“…In contrast to tumor-derived cell lines, primary cells closely mimic the physiological state of cells in vivo but can on-mans only express one MDR1-encoded protein (P-glycoprotein, P-gp), and BCRP expression is high in rodent kidneys but low in humans (Chu et al, 2013). Differences in physiology may need to be accounted for as well when predicting absorption on the basis of NAMs, including differences in the small intestinal transit time (Sutton, 2004), the intestinal pH and radius (Dressman and Yamada, 1991), microbiome composition (Behr, 2019), and differences in the structure of the gastro-intestinal tract, e.g., no circular folds in the dog (Slatter, 2003) that affect the surface area. Differences in distribution in rat, mouse, dog and human have been associated with differences in protein binding and active transport into organs (Grover and Benet, 2009).…”