Department of Pharmacology and Toxicology, Radboud University Medical Center, Nijmegen, The Netherlands.
Department of Metabolic Health Research, TNO, Zeist, The Netherlands.
Clin Transl Sci. 2022 Oct;15(10):2392-2402. doi: 10.1111/cts.13368. Epub 2022 Aug 12.
Little is known about the impact of age on the processes governing human intestinal drug absorption. The Ussing chamber is a system to study drug transport across tissue barriers, but it has not been used to study drug absorption processes in children. This study aimed to explore the feasibility of the Ussing chamber methodology to assess pediatric intestinal drug absorption. Furthermore, differences between intestinal drug transport processes of children and adults were explored as well as the possible impact of age. Fresh terminal ileal leftover tissues from both children and adults were collected during surgery and prepared for Ussing chamber experiments. Paracellular (enalaprilat), transcellular (propranolol), and carrier-mediated drug transport by MDR1 (talinolol) and BCRP (rosuvastatin) were determined with the Ussing chamber methodology. We calculated apparent permeability coefficients and efflux ratios and explored their relationship with postnatal age. The success rate for the Ussing chamber experiments, as determined by electrophysiological measurements, was similar between children (58%, N = 15, median age: 44 weeks; range 8 weeks to 17 years) and adults (67%, N = 13). Mean serosal to mucosal transport of talinolol by MDR1 and rosuvastatin by BCRP was higher in adult than in pediatric tissues (p = 0.0005 and p = 0.0091). In contrast, within our pediatric cohort, there was no clear correlation for efflux transport across different ages. In conclusion, the Ussing chamber is a suitable model to explore pediatric intestinal drug absorption and can be used to further elucidate ontogeny of individual intestinal pharmacokinetic processes like drug metabolism and transport.
关于年龄对人体肠道药物吸收过程的影响知之甚少。Ussing 室是一种研究药物穿过组织屏障转运的系统,但尚未用于研究儿童的药物吸收过程。本研究旨在探讨 Ussing 室方法评估儿科肠道药物吸收的可行性。此外,还探讨了儿童和成人肠道药物转运过程的差异以及年龄的可能影响。在手术期间从儿童和成人的末端回肠中收集剩余组织,并为 Ussing 室实验做准备。使用 Ussing 室方法测定了细胞旁(依那普利拉)、细胞内(普萘洛尔)和由 MDR1(他林洛尔)和 BCRP(瑞舒伐他汀)介导的药物转运。我们计算了表观渗透系数和外排比,并探讨了它们与出生后年龄的关系。通过电生理测量确定 Ussing 室实验的成功率,儿童(58%,N=15,中位年龄:44 周;范围 8 周至 17 岁)和成人(67%,N=13)之间相似。MDR1 介导的他林洛尔和 BCRP 介导的瑞舒伐他汀的血清向黏膜转运在成人组织中高于儿科组织(p=0.0005 和 p=0.0091)。相比之下,在我们的儿科队列中,不同年龄段的外排转运之间没有明显的相关性。总之,Ussing 室是一种适合研究儿科肠道药物吸收的模型,可以用于进一步阐明个体肠道药代动力学过程(如药物代谢和转运)的个体发育。