Bioavailability Caco-2 cells

FIGURE 3.2.1 In vitro digestion/Caco-2 cell model combination approach to assess carotenoid bioavailability. LCM = large chylomicrons. SCM = small chylomicrons. VLDL = very low density lipoproteins. 

Chitchumroonchokchai, C., Schwartz, S.J., and Failla, M.L., Assessment of lutein bioavailability from meals and a supplement using simulated digestion and Caco-2 human intestinal cells, J. Nutr, 134, 2280, 2004. 

Liu, C.S., Glahn, R.P., and Liu R.H., Assessment of carotenoid bioavailability of whole foods using a Caco-2 cell culture model coupled with an in vitro digestion, J. Agric. Food Chem., 52, 4330, 2004. 

Garrett, D.A., Failla, M.L., and Sarama, R.J., Estimation of carotenoid bioavailability from fresh stir-fried vegetables using an in vitro digestion/Caco-2 cell culture model, J. Nutr. Biochem., 11, 574, 2000. 

Under linear concentration conditions (for a P-C concentration range of 0.12-6pM) at 16h incubation and under cell culture conditions mimicking the in vivo postprandial state, the extent of absorption of all-trans P-C through Caco-2 cell monolayers was 11% a value similar to that reported from different human studies. In humans, the bioavailability of a single dose of P-C... 

Some drugs with low intrinsic permeability achieve acceptable oral bioavailability because they are substrates for uptake transporters, which normally function in nutrient uptake. The most prominent example is the peptide transporter, PepTl, which is active toward peptidomimetic antibiotics such as cephalexin, the antiviral agent valacyclovir [24] and other drugs. PepTl is natively expressed in Caco-2 cells, and adenovirus transduction has been used to increase PepTl expression levels [25]. However, the expression of PepTl was not polarized in this system and this expressed system appears to be of limited value as an improved screening model. PepTl has also been expressed in Chinese hamster ovary cells and a variety of other mammalian systems [26, 27]. 

We then used this Caco-2 cell assay to categorize representative fluoroquinolone drug substance permeability [50], The drugs demonstrated some concentration-dependent permeability indicative of active drug transport. Based upon comparison to labetalol, ciprofloxacin was classified as a LP drug, whereas levofloxacin, lomefloxacin, and ofloxacin were classified as HP drugs, which matched their human in vivo bioavailabilities. All four fluoroquinolone drugs were subject to efflux transport (ciprofloxacin > lomefloxacin > rhodamine 123 > levofloxacin > ofloxacin). 

The two major determinants of oral bioavailability are intestinal absorption and hepatic first-pass elimination. Caco-2 cells are useful to predict intestinal absorption. The validity of this application has been demonstrated in a number of studies in which percent drug absorption in humans was correlated with Caco-2 permeability coefficients.35-39113114... 

LC/MS/MS techniques with selective and sensitive detection methods make it possible to quantitatively analyze samples from Caco-2 cell and PAMPA buffer matrices. A high-throughput permeability screen with robust LC/MS technology can quickly generate information about structure-permeability relationships that are extremely valuable in the lead optimization phase for the selection of pre-clinical candidates with favorable oral bioavailability properties. 

In recent studies both in vitro (Caco-2 cells) and in vivo in rats, TMC with a degree of trimethylation of 60% was proven to be an excellent intestinal absorption enhancer of the peptide drugs buserelin and octreotide. The observed absolute bioavailability values were 13 and 16% for buserelin and octreotide, respectively [83] (impublished data Fig. 5). Permeation enhancing effects were more responsible for these increased bioavailabilities, rather than the mucoadhesive properties of the TMC polymers. Nevertheless, mucoadhesion is a prerequisite for these polymers in order to further act as absorption enhancers. 

The interaction of flavonoids with MDR proteins is of interest not only in the field of cancer prevention and therapy but also in the field of flavonoid bioavailability. Indeed, using specific inhibitors of MDR proteins, it was shown that multiresistant protein 2 (MRP2), but not Pgp, is involved in the efflux of quercetin conjugates from human hepatic cells. Similar observations were made with the cell line Caco-2 (a popular model for human intestinal absorption) where MRP2 was found responsible for the efficient efflux of chrysin after its conjugation into a mixture of glucuronide and sulfate. ... 

Caco-2 cells and isolated small intestine are models of basic nutrition that contributed to the understanding of resveratrol absorption and bioavailability. While the Caco-2 absorption model is a well-defined cellular in vitro system based on a human colonic adenocarcinoma cell line, the isolated small intestine model is nearer to in vivo conditions and is also simpler to handle. It also avoids the methodological problems of in vivo perfusion models [Barthe et al., 1998, 1999]. 

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