RT Journal Article SR Electronic T1 Rational Use of in Vitro P-glycoprotein Assays in Drug Discovery JF Journal of Pharmacology and Experimental Therapeutics JO J Pharmacol Exp Ther FD American Society for Pharmacology and Experimental Therapeutics SP 620 OP 628 VO 299 IS 2 A1 Joseph W. Polli A1 Stephen A. Wring A1 Joan E. Humphreys A1 Liyue Huang A1 Jonathon B. Morgan A1 Lindsey O. Webster A1 Cosette S. Serabjit-Singh YR 2001 UL http://jpet.aspetjournals.org/content/299/2/620.abstract AB 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 Pappvalues (mean = 16.6 nm/s), whereas inability to detect efflux (group IIA) was associated with compounds having high Pappvalues (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. The American Society for Pharmacology and Experimental Therapeutics