was decapitated and the
21
small intestine was removed. All of the following procedures were performed at 4 °C.
22
The intestine was divided into the duodenum (first 5 cm from pylorus), jejunum
23
(proximal two-fifths of the rest of the small intestine), and ileum (distal three-fifths of
24
the rest of the small intestine). The duodenum, jejunum, and ileum were cut into 1 cm 7 ACS Paragon Plus Environment
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pieces and incised, respectively. The pieces of the small intestine were agitated in PBS
2
with 2 mM EDTA and 0.5 mM dithiothreitol for 1 hour at 1,000 rpm. The suspension
3
was passed through a 210 nylon mesh to remove the intestinal pieces, and the filtrate
4
was centrifuged at 100,000 × g for 40 min. In the step of isolation of epithelial cells
5
with EDTA, cells were partially broken, and the obtained pellet contained intestinal
6
epithelial cells and cellular structures, including cell membranes. To collect the cells and
7
structures together, we performed centrifugation at high speed (100,000 × g), although
8
cells are typically collected by centrifugation at low speed (e.g. 100-500 × g). We
9
considered that there would be no effect on the purity of the plasma membrane fraction
10
even if the pellet contained the cellular structures, because the obtained pellet was
11
subsequently homogenized by rotated strokes with a Potter-Elvehjem homogenizer and
12
nitrogen cavitation according to our previous report.34 The isolated mouse intestinal
13
epithelial cells were homogenized by 15 up-and-down rotated strokes (1,000 rpm) of a
14
Potter-Elvehjem homogenizer in hypotonic buffer [10 mM Tris–HCl (pH 7.4), 10 mM
15
NaCl, 1.5 mM MgCl2, 1 mM phenylmethylsulfonyl fluoride, and 1 % (v/v) protease
16
inhibitor cocktails (Sigma Chemical Co., St. Louis, MO, USA)]. The homogenates were
17
kept in ice for 30 min, then homogenized again with 20 up-and-down rotated strokes
18
(1,000 rpm) on ice, and finally subjected to nitrogen cavitation at 450 psi for 15 min at
19
4°C. The resulting homogenates were centrifuged at 10,000 g for 10 min at 4°C, and the
20
supernatants were centrifuged again at 10,000 g for 10 min at 4°C to remove as much
21
debris as possible. The resultant supernatants were centrifuged at 100,000 g for 40 min
22
at 4°C, and then the pellets were suspended in suspension buffer [10 mM Tris-HCl (pH
23
7.4), 250 mM sucrose], layered on top of a 38 % (w/v) sucrose solution, and centrifuged
24
at 100,000 g for 40 min at 4°C. The turbid layer at the interface was recovered, 8 ACS Paragon Plus Environment
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suspended in suspension buffer, and centrifuged at 100,000 g for 40 min at 4°C. The
2
resultant pellets were suspended in the suspension buffer to obtain the plasma
3
membrane fractions. Protein concentrations were measured by the Lowry method using
4
the DC protein assay reagent (Bio-Rad Laboratories, Hercules, CA, USA).
5
Mouse mdr1a-transfected LLC-PK1 cells (L-mdr1a) were kindly provided by
6
Dr. Alfred H. Schinkel (The Netherlands Cancer Institute, Amsterdam, The Netherlands)
7
and used under license. L-mdr1a cells were cultured according to the reported method.19
8
On the 4th day after seeding on Transwell filters, L-mdr1a cells were harvested. The
9
plasma membrane fractions of L-mdr1a cells were prepared as described previously;35
10
we did not prepare the plasma membrane fraction of parental LLC-PK1 cells. The
11
harvested L-mdr1a cells were collected by centrifugation at 230 g for 5 min at 4 °C. The
12
cells were suspended in suspension buffer with 1 % (v/v) protease inhibitor cocktails
13
and then subjected to nitrogen cavitation at 450 psi for 15 min at 4 °C. The subsequent
14
procedure for preparation of plasma membrane fraction of L-mdr1a cells was the same
15
as that described for mouse intestinal epithelial cells.
16 17
Protein
Quantification
by
Multiplexed Selected/Multiple
Reaction
18
Monitoring (SRM/MRM) by LC-MS/MS. We quantified the protein expression levels
19
of target molecules with one pooled sample from ten mice for each intestinal segment
20
(duodenum, jejunum, and ileum). The protein expression levels were determined by
21
multiplexed selected/multiple reaction monitoring (SRM/MRM) analysis as described
22
previously.33,36 Samples were digested with a combination of lysyl endopeptidase,
23
trypsin, and a trypsin enhancer (ProteaseMax) (Promega, Madison, Wisconsin, USA)
24
according to our previously reported method.36 9 ACS Paragon Plus Environment
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The digested samples were mixed with stable isotope-labeled peptide mixture
2
as internal standard peptides, then acidified with formic acid, and centrifuged at 17,360
3
× g for 5 min at 4 oC. The supernatants were subjected to LC-MS/MS. The mass
4
spectrometer made use of a triple quadrupole mass spectrometer or Triple TOF5600.
5
Triple quadrupole mass spectrometry was performed with an Agilent 1100
6
HPLC system (Agilent Technologies, Santa Clara, CA, USA) coupled to a triple
7
quadrupole mass spectrometer (API5000 or QTRAP5500; AB SCIEX, Framingham,
8
MA, USA) equipped with Turbo V ion source (AB SCIEX). HPLC was performed with
9
C18 columns (XBridge BEH130 C18, 1.0 mm ID x 100 mm, 3.5 µm particles) (Waters,
10
Milford, USA). Probe peptides of the quantified molecules and their SRM/MRM
11
transitions are listed in Table S1. The measurement and analysis were carried out
12
according to our previous report.37
13
When the signal peak of the target peptide was occluded by background noise
14
in analysis using a triple quadrupole mass spectrometer (API5000 or Qtrap5500), the
15
peptide was measured by employing Triple TOF5600, which is a high-resolution MS
16
analyzer. Triple TOF5600 system analysis was performed with a NanoLC-Ultra 1D plus
17
system (Eksigent Technologies, Dublin, CA, USA) coupled with a cHiPLC-nanoflex
18
system (Eksigent Technologies) and a Triple-TOF5600 (AB SCIEX) equipped with a
19
NanoSpray III ion source (AB SCIEX). The measurement and data analysis were
20
conducted according to our previous reports with minor modifications in the LC
21
conditions as follows.34 Mobile phases A and B consisted of 0.1% formic acid in 98%
22
water and 2% acetonitrile, and 0.1% formic acid in 80% acetonitrile and 20% water,
23
respectively. A 10 µL aliquot of each sample was injected and loaded on the trap column
24
(Nano cHiPLC Trap column 200 µm x 0.5 mm ChromXP C18-CL 3 µm 120Å) 10 ACS Paragon Plus Environment
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(Eksigent Technologies) with mobile phase A (5 µL/min) for 10 min after injection for
2
sample loading (at 0 to 10 min). The trap column was then placed in line with the Nano
3
cHiPLC analytical column (Nano cHiPLC column 75 µm x 15 cm ChromXP C18-CL 3
4
µm 120Å) (Eksigent Technologies). The peptides were separated and eluted from the
5
column at a flow rate of 200 nL/min with a linear gradient as follows: 2% B for 1 min
6
(at 10 to 11 min), 10% B for 5 min (at 11 to 16 min), 10% B to 50% B for 114 min (at
7
16 to 130 min), 50% B to 90% B for 3 min (at 130 to 133 min), 90% B for 6 min (at 133
8
to 139 min), 90% B to 2% B for 1 min (at 139 to 140 min), and 2% B for 20 min (at 140
9
to 160 min). The targeted peptides were simultaneously measured with multiple reaction
10
monitoring (MRM)-high resolution (MRM-HR) mode, known as parallel reaction
11
monitoring in the TripleTOF5600, by using the m/z values of Q1 in Table S2. Twenty
12
peptides (10 unlabeled and the corresponding 10 stable-isotope-labeled ones) were
13
simultaneously measured at maximum in a run. In data analysis by MultiQuant software
14
(AB SCIEX), four SRM/MRM transitions of each targeted peptide were extracted from
15
the raw data (Table S2).
16
For measurement and analysis, each peptide for a target protein was monitored
17
with four kinds of SRM/MRM transitions. When positive peaks were observed in three
18
or four sets of transitions, the amount (fmol) of the target peptide was calculated from
19
the peak area ratio (target peptide/corresponding internal standard peptide) and
20
calibration curve for each transition. Then, the protein expression level (fmol/µg plasma
21
membrane protein) of the targeted protein at each transition was calculated by dividing
22
the amount (fmol) of the target peptide by that of plasma membrane fraction examined
23
(µg plasma membrane protein); this procedure afforded three or four values of protein
24
expression level per target molecule in one sample. The protein expression levels in 11 ACS Paragon Plus Environment
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three or four sets of transitions for one pooled sample from ten mice were used to
2
calculate the average (mean) and variability (S.E.M.), which are shown as mean ±
3
S.E.M. in Table 2.
4
On the other hand, when two or more among the four sets of transitions gave
5
no signal peak in the chromatogram of the target protein samples, the value of the limit
6
of quantification (LQ) was calculated as follows. In the analysis using a triple
7
quadrupole mass spectrometer (API5000 or QTRAP5500), the LQ was defined as the
8
protein concentration (fmol/µg plasma membrane protein) that yields a peak area count
9
of 5000 in the chromatogram, according to our previous report.37 In the analysis using
10
Triple TOF 5600, the LQ was defined as the value giving a peak area count of 1000 in
11
the chromatogram, according to our previous report.34
12 13
Theory for Reconstruction of in situ PSa to b Ratio. PS product is defined as the
14
product of the permeability coefficient in the apical-to-basolateral direction and the
15
surface area of the cell membrane. The in situ intestinal PS product ratio in the
16
apical-to-basolateral direction between wild-type and mdr1a/1b (-/-) mice determined
17
by in situ intestinal perfusion study (in situ PSa to b ratio) is one of the parameters used to
18
reflect intestinal mdr1a function. In this section, we described the theory for
19
reconstruction of
20
direction between mdr1a-transfected LLC-PK1 cell monolayers (L-mdr1a cells) and
21
parental cell monolayers (LLC-PK1 cells) based on in vitro transcellular transport study
22
(in
23
expression level.
vitro
PSa
to b
in situ
PSa to b ratio from PS product ratio in the apical-to-basolateral
ratio), combined with in vivo/in vitro difference in mdr1a protein
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Molecular Pharmaceutics
In subsection 1, we define
1
in situ
PSa to b ratio and
in vitro PSa to b
ratio, which were
2
previously reported by Adachi et al.2 In order to reconstruct in situ PSa to b ratio from in vitro
3
PSa to b ratio, in subsection 2, we described the theory for integration of in situ PSa to b ratio
4
and
5
of the assumptions in Supporting Information. In subsection 3, we show that in situ PSa to b
6
ratio can be reconstructed from in vitro mdr1a efflux activity obtained by in vitro
7
transcellular transport study and mdr1a protein expression levels in mouse small
8
intestine and L-mdr1a cell monolayers.
in vitro
PSa to b ratio, together with some assumptions. We discuss the appropriateness
9
Subsection 1; Definition of
10
in situ PSa to b
Ratio and
in vitro
PSa to b Ratio. In the
11
present study, we define
12
product of the permeability coefficient in the apical-to-basolateral direction and the
13
surface area per 1 µg plasma membrane protein of mouse small intestinal epithelial cells.
14
We also define in vitro PSa to b (µL/min/µg plasma membrane protein) as the product of the
15
permeability coefficient in the apical-to-basolateral direction and the surface area per 1
16
µg plasma membrane protein of L-mdr1a cells and LLC-PK1 cells. According to the
17
pharmacokinetic model illustrated in Scheme 1,
18
following equation (eq. 1), reported previously by Adachi et al.:2
in situ
PSa to b (µL/min/µg plasma membrane protein) as the
in situ
PSa
to b
ratio is given by the
19
in situ
PSa to b ratio =
in situ PSa to b in mdr1a/1b (-/-) in situ
PSa to b in WT
= 1+
PSmdr1a in situ PSa, eff + in situ PSb, eff in situ
(1)
20 21
where
22
WT
in situ
PSa to b in mdr1a/1b (-/-) (µL/min/µg plasma membrane protein) and
in situ
PSa to b in
(µL/min/µg plasma membrane protein) represent the PS product in the
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1
apical-to-basolateral direction in mdr1a/1b (-/-) mice and that in wild-type mice,
2
respectively;
3
(µL/min/µg plasma membrane protein) represent the PS products for the
4
mdr1a-mediated efflux in wild-type mice and the apical efflux in mouse small intestine
5
excluding mdr1a-mediated efflux, respectively;
6
membrane protein) represents the PS product for basolateral efflux in mouse small
7
intestine.
PSmdr1a (µL/min/µg plasma membrane protein) and
In the same manner,
8 9
in situ
in vitro
in situ
in situ
PSa,eff
PSb,eff (µL/min/µg plasma
PSa to b ratio is given by the following equation (eq.
2), reported previously by Adachi et al.:2
10
in vitro
PSa to b ratio =
PSa to b in LLC-PK1 = 1+ in vitro PSa to b in L-mdr1a
in vitro
PSmdr1a in vitro PSa, eff + in vitro PSb, eff in vitro
(2)
11 12
where
in vitro PSa to b in LLC-PK1
(µL/min/µg plasma membrane protein) and
13
L-mdr1a
14
apical-to-basolateral direction in LLC-PK1 cells and in L-mdr1a cells, respectively;
15
vitro
16
membrane protein) represent the PS products for the mdr1a-mediated efflux in L-mdr1a
17
cells and the apical efflux of in vitro cell monolayers excluding mdr1a-mediated efflux,
18
respectively;
19
products for the basolateral efflux of in vitro cell monolayers.
in vitro
PSa to b in
(µL/min/µg plasma membrane protein) represent the PS product in the
PSmdr1a (µL/min/µg plasma membrane protein) and
in vitro
in vitro
in
PSa,eff (µL/min/µg plasma
PSb,eff (µL/min/µg plasma membrane protein) represents the PS
20
Unlike the previous pharmacokinetic model,2 the present study takes account
21
of not only transport across the apical and basal membranes, but also that across the
22
lateral membrane (Scheme 1). Tight junction proteins exist in the border between the
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1
apical and lateral membranes and restrict paracellular diffusion.38,39 By contrast, other
2
lateral intercellular junctions (e.g. gap junctions or adherence junctions) are looser than
3
tight junctions, and lateral intercellular spaces are observed.38,39 Farquhar and Palade
4
have shown that intraperitoneally administered hemoglobin penetrated into the lateral
5
intercellular spaces, but did not penetrate beyond the border between the apical and
6
lateral membranes in rat nephron lumen.39 This suggests that the apical membrane
7
should be separated from the lateral one, but the lateral one should not be separated
8
from the basal one in the pharmacokinetic model. Hence, we dealt with the lateral and
9
basal membranes as “basolateral” membrane and constructed an apical-to-“basolateral”
10
direction model (Scheme 1), not an apical-to-“basal” direction model as described by
11
Adachi et al.2
12
Subsection 2; Integration of
13
in situ
PSa to b Ratio and
in vitro
PSa to b Ratio. In
14
this subsection, we integrate eqs. 1 and 2 to reconstruct the
15
vitro PSa to b
16
If test compounds are selective substrates for mdr1a, membrane permeability clearance,
17
except for mdr1a-mediated efflux, can be ascribed to passive diffusion, and eq. 3 is
18
obtained (the process of deriving eq. 3 is described in Supporting Information).
in situ
PSa to b ratio from the
in
ratio obtained by in vitro transcellular transport study across cell monolayers.
19 20
in situ
PSa, eff + in situ PSb, eff = in vitro PSa, eff + in vitro PSb, eff
21 22
Then, eqs. 1 and 2 can be combined to obtain eq. 4 using eq. 3.
23
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in situ PSa to b
ratio = 1 + in vitro PS a to b ratio - 1 ×
PSmdr1a in vitro PSmdr1a in situ
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(4)
1 2
Hoffmeyer et al. and Shirasaka et al. have suggested that MDR1 efflux activity
3
is proportional to its protein expression level in human small intestine and in vitro cell
4
monolayers.26,40 Hence, if there is no difference of intrinsic transport activity of mdr1a
5
(transport rate per mdr1a protein) between in situ and in vitro, the ratio of mdr1a efflux
6
activities in situ and in vitro is identical to the ratio of mdr1a protein expression levels
7
in situ and in vitro, as shown in eq. 5 (the process of deriving eq. 5 is described in
8
Supporting Information):
9
PSmdr1a in situ Amdr1a = in vitro PSmdr1a in vitro Amdr1a in situ
(5)
10 11
where
in situ Amdr1a
(fmol/µg plasma membrane protein) and in vitro Amdr1a (fmol/µg plasma
12
membrane protein) represent the mdr1a expression levels per 1 µg protein of the whole
13
plasma membrane of mouse jejunum and L-mdr1a cells, respectively. In the present
14
study, we quantified mdr1a protein expression levels in the duodenum, jejunum, and
15
ileum in mouse. For reconstruction of
16
because Adachi et al. performed their in situ intestinal perfusion study in jejunum.2
in situ
PSa to b ratio, we focused on the jejunum,
17 18
According to eqs. 4 and 5, in situ PSa to b ratio is converted to eq. 6.
19
in situ PSa to b
ratio = 1 + in vitro PSa to b ratio - 1 ×
in situ Amdr1a in vitro Amdr1a
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1
Subsection 3; Reconstruction of
2
in situ
PSa
to b
Ratio from In Vitro
3
Experiments. To calculate
4
apical-to-basolateral direction (in
5
monolayers,19 eq. 6 is converted to eq. 7 (the process of deriving eq. 7 is described in
6
Supporting Information)
in vitro
PSa to b ratios from the reported values of Papp in the vitro
Papp,
a to b)
in LLC-PK1 and L-mdr1a cell
7
in situ PSa to b
in vitro Papp, a to b in LLC-PK1
ratio = 1 +
in vitro Papp, a to b in L-mdr1a
- 1 ×
in situ Amdr1a
(7)
in vitro Amdr1a
8 9
where
in vitro
Papp, a to b
in LLC-PK1
and
in vitro
Papp, a to b
in L-mdr1a
represent the permeability
10
coefficient in the apical-to-basolateral direction across LLC-PK1 and L-mdr1a cell
11
monolayers, respectively, determined by in vitro transcellular transport study.
12
Here, in vitro Papp, a to b
in LLC-PK1
and
in vitro
Papp, a to b
in L-mdr1a
are determined by in
13
vitro transcellular transport study across L-mdr1a and parental cell monolayers,
14
respectively. The
15
protein expression levels in mouse small intestine and L-mdr1a cells, respectively.
16
Therefore, in situ PSa to b ratio can be reconstructed from in vitro experiments.
in situ
Amdr1a and
in vitro Amdr1a
are obtained by QTAP analysis of mdr1a
17 18
Prediction of Fa with
in situ
PSa to b Ratio. According to the tube model,41
in situ
19
PSa to b and the fraction absorbed (Fa), which is defined as the fraction absorbed into
20
intestinal epithelial cells from the lumen, can be integrated with the parameter of in situ
21
intestinal perfusion by applying the following equation (eq. 8);42
22
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in situ
PSa to b = -
Q × ln1 - Fa L
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(8)
1 2
where Q is the perfusion rate and L is the length of perfused segments. Hence, the PS product ratio between in the presence of MDR1 (wild-type) and
3 4
in the absence of MDR1 (knockout) can be represented by eq. 9;
5
in situ
PSa to b ratio =
ln1 - Fawithout MDR1 ln1 - Fawith MDR1
(9)
6 7
where Fawithout MDR1 and Fawith MDR1 represent the absorbed fraction in the absence of
8
MDR1 (knockout) and that in the presence of MDR1 (wild-type), respectively.
9
Furthermore, eq. 9 can be converted to eqs. 10 and 11.
10
Fawith MDR1 = 1 - 1 - Fawithout MDR11/in situ PSa to b ratio
(10)
Fawithout MDR1 Fawithout MDR1 = Fawith MDR1 1 - 1 - Fawithout MDR11/in situ PSa to b ratio
(11)
11
12 13
Theory for Reconstruction of Effective Absorption Ratio. In the present
14
study, we defined “effective absorption ratio” according to the following equations (eqs.
15
12 and 13).
16
effective absorption ratio =
in situ PSa to b in WT in situ
PSa to b in mdr1a/1b (-/-)
=
1 (12) in situ PSa to b ratio
17
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Molecular Pharmaceutics
1
in situ
PSa to b in WT = effective absorption ratio × in situ PSa to b in mdr1a/1b(-/-) (0 < effective absorption ratio ≤ 1)
2
(13)
3 4
Eq. 13 indicates that effective absorption ratio is a parameter reflecting the
5
degree of reduction of intestinal absorption by mdr1a-mediated efflux, and the value of
6
effective absorption ratio is smaller as the compound is a better substrate for mdr1a.
7
Statistical Analysis. All data represent the mean ± S.E.M. The values of S.E.M.
8 9
of
in vitro
PSa to b ratio, reconstructed
in situ
PSa to b ratio, and effective absorption ratio were
10
calculated according to the law of propagation of error as described previously.19 In
11
protein expression analysis, the values of the mean and S.E.M. of the protein expression
12
levels were calculated from the values in three or four sets of transitions in one pooled
13
sample from ten mice. The statistical significance of differences in protein expression
14
levels in the three segments of mouse small intestine was determined by one-way
15
ANOVA followed by Tukey’s post hoc test. A value of p < 0.05 was considered
16
statistically significant.
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1
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RESULTS
2
Quantification of Protein Expression Levels of Mdr1a in Plasma
3
Membrane Fraction of Mouse Jejunal Epithelial Cells and L-mdr1a Cell
4
Monolayer. The protein expression levels of mdr1a in the plasma membrane fraction of
5
epithelial cells isolated from mouse jejunum (Figure. S1) and L-mdr1a cell monolayers
6
were quantified by LC-MS/MS. Here, we quantified mdr1a protein expression levels in
7
the duodenum, jejunum, and ileum in mouse. We subsequently focused on the jejunum,
8
because Adachi et al. performed their in situ intestinal perfusion study with mouse
9
jejunum segments.2 The quantitative values were 7.57 ± 0.52 fmol/µg plasma membrane
10
protein in mouse jejunum and 45.7 ± 1.4 fmol/µg plasma membrane protein in L-mdr1a
11
cell monolayers (mean ± S.E.M.).
12
Reconstruction of
13
in situ
PSa
to b
Ratio from
in vitro
PSa
to b
Ratio and In
14
Vitro/In Vivo Difference in Protein Expression Levels of Mdr1a. The
15
ratios for 7 compounds, including 6 substrates of mdr1a (dexamethasone, digoxin,
16
loperamide, quinidine, verapamil, and vinblastine) and 1 non-substrate (diazepam), in
17
mouse jejunum were reconstructed by using eq. 7 (Table 1). The mean values of the
18
absolute protein expression levels of mdr1a in mouse jejunum (7.57 fmol/µg plasma
19
membrane protein) and L-mdr1a cell monolayers (45.7 fmol/µg plasma membrane
20
protein) were adopted for
21
permeability coefficient in the apical-to-basolateral direction across LLC-PK1 cell
22
monolayers (in vitro Papp, a to b in LLC-PK1) and L-mdr1a cell monolayers (in vitro Papp, a to b in
23
L-mdr1a)
24
reconstructed in situ PSa to b ratios of the 7 compounds agreed within a 2.1-fold difference
in situ
Amdr1a and
in vitro
in situ
PSa to b
Amdr1a, respectively. The values of the
for the 7 compounds were taken from our previous report19 (see Table 1). The
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Molecular Pharmaceutics
1
with the observed values in mouse jejunum, as reported by Adachi et al.2 (Figure 1,
2
correlation coefficient was 0.853).
3 4
Reconstruction of Effective Absorption Ratio. The observed and
5
reconstructed effective absorption ratios for 7 compounds, including 6 substrates of
6
mdr1a (dexamethasone, digoxin, loperamide, quinidine, verapamil, and vinblastine) and
7
1 non-substrate (diazepam), in mouse jejunum were calculated by using eq. 12 (Figure 2
8
and Table S3). The observed
9
reconstructed
in situ
in situ
PSa to b ratios were taken from Adachi et al.,2 and the
PSa to b ratios were taken from Table 1. The reconstructed effective
10
absorption ratios of the 7 compounds agreed within a 2.1-fold difference with the
11
observed values in mouse jejunum (Figure 2 and Table S3, correlation coefficient was
12
0.824).
13 14
Quantitative Analysis of Membrane Protein Expression in Mouse Small
15
Intestine. Intestinal epithelial cells were isolated from mouse duodenum, jejunum, and
16
ileum and the plasma membrane fractions were prepared. The protein expression levels
17
of 46 proteins in the plasma membrane fraction were examined by LC-MS/MS, and 16
18
of them, including 5 ABC transporters and 8 SLC transporters, were detected in all three
19
intestinal segments (Table 2). The other 30 molecules were not detected in any intestinal
20
segment; their limits of quantification (LQ) were calculated according to our previous
21
reports34,37 as described in experimental section (Table 3).
22
Among ABC transporters, mdr1a and bcrp were expressed at the highest levels
23
in all intestinal segments, followed by abcg5, abcg8, and mrp4. Among SLC
24
transporters, glut1, sglt1, lat2 and its associated protein (4f2hc), pept1, mct1, slc22a18, 21 ACS Paragon Plus Environment
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1
and ostβ were detected. The absolute protein expression levels of both mdr1a and bcrp
2
increased from the proximal to distal intestine and the levels of mdr1a and bcrp in the
3
ileum were 1.8-, and 1.5-fold higher than those in the duodenum, respectively. Sglt1,
4
lat2, and 4f2hc were more highly expressed in jejunum and ileum than in duodenum.
5
Mct1 and ostβ were more strongly expressed in ileum than in duodenum or jejunum.
6
The expression of mrp2, which reportedly plays a role in mouse small
7
intestine,8,9 was under the limit of quantification. Similarly, mrp3 and asbt, which have
8
been immunohistochemically detected in mouse small intestine,43,30 were not detected in
9
the present study.
10 11
In addition to the ABC and SLC transporters, expression of 3 marker proteins, villin1, Na+/K+-ATPase, and gamma-glutamyl transpeptidase (γ-gtp), was detected.
12
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1
DISCUSSION
2
This is the first study to demonstrate that the contribution of mdr1a to lumen-to-blood
3
absorption in mouse small intestine can be reconstructed from in vitro mdr1a transport
4
activity and mdr1a protein expression levels in mouse small intestine and
5
mdr1a-transfected cell monolayers. This result indicates that the previously reported
6
theory underlying PPx-based reconstruction of the function of MDR1/mdr1a at the
7
BBB19-21 is also applicable to mdr1a in mouse small intestine.
8
In the previous reported reconstruction of mdr1a function at the BBB,19 the
9
reconstructed values were calculated using the mdr1a expression levels in whole cell
10
lysate of both brain capillaries and L-mdr1a cells. On the other hand, in the present
11
study, we employed the mdr1a expression in plasma membrane of both small intestine
12
and L-mdr1a cells for reconstruction of the mdr1a functions in small intestine. In the
13
present theory for reconstruction, we defined
14
product in the apical-to-basolateral direction per 1 µg protein of the plasma membrane
15
in mouse small intestinal epithelial cells and L-mdr1a cells, respectively. Accordingly,
16
we assumed that the surface area per 1 µg protein of the plasma membrane in mouse
17
small intestine is equal to that in LLC-PK1 cells, as described in eq. S4 (Supporting
18
Information). If we employ the mdr1a expression levels in whole cell lysate in mouse
19
small intestine and L-mdr1a cells for reconstruction in small intestine, eq. S4 would
20
represent the assumption that there is no difference of surface area of plasma membrane
21
per 1 µg protein of the whole cell lysate between mouse small intestine and LLC-PK1
22
cells. However, microvilli greatly increase the apical surface area per unit cell in small
23
intestine,44 whereas the microvilli in LLC-PK1 cells are sparse.45 Hence, in the present
24
reconstruction, we considered that using the protein expression levels in plasma
in situ
PSa to b and
23 ACS Paragon Plus Environment
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PSa to b as the PS
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1
membrane would reduce the difference of surface area per unit cell between small
2
intestine and LLC-PK1 cells compared with the use of expression levels in whole cell
3
lysate. Therefore, we quantified the mdr1a expression levels in plasma membrane of
4
mouse small intestine and L-mdr1a cells, and established suitable theory for
5
reconstruction of
6
small intestinal epithelial cells.
in situ
PSa to b ratio per 1 µg protein of the plasma membrane in mouse
7
Our achievement opens up the possibility of investigating the intrinsic
8
functions of individual transporters in intestinal absorption. Like mdr1a, other ABC
9
transporters, such as bcrp and mrp2, play important roles in intestinal drug
10
absorption.5-9,17,18 The efflux activities of not only mdr1a, but also bcrp and mrp2 can be
11
obtained by in vitro transcellular transport study across monolayers of cells expressing
12
these transporters.46-49 Therefore, the efflux activities of bcrp and mrp2 for their
13
substrates in small intestine could be also clarified by employing the same PPx-based
14
reconstruction strategy as used for mdr1a.
15
The theory used for PPx-based reconstruction would also be applicable to
16
transporters expressed in colon. Some drugs are absorbed in colon as well as small
17
intestine,50 suggesting that the effect of transporters expressed in colon should also be
18
taken into consideration. The protein expression level and activity of mdr1a in colon are
19
almost the same as those of jejunum and ileum in mouse small intestine.3 Therefore, it
20
would be important to evaluate the effect of mdr1a on colonic absorption, if compounds
21
absorbed in colon are substrates of mdr1a. The contribution of mdr1a to colonic
22
absorption could be evaluated by employing a PPx-based reconstruction model with
23
mdr1a protein expression levels in colon.
24
The theory for PPx-based reconstruction would be applicable to human small 24 ACS Paragon Plus Environment
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1
intestinal absorption as well. Human MDR1-mediated transport activities in small
2
intestine (in
3
activity across human MDR1-transfected and parental cell monolayers together with
4
protein expression levels of MDR1 in plasma membrane fractions of human small
5
intestine and human MDR1-transfected cell monolayers. Furthermore, PPx-based
6
reconstruction allows us to predict Fa for MDR1 substrates. The in situ PSa to b ratio can be
7
predicted from in vitro data by using the PPx-based reconstruction method. Additionally,
8
for selective substrates for MDR1, the values of Fawithout MDR1 follow the kinetics of
9
passive diffusion and can be predicted from in vitro analysis, such as PAMPA
10
models.51,52 Therefore, the Fa values of selective substrates for MDR1 in human can be
11
predicted from in vitro data, using eq. 10. Furthermore, by using eq. 11, it is possible to
12
predict quantitatively the contribution of MDR1-mediated efflux to oral absorption and
13
the increase in the Fa values with maximum inhibition of MDR1 caused by drug-drug
14
interaction (DDI). This is expected to be useful for predicting the absorbed amounts or
15
the risk of toxicity of drug candidates in drug discovery.
situ
PSa
to b
ratio) could be reconstructed from in vitro MDR1 transport
16
In the present theory for reconstruction, we assumed that the permeability
17
coefficients of passive diffusion in apical and basolateral efflux in mouse small
18
intestinal epithelial cells and in LLC-PK1 cells are all equal (eq. S1) as described in
19
Supporting Information. The proportions of phospholipids constructing the plasma
20
membrane have been reported to be different in the apical and basolateral membranes in
21
small intestinal epithelial cells, and plasma membrane in LLC-PK1 cells.53,54 In rat and
22
monkey small intestine, Nishimura et al demonstrated that the permeability coefficients
23
for apical and basolateral efflux of midazolam, which penetrates the cell membrane by
24
passive diffusion, were approximately equal.55 In addition, the proportions of 25 ACS Paragon Plus Environment
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1
phospholipids constructing the plasma membrane have been reported to be different
2
between LLC-PK1 and MDCKII (Madin–Darby canine kidney type II) cell
3
monolayers.54,56 However, Kodaira et al. showed that there is little difference in the
4
passive permeability coefficients of various compounds between LLC-PK1 cell and
5
MDCKII cell monolayers.46 These results indicate that the permeability coefficients of
6
passive diffusion are almost the same, regardless of differences in the proportions of
7
phospholipids constructing cell membranes, and thus underpin our assumption of
8
equivalence of all permeability coefficients in the four kinds of cell membranes in
9
mouse small intestinal epithelial cells and LLC-PK1 cells.
10
There was a large difference in surface area between the apical and basolateral
11
membrane in small intestinal epithelial cells, because abundant microvilli exist at the
12
apical membrane. In rat small intestine, it has been reported that the mucosal surface
13
area taking account of the microvilli was almost 20-fold greater than that without
14
consideration of the microvilli by electron-microscopic morphometry.44 On the other
15
hand, in cultured kidney epithelial cell monolayers, such as LLC-PK1 and MDCK cell
16
monolayers, few microvilli were observed at the apical membranes,45 and the surface
17
area of the apical membrane was reported to be approximately equal to that of the basal
18
membrane in MDCK cells by electron-microscopic morphometry.57 These results
19
suggested that the ratios of the surface areas of the apical and the basolateral membranes
20
per unit cell are greatly different between the small intestine and cultured epithelial cell
21
monolayers. For this reason, in the present study, we took account of the proportion of
22
each cell membrane (% of in situ AM, % of in situ BM, % of in vitro AM, and % of in vitro BM),
23
as described in subsections S1 and S2 in the theory for reconstruction of
24
ratio (Supporting Information). However, the proportion of each cell membrane was not 26 ACS Paragon Plus Environment
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PSa to b
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Molecular Pharmaceutics
1
included in the definitive equation for reconstruction (eq. 7). This suggested that the
2
reconstruction of mdr1a efflux activity was not affected by the differences in the
3
proportions of the surface areas in the apical and the basolateral membranes between
4
mouse small intestinal epithelial cells and LLC-PK1 cells.
5
The apical influx (PSinf) might also be different between mouse small intestine
6
and LLC-PK1 cells. Functional analyses of mdr1a was carried out at different pH values
7
in the in situ intestinal perfusion study (pH 6.4)2 and in vitro transcellular transport
8
study (pH 7.4).19 The difference of the pH value could affect the proportions of the ionic
9
and molecular forms of compounds. Various anionic or cationic compounds exhibit
10
different permeability coefficients under different pH conditions in transcellular
11
transport across Caco-2 cell monolayers.58 Thus, the PSinf values might also be different
12
between in situ intestinal perfusion and in vitro transcellular transport. In addition to the
13
difference in pH value, the effects of the unstirred water layer have been reported to be
14
different between small intestine and in vitro cell monolayers.59-61 The influx
15
permeability of compounds with high membrane permeability could be affected by the
16
unstirred water layer. It has been reported that the difference of unstirred water layer
17
thickness caused a ~5 fold difference of the permeability coefficient of compounds with
18
high passive membrane permeability between human small intestine and Caco-2 cell
19
monolayers.62 Thus, PSinf could be different between mouse small intestine and in vitro
20
cell monolayers due to differences in pH or in the unstirred water layer. However, these
21
effects could be offset in the process of deriving the equations for the
22
and the
23
mdr1a (-/-) mice and wild-type mice or L-mdr1a cells and parental LLC-PK1 cells,
24
respectively.
in vitro PSa to b
in situ
PSa to b ratio
ratio (eqs. 1 and 2), unless the PSinf values are different between
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1
The purity of isolated intestinal epithelial cells and the prepared plasma
2
membrane is critical for successful reconstruction of intestinal transporter activity. The
3
isolated cells could contain not only epithelial cells, but also lamina propria mucosae or
4
muscular layer to some extent. In addition, it is possible that the purity of plasma
5
membrane is different between mouse intestinal epithelial cells and L-mdr1a cells.
6
Membrane properties, such as the proportions of phospholipids constructing the plasma
7
membrane, have been reported to be different between mouse intestinal epithelial cells
8
and LLC-PK1 cells.53,54 Therefore, the ratios of plasma membrane proteins in the
9
obtained fractions could be different between small intestine and L-mdr1a cells, and
10
there could be differences in the levels of contamination by other fractions, such as
11
microsomal fraction. If the purity of isolated intestinal epithelial cells and the prepared
12
plasma membrane is low, the reconstructed
13
observed values due to underestimation of protein expression levels of transporters in
14
mouse intestinal epithelial cells. However, the reconstructed values of
15
were in good agreement with observed ones, indicating that there is little difference in
16
the purity of isolated intestinal epithelial cells and prepared plasma membrane between
17
mouse small intestine and L-mdr1a cells. Among the 7 compounds we examined,
18
quinidine, which is the best substrate for mdr1a, showed the most underestimated value
19
of reconstructed
20
2.1-fold smaller than the observed value.2 The effect of the second term of the right side
21
of eq. 6 becomes greater for compounds that are better substrates of mdr1a, because
22
good substrates of mdr1a have high values of in vitro PSa to b ratio. Therefore, even a small
23
difference of purity between mouse small intestine and L-mdr1a cells could contribute
24
to underestimation of the reconstructed values for the best substrates of mdr1a, such as
in situ
in situ
PSa to b ratios would be lower than the
in situ
PSa to b ratio
PSa to b ratio (Figure 1); the reconstructed value of quinidine was
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1
quinidine. To obtain intestinal epithelial cells with extremely high purity, a method such
2
as FACS (fluorescence-activated cell sorter) sorting with epithelial cell marker protein
3
could be used in future studies.
4
There is a possibility that normalization of the protein expression, by dividing
5
the protein expression level of the targeted transporter by that of the membrane marker,
6
could be done to correct for any difference of purity of plasma membrane between
7
mouse jejunum and L-mdr1a cells. We quantified γ-gtp as an apical membrane marker63,
8
and Na+/K+-ATPase as a basolateral membrane marker64 in mouse small intestine (Table
9
2). However, we did not quantify these membrane markers in L-mdr1a cells. LLC-PK1
10
cells are a porcine kidney epithelial cell line, and are not derived from intestine, and we
11
previously showed that the protein expression levels of γ-gtp and Na+/K+-ATPase differ
12
between tissues.33 Therefore, normalization of protein expression levels of transporters
13
with marker proteins appears not to be suitable for the reconstruction of intestinal
14
transporter functions.
15
High substrate selectivity of the targeted transporter in small intestine and
16
LLC-PK1 cells is important for successful reconstruction in our present theory, and
17
contributions of other transporters to transport activity of test compounds should be
18
excluded. In the present reconstruction theory, we assumed that the apical efflux, except
19
for mdr1a-mediated efflux, and the basolateral efflux are due only to passive diffusion.
20
If the transport activity of other transporters enhances the values of in situ PSa, eff and/or in
21
situ
22
according to eq. 1. Hence, reconstructed
23
with the observed ones, if test compounds are substrates of other transporters than
24
mdr1a in mouse small intestine or LLC-PK1 cells. We chose digoxin as a model
PSb, eff, the observed in situ PSa to b ratios would be smaller than the reconstructed ones, in situ
PSa to b ratios would not be in agreement
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1
substrate for mdr1a to verify the PPx-based reconstruction strategy, but digoxin is also a
2
substrate of ostα/β,65 which is a basolateral efflux transporter, and ostβ is expressed in
3
the jejunum (Table 2). According to eq. 1, the actual value of in situ PSa to b ratio would be
4
smaller when ostα/β transport is taken into consideration in basolateral efflux (in situ PSb,
5
eff),
6
assumed that the contribution of ostα/β transport to digoxin absorption in mouse
7
jejunum can be neglected for the following reason. Stephens et al. evaluated the
8
bidirectional (apical-to-basolateral and basolateral-to-apical) permeability of digoxin in
9
isolated jejunum of wild-type and mdr1a (-/-) mice by employing an Ussing chamber
10
technique.3 They found that the permeability of digoxin in the basolateral-to-apical
11
direction was higher than that in the apical-to-basolateral direction in jejunum of
12
wild-type mice, whereas there was no difference of the permeability of digoxin between
13
the basolateral-to-apical and apical-to-basolateral directions in jejunum of mdr1a (-/-)
14
mice. This result indicated that the absorption of digoxin was predominantly restricted
15
by mdr1a, and the contribution of other transporters including ostα/β would be small in
16
mouse jejunal absorption. In addition, in L-mdr1a and LLC-PK1 cells, the transport
17
activity of endogenous porcine kidney transporter can affect the result of reconstruction
18
of mdr1a, although we have not performed protein quantification of ABC and SLC
19
transporters, except for mouse mdr1a, in L-mdr1a cells. If the transport activity of
20
background transporters increases the value of PSa, eff and/or PSb, eff, the value of the
21
vitro PSa to b
22
b
23
which is the value of permeability coefficient in the basolateral-to-apical direction
24
divided by that in the apical-to-basolateral direction, was 0.5-2 for the compounds we
because the
in situ
PSb,
eff
value is increased by ostα/β transport. However, we
in
ratio would be smaller, according to eq. 2, so that the reconstructed in situ PSa to
ratio would be underestimated, according to eq. 6. However, the value of flux ratio,
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used (dexamethasone, digoxin, loperamide, quinidine, verapamil, vinblastine, and
2
diazepam) in parental LLC-PK1 cells, as described in our previous report.19 If the
3
transport of test compounds is not affected by other transporters, the value of the flux
4
ratio in parental LLC-PK1 cells would theoretically be 1, so the endogenous porcine
5
kidney transporter appears to have little impact on transport of test compounds in the
6
present study.
7
In the present study, we also defined “effective absorption ratio” as shown in
8
eqs. 12 and 13. Eq. 13 indicates that effective absorption ratio is a parameter reflecting
9
the degree of reduction of intestinal absorption by mdr1a-mediated efflux, and the value
10
of effective absorption ratio becomes smaller for compound that are better substrates for
11
mdr1a. We found that there was a good correspondence between observed and
12
reconstructed values of effective absorption ratio, suggesting that effective absorption
13
ratio can also be reconstructed from in vitro findings (Figure 2 and Table S3).
14
In the analysis of protein expression in small intestine, epithelial cells have
15
been obtained by various methods, such as scraping mucosa from the underlying
16
underlying lamina propria mucosae and muscular layer22 or blocking Ca2+-dependent
17
epithelial cell adhesion with EDTA.23 In the present study, in order to ensure that
18
information on transporter expression reflected transport function, we considered that it
19
would be important to obtain intestinal epithelial cells with high purity and to quantify
20
the absolute protein expression levels of transporters in the plasma membrane, which is
21
the site of action of transporters. Therefore, we isolated epithelial cells from mouse
22
small intestine with EDTA with little contamination of lamina propria mucosae or
23
muscular layer and quantified the absolute protein expression level of mdr1a in the
24
plasma membrane fraction. The fact that we were able to reconstruct the efflux activity 31 ACS Paragon Plus Environment
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1
of mdr1a accurately suggests that the absolute protein expression levels of transporters
2
obtained by the present methods well reflect the in vivo transport activities.
3
In addition to mdr1a, various other transporters are also expressed in small
4
intestine and it is important to understand the differences in their functions. The QTAP
5
methods can simultaneously quantify multiple transporters expressed in small
6
intestine.33 However, some transporters in small intestine exhibit regional differences in
7
expression.3,710,27-32 Hence, it is important to take these issues into account for
8
understanding the absorption in the entire small intestine. We elucidated the absolute
9
expression levels of 46 molecules, including 43 transporters, in mouse duodenum,
10
jejunum, and ileum, using plasma membrane fractions of epithelial cells isolated by the
11
EDTA method.
12
Among the target molecules, 13 transporters were detected (Table 2), while 30
13
transporters were not detected in mouse small intestine (Table 3). The latter 30
14
transporters include molecules such as mrp2, mrp3, and asbt, which have been reported
15
to play a role in intestinal absorption based on studies in knockout mice8,9 or have been
16
immunohistochemically detected in mouse small intestine.43,30 A possible reason why
17
these transporters were not detected in mouse small intestine is insufficient digestion of
18
these molecules by lysyl endopeptidase and trypsin. The efficiency of enzyme digestion
19
is one of the key points for absolute quantification of target proteins. We previously
20
confirmed that no bands larger than 20 kDa were observed by SDS-PAGE after trypsin
21
digestion in brain capillary endothelial cells, liver plasma membrane, renal cortex and
22
medulla plasma membrane of mouse, suggesting that enzyme digestion proceeds
23
efficiently.33 Moreover, in that work, we performed enzyme digestion with only
24
trypsin,33 whereas in the present study we used lysyl endopeptidase and Protease Max in 32 ACS Paragon Plus Environment
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1
addition to trypsin. We reported elsewhere that combined digestion with lysyl
2
endopeptidase, trypsin, and Protease Max gave a dramatic improvement of the digestion
3
rate as compared with single digestion with trypsin.36 Thus, it is likely that enzyme
4
digestion proceeded efficiently in brain capillary endothelial cells, liver plasma
5
membrane, renal cortex and medulla plasma membrane of mouse; nevertheless, it would
6
be desirable to confirm the digestion efficiency in mouse small intestine samples in the
7
future.
8
Bcrp plays role in apical efflux of diverse drugs and sulfate conjugates,5-7 and
9
its absolute expression level was as high as that of mdr1a (Table 2). Pept1, which is
10
involved in the intestinal absorption of peptide-like drugs such as β-lactam
11
antibiotics,11,66 showed high-level expression, similar to mdr1a and bcrp (Table 2).
12
In contrast, expression of mrp2, which may be involved in apical efflux of
13
anionic drugs in small intestine8,9 was under the limit of quantification and its
14
expression level was at least 28- and 26-fold lower than those of mdr1a and bcrp,
15
respectively (Tables 2 and 3). In previous studies, mrp2 gene expression was observed
16
in mouse small intestine29 and its contribution to intestinal absorption was confirmed by
17
employing mrp2 (-/-) mice.8,9 In human intestine, MRP2 protein expression was
18
detected in fractions of crude membrane by employing the QTAP technique,24,25
19
suggesting that the intestinal efflux activity of MRP2 in human might be higher than
20
that in mouse. However, drugs for which mrp2 was reported to contribute to intestinal
21
absorption are also substrates of mdr1a or bcrp,8,9,49 making it difficult to elucidate
22
species differences of intrinsic efflux activity of MRP2/mrp2 in intestinal absorption.
23
Evaluation by means of the reconstruction method reported here, or functional analyses
24
with highly selective substrates or inhibitors of MRP2/mrp2 might be useful to address 33 ACS Paragon Plus Environment
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1
this question in the future.
2
For discussion of regional differences of transporter expression in duodenum,
3
jejunum, and ileum, it is important to consider the purity of the intestinal epithelial cells
4
and the prepared plasma membrane. We quantified γ-gtp as an apical membrane
5
marker,63 and Na+/K+-ATPase as a basolateral membrane marker64 in mouse small
6
intestine to confirm that the purity of intestinal epithelial cells and prepared plasma
7
membrane was consistent throughout the duodenum, jejunum, and ileum. In the present
8
study, expression of γ-gtp was highest in the jejunum and regional difference was
9
observed in mouse small intestine (Table 2). Ferraris et al. showed that the specific
10
activity of γ-gtp was highest in the upper jejunum in mouse small intestine.67 Hence, the
11
regional difference in γ-gtp protein expression appears to be well correlated with that in
12
its function. Furthermore, we showed that protein expression of Na+/K+-ATPase was
13
approximately equal in mouse duodenum, jejunum, and ileum (Table 2). The expression
14
levels of α-subunit of Na+/K+-ATPase were reported to be similar in three segments of
15
mouse small intestine.68 These results indicate that the distributions of membrane
16
markers in the apical and basolateral membranes in the present study were in agreement
17
with previous findings, supporting the consistency of purity level of intestinal epithelial
18
cells and prepared plasma membrane in duodenum, jejunum, and ileum, and thereby
19
supporting the validity of the present method for evaluating intestinal regional
20
differences in protein expression levels of membrane transporters.
21
As for protein expression levels in duodenum, jejunum, and ileum, expression
22
of mdr1a and bcrp increased from the duodenum to the ileum (1.8- and 1.5-fold greater
23
in ileum than in duodenum, respectively; Table 2). It has been reported that mRNA or
24
protein expression levels and efflux activities of mdr1a and bcrp increased from the 34 ACS Paragon Plus Environment
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proximal to the distal regions in mouse small intestine,3,7,27,28 in concordance with our
2
results. The protein expression level of P-gp in human small intestine has also been
3
reported to increase from the duodenum to the ileum.31,32 For example, Mouly and Paine
4
reported that the protein expression level of P-gp in the ileum was 1.5- to 3.0-fold
5
higher than that in the duodenum in human small intestine,32 implying that regional
6
differences of mdr1a/P-gp expression might be similar in mouse and human. In contrast,
7
unlike mouse small intestine, it has been reported that there was no significant regional
8
difference in BCRP protein expression level in human small intestine,31 implying that
9
there might be species differences in regional expression pattern of BCRP between
10
mouse and human. Ostβ was strongly expressed in the ileum, as compared with the
11
duodenum and the jejunum (Table 2), in accordance with a previous report.30 The
12
present study is the first to find that the protein expression level of ostβ is remarkably
13
higher than those of other transporters in mouse ileum. Ostβ is located at the basolateral
14
surface in mouse ileum; it forms a heteromeric complex with ostα and plays a role in
15
bile acid transport from the intracellular milieu to blood.30 Since we could not design a
16
suitable ostα specific peptide, we performed quantitative analysis of only ostβ.
17
Comprehensive screening to identify substrates of ostα/β has not yet been performed,
18
but it has been reported that ostα/β transports steroidal drugs, such as digoxin, and
19
ostα/β-mediated transport activity was inhibited by various organic anionic drugs
20
including indomethacin, sulfobromophthalein, probenecid, and spironolactone.65
21
Therefore, ostα/β can recognize various organic anionic drugs and might be involved in
22
their transport. Transportability by ostα/β could be an important factor in development
23
of drugs for rapid intestinal absorption.
24
In addition to drug transporters, various nutrient transporters (abcg5, abcg8, 35 ACS Paragon Plus Environment
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1
glut1, sglt1, lat2/4f2hc, pept1, mct1, and ostβ) were expressed at the protein level (Table
2
2). Among these transporters, sglt1, lat2/4f2hc, pept1, mct1, and ostβ showed
3
comparatively high expression levels (Table 2), implying that they play an important
4
role in nutrient absorption in mouse small intestine. Sglt1, lat2/4f2hc, and mct1 were
5
strongly expressed in the lower segment, as compared with the upper segment (Table 2).
6
Indeed, the protein expression levels of lat2 and 4f2hc have been reported to be higher
7
in jejunum and ileum than in duodenum in mouse small intestine.69 Similarly, Pept1
8
expression levels in jejunum and ileum tended to be higher than that in duodenum,
9
although this difference was not statistically significant (Table 2). Sglt1, lat2/4f2hc,
10
pept1, and mct1 recognize glucose, amino acids, di/tri-peptides, and short-chain fatty
11
acids as transport substrates, respectively. The pancreatic juice secreted into duodenum
12
digests food components to generate these substrates. Considering the digestion time,
13
higher expression of these transporters in the distal segment of small intestine could be
14
favorable for effective nutrient absorption, because the concentrations of these
15
substrates might be highest in the distal intestinal segment. In addition, ostα/β plays a
16
role in extraction of bile acids from the small intestine.30 Bile acids aid the absorption of
17
lipophilic substances by micellization. Since bile acids are secreted from the duodenum,
18
the localization of ostα/β in ileum could be favorable for maintaining high
19
concentrations of bile acids in the intestinal lumen to promote absorption of lipophilic
20
substances.
21
In conclusion, we have demonstrated that the contribution of mdr1a to
22
intestinal absorption can be reconstructed by integrating in vitro transport activity per
23
mdr1a molecule and protein expression level of mdr1a in mouse small intestine, using
24
the PPx-based reconstruction method. Furthermore, we determined the absolute protein 36 ACS Paragon Plus Environment
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1
expression levels of 13 transporters in mouse duodenum, jejunum, and ileum. It should
2
be possible to extend the PPx-based reconstruction strategy to establish the individual
3
contributions of other transporters to drug intestinal absorption, and also to predict
4
quantitatively the degree of DDI at intestinal transporters.
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1
ASSOCIATED CONTENT
2
Supporting Information
3
Additional supporting information may be found in the online version of this article at
4
the publisher's web-site:
5
Additional Theory for Reconstruction of in situ PSa to b Ratio.
6
Figure S1. Mouse small intestinal epithelial cells isolated by EDTA treatment.
7
Table S1. Peptide probes and SRM/MRM transitions for triple quadrupole mass
8
spectrometer.
9
Table S2. Peptide probes and SRM/MRM transitions for Triple TOF 5600.
10
Table S3. Comparison of Observed and Reconstruction Effective Absorption Ratios.
11 12
AUTHOR INFORMATION
13
Corresponding Author
14
*Division of Membrane Transport and Drug Targeting, Graduate School of
15
Pharmaceutical Sciences, Tohoku University, 6-3 Aoba, Aramaki, Aoba-ku, Sendai,
16
980-8578, Miyagi, Japan. Voice, +81-22-795-6831; FAX, +81-22-795-6886.
17
E-mail,
[email protected] 18 19
Note
20
Regarding conflicts of interest, Tetsuya Terasaki and Sumio Ohtsuki are full professors
21
at Tohoku University and Kumamoto University, respectively, and are also directors of
22
Proteomedix Frontiers Co., Ltd. This study was not supported by Proteomedix Frontiers
23
Co., Ltd., and their positions at Proteomedix Frontiers Co., Ltd. did not influence the
24
design of the study, the collection of the data, the analysis or interpretation of the data, 38 ACS Paragon Plus Environment
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1
the decision to submit the manuscript for publication, or the writing of the manuscript
2
and did not present any financial conflicts. The other authors declare no competing
3
interests.
4 5
ACKNOWLEDGEMENTS
6
We thank Dr. Alfred H. Schinkel for providing L-mdr1a and parental LLC-PK1 cells.
7
We thank Ms. Akiko Niitomi for her secretarial assistance. This study was supported in
8
part by two Grants-in-Aid from the Japanese Society for the Promotion of Science
9
(JSPS) for Scientific Research (S) [KAKENHI: 18109002] and for Scientific Research
10
(A) [KAKENHI: 24249011] and the Nakatomi Foundation.
11 12
ABBREVIATIONS USED
13
ABC, ATP-binding cassette; DDI, drug-drug interaction; LC-MS/MS, liquid
14
chromatography tandem mass spectrometry; LQ, limit of quantification; MDR1,
15
multidrug resistance protein 1; mdr1a, multidrug resistance protein 1a; Papp, apparent
16
permeability coefficient; PPx, pharmacoproteomics; PS, permeability-surface area;
17
QTAP, quantitative targeted absolute proteomics; SLC, solute carrier; SRM/MRM,
18
selected/multiple reaction monitoring; ULQ, under the limit of quantification.
19
39 ACS Paragon Plus Environment
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(13) Zamek-Gliszczynski, M. J.; Bedwell, D. W.; Bao, J. Q.; Higgins, J. W. Characterization of SAGE Mdr1a (P-gp), Bcrp, and Mrp2 knockout rats using loperamide, paclitaxel, sulfasalazine, and carboxydichlorofluorescein pharmacokinetics. Drug Metab. Dispos. 2012, 40, (9), 1825-33. (14) Tapaninen, T.; Backman, J. T.; Kurkinen, K. J.; Neuvonen, P. J.; Niemi, M. Itraconazole, a P-glycoprotein and CYP3A4 inhibitor, markedly raises the plasma concentrations and enhances the renin-inhibiting effect of aliskiren. J. Clin. Pharmacol. 2011, 51, (3), 359-67. (15) Shon, J. H.; Yoon, Y. R.; Hong, W. S.; Nguyen, P. M.; Lee, S. S.; Choi, Y. G.; Cha, I. J.; Shin, J. G. Effect of itraconazole on the pharmacokinetics and pharmacodynamics of fexofenadine in relation to the MDR1 genetic polymorphism. Clin. Pharmacol. Ther. 2005, 78, (2), 191-201. (16) Delavenne, X.; Ollier, E.; Basset, T.; Bertoletti, L.; Accassat, S.; Garcin, A.; Laporte, S.; Zufferey, P.; Mismetti, P. A semi-mechanistic absorption model to evaluate drug-drug interaction with dabigatran: application with clarithromycin. Br. J. Clin. Pharmacol. 2013, 76, (1), 107-13. (17) Allred, A. J.; Bowen, C. J.; Park, J. W.; Peng, B.; Williams, D. D.; Wire, M. B.; Lee, E. Eltrombopag increases plasma rosuvastatin exposure in healthy volunteers. Br. J. Clin. Pharmacol. 2011, 72, (2), 321-9. (18) Kusuhara, H.; Furuie, H.; Inano, A.; Sunagawa, A.; Yamada, S.; Wu, C.; Fukizawa, S.; Morimoto, N.; Ieiri, I.; Morishita, M.; Sumita, K.; Mayahara, H.; Fujita, T.; Maeda, K.; Sugiyama, Y. Pharmacokinetic interaction study of sulphasalazine in healthy subjects and the impact of curcumin as an in vivo inhibitor of BCRP. Br. J. Pharmacol. 2012, 166, (6), 1793-803. 42 ACS Paragon Plus Environment
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2010, 7, (5), 1596-607. (32) Mouly, S.; Paine, M. F. P-glycoprotein increases from proximal to distal regions of human small intestine. Pharm. Res. 2003, 20, (10), 1595-99. (33) Kamiie, J.; Ohtsuki, S.; Iwase, R.; Ohmine, K.; Katsukura, Y.; Yanai, K.; Sekine, Y.; Uchida, Y.; Ito, S.; Terasaki, T. Quantitative atlas of membrane transporter proteins: development and application of a highly sensitive simultaneous LC/MS/MS method combined with novel in-silico peptide selection criteria. Pharm. Res. 2008, 25, (6), 1469-83. (34) Uchida, Y.; Zhang, Z.; Tachikawa, M.; Terasaki, T. Quantitative targeted absolute proteomics of rat blood-cerebrospinal fluid barrier transporters: comparison with a human specimen. J. Neurochem. 2015, 134, (6), 1104-15. (35) Ohtsuki, S.; Ikeda, C.; Uchida, Y.; Sakamoto, Y.; Miller, F.; Glacial, F.; Decleves, X.; Scherrmann, J. M.; Couraud, P. O.; Kubo, Y.; Tachikawa, M.; Terasaki, T. Quantitative targeted absolute proteomic analysis of transporters, receptors and junction proteins for validation of human cerebral microvascular endothelial cell line hCMEC/D3 as a human blood-brain barrier model. Mol. Pharm. 2013, 10, (1), 289-96. (36) Uchida, Y.; Tachikawa, M.; Obuchi, W.; Hoshi, Y.; Tomioka, Y.; Ohtsuki, S.; Terasaki, T. A study protocol for quantitative targeted absolute proteomics (QTAP) by LC-MS/MS: application for inter-strain differences in protein expression levels of transporters, receptors, claudin-5, and marker proteins at the blood-brain barrier in ddY, FVB, and C57BL/6J mice. Fluids Barriers CNS 2013, 10, (1), 21. (37) Uchida, Y.; Ohtsuki, S.; Katsukura, Y.; Ikeda, C.; Suzuki, T.; Kamiie, J.; Terasaki, T. Quantitative targeted absolute proteomics of human blood-brain barrier transporters and receptors. J. Neurochem. 2011, 117, (2), 333-45. 45 ACS Paragon Plus Environment
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cancer resistance protein at the blood-brain barrier on the predictability of the unbound concentrations of drugs in the brain using cerebrospinal fluid concentration as a surrogate. J. Pharmacol. Exp. Ther. 2011, 339, (3), 935-44. (47) Poirier, A.; Portmann, R.; Cascais, A. C.; Bader, U.; Walter, I.; Ullah, M.; Funk, C. The need for human breast cancer resistance protein substrate and inhibition evaluation in drug discovery and development: why, when, and how? Drug Metab. Dispos. 2014, 42, (9), 1466-77. (48) Tang, F.; Horie, K.; Borchardt, R. T. Are MDCK cells transfected with the human MRP2 gene a good model of the human intestinal mucosa? Pharm. Res. 2002, 19, (6), 773-9. (49) Enokizono, J.; Kusuhara, H.; Ose, A.; Schinkel, A. H.; Sugiyama, Y. Quantitative investigation of the role of breast cancer resistance protein (Bcrp/Abcg2) in limiting brain and testis penetration of xenobiotic compounds. Drug Metab. Dispos. 2008, 36, (6), 995-1002. (50) Rouge, N.; Buri, P.; Doelker, E. Drug absorption sites in the gastrointestinal tract and dosage forms for site-specific delivery. Int. J. Pharm. 1996, 136, (1), 117-39. (51) Sugano, K.; Takata, N.; Machida, M.; Saitoh, K.; Terada, K. Prediction of passive intestinal absorption using bio-mimetic artificial membrane permeation assay and the paracellular pathway model. Int. J. Pharm. 2002, 241, (2), 241-51. (52) Chen, X.; Murawski, A.; Patel, K.; Crespi, C. L.; Balimane, P. V. A novel design of artificial membrane for improving the PAMPA model. Pharm. Res. 2008, 25, (7), 1511-20. (53) Kawai, K.; Fujita, M.; Nakao, M. Lipid components of two different regions of an intestinal epithelial cell membrane of mouse. Biochim. Biophys. Acta. 1974, 369, (2), 47 ACS Paragon Plus Environment
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222-33. (54) Morita, S.; Ikeda, N.; Horikami, M.; Soda, K.; Ishihara, K.; Teraoka, R.; Terada, T.; Kitagawa, S. Effects of phosphatidylethanolamine N-methyltransferase on phospholipid composition, microvillus formation and bile salt resistance in LLC-PK1 cells. Febs J. 2011, 278, (24), 4768-81. (55) Nishimura, T.; Amano, N.; Kubo, Y.; Ono, M.; Kato, Y.; Fujita, H.; Kimura, Y.; Tsuji, A. Asymmetric intestinal first-pass metabolism causes minimal oral bioavailability of midazolam in cynomolgus monkey. Drug Metab. Dispos. 2007, 35, (8), 1275-84. (56) Delaunay, J. L.; Breton, M.; Trugnan, G.; Maurice, M. Differential solubilization of inner plasma membrane leaflet components by Lubrol WX and Triton X-100. Biochim. Biophys. Acta. 2008, 1778, (1), 105-12. (57) von Bonsdorff, C. H.; Fuller, S. D.; Simons, K. Apical and basolateral endocytosis in Madin-Darby canine kidney (MDCK) cells grown on nitrocellulose filters. Embo. J. 1985, 4, (11), 2781-92. (58) Yamashita, S.; Furubayashi, T.; Kataoka, M.; Sakane, T.; Sezaki, H.; Tokuda, H. Optimized conditions for prediction of intestinal drug permeability using Caco-2 cells. Eur. J. Pharm. Sci. 2000, 10, (3), 195-204. (59) Anderson, B. W.; Levine, A. S.; Levitt, D. G.; Kneip, J. M.; Levitt, M. D. Physiological measurement of luminal stirring in perfused rat jejunum. Am. J. Physiol. 1988, 254, (6 Pt 1), G843-8. (60) Levitt, M. D.; Furne, J. K.; Strocchi, A.; Anderson, B. W.; Levitt, D. G. Physiological measurements of luminal stirring in the dog and human small bowel. J. Clin. Invest. 1990, 86, (5), 1540-7. 48 ACS Paragon Plus Environment
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(61) Korjamo, T.; Heikkinen, A. T.; Monkkonen, J. Analysis of unstirred water layer in in vitro permeability experiments. J. Pharm. Sci. 2009, 98, (12), 4469-79. (62) Lennernäs, H. Human intestinal permeability. J. Pharm. Sci. 1998, 87, (4), 403-10. (63) Curthoys, N. P.; Shapiro, R. gamma-Glutamyltranspeptidase in intestinal brush border membranes. FEBS Lett. 1975, 58, (1), 230-3. (64) Achler, C.; Filmer, D.; Merte, C.; Drenckhahn, D. Role of microtubules in polarized delivery of apical membrane proteins to the brush border of the intestinal epithelium. J. Cell Biol. 1989, 109, (1), 179-89. (65) Seward, D. J.; Koh, A. S.; Boyer, J. L.; Ballatori, N. Functional complementation between a novel mammalian polygenic transport complex and an evolutionarily ancient organic solute transporter, OSTalpha-OSTbeta. J. Biol. Chem. 2003, 278, (30), 27473-82. (66) Rubio-Aliaga, I.; Daniel, H. Peptide transporters and their roles in physiological processes and drug disposition. Xenobiotica. 2008, 38, (7-8), 1022-42. (67) Ferraris, R. P.; Villenas, S. A.; Diamond, J. Regulation of brush-border enzyme activities and enterocyte migration rates in mouse small intestine. Am. J. Physiol. 1992, 262, (6 Pt 1), G1047-59. (68) Lubarski, I.; Pihakaski-Maunsbach, K.; Karlish, S. J.; Maunsbach, A. B.; Garty, H. Interaction with the Na,K-ATPase and tissue distribution of FXYD5 (related to ion channel). J. Biol. Chem. 2005, 280, (45), 37717-24. (69) Dave, M. H.; Schulz, N.; Zecevic, M.; Wagner, C. A.; Verrey, F. Expression of heteromeric amino acid transporters along the murine intestine. J. Physiol. 2004, 558, (Pt 2), 597-610. 49 ACS Paragon Plus Environment
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(70) Akanuma, S.; Uchida, Y.; Ohtsuki, S.; Tachikawa, M.; Terasaki, T.; Hosoya, K. Attenuation of prostaglandin E2 elimination across the mouse blood-brain barrier in lipopolysaccharide-induced inflammation and additive inhibitory effect of cefmetazole. Fluids Barriers CNS 2011, 8, 24.
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Molecular Pharmaceutics
Scheme 1. Schematic diagram illustrating the PS product in the apical-to-basolateral direction in mouse small intestinal epithelial cells (in
situ
PSa
to b)
or in vitro cell
monolayers (in vitro PSa to b). This schematic diagram has been reported previously by Adachi et al.2
in situ
PSa,inf,
in situ
PSb,inf, and in situ PSb,eff represent the PS products for the
apical influx, basolateral influx, and basolateral efflux in mouse small intestinal epithelial cells, respectively.
in situ
PSmdr1a and in situ PSa, eff represent the PS products for
the mdr1a-mediated efflux in wild-type mice and the apical efflux, with the exception of mdr1a-mediated efflux, in mouse small intestinal epithelial cells, respectively. PSa,inf,
in vitro
PSb,inf, and
in vitro
PSb,eff represent the PS products for the apical influx,
basolateral influx, and basolateral efflux in vitro cell monolayers, respectively. PSmdr1a and
in vitro
in vitro
in vitro
PSa, eff represent the PS products for the mdr1a-mediated efflux in
L-mdr1a cells and the apical efflux, with the exception of mdr1a-mediated efflux, in vitro cell monolayers, respectively.
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Table 1. Reconstruction of
in situ PSa to b
Ratio from
Page 52 of 59
in vitro
PSa to b Ratio and Protein
Expression Levels of Mdr1a in the Plasma Membrane Fractions of Isolated Jejunal Epithelial Cells and Mdr1a-Transfected LLC-PK1 Cell Monolayers in vitro Papp, a to b
(×10-6 cm/s)*
Reconstructed
Compounds
in vitro
PSa to b ratio
LLC-PK1
L-mdr1a
Quinidine
57.2 ± 7.6
3.16 ± 0.10
18.1 ± 1.7
3.83 ± 0.23
Digoxin
11.8 ± 2.3
1.13 ± 0.11
10.4 ± 1.6
2.56 ± 0.20
Loperamide
49.7 ± 1.9
5.49 ± 0.51
9.05 ± 0.64
2.33 ± 0.09
Vinblastine
24.2 ± 7.7
2.83 ± 0.56
8.55 ± 2.27
2.25 ± 0.27
Verapamil
73.5 ± 6.6
11.9 ± 0.1
6.18 ± 0.39
1.86 ± 0.06
Dexamethasone
29.5 ± 0.2
6.91 ± 0.22
4.27 ± 0.10
1.54 ± 0.02
Diazepam
31.8 ± 2.1
57.3 ± 4.5
0.555 ± 0.040
0.926 ± 0.005
According to eq. 7, the values of reconstructed
in situ
in situ PSa to b
PSa to b ratio
ratio were calculated from
the Papp in apical-to-basolateral direction (in vitro Papp, a to b) in the parental LLC-PK1 cell monolayers and L-mdr1a cell monolayers with the protein expression levels of mdr1a in the plasma membrane fractions of isolated jejunal epithelial cells and L-mdr1a cell monolayers. The protein expression levels of mdr1a were 7.57 fmol/µg plasma membrane protein in mouse jejunum and 45.7 fmol/µg plasma membrane protein in L-mdr1a cell monolayers. Each value represents the mean ± S.E.M. The value of S.E.M. was calculated according to the law of propagation of errors as described by Uchida et al.19 *
Data were taken from Uchida et al.19
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Molecular Pharmaceutics
Figure 1. Comparison of observed and reconstructed reconstructed
in situ
PSa
to b
in situ
PSa
to b
ratios. The
ratios were taken from Table 1. The solid line passing
through the origin represents the line of identity. Each point represents the mean ± S.E.M. The value of S.E.M. was calculated according to the law of propagation of errors as described by Uchida et al.19 1, quinidine; 2, digoxin; 3, loperamide; 4, vinblastine; 5, verapamil; 6, dexamethasone; 7, diazepam. *
Data were taken from Adachi et al.2
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Figure 2. Comparison of observed and reconstructed effective absorption ratios. According to eq. 12, the values of observed and reconstructed effective absorption ratio were calculated from the
in situ
PSa to b ratio. The observed
taken from Adachi et al.2 and the reconstructed
in situ
in situ
PSa to b ratios were
PSa to b ratios were taken from
Table 1. The solid line passing through the origin represents the line of identity. Each point represents the mean ± S.E.M. The value of S.E.M. was calculated according to the law of propagation of errors as described by Uchida et al.19 1, quinidine; 2, digoxin; 3, loperamide; 4, vinblastine; 5, verapamil; 6, dexamethasone; 7, diazepam.
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Molecular Pharmaceutics
Table 2. Protein Expression Levels of Transporters and Marker Proteins in Plasma Membrane Fractions of Isolated Epithelial Cells in Mouse Small Intestine Absolute protein expression level (fmol/µg plasma membrane protein) Molecule Duodenum
Jejunum
Ileum
ABC transporter abcb1 / mdr1a
5.22
±
0.38† ##
7.57
±
0.52*
9.48
±
0.45**
abcc4 / mrp4
0.188
±
0.010#
0.168
±
0.000#
0.240
±
0.011* †
abcg2 / bcrp
4.79
±
0.18 ##
5.05
±
0.18##
6.97
±
0.22** ††
abcg5 / abcg5
2.62
±
0.34
3.62
±
0.30
3.11
±
0.25
abcg8 / abcg8
2.16
±
0.07††
3.16
±
0.17**
2.68
±
0.06**
slc2a1 / glut1
1.58
±
0.02†† ##
0.619
±
0.030** ##
1.20
±
0.01** ††
slc3a2 / 4f2hc
32.3
±
1.2†† ##
62.2
±
2.2**
59.3
±
0.9**
slc5a1 / sglt1
7.01
±
0.67†† #
10.6
±
0.1**
10.3
±
0.5*
slc7a8 / lat2
17.1
±
0.5† #
21.1
±
0.4*
19.9
±
0.4*
slc15a1 / pept1
4.95
±
0.77
6.92
±
0.69
6.71
±
1.54
slc16a1 / mct1
27.6
±
1.2#
25.1
±
1.1#
37.7
±
2.5* †
slc22a18
5.91
±
0.53
3.68
±
0.45
3.75
±
0.52
ostβ / slc51b
4.08
±
0.21##
5.31
±
0.54##
31.9
±
1.5** ††
villin1
12.8
±
0.3† ##
21.6
±
0.4*
23.2
±
2.1**
γ-gtp
4.39
±
0.16††
6.60
±
0.15** ##
4.62
±
0.13††
Na+/K+-ATPase
397
±
17
445
±
19
409
±
9
SLC transporter
Others
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Page 56 of 59
The plasma membrane fractions of isolated epithelial cells in mouse small intestine were digested with lysyl endopeptidase and trypsin, and then the protein expression levels were quantified by LC-MS/MS, using a triple quadrupole mass spectrometer or Triple TOF5600. Abcc4 / mrp4, slc2a1/ glut1, and γgtp were quantified by Triple TOF 5600 and the other molecules were quantified by a triple quadrupole mass spectrometer (API5000 or Qtrap5500). The protein expression levels in three or four sets of transitions in one pooled sample from ten mice were used to calculate the average (mean) and variability (S.E.M.), which are shown as mean ± S.E.M.
*
and
**
indicate
significant difference of the quantitative value compared with the duodenum (p