Abstract:When human (cryopreserved) hepatocytes are used to establish sandwich cultures, the model appears particularly valuable to quantitatively investigate clinically relevant mechanisms related to in vivo hepatobiliary drug disposition and hepatotoxicity. Nonetheless, the SCH model would largely benefit from better insight into the fundamental cell signaling mechanisms that are critical for long-term in vitro maintenance of the hepatocytic phenotype. Studies systematically exploring improved cell culture conditions… Show more
“…To our knowledge, there are no in vitro methods available at the moment for urinary excretion because of the complex renal mechanism of formation of primary urine, passive and active reuptake and the dependence of these mechanisms on differences in pressure and osmolarity between blood and primary urine. For biliary clearance, some in vitro methods have been reported (De Bruyn et al, 2013), but further development and standardisation work is necessary to identify representative methods based on which harmonised standards can be established. Although passive excretion has been suggested to suffice for 'Tier 1 PBTK modelling', it is clear that in the future, excretion based on active transporters needs to be taken into account as well.…”
“…To our knowledge, there are no in vitro methods available at the moment for urinary excretion because of the complex renal mechanism of formation of primary urine, passive and active reuptake and the dependence of these mechanisms on differences in pressure and osmolarity between blood and primary urine. For biliary clearance, some in vitro methods have been reported (De Bruyn et al, 2013), but further development and standardisation work is necessary to identify representative methods based on which harmonised standards can be established. Although passive excretion has been suggested to suffice for 'Tier 1 PBTK modelling', it is clear that in the future, excretion based on active transporters needs to be taken into account as well.…”
“…However, because isolated hepatocytes lose their tissue geometry, active efflux and biliary secretion of compounds are properties difficult to study in vitro (Li et al, 2010;De Bruyn et al, 2013). Robust in vitro models that also reflect biliary efflux in addition to hepatic uptake and metabolism would be valuable tools to evaluate drug disposition as well as the in vitro to in vivo extrapolation (IVIVE) of hepatic clearance.…”
Section: Introductionmentioning
confidence: 99%
“…The excretion of compounds into the canalicular compartment is used to calculate the biliary excretion (Liu et al, 1999;De Bruyn et al, 2013). This strategy has been successful in predicting the bile efflux of several drugs, but as noted by Li et al (2010) and others, it often underpredicts biliary clearance by 10-fold to 100-fold (Nakakariya et al, 2012;De Bruyn et al, 2013).…”
Section: Introductionmentioning
confidence: 99%
“…The excretion of compounds into the canalicular compartment is used to calculate the biliary excretion (Liu et al, 1999;De Bruyn et al, 2013). This strategy has been successful in predicting the bile efflux of several drugs, but as noted by Li et al (2010) and others, it often underpredicts biliary clearance by 10-fold to 100-fold (Nakakariya et al, 2012;De Bruyn et al, 2013). Partly this may be due to the down-regulation of both dx.doi.org/10.1124/dmd.113.054155. drug uptake and efflux transporters that has been demonstrated to take place within the first days after the plating of hepatocytes from both rats and humans (Liu et al, 1998;Li et al, 2009a;Kotani et al, 2011;Tchaparian et al, 2011;Kimoto et al, 2012;De Bruyn et al, 2013).…”
Section: Introductionmentioning
confidence: 99%
“…This strategy has been successful in predicting the bile efflux of several drugs, but as noted by Li et al (2010) and others, it often underpredicts biliary clearance by 10-fold to 100-fold (Nakakariya et al, 2012;De Bruyn et al, 2013). Partly this may be due to the down-regulation of both dx.doi.org/10.1124/dmd.113.054155. drug uptake and efflux transporters that has been demonstrated to take place within the first days after the plating of hepatocytes from both rats and humans (Liu et al, 1998;Li et al, 2009a;Kotani et al, 2011;Tchaparian et al, 2011;Kimoto et al, 2012;De Bruyn et al, 2013). Sinusoidal efflux transporters, such as rat multidrug resistance-associated protein 3 (rMRP3) and rat organic solute transporter a-organic solute transporter b (rOSTa-OSTb) show low expression levels in normal livers but are up-regulated in cholestasis (Rippin et al, 2001;Luttringer et al, 2002;Boyer et al, 2006).…”
Well-established techniques are available to predict in vivo hepatic uptake and metabolism from in vitro data, but predictive models for biliary clearance remain elusive. Several studies have verified the expression and activity of ATP-binding cassette (ABC) efflux transporters central to biliary clearance in freshly isolated rat hepatocytes, raising the possibility of predicting biliary clearance from in vitro efflux measurements. In the present study, short-term plated rat hepatocytes were evaluated as a model to predict biliary clearance from in vitro efflux measurements before major changes in transporter expression known to take place in long-term hepatocyte cultures. The short-term cultures were carefully characterized for their uptake and metabolic properties using a set of model compounds. In vitro efflux was studied using digoxin, fexofenadine, napsagatran, and rosuvastatin, representing compounds with over 100-fold differences in efflux rates in vitro and 60-fold difference in measured in vivo biliary clearance. The predicted biliary clearances from short-term plated rat hepatocytes were within 2-fold of measured in vivo values. As in vitro efflux includes both basolateral and canalicular effluxes, pronounced basolateral efflux may introduce errors in predictions for some compounds. In addition, in vitro rat hepatocyte uptake rates corrected for simultaneous efflux predicted rat in vivo hepatic clearance of the biliary cleared compounds with less than 2-fold error. Short-term plated hepatocytes could thus be used to quantify hepatocyte uptake, metabolism, and efflux of compounds and considerably improve the prediction of hepatic clearance, especially for compounds with a large biliary clearance component.
Numerous drugs have been shown to inhibit the activity of the Bile Salt Export Pump (BSEP in humans, Bsep in animals), and this is now considered to be one of several mechanisms by which idiosyncratic drug-induced liver injury (DILI) may be initiated in susceptible patients. The potential importance of BSEP inhibition by drugs has been recognized by the European Medicines Agency and the International Transporter Consortium, who have recommended that it should be evaluated during drug development when evidence of cholestatic liver injury has been observed in nonclinical safety studies or in human clinical trials. In addition, some pharmaceutical companies have proposed evaluation and minimization of BSEP inhibition during drug discovery, when there is a chemical choice, to help reduce DILI risk. The methods that can be used to assess and quantify BSEP inhibition, and key gaps in our current understanding of the relationship between this process and DILI, are discussed.
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