ISOLATED
AND PERFUSED SEGMENT INTESTINE -A USEFULL TOOL TO ASSESS
THE APPARENT
INTESTINAL PERMEABILITY (P app)
Béatrice
Lopez1, Fabrice Guillet1,
Pierre Gires1, Marie-José Loyer-Lecestre2,
Brée Françoise1
1Xenoblis
Parc d’Affaires de la Bretèche 35760 Saint Grégoire - France; 2 Laboratoire d’Anatomie -Pathologie Centre Hospitalier
17000 La Rochelle - France
The
intestinal absorption is one important step in the development of a new
chemical entity.In recent years, there has been a constant search for in
vitro methods that are predictive of human drug absorption. Cellular
models as Caco-2 or HT 29 have become widely used and accepted as useful
models for the primary screening of NCE’s for intestinal absorption.
However, they have numbers of limitations in discriminative analysis of
mechanistic parameters and particularly for testing the efficiency of
novel formulations for oral drug delivery. Xenoblis adapted a simple in
vitro system for studying drug absorption. This model presents the
advantage to be a dynamic model taking into account the intestinal
motility as well as the presence of goblet cells secreting mucin,
endocrine cells and M cells. Based on the well described incidence of the
apical mucus layer for the drug absorption, this tissue-based approaches
is an improved model compared to the monolayer cell one’s. In the same
way the transepithelial electrical resistance is far higher in Caco2 cells
than in intestine or in the perfused isolated intestinal segment, inducing
an underestimation of the
paracellular way in the Caco2 cells model.
Inspired
by the everted sac method [1-2], this model of a segment of intestine
perfused provides useful and complementary information to the sac system.
This model consist in an intestinal segment (duodenum, jejunum, or
ileum) of around 10cm everted, perfused. The perfusion will avoid stagnant
fluids inside the intestinal segment. It is mounted in a chamber
containing the test active substance and formulations dissolved in TC199
medium to mimic the mucosal compartment at 37° C. This perfused
segment of rat intestine, not only acts as an absorptive barrier, but also
as the first metabolic tissue encountered after oral drug absorption, thus
preserves the biological and physiological intestine activity. The use of
this model is a great asset in early development and estimation of human
oral absorption of NCE’s.
References
- Wilson
T.H, Wiseman G. The use of everted small intestine for the study of
the transference of substances from the mucosal to the serosal
surface. J.Physiol 1954; 123:116-125.
- Lacombe
O, Woodley J, Solleux C, Delbos J-M,
Boursier-Neyret C, Houin
G. Localisation of drug permeability along the rat small intestine,
using markers of the paracellular, transcellular and some transporter
routes. Eur. J. Pharm. Sci.. 2004; 23:385-391