Unlock Faster Drug Absorption: The Mini-Ussing Chamber Revolution
"Simultaneous prediction of intestinal absorption and metabolism with a new approach for better drug development."
Oral bioavailability is key to successful drug development, depending on factors such as intestinal cell permeability (Fa), gut metabolism (Fg), and liver metabolism (Fh). A drug's ability to be absorbed is generally impacted by its physicochemical properties, including molecular weight, lipophilicity, and solubility, as well as intestinal enzymes and transporters.
Enzymes and transporters, such as CYP3A4 and P-gp, are known to lower Fa × Fg in humans. The differentiation of Fa from Fa × Fg is critical for identifying appropriate clinical candidates from a human oral absorbability standpoint. Caco-2 cell monolayers, transfected cell lines, and subcellular fractions of the intestinal epithelium are effective in vitro models for understanding intestinal disposition processes like uptake, transporter-mediated transport, and metabolism.
The goal of this research was to use the transport index (TI) of midazolam (a BCS class 1 compound) and nifedipine (a BCS class II compound) in the presence and absence of ketoconazole (a CYP3A inhibitor) to assess the effect of intestinal metabolism on Fa x Fg quantitatively.
What is the Mini-Ussing Chamber System?
The Ussing chamber system is a powerful experimental setup used to simultaneously measure membrane permeability and enzyme/transporter interactions. It can also be used with human intestinal tissues. We previously introduced the transport index (TI) value, which can correctly predict human Fa by using small intestinal tissues from dogs and rats in mini-Ussing chambers, and showed a strong correlation with human data. This system has the advantage of accounting for changes in drug solubility during incubations as well as drug accumulation in tissues.
- Animal Intestinal Tissues: Rat jejunum tissues were taken from male Sprague-Dawley (SD) rats with ethical approval and were immediately placed in ice-cold transport buffer.
- Transport Experiment in Mini-Ussing Chamber: Mini-Ussing chambers were prepared as previously reported. Intestinal tissues were mounted vertically in the chambers after removing the muscle layer. The available permeation area was 0.20 cm², and the solution temperature was kept at 37°C.
- Calculation of Transport Index: TI values were used to measure permeability based on the actual drug concentration in the apical compartment of the mini-Ussing chamber system. TI value was defined as the sum of the percent of the dose transported and tissue-accumulated.
Future Implications for Drug Development
The mini-Ussing chamber system can simultaneously predict intestinal absorption and metabolism. Expanding the exposed tissue area improved intestinal metabolism activities. Further studies using P450/P-gp substrates could clarify P-gp's contribution to Fa × Fg, leading to a better understanding of metabolic enzymes and efflux transporters.