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University of North Carolina, School of Pharmacy, Chapel Hill, North Carolina (K.N., X.T., M.J.Z.-G., K.L.R.B.); and Eli Lilly and Company, Department of Drug Disposition, Indianapolis, Indiana (N.J.P., T.J.R.)
(Received October 19, 2005; accepted January 19, 2006)
| Abstract |
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4-fold higher in Abcc2/ (0.12 ± 0.02 min1) relative to wild-type (0.030 ± 0.011 min1) mice but was not altered in Abcg2/ (0.031 ± 0.004 min1) mice. Hepatic Abcc3 protein levels, determined by immunoblot analysis, were
60% higher in Abcc2/ mice than in wild-type mice. In contrast, neither Abcc3 protein levels nor Abcc2 mRNA levels were altered in Abcg2/ relative to wild-type mice. These data in knockout mouse models demonstrate that loss of expression and function of one canalicular transport protein may change the route and/or extent of excretion into bile or perfusate because of alterations in the function of other basolateral or canalicular transport proteins.
ABCC2/Abcc2 (MRP2/Mrp2) is one of the most extensively studied hepatic proteins in the MRP/Mrp family and is responsible for the biliary excretion of organic anions, including numerous antibiotics, anticancer drugs, and various phase II conjugates (Fardel et al., 2005
; Leslie et al., 2005
). Moreover, ABCC2/Abcc2 transports conjugates of endogenous molecules, such as bile salts and steroids, and a deficiency in ABCC2 results in the clinical disorder Dubin-Johnson syndrome (Iyanagi et al., 1998
). Animals genetically deficient in Abcc2 have been used to characterize the pharmacokinetic and pharmacodynamic implications of Abcc2 loss-of-function. Groningen Yellow/Transport-deficient Wistar rats (Jansen et al., 1987
; Paulusma et al., 1996
) and Eisai hyperbilirubinemic Sprague-Dawley rats (EHBR) (Ito et al., 1997
) are used most commonly as preclinical models of cholestatic patients with Dubin-Johnson syndrome. To date, many studies have been performed to characterize drug disposition in Abcc2-deficient rats (Jager et al., 2003
; Hanawa et al., 2004
; Takayanagi et al., 2005
). In addition, it has been reported that in Abcc2-deficient rats, expression of the basolateral membrane transporter Abcc3 is up-regulated, which results in increased excretion of organic anions across the sinusoidal membrane (Xiong et al., 2002
; Kuroda et al., 2004
); ABCC3 expression is also up-regulated in patients with Dubin-Johnson syndrome (Konig et al., 1999
).
ABCG2/Abcg2, an ABC half-transporter, is the most recently identified hepatic canalicular transporter that is responsible for biliary excretion of various organic anions and cations as well as their phase II conjugates (Staud and Pavek, 2005
). ABCG2/Abcg2 can also efficiently export anticancer drugs (e.g., mitoxantrone and topotecan) out of cancer cells, thus causing multidrug resistance (Doyle et al., 1998
; Allen et al., 1999
; Miyake et al., 1999
). Abcg2/ mice have been used to examine the physiological and pharmacological importance of Abcg2 and to investigate alterations in drug disposition in the absence of this transporter (Jonker et al., 2002
; van Herwaarden et al., 2003
; Mizuno et al., 2004
; Merino et al., 2005
). However, livers of Abcg2/ mice may exhibit changes in the expression and function of compensatory transport mechanisms, similar to Abcc3 up-regulation in Abcc2-deficient rats, which emphasizes the need to elucidate the mechanisms of alteration to properly interpret the data obtained in this knockout model.
Previously, we reported that the fluorescent Abcc2 probe used in the current study, 5 (and 6)-carboxy-2',7'-dichlorofluorescein (CDF), is an Abcc3 substrate and that basolateral excretion of CDF is increased in livers from TR relative to wild-type rats (Zamek-Gliszczynski et al., 2003
). The molecular weight of CDF (
445) places it in the molecular weight range of small-molecule drugs that undergo appreciable biliary excretion. CDF fluorescence, which can be measured directly in bile and perfusate matrices, simplifies quantification of this transport probe. Nonfluorescent CDF diacetate (CDFDA), the diacetate promoiety used for efficient CDF delivery to cells, is taken up into liver by passive diffusion, where it is instantaneously hydrolyzed to CDF by intracellular esterases (Breeuwer et al., 1995
; Zamek-Gliszczynski et al., 2003
). CDF is a useful probe for characterization of hepatic Abcc2 and Abcc3 function.
In contrast to Abcc2-deficient rats, which have been extensively characterized, there are no reports on the phenotype of Abcc2/ mice. Similar to up-regulation of Abcc3 in Abcc2-deficient rats, it is possible that expression and activity of other transporter(s) could compensate for the loss of Abcc2 and Abcg2 in gene knockout mice. Therefore, to use genetically deficient animals, including Abcc2/ and Abcg2/ mice, for investigation of the role of specific proteins in drug disposition, it is necessary to characterize the phenotypes of these animals. The present studies characterized the hepatic transport phenotypes of Abcc2/ and Abcg2/ mice. Analysis of changes in the expression of hepatic ABC proteins, as well as mouse liver perfusion studies using CDFDA to investigate potential alterations in CDF hepatobiliary disposition, revealed significant changes in the expression and function of other basolateral and canalicular transport proteins.
| Materials and Methods |
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Animals. Male C57BL/6 wild-type (age-matched heterozygotes), Abcc2/, and Abcg2/ mice (2334 g) were a gift from Eli Lilly and Company. Embryonic stem cells derived from the 129/OlaHsd mouse substrain were used to generate chimeric mice containing full-length cDNA for either Abcg2 (NM 011920) with a 263- to 279-bp deletion or Abcc2 (AF227274 [GenBank] ) with an 1886- to 1897-bp deletion (Deltagen, Inc., San Carlos, CA). F1 mice were generated by breeding with C57BL/6 females, and these were back-crossed five generations with heterozygous C57BL/6 mice prior to obtaining F2 homozygous mutant mice (Taconic Farms, Germantown, NY). Mice were maintained on a 12-h light/dark cycle with access to water and rodent chow ad libitum. All experimental procedures were performed under full anesthesia induced with ketamine/xylazine (140:8 mg/kg i.p.). The Institutional Animal Care and Use Committee at the University of North Carolina at Chapel Hill approved all animal procedures.
Western Blotting. Mouse livers were perfused with phosphate-buffered saline solution (Sigma-Aldrich, St. Louis, MO) and were promptly removed and frozen. Livers were homogenized with 5 volumes of Tris-HCl solution (pH 7.4) containing complete protease inhibitor cocktail (Roche Diagnostics, Mannheim, Germany). The homogenates were centrifuged at 1500g for 10 min, and the supernatant was subsequently ultracentrifuged at 100,000g for 30 min. The resulting pellet was dissolved in Tris-HCl solution (pH 7.4) containing complete protease inhibitor cocktail, 1% sodium dodecyl sulfate, and 1 mM ethylenediaminetetraacetic acid. Protein concentration of the solution was determined with the BCA protein assay reagent kit (Pierce Biotechnology, Inc., Rockford, IL). Approximately 50 µg of total protein per lane was resolved by electrophoresis on NuPAGE 4 to 12% Bis-Tris gel (Invitrogen, Carlsbad, CA) and was transferred onto polyvinylidene difluoride membranes. Thereafter, the membranes were incubated with primary and secondary antibodies (Amersham, Piscataway, NJ). Protein bands of interest were detected by chemiluminescence with SuperSignal West Dura (Pierce Biotechnology) and visualized using a VersaDoc 1000 molecular imager (Bio-Rad Laboratories, Hercules, CA). Protein bands were quantified by densitometry using Quantity One v.4.1 (Bio-Rad Laboratories).
RNA Extraction and Reverse Transcription-Polymerase Chain Reaction. Total liver RNA was extracted with TRIzol reagent (GIBCO BRL, Grand Island, NY) as follows. Liver tissues (ca. 100 µg) were homogenized in 1 ml of TRIzol, and the homogenates were incubated at room temperature for 5 min to dissociate nucleoprotein complexes. After the addition of chloroform (1/5 volume of TRIzol), the mixture was incubated at room temperature for 2 to 3 min and was centrifuged at 12,000g for 15 min. RNA in the upper aqueous phase was precipitated with ethanol; the purity and quantity were determined with a Lambda 35 UV/visible spectrometer (PerkinElmer, Wellesley, MA). For reverse transcription-polymerase chain reaction (RT-PCR), the first-strand cDNA was synthesized with 5 µg of total RNA using Superscript First Strand Synthesis System for RT-PCR kit (Invitrogen) according to the manufacturer's instructions. Multiplex PCR was carried out with two primer pairs for Abcc2 and actin; Abcc2 forward (5'-cttatggttctcctggtcc3') and Abcc2 reverse (5'-cgaatggcagacaagtcc3') amplified a product of 480 bp from Abcc2 cDNA, whereas ß-actin forward (5'-gttaccaactgggacgac3') and ß-actin reverse (5'-gatcttgatcttcatggtgc3') amplified a product of 640 bp from actin cDNA. Actin amplification was used as an internal control for normalization of Abcc2 signal. The following PCR parameters were used: 95°C, 30 s; 56°C, 45 s; and 72°C, 1 min.
Single-Pass Liver Perfusion Studies. After the ligature of the common bile duct between the gallbladder and the duodenum, the gallbladders of anesthetized mice were cannulated with PE-10 tubing (Becton Dickinson, Parsippany, NJ). The portal vein was cannulated with a 20G catheter (B. Braun Medical Inc., Bethlehem, PA), and preperfusion of the liver was initiated at a flow rate of 5 ml/min (CDFDA-free Krebs-Henseleit buffer containing 11 mM glucose and 5 µM taurocholate continually oxygenated with 95% O2/5% CO2). The abdominal vena cava below the liver was severed immediately by incision, and the inferior vena cava above the liver was cannulated with a 20G catheter. Thereafter, the abdominal inferior vena cava was ligated to direct all perfusate outflow to the cannula connected to the catheter. After an
15-min preperfusion period for equilibration of liver temperature and bile flow, the liver was perfused with buffer containing 1 µM CDFDA for 30 min followed by perfusion with CDFDA-free buffer during the subsequent 30-min CDF washout phase of the experiment. Bile was collected in 10-min intervals; outflow perfusate was collected in 5-min intervals (030 min) and 2-min intervals during the CDF washout period (3060 min). CDF concentrations in bile and perfusate samples were quantified by fluorescence spectroscopy (
ex, 505 nm;
em, 523 nm) using a FL600 micro plate fluorescence reader (Bio-Tek Instruments, Inc., Winooski, VT) in accordance with previous techniques (Zamek-Gliszczynski et al., 2003
). CDFDA has been reported to be hydrolyzed in phosphate-buffered saline at physiological pH and temperature with a half-life of 7.6 ± 0.1 h (Zamek-Gliszczynski et al., 2003
). Although CDFDA hydrolysis was minor over this short perfusion period of time, CDF concentrations in outflow perfusate were corrected for CDFDA hydrolysis at each time point.
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weighting scheme and a Gauss-Newton (Levenberg and Hartley) minimization process (WinNonlin 4.1; Pharsight Corporation, Mountain View, CA). The model assumed instantaneous hydrolysis of CDFDA to CDF in the liver.
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| Results |
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40%) than in wild-type mice.
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The cumulative biliary excretion of CDF is plotted in Fig. 3. The cumulative CDF biliary excretion at each time point in Abcg2/ mice was significantly higher relative to wild-type mice, reaching 65 ± 6% of the dose in Abcg2/ mice and 47 ± 15% of the dose in wild-type mice at 60 min (Table 1). Biliary excretion of CDF in Abcc2/ mice was negligible.
In the present liver perfusion studies, CDFDA hydrolysis in perfusate over the course of the 30-min liver perfusion with CDFDA was less than 5% of total CDFDA at 30 min. CDF concentrations in outflow perfusate during and after liver perfusion with CDFDA are shown in Fig. 4. CDF concentrations in outflow perfusate in each group reached steady state by the end of the 30-min liver perfusion with CDFDA and were comparable between Abcg2/ and wild-type mice; the cumulative recovery of CDF in perfusate at 60 min was similar (32 ± 3% and 35 ± 11% of dose, Abcg2/ and wild-type mice, respectively). In Abcc2/ mice, however, CDF concentrations in outflow perfusate were much higher than in the other mice, and the cumulative 60-min recovery of CDF in perfusate was significantly higher (90 ± 8% of dose) than in wild-type mice (Table 1). During the 30-min washout CDFDA-free phase of perfusion, CDF concentrations in outflow perfusate decreased steeply in Abcc2/ mice relative to wild-type and Abcg2/ mice, approaching similar concentrations at 60 min.
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Pharmacokinetic Modeling. Pharmacokinetic parameter estimates recovered from the nonlinear regression analysis of basolateral and biliary CDF excretion rate-time data are summarized in Table 2. The CDFDA Clup values were almost identical between mouse groups (4.0 ± 0.7 to 4.4 ± 0.2 ml/min). The rate constant for CDF biliary excretion (kbile) was increased significantly in Abcg2/ mice (0.061 ± 0.005 min1) in comparison to wild-type mice (0.039 ± 0.011 min1). In contrast, the rate constant governing CDF basolateral excretion (kperfusate) was significantly higher in Abcc2/ (0.12 ± 0.02 min1) relative to wild-type mice (0.030 ± 0.011 min1) but was not altered in Abcg2/ mice (0.031 ± 0.004 min1). Using the model scheme in Fig. 5 and mean parameter estimates reported in Table 2, basolateral and biliary CDF excretion rate-time profiles were simulated in wild-type and knockout mice (Fig. 6).
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| Discussion |
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Zamek-Gliszczynski et al. (2003
) reported that hepatic uptake of CDFDA was not saturable, temperature independent, and insensitive to classic inhibitors of hepatic organic anion uptake (e.g., bromosulfophthalein, digoxin, p-aminohippurate, and probenecid), thus demonstrating that hepatic uptake of CDFDA occurred by passive diffusion. In the current mouse liver perfusion studies with perfusate flow rate of 5 ml/min, CDFDA Clup values were estimated to be 4.0 to 4.4 ml/min in all groups (Table 2), indicating a high (>80%) hepatic extraction ratio for CDFDA. Therefore, hepatic uptake of CDFDA seems to be a flow rate-limited process in mice.
Recently, Abcg2/ mice have been used to investigate the role of Abcg2 in the disposition of various substrates (Jonker et al., 2002
; van Herwaarden et al., 2003
; Mizuno et al., 2004
; Merino et al., 2005
). Although baseline bile flow in the current liver perfusion study before the initiation of CDFDA perfusion in wild-type and Abcg2/ mice was almost the same (1.02 ± 0.26 and 1.07 ± 0.27 µl/min/g liver, respectively), the average bile flow throughout the study in Abcg2/ mice was significantly higher than in wild-type mice (Table 1). These findings are consistent with reports of elevated bile flow in other canalicular transporter knockout mice. Abcb11/ mice exhibited significantly higher bile flow than wild-type mice on a cholic acid-rich diet (Wang et al., 2003
). Moreover, Huang and Vore (2001
) reported that bile flow in Abcb4 (Mdr2)/ mice was higher than in wild-type mice in liver perfusion studies using the Abcc2 substrate estradiol-17ß-D-glucuronide. Bile flow in rats may be increased by solvent drag associated with concentrative excretion of drugs into bile (Platzer et al., 2001
). In the current study, therefore, increased bile flow in Abcg2/ mice may be attributed to elevated solvent drag caused by greater CDF biliary excretion. Further investigations using Abcg2-specific substrates are necessary to determine the mechanism of increased bile flow in Abcg2/ mice.
In addition to bile flow, biliary excretion of CDF in Abcg2/ mice was significantly elevated (Table 1). Likewise, the rate constant governing CDF biliary excretion (kbile) was significantly increased in Abcg2/ mice (Table 2). The exact mechanism responsible for the increased amount of CDF in bile of Abcg2/ mice is unclear, but some possible explanations include down-regulation of Abcc3, up-regulation of Abcc2, stimulation of Abcc2 activity, and/or increased trafficking of Abcc2 to the canalicular membrane. Protein expression of basolateral Abcc3 was not altered in Abcg2/ mice, and there was no difference between Abcg2/ and wild-type mice in the rate constant governing the basolateral excretion of CDF (kperfusate). These findings suggest that the mechanism responsible for basolateral excretion of CDF was maintained. In addition, the protein levels of canalicular transporters and Abcc2 mRNA were not different between Abcg2/ and wild-type mice, except for the absence of the Abcg2 protein. Johnson et al. (2002
) have reported that phenobarbital and pregnenolone-16
-carbonitrile increased biliary excretion of sulfhydryls in rats, in agreement with increased Abcc2 protein levels, whereas mRNA levels were not altered. In rat livers, Abcc2 mRNA levels are poor predictors of Abcc2 protein expression (Patel et al., 2003
), suggesting that Abcc2 protein expression in Abcg2/ mice may be up-regulated without an increase in mRNA. In addition, the observed increase in biliary excretion without up-regulation of the expression of other canalicular transporters has been reported previously: biliary excretion of estradiol-17ß-D-glucuronide was increased in Abcb4(Mdr2)/ relative to wild-type mice, although the expression of Abcc2 was actually decreased by 35% in Abcb4/ mice (Huang and Vore, 2001
). Thus, alterations in the biliary excretion of probe substrates may not correlate directly with changes in the expression of canalicular transporters that are postulated to be primarily responsible for their translocation across the hepatic canalicular membrane. Furthermore, it has been reported that the activity of Abcc2 can be stimulated by organic anions (Bakos et al., 2000
; Evers et al., 2000
), and this stimulation could be enhanced in the livers of Abcg2/ mice, presumably due to elevated intrahepatic levels of the stimulant in the absence of Abcg2. In addition, it is also possible that Abcc2 trafficking from intracellular membranes to the canalicular membrane can be enhanced in Abcg2/ mice. Proper trafficking of Abcc2 to the canalicular membrane is required for CDF biliary excretion (Zhang et al., 2005
). Increased trafficking of Abcc2 protein to the canalicular membrane in Abcg2/ mice may contribute to the higher CDF recovery in bile (Table 1). Taking these findings into consideration, Abcc2 transport activity in Abcg2/ mice may be elevated without an increase in Abcc2 mRNA. The exact mechanism of enhanced biliary excretion of CDF in Abcg2/ mice requires further investigation. Microarray analysis of gene expression in several organs and tissues currently is underway to obtain further information about Abcg2/ mice.
Although numerous reports regarding various knockout mice exist in the literature, there are no accounts of the Abcc2/ mouse phenotype. CDF disposition was studied by Zamek-Gliszczynski et al. (2003
) using isolated perfused Abcc2-deficient TR rat livers. In the present study, CDF disposition in Abcc2/ mice was investigated using a single-pass liver perfusion method. Consistent with TR rats (Xiong et al., 2000
; Patel et al., 2003
), bile flow in Abcc2/ mice was lower than in wild-type mice. These findings suggest that Abcc2 plays a role in bile flow in mice, in agreement with previous reports in rats. In contrast to wild-type mice, biliary excretion of CDF in perfused livers from Abcc2/ mice was negligible, demonstrating that CDF was excreted into bile solely by Abcc2 in mice, an observation consistent with the previous report using TR rats (Zamek-Gliszczynski et al., 2003
). Perfusate concentrations of CDF were higher in isolated perfused livers of TR rats (Zamek-Gliszczynski et al., 2003
). In the present study, CDF concentrations in outflow perfusate obtained from Abcc2/ mice were much higher than those in wild-type mice; 90 ± 8% of the dose was recovered in perfusate. In addition, the rate constant for basolateral excretion (kperfusate) of CDF was
4-fold higher in Abcc2/ mice. Western blot analysis revealed a significant increase (57 ± 36%) in Abcc3 protein expression in Abcc2/ mice (Fig. 1), consistent with Abcc3 up-regulation in TR rats (Xiong et al., 2002
). These findings strongly support the role of Abcc3 as the hepatic basolateral efflux transporter for CDF; the expression and function of Abcc3 is up-regulated in the absence of Abcc2 to compensate for the inability to excrete organic anions into bile.
In humans, both ABCG2 and ABCC2 are widely distributed in the apical membrane of various tissues, including brain, gut, placenta, and liver (Leslie et al., 2005
). In addition, ABCC2, but not ABCG2, is observed on the apical membrane of kidney proximal tubules (Schaub et al., 1999
; Jonker et al., 2000
; Maliepaard et al., 2001
). In contrast to humans, Abcg2 is highly expressed in both rat and mouse kidney (Jonker et al., 2000
; Shimano et al., 2003
). In addition to the up-regulation of Abcc3 in livers of rats deficient in Abcc2, it also has been reported that Abcc3 expression was increased in kidneys of both EHBR and TR rats (Kuroda et al., 2004
; Chen et al., 2005
). In studies using Abcg2/ mice and EHBR, it was reported recently that Abcg2 plays an important role in intestinal secretion of glucuronide and sulfate conjugates, whereas Abcc2 was only involved in the efflux of some glucuronide conjugates (Adachi et al., 2005
). Therefore, genetically deficient animals are likely to exhibit changes in the expression of compensatory systems, suggesting that a more comprehensive approach will be necessary to fully elucidate the phenotypes of these animals.
In conclusion, the loss of Abcg2 expression resulted in increased CDF biliary excretion, whereas the loss of Abcc2 protein resulted in the absence of CDF biliary excretion and increased CDF basolateral excretion caused by increased Abcc3 expression and function. Knockout animal models are useful tools for the characterization of the role of specific proteins. However, these results indicate that in addition to expected changes in CDF hepatobiliary disposition in the absence of Abcc2 or Abcg2, unexpected alterations in basolateral and/or canalicular transport activities might result from the loss-of-function of a single canalicular transport protein. These alterations could result in significant changes in biliary or systemic drug exposure that may affect efficacy and/or toxicity, suggesting that a better understanding of xenobiotic disposition in these knockout mice is necessary for appropriate use of these models. In addition, complete characterization of these alterations is required prior to accurate interpretation and utilization of these models in preclinical drug development.
| Footnotes |
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Article, publication date, and citation information can be found at http://dmd.aspetjournals.org.
ABBREVIATIONS: ABC, ATP-binding cassette; MRP/Mrp, multidrug resistance-associated protein; BCRP/Bcrp, breast cancer resistance protein; MDR/Mdr, multidrug resistance; BSEP/Bsep, bile salt export pump; TR, transport-deficient; EHBR, Eisai hyperbilirubinemic rat; CDF, 5 (and 6)-carboxy-2',7'-dichlorofluorescein; CDFDA, CDF diacetate; bp, base pair(s); RT-PCR, reverse transcription-polymerase chain reaction.
1 Current affiliation: Shionogi & Co., Ltd., Developmental Research Laboratories, Toyonaka, Osaka, Japan. ![]()
Address correspondence to: Dr. Kim L. R. Brouwer, School of Pharmacy, CB# 7360, Kerr Hall, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599-7360. E-mail: kbrouwer{at}unc.edu
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