There
is a need for new quantitative in vitro models of
drug uptake and diffusion to help assess drug toxicity/efficacy as
well as new more predictive models for drug discovery. We report a
three-dimensional (3D) multilayer spheroid model and a new algorithm
to quantitatively study uptake and inward diffusion of fluorescent
calcein via gap junction intercellular communication (GJIC). When
incubated with calcein-AM, a substrate of the efflux transporter P-glycoprotein
(Pgp), spheroids from a variety of cell types accumulated calcein
over time. Accumulation decreased in spheroids overexpressing Pgp
(HEK-MDR) and was increased in the presence of Pgp inhibitors (verapamil,
loperamide, cyclosporin A). Inward diffusion of calcein was negligible
in spheroids that lacked GJIC (OVCAR-3, SK-OV-3) and was reduced in
the presence of an inhibitor of GJIC (carbenoxolone). In addition
to inhibiting Pgp, verapamil and loperamide, but not cyclosporin A,
inhibited inward diffusion of calcein, suggesting that they also inhibit
GJIC. The dose response curves of verapamil’s inhibition of
Pgp and GJIC were similar (IC50: 8 μM). The method
is amenable to many different cell types and may serve as a quantitative
3D model that more accurately replicates in vivo barriers
to drug uptake and diffusion.