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Vol. 290, Issue 3, 1212-1221, September 1999
Department of Pharmacy, Division of Pharmaceutics, Uppsala
University, Uppsala, Sweden
A new cell culture model that better mimics the permeability of the
human small intestine was developed for studies of passive drug
transport. The intestinal epithelial cell line, 2/4/A1, conditionally immortalized with a temperature-sensitive mutant of the
growth-promoting oncogene simian virus 40 (SV40) large T, was grown on
permeable supports. The cells grew at 33°C, where the oncogene is
fully active, but stopped growing and entered a differentiation program at 39°C, where the oncogene is inactive. Significant cell death was
observed at 39°C and, therefore, growth conditions under which 2/4/A1
cells survive during the differentiation process were developed. Cells
grown on extracellular matrices which contained laminin at an
intermediate temperature of 37°C formed viable differentiated monolayers with tight junctions, an increased expression of brush border enzymes, and a paracellular permeability that was comparable to
that of the human small intestine. The permeability of 17 structurally diverse drugs gave a sigmoidal relationship with the absorbed fraction
of the drugs after oral administration to humans. The relationship was
compared with those obtained with the well established Caco-2 model and
after in vivo perfusion of the human jejunum. The transport of drugs
with low permeability in 2/4/A1 monolayers was comparable to that in
the human jejunum, and up to 300 times faster than that in Caco-2
monolayers. The transport of drugs with high permeability was
comparable in all models. These results indicate that 2/4/A1 monolayers
are promising alternatives to Caco-2 monolayers for studies of passive
drug transport.
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