Caco metabolism study

In-vitro models can provide preliminary insights into some pharmacodynamic aspects. For example, cultured Caco 2 cell lines (derived from a human colorectal carcinoma) may be used to simulate intestinal absorption behaviour, while cultured hepatic cell lines are available for metabolic studies. However, a comprehensive understanding of the pharmacokinetic effects vfill require the use of in-vivo animal studies, where the drug levels in various tissues can be measured after different dosages and time intervals. Radioactively labelled drugs (carbon-14) may be used to facilitate detection. Animal model studies of human biopharmaceutical products may be compromised by immune responses that would not be expected when actually treating human subjects. 

No model can predict human absorption 100% of the time, but Caco-2 has a relatively good track record for at least binning compounds. Along with the early information advanced Caco-2 studies can provide information on transport mechanism, gut wall metabolism and toxicity, and its utility in establishing structure property relationships, this makes it a valuable addition to the armamentarium of drug discovery. 

This type of information about a homologous series of drug candidates, when considered in light of the propensity of these compounds to undergo first-pass metabolism and/or liver clearance, allows pharmaceutical scientists to make more intelligent decisions about which compounds to move into animal studies. In addition, when an in vitro-in vivo correlation can be demonstrated for a series of compounds, the results of Caco-2 experiments can be used as a guide by medicinal chemists to make structural modifications to optimize oral bioavailability. 

The Caco-2 cell line was isolated from a human colon carcinoma, and has been characterized as one of the best in vitro models of intestinal epithelium. Indeed, in contrast to other intestinal cell lines, Caco-2 cells are able to constitute a homogenous monolayer and to spontaneously differentiate into polarized cells, highly similar to human mature enterocytes, after approximately 2 weeks of culture. Furthermore, the Caco-2 cells present microvillosities at the apical side and have a high transmembrane resistivity, which confirms the fact that the cells are confluent and link to one another via gap junctions. Finally, they can absorb different compounds, express many enzymes involved in intestinal metabolic pathways (Pinto et al. 1983, Musto et al. 1995, Salvini et al. 2002), and give reproducible in vitro results consistent with results obtained in in vivo studies (Artursson and Karlsson 1991). 

MDCK Madin-Darby canine kidney (MDCK) cells have received attention as an alternative to Caco-2 cells for permeability measurements. When grown under standard culture conditions, MDCK cells develop tight junctions and form monolayers of polarized cells. The main advantage over Caco-2 cells is the shorter culture time to confluence (3-5 days). The transep-ithelial electrical resistance of MDCK cells is lower than that of Caco-2 cells and thus, closer to the TEER of the small intestine in vivo. The permeability coefficients of hydrophilic compounds are usually lower in Caco-2 cells than in MDCK cells, which is consistent with the lower TEER values for MDCK cell monolayers. The nonhuman (canine) and nonintestinal (renal) origin of MDCK cells is considered as a disadvantage. They have low expression levels of transporter proteins and low metabolic activity [34], MDCK cells that are stably transfected with P-gp/MDRl are often proposed as an alternative for Caco-2 cells to study bidirectional transport of compounds and, more... 

Prueksaritanont, T., Gorham, L.M., Hochman, J.H., Tran, L.O., and Vyas, K.P., Comparative studies of drug-metabolizing enzymes in dog, monkey, and human small intestines, and in Caco-2 cells, Drug Metab. Dispos., 24, 634,1996. 

In vitro assays are increasingly being used. Some of the reasons are cost, availability of more rapid results, and avoidance of negative publicity. Assays such as cytochrome P-450 enzymes, the Ames test, and the mouse lymphoma tk test are in vitro methods. For absorption studies, Caco-2 (Exhibit 5.9) and Madin-Darby canine kidney cell assays are now routinely used. Hepatocyte cell lines with metabolism capacity are being developed to test drug metabolism and toxicity. All these examples show that, where possible, pharmaceutical firms are gradually dispensing with animal studies. 

Unlike some classes of polyphenols such as flavonols and flavones, flavanols are almost always present in the nonglycosylated form. Removal of glycoside from flavonoids, usually necessary before the transport across the intestinal barrier, is not required in the case of flavanols [Scalbert and Williamson, 2000]. The absorption of procyanidins by the small intestine was investigated by studying 14C-( + )-catechin, dimer, trimer, and procyanidin polymers permeation through Caco-2 cell cultures [Deprez et al., 2001]. There was little difference in permeability between monomer, dimmer, and trimer, based on the measurement of radioactivity present on the basal side of the cultures, whereas the permeability of the polymers was 10 times lower. The authors reported the absence of catechin metabolism but did not determine whether the radioactivity measured on the basal side of the cultures was from the parent dimers to polymers or from their products of degradation or metabolites, which could have resulted from instability of the parent compounds in the culture... 

Caco-2 cells have also been used to study the metabolism of phenolic acids. Contrary to the transport studies, which usually use the cells grown on semipermeable filters (two compartments), the cultures used to study metabolism are prepared with cells grown and partially differentiated on dishes (one... 

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