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What are the main advantages and disadvantages of MDCK cells over Caco-2 cells for permeability studies?
MDCK (Madin-Darby Canine Kidney) cells are an established dog kidney epithelial cell line often used as an alternative to Caco-2 cells in permeability studies. Under standard culture conditions, MDCK cells develop tight junctions and form monolayers of polarised cells. Confluency is reached after 3-5 days which one of the main advantages over Caco-2 cells. In addition, compared to Caco-2 cells, MDCK cells have lower transepithelial electrical resistance (TEER) measurements which are more comparable with the TEER values of the small intestine in vivo3. However, one of the main advantages of the Caco-2 cells over MDCK cells is the fact that they are of human intestinal origin whereas MDCK cells originate from the canine kidney. Due to the low expression levels of transporters and low metabolic activity, often Madin Darby canine kidney (MDCK) cells are transfected with genes expressing individual transporters, one of the most popular of these being the human MDR1 gene encoding for the efflux protein, P-glycoprotein (P-gp)4. As the MDCK cells are of canine origin, it is important to correct for any underlying canine transporter activity by screening in the wild type cells if efflux is observed in the transfected-MDCK cells.
Please provide an overview of the Cloe Screen Wild Type MDCK Permeability assay.
The cells are seeded on a MillicellTM plate (Millipore, MA, USA) and form a confluent monolayer over 4 days prior to the experiment. On day 4, the test compound is added to the apical side of the membrane and the transport of the compound across the monolayer is monitored over a 60 min time period. To study drug efflux, it is also necessary to investigate transport of the compound from the basolateral compartment to the apical compartment and calculate an efflux ratio.
The permeability coefficient (Papp) is calculated from the following equation:

Where dQ/dt is the rate of permeation of the drug across the cells, C0 is the dosing solution concentration at time zero and A is the area of the cell monolayer.
An efflux ratio is calculated from the mean apical to basolateral (A-B) Papp data and basolateral to apical (B-A) Papp data.

Providing data from the MDR1-MDCK bidirectional study is available, the net flux ratio can be calculated by relating the efflux ratio from the wild type and MDR1-MDCK studies. This is detailed in the FDA Draft Guidance for Industry (Drug Interaction Studies – Study Design, Data Analysis, and Implications for Dosing and Labeling, Sept 2006).
The net flux ratio is derived from the following equation:

How do you know if the cells have formed a confluent monolayer?
Transepithelial electrical resistance (TEER) measurement is used to determine tight-junction formation between cells. In addition, lucifer yellow, a membrane integrity marker, is co-incubated with the test compound at the start of the experiment. If the Papp of the lucifer yellow exceeds 0.5 × 10-6 cm/s (MDR1-MDCK) or 1 × 10-6 cm/s (wild type MDCK) then it is assumed that the formation of the cell monolayer has been unsuccessful and the compound is re-screened. If both lucifer yellow Papp values fail for the same compound on 2 separate occasions then it is assumed that the compound exhibits cytotoxic effects against the MDCK cells.
Two control compounds, propranolol (passive transcellular transport) and prazosin (subject to efflux in the MDR1-MDCK assay but not the wild type MDCK assay) are screened alongside the test compounds.
How and why is the % recovery calculated?

The % recovery can be useful in interpreting the MDCK data. If the recovery is very low, this may indicate problems with binding of the compound to the plate or accumulation of the compound in the cell monolayer. However, poor solubility is the most common reason for unexpected recoveries in the MDCK screen.
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