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Vol. 299, Issue 2, 620-628, November 2001
Preclinical Drug Metabolism and Pharmacokinetics, GlaxoSmithKline,
Inc., Research Triangle Park, North Carolina
P-glycoprotein (Pgp) affects the absorption, distribution, and
clearance of a variety of compounds. Thus, identification of compounds
that are Pgp substrates can aid drug candidate selection and
optimization. Our goal was to evaluate three assays used to determine
whether compounds are Pgp substrates. Sixty-six compounds were tested
in monolayer efflux, ATPase, and calcein-AM assays. Assay results
yielded two categories of compounds. Category I (n = 35) exhibited concordance across the assays. Category II (n = 31) revealed differences among the assays that
related to the apparent permeability (Papp) of the
compounds. Within category II, two groups were discerned based on the
absence (group IIA, n = 10, nontransported
substrates) or presence (group IIB, n = 21, transported substrates) of monolayer efflux. Detection of efflux (group
IIB) was associated with compounds having low/moderate Papp
values (mean = 16.6 nm/s), whereas inability to detect efflux (group IIA) was associated with compounds having high Papp
values (mean = 535 nm/s). The calcein-AM and ATPase assays
revealed Pgp interactions for highly permeable group IIA compounds but
were less responsive than monolayer efflux for low/moderate
Papp compounds of group IIB. All assays detected substrates
across a broad range of Papp, but the efflux assay was more
prone to fail at high Papp, whereas the calcein-AM and
ATPase assays were more prone to fail at low Papp. When
Papp is low, efflux is a greater factor in the disposition
of Pgp substrates. The efflux assay is more reliable at low/moderate
Papp and is the method of choice for evaluating drug
candidates despite low throughput and reliance on liquid chromatography
with tandem mass spectrometry.
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