METHOD OF MEASURING INHIBITION OF PHOSPHATIDYLCHOLINE EXPORT TRANSPORT AND/OR FORMATION ACTIVITY

Abstract

A method is provided to measure modulation of phosphatidylcholine export transport and/or formation activity in hepatocyte or stable cell-line preparations by test agents including but not limited to drugs, drug candidates, biologicals, food components, herb or plant components, amino acids, peptides, proteins, oligonucleotides, DNA, and RNA. Furthermore, the method is designed to determine modulation of phosphatidylcholine transport and/or formation activity not only by said test agents, but also their metabolites or biotransformation products formed in situ.

Claims

1. A method of determining the amount of inhibition of phosphatidylcholine export transport activity due to a test agent, comprising: (a) incubating the test agent with a hepatocyte preparation or cell lines expressing multidrug resistance protein 3 (MDR3), stable isotope- or radioisotope-labeled choline compound(s) and bile acids or bile salts, at about 37° C. under conditions allowing for phosphatidylcholine export transport and for a time sufficient to assess export transport of phosphatidylcholine derived from the stable isotope- or radioisotope-labeled choline; (b) following the incubation of step (a), separating extracellular media from the post-incubation hepatocyte preparation of step (a) and quantifying the phosphatidylcholine derived from the stable isotope- or radioisotope-labeled choline compound(s) present in the extracellular media; (c) calculating a phosphatidylcholine export transport activity with test agent using the quantity of phosphatidylcholine derived from the stable isotope or radioisotope-labeled choline compound(s) determined in step (b); (d) separately incubating the hepatocyte preparation and stable isotope or radioisotope-labeled choline compound(s) in the absence of the test agent at about 37° C. under the conditions of step (a); (e) following the incubation of step (d), separating extracellular media from the post-incubation hepatocyte preparation of step (d) and quantifying the phosphatidylcholine derived from stable isotope- or radioisotope-labeled choline compound(s) in the extracellular media; (f) calculating a phosphatidylcholine export transport activity without test agent using the quantity of phosphatidylcholine derived from stable isotope- or radioisotope-labeled choline compound(s) determined in step (e); (g) determining the difference between the phosphatidylcholine export transport activity without test agent and the phosphatidylcholine export transport activity with test agent.

2. The method of claim 1 wherein the amount of inhibition is reported in terms of percent inhibition.

3. The method of claim 1 wherein the amount of inhibition is reported in terms of IC.sub.50.

4. The method of claim 1 wherein the amount of inhibition is reported in terms of Ki.

5. The method of claim 1 wherein the hepatocyte preparation comprises freshly prepared or cryopreserved hepatocytes.

6. The method of claim 1 wherein the hepatocyte preparation comprises hepatocytes derived from human or animal tissue.

7. The method according to claim 6 wherein the hepatocytes are derived from human liver tissue.

8. The method according to claim 6 wherein the hepatocytes are derived from animal liver tissue.

9. The method according to claim 8 wherein the hepatocytes are derived from mouse, rat, dog, rabbit or monkey liver tissue.

10. The method according to claim 1 wherein the hepatocyte preparation comprises hepatocytes derived from stable cell lines.

11. The method of claim 10 wherein the hepatocytes are derived from HepG2, Huh7, or HepaRG stable cell lines.

12. The method of claim 1 wherein the hepatocyte preparation comprises cell lines expressing multidrug resistance protein 3 (MDR3).

13. The method of claim 1 wherein the hepatocyte preparation is a pooled hepatocyte preparation.

14. The method of claim 1 wherein the hepatocyte preparation is in the form of a suspension of hepatocytes.

15. The method of claim 1 wherein the hepatocyte preparation is plated on a culture plate containing growth medium.

16. The method of claim 1 wherein the concentration of hepatocytes is between about 0.001 to about 1 million cells per milliliter.

17. The method of claim 16 wherein the concentration of hepatocytes is between about 0.01 to about 0.3 million cells per milliliter.

18. The method of claim 13 wherein the concentration of hepatocytes is between about 0.001 to about 1 million cells per milliliter.

19. The method of claim 18 wherein the concentration of hepatocytes is between about 0.01 to about 0.3 million cells per milliliter.

20. The method of claim 1 wherein the stable isotope- or radioisotope-labeled choline compound(s) include individually or in combination of deuterium- (1 to 13 deuterium atoms), tritium-, carbon-13 (1 to 5 carbon-13 atoms) and carbon-14 labeled choline.

21. The method of claim 20 wherein the stable isotope-choline compound is d9-choline.

22. The method of claim 1 wherein the bile acids or bile salts are selected from the group comprising cholic acid, chenodeoxycholic acid, deoxycholic acid, lithocholic acid, and their respective glycine and taurine conjugates, individually or in combination(s).

23. The method of claim 22 wherein the bile salt is taurocholic acid.

24. The method of claim 23 wherein taurocholic acid is incubated in the hepatocyte preparation at a concentration from about 0.01 to about 10 mM.

25. The method of claim 1 where the test agent is a drug, drug candidate, biological, food component, herb or plant component, amino acid, peptide, protein, oligonucleotide, DNA or RNA.

26. The method of claim 1 wherein the test agent is a drug or drug candidate.

27. The method of claim 1 wherein the incubation is conducted at about 37° C. under about 5% CO.sub.2 atmosphere for a time from about 0.08 hours to about 4 hours.

28. The method of claim 1 wherein the incubation is conducted at about 37° C. under about 5% CO.sub.2 atmosphere for a time from about 0.08 hours to about 2 hours.

29. The method of claim 1 wherein the extracellular media is separated from the post incubation hepatocyte preparation by centrifugation.

30. The method of claim 1 wherein the analytical method used to quantify the stable isotope- or radioisotope-labeled choline compound(s) derived phosphatidylcholine comprise HPLC, mass spectrometry, liquid chromatography mass spectrometry, and radioactivity counting.

31. The method of claim 30 wherein the analytical method is liquid chromatography mass spectrometry.

32. The method of assessing an agent's liver toxicity potential by determining the amount of inhibition of phosphatidylcholine export transport activity according to claim 1.

33. A model system for assessing an agent's effect on phosphatidylcholine export transport and/or formation comprising: (a) separately incubating a hepatocyte preparation and stable isotope- or radioisotope-labeled choline with and without a test agent at about 37° C. under conditions allowing phosphatidylcholine export transport and/or formation for a time sufficient to assess phosphatidylcholine export transport and/or formation of stable isotope- or radioisotope-labeled choline derived phosphatidylcholine; (b) post-incubation separating extracellular media and intracellular media of the hepatocyte preparations; and (c) quantifying the stable isotope- or radioisotope-labeled choline derived phosphatidylcholine present in extracellular and/or intracellular media of the post-incubation preparations.

34. A model system for assessing potential treatments for hepatic cholestasis, drug-drug interactions and drug-induced liver injury comprising the model system of claim 33.

35. A drug discovery screen for determining the effect on phosphatidylcholine export transport and/or formation activity of multiple test agents comprising: (a) selecting more than one test agent; (b) for each test agent separately incubating a hepatocyte preparation and stable isotope- or radioisotope-labeled choline, bile acids or bile salts, with or without a test agent at about 37° C. under conditions allowing phosphatidylcholine export transport and/or formation for a time sufficient to assess phosphatidylcholine export transport and/or formation stable isotope- or radioisotope-labeled choline derived phosphatidylcholine; (c) for each test agent post-incubation separating extracellular media and intracellular media of the hepatocyte preparations; and (d) for each test agent quantifying the stable isotope- or radioisotope-labeled choline derived phosphatidylcholine present in the extracellular and/or intracellular media of the post-incubation preparations; (e) for each test agent determining the difference between the phosphatidylcholine export transport and/or formation activity without test agent and phosphatidylcholine export transport and/or formation activity with test agent.

36. The method of claim 35 wherein the effect on phosphatidylcholine export transport and/or formation activity of the multiple test agents is reported in terms of percent inhibition.

37. The method of claim 35 wherein the effect on phosphatidylcholine export transport and/or formation activity of the multiple test agents is reported in terms of IC.sub.50.

38. The method of claim 35 wherein the effect on phosphatidylcholine export transport and/or formation activity of the multiple test agents is reported in terms of Ki.

39. The method of claim 35 wherein the multiple test agents are ranked in terms of their effect on phosphatidylcholine export transport and/or formation activity.

40. The method of claim 35 where inhibitors and non-inhibitors of phosphatidylcholine export transport activity are included in the incubation of step (a).

41. A kit adapted to assess a test agent's effect on phosphatidylcholine export transport activity comprising hepatocyte preparations, stable isotope- or radioisotope-labeled choline, bile acid or bile salts, and internal standards for phosphatidylcholine.

42. A kit according to claim 41 which also includes inhibitors and non-inhibitors of phosphatidylcholine export transport activity.

43. A method for determining a test agent's effect on the export transport function of MDR3, other PC transporters, or floppases involved in excretion of phosphatidylcholine from hepatocytes comprising the method of claim 1.

44. A method for determining a test agent's effect on the export transport function of MDR3 comprising the method of claim 1.

Description

BRIEF DESCRIPTION OF FIGURES

[0044] FIG. 1 displays chemical structures of phosphatidylcholine (PC) and d9-PC species where PCs are composed of saturated and/or unsaturated C16-C22 fatty acids conjugated to the glycerol moiety.

[0045] FIG. 2 displays chemical structures of choline and d9-choline.

[0046] FIG. 3 displays LC-MS chromatograms of d9-phosphatidylcholine (PC) species formed in human hepatocytes. Human hepatocytes were incubated in Williams E buffer at 37° C. for 2 hours in the presence of d9-choline and taurocholic acid at concentrations discussed in the methods. Lipids were extracted from hepatocytes with isopropanol:hexane (9:1).

[0047] FIG. 4 displays LC-MS chromatograms of d9-phosphatidylcholine (PC) species transported into extracellular medium from human hepatocytes. Human hepatocytes were incubated in Williams E buffer for 2 hours in the presence of d9-choline and taurocholic acid at concentrations discussed in the methods. Cell-free mediums were mixed with isopropanol for LC/MS/MS analysis.

[0048] FIG. 5 displays the effect of d9-choline concentration on the formation of d9-phosphatidylcholine (PC, 34:2) in human hepatocytes. Human hepatocytes were incubated in Williams E buffer at 37° C. for 2 hours in the presence of d9-choline and taurocholic acid at concentrations discussed in the methods. Lipids were extracted from hepatocytes with isopropanol:hexane (9:1).

[0049] FIG. 6 displays time course for efflux transport of phosphatidylcholine (PC, 34:2) from human hepatocytes. Human hepatocytes were incubated in Williams E buffer for various times in the presence of d9-choline and taurocholic acid at concentrations discussed in the methods. Cell-free mediums were mixed with isopropanol containing analytical internal standard for LC/MS/MS analysis.

[0050] FIG. 7 displays the effect of hepatocyte concentration on the efflux transport of phosphatidylcholine (PC, 34:2) from human hepatocytes. Human hepatocytes were incubated in Williams E buffer for 2 hours in the presence of d9-choline and taurocholic acid at concentrations discussed in the methods. Cell-free mediums were mixed with isopropanol containing the analytical internal standard for LC/MS/MS analysis.

[0051] FIG. 8 displays the effect of taurocholic acid on the transport of phosphatidylcholine (PC, 34:2) in human hepatocytes. Human hepatocytes were incubated in Williams E buffer for 2 hours in the presence of d9-choline and taurocholic acid at various concentrations described in the methods. Cell-free mediums were mixed with isopropanol containing the analytical internal standard for LC/MS/MS analysis.

DETAILED DESCRIPTION OF INVENTION

[0052] In relation to the presently disclosed subject matter, a novel method is provided for measuring a test agent's ability to modulate mammalian phosphatidylcholine (PC) export transport and/or formation activity in preparations of human and animal hepatocytes or in stable hepatic-derived cell lines such as HepG2, Huh7, and HepaRG by incubation of stable isotope- or radioisotope-labeled choline, bile acid/salt compound or compounds, and the said test agent in said preparations, followed by measuring extracellular and/or cellular PC concentrations post-incubation. The test agents used in the present invention include but are not limited to drugs, drug candidates, biologicals, food components, herb or plant components, amino acids, proteins, peptides, oligonucleotides, DNA, and RNA. Interference with PC export transport and/or formation is associated with drug-induced liver injury (DILI). The PC export transport and/or formation activity modulation includes but is not limited to inhibition, induction, activation, and/or regulation. Furthermore, the method allows for a test agent-derived metabolite(s) to be tested for modulation of PC export transport and/or formation activity. The present invention can be provided in the form of a kit comprising buffers, reagents, chemicals, stable isotope- or radioisotope-labeled choline, bile acid/salt compounds, internal standard, incubation platforms, paper and/or electronic instructions, and additional materials necessary to allow a person skilled in the art to practice the present invention.

[0053] Furthermore, the presently disclosed invention to measure a test agent's ability to modulate PC export transport and/or formation can be used by a person skilled in the art as a drug discovery screen for testing said agent's potential to cause liver injury, drug-drug interactions, and/or potential as a therapeutic for purposes of treating a condition such as cholestasis, abnormality of PC metabolism, and liver disease. Even further, the present invention can be used as part of a drug discovery-screening paradigm.

[0054] Unless defined otherwise, all technical and scientific terms used herein have the meaning commonly understood by a person skilled in the art to which this invention belongs. The meaning and scope of terms should be clear; however, in the event of any latent ambiguity, definitions provided herein take precedent over any dictionary or extrinsic definition. In this application, the use of “or” means “and/or” unless stated otherwise. Furthermore, the use of the term “including” as well as other forms of same such as “includes” and “included” is not limiting. With reference to the use of the words “comprise” or “comprises” or “comprising” in this patent application, Applicants note that unless the context requires otherwise, those words are used on the basis and clear understanding that they are to be interpreted inclusively, rather than exclusively, and that Applicants intend each of those words to be so interpreted in construing the patent application, including the claims.

[0055] As used in the specification and claims, the singular form “a,” “an,” and “the” include plural references unless the context clearly dictates otherwise.

[0056] In this disclosure, “comprise,” “comprising,” “containing” and “having” and the like can have the meaning ascribed to them in U.S. Patent law and can mean “includes,” “including,” and the like; “consisting essentially of” or “consists essentially” likewise has the meaning ascribed in U.S. Patent law and the term is open-ended, allowing for the presence of more than that which is recited so long as basic or novel characteristics of that which is recited is not changed by the presence of more than that which is recited, but excludes prior art embodiments.

[0057] Where a range of values is provided, it is understood that each intervening value, to the tenth of the unit of the lower limit, unless the context clearly dictates otherwise, between the upper and lower limit of that range and any other stated or intervening value in that stated range, is encompassed within the invention. The upper and lower limits of these ranges may independently be included in the smaller ranges and are also encompassed within the invention, subject to any specifically excluded limit in the stated range. Where the stated range includes one or both of the limits, ranges excluding either or both of those included limits are also included in the invention.

[0058] Hepatocytes have specific membrane domains that one skilled in the art would recognize and include but are not limited to an apical (canalicular) membrane or domain and a basolateral (blood or sinusoidal domain) membrane or domain. The hepatocyte basolateral membrane or domain is involved in the uptake into the cell of drugs and xenobiotics, while the apical membrane or domain provides a route for intracellular-produced PC to be excreted or transported out of the cell into the bile flow. The transport of PC out of hepatocytes into bile primarily involves transporter proteins located on the cell's apical membrane.

[0059] ATP-binding cassette (ABC) transporters constitute one of the largest families of membrane transport proteins and can transport a wide range of different substrates ranging from small ions to large proteins across biological membranes using ATP as an energy source (Ellinger, id., p 1.). In hepatocytes, eleven ABC transporters are expressed including three ABC transporters involved in bile formation—BSEP (ABCB11), MDR3 (ABCB4), and ABCGS/8 (Ellinger, id., p 1.).

[0060] Of the transporters in the apical or canalicular domain of hepatocytes is the transporter protein named multidrug resistance protein 3 (MDR3) encoded with the ABCB4 gene. MDR3 is also called PC floppase or ABCB4 or multidrug-resistant 3 P-glycoprotein (Lang, id., p 1.). Earlier studies show that MDR2 is identical in sequence to MDR3. Abcb4 in animals, formerly known as Mdr2, is the homolog of human ABCB4. MDR3 is mainly expressed in the liver and localized in the canalicular membranes of hepatocytes. It is primarily responsible for the secretion of phospholipids into bile. MDR3 is one of the main transporters in human hepatocytes involved in bile formation.

[0061] Interference in MDR3 function can lead to impaired hepatobiliary secretion of PC. Genetic defects or mutations in MDR3 that interfere with hepatobiliary secretion of PC are associated with several diseases, including progressive familial intrahepatic cholestasis type 3 (PFIC3); benign recurrent intrahepatic cholestasis type 3 (BRIC3), intrahepatic cholestasis of pregnancy (ICP), low-phospholipid-associated cholelithiasis (LPAC), primary biliary cirrhosis, and cholangiocarcinoma. In the case of PFIC3, the condition has been associated with one or more polymorphisms in the genetic code for MDR3 leading to inadequate MDR3 function and associated liver injury. PFIC3 is characterized by progressive liver damage usually requiring transplantation, while BRIC3 is characterized by intermittent and non-progressive cholestasis.

[0062] In the presently disclosed subject matter, PC export transport is used as a marker for MDR3 and/or any additional PC transporters or floppases involved in the excretion of PC from hepatocytes.

[0063] In modern drug discovery and development, assessing the potential of a drug candidate to produce clinical drug-induced liver injury (DILI) or drug-drug interaction is a major issue. Several drugs have reached marketing approval by the Food and Drug Administration in the United States to later be found to produce unexpected DILI. The extremely low rate of DILI, in some cases at rates estimated to be about 1 in 10,000, have limited the utility of clinical trials, with patient populations in the hundreds to low thousands, to predict this adverse reaction. Preclinical animal models and toxicity studies often do not show any evidence of DILI. Therefore, drug discovery and development scientists have tried to develop in vitro models to predict a drug's potential to produce DILI. Most of these methods focus on the formation of reactive metabolites, a drug's effects on hepatic mitochondrial function and the potential for drug-induced apoptosis (programmed cell death). These methods are highly complex and difficult to interpret, which limits their utility as a drug-discovery screening approach.

[0064] Recently, greater implication of DILI as the result of interference with PC export has been recognized. As mentioned above, it has now been demonstrated that several drugs known to cause DILI have been found to interfere with PC transport out of hepatocytes. DILI toxicities include cellular mitochondrial damage, apoptosis (programmed cell death), and necrosis. The result of the toxicity can be cholestasis, a condition in which bile cannot flow from the liver to the duodenum. The ultimate result of DILI can be the need for liver transplantation.

[0065] The need for model systems and methods to assess a drug's and test agent's ability to interfere with PC export transporters has led to the development of several in vitro approaches including ABCB4-expressed insect cell vesicle platforms and ABCB4 transfected cells. As described above, each of these methods has drawbacks including unreliability, difficulty in preparation of test systems, inability to incorporate into drug discovery paradigms, false positives and negatives, and lack of extrapolation to human hepatic function.

[0066] Therefore, there exists a need to develop a method that can be used by one skilled in the art to accurately and reliably measure a test agent's ability to modulate PC export transport and/or formation activity. Furthermore, the method should be flexible to allow for studies of a variety of test agents and should offer the potential to assess test agent-derived metabolites for their ability to modulate PC export transport and/or formation activity. Furthermore, the method should be readily adaptable for several different types of hepatocyte incubation preparations, including human and animal. The method should offer the potential to be used with stable cell lines expressing multidrug resistant 3-P glycoprotein (MDR3), including HepG2, Huh7, and HepaRG. The method should minimize or not require the use of radiolabeled chemicals to measure PC export transport and/or formation. Even further, the method should be adaptable to drug discovery screens and utilize incubation platforms that allow a test agent to be screened at appropriate concentrations and incubation periods.

[0067] The present disclosed subject matter provides a method to measure modulation of transport and formation of PC produced in hepatocyte preparations comprising incubation of stable isotope- or radioisotope-labeled choline in the presence or absence of bile salts or acids with or without a test agent in said hepatocyte preparations. Post-incubation concentrations of formed PC present in extracellular and/or cellular media are measured and used to assess test agent modulation of PC export transport and/or formation activity.

[0068] Test agents include but are not limited to drug, drug candidate, biological, food component, herb or plant component, amino acid, peptide, protein, oligonucleotide, DNA, and RNA. A person skilled in the art would realize that the test agent could be added to the incubation medium in an appropriate solvent or buffer.

[0069] Choline used in the method includes but is not limited to deuterium- (1 to 13 deuterium atoms), tritium-, carbon-13 (1 to 5 carbon-13 atoms), and carbon-14 labeled choline. Bile acids and salts used in the method include but are not limited to cholic acid, chenodeoxycholic acid, deoxycholic acid, lithocholic acid, and their respective glycine and taurine conjugates individually or in combinations.

[0070] The PC export transport and/or formation activity can be inhibition, induction, activation, or regulation. Inhibition refers to a decrease in PC export transport and/or formation, and can be competitive, non-competitive, un-competitive, or irreversible. Induction refers to an increase in hepatic proteins responsible for PC export transport or formation. Activation refers to the process whereby the test agent would increase the functional activity of the proteins involved in PC export transport and/or formation. Regulation refers to controlling the rates of PC export transport and/or formation.

[0071] Incubations can be conducted using freshly prepared hepatocytes or cryopreserved hepatocytes obtained by standard methods from human and animal livers that one skilled in the art would be well aware of and able to use. The hepatocytes can be used in the form of suspensions or plated on a suitable culture plate containing appropriate growth medium.

[0072] In place of hepatocytes, a person skilled in the art could use a stable cell line expressing multidrug resistant 3-P glycoprotein (MDR3), including HepG2, Huh7, and HepaRG. HepG2 is a perpetual cell line derived from the liver of a 15-year-old Caucasian male with a well-differentiated hepatocellular carcinoma. Because of the high degree of morphological and functional differentiation in vitro, HepG2 cells can be a suitable model to study the intracellular trafficking and dynamics of bile canalicular and sinusoidal membrane proteins and lipids in human hepatocytes in vitro (Ihrke G., et al. [1993]. WIF-B cells: an in vitro model for studies of hepatocyte polarity. J Cell Biol, 123(6 Pt 2), 1761-1775. p 1761.). Huh-7 is a well differentiated hepatocyte-derived cellular carcinoma cell line that was originally taken from a liver tumor in a 57-year-old Japanese male in 1982 (www.huh7.com). HepaRG cells are terminally differentiated hepatic cells derived from a human hepatic progenitor cell line that retains many characteristics of primary human hepatocytes (www.heparg.com).

[0073] Presently disclosed is a novel method and embodiments for measuring the modulation of PC export transport and/or formation activity by a test agent whereby incubations of hepatocytes from mouse, rat, dog, rabbit, monkey, and human are carried out at concentrations ranging from about 0.001 to about 1.0 million cells/mL and can be conducted in 96-well plates with about 0.01 to about 1000 μg/mL of stable isotope- or radiolabeled-choline in the presence or absence of bile acids or salts at 0.01 μM to about 10,000 μM in Williams E buffer in the presence or absence of test agents at concentrations ranging from about 0 μM to about 1000 μM at 37° C. under 5% CO.sub.2 for 0.1 to 72 hours. After incubation, the 96-well plate is centrifuged at 4000 RPM for 15 minutes at room temperature. The supernatant is removed from the cell pellet and labeled as extracellular media. Alternatively, after incubation, the cell suspension is filtered with a pore size range from about 0.2 to about 5 μm. The 4000 RPM supernatant (extracellular media) is mixed with 1-3 times the volume organic solvent, such as isopropanol, methanol, and/or acetonitrile, and the resultant mixture is centrifuged at 4000 RPM for 20 minutes at 4° C. An internal standard suitable for liquid chromatography mass spectrometry measurements of PC species is added to the organic solvent.

[0074] The hepatocyte cell pellet is re-suspended in water, Williams E buffer or other buffer system, and subjected to a standard freeze-thaw procedure and sonication to detach cells. The cell suspension is mixed with 1-3 times volume of hexane:isopropanol (9:1 in volume), and followed by centrifugation at 4000 RPM for 10 min. The hexane:isopropanol phase is collected and dried under nitrogen. The residues are reconstituted in 200 μL isopropanol. An internal standard suitable for liquid chromatography mass spectrometry measurements of PC species is added to the hexane:isopropanol solution. Alternately, the hepatocyte cell pellet can be directly treated with hexane:isopropanol (9:1 in volume) followed by centrifugation at 4000 RPM for 10 min.

[0075] Measurement of PC species in the extracellular media and/or cellular contents can be accomplished by using standard liquid chromatography mass spectrometry with multiple reaction monitoring (MRM) of specific ions associated with PC species. Quantitation of PC in intracellular and cellular media is performed using standard curves prepared from reference PC species.

[0076] Following quantitation of selected PC species in the extracellular and cellular media, calculation is made of PC export transport and/or formation activity. In the case of PC export transport activity, the concentration of the measured PC in the extracellular media is divided by the hepatocyte cell concentration and the length of incubation. This relates to the amount of PC transported into the extracellular media during the course of incubation. The selection of PC species to measure is based on the formation of PC species in the incubation. In general, PC 34:2 is measured.

[0077] PC formation activity is calculated by first determining the total PC formed for each species in the incubation. This is determined by adding the amount of PC in the extracellular media to the amount in the intracellular media. The total PC amount for each species is then divided by the hepatocyte cell concentration and the length of incubation.

[0078] The effect of a test agent in terms of percentage (%) of inhibition on PC export transport and/or formation activity is determined by the following equation:

[00001]$\%.Math..Math.\mathrm{Inhibition}=\frac{\left(\mathrm{Activity}.Math..Math.\mathrm{without}.Math..Math.\mathrm{Test}.Math..Math.\mathrm{Agent}-\mathrm{Activity}.Math..Math.\mathrm{with}.Math..Math.\mathrm{Test}.Math..Math.\mathrm{Agent}\right)\times 100}{\left(\mathrm{Activity}.Math..Math.\mathrm{without}.Math..Math.\mathrm{Test}.Math..Math.\mathrm{Agent}\right)}$

[0079] In one embodiment of the disclosed subject matter, incubations of hepatocytes from mouse, rat, dog, rabbit, monkey, and human are carried out at concentrations ranging from about 0.001 to about 1 million cells/mL and can be conducted in 96-well plates with about 0.01 to about 1000 μg/mL d9-choline in the presence of 0.01 to 10000 μM taurocholic acid in Williams E buffer in the presence or absence of test agents at concentrations ranging from about 0.01 μM to about 1000 μM at 37° C. under 5% CO.sub.2 for about 0.1 to 72 hours.

[0080] In yet another embodiment of the disclosed subject matter, incubations of hepatocytes from mouse, rat, dog, rabbit, monkey, and human at concentrations ranging from about 0 to about 0.25 million cells/mL can be conducted in 96-well plates with about 0 μM to about 100 μg/mL d9-choline in the presence of taurocholic acid in Williams E buffer in the presence or absence of test agents at concentrations ranging from about 0.01 μM to about 1000 μM at 37° C. under 5% CO.sub.2 for about 2 hours.

[0081] In even yet another embodiment of the disclosed subject matter, incubations of hepatocytes derived from human and animal liver at concentrations ranging from about 0 to about 0.25 million cells/mL can be conducted in 96-well plates with about 100 μg/mL d9-choline in the presence of taurocholic acid in Williams E buffer in the presence or absence of test agents at concentrations ranging from about 0.01 μM to about 1000 μM at 37° C. under 5% CO.sub.2 for about 2 hours.

[0082] In another embodiment of the method, one skilled in the art would appreciate that the investigator can practice the method with hepatocytes prepared from human and animal livers. Animals include mouse, rat, dog, rabbit, and monkey. Hepatocytes can be prepared from individual livers or be prepared as a pooled sample of hepatocytes derived from multiple different human or animal livers.

[0083] In another embodiment, a person skilled in the art would recognize that the method is not limited to 96-well plates but can readily be modified for use with a variety of incubation platforms including a Petri dish with cells plated in a monolayer, a single-well plate, or a multi-well plate format.

[0084] In yet another embodiment, one skilled in the art would readily recognize that PC formed in the present method can be separated from the extracellular and cellular media by a variety of techniques including but not limited to centrifugation; filtration; solid phase extraction with C18, C8, C4 or anion exchange solid support; by liquid-liquid extraction; or by addition of acetonitrile, methanol, or any suitable solvent, followed by centrifugation or filtration.

[0085] A person skilled in the art would recognize that additional methods for quantitation of PC are available to the investigator that include but are not limited to high-performance liquid chromatography (HPLC), mass spectrometry, radioactivity counting, enzyme assay, and/or fluorescence.

[0086] An additional embodiment of the presently disclosed method can be practiced to investigate a test agent's effect on absorption, distribution, metabolism, and excretion (ADME)-related processes. As one skilled in the art would readily recognize, the method can be used to allow for the measurement of test-agent—derived metabolites to inhibit, induce, activate, and/or regulate PC export transport and/or formation.

[0087] In yet another embodiment of the method, it can be modified whereby selective drug metabolizing enzyme inhibitors can be co-incubated with test agents to measure the effect on PC export transport and/or formation.

[0088] In another embodiment, one skilled in the art would appreciate that the method can be practiced to allow for measurement of interactions between a test agent and known modulators of PC export transport and/or formation.

[0089] In another embodiment, the method can be used with human and/or animal hepatocytes that have ADME enzyme phenotypes, which can allow for measuring the effect of specific hepatic phenotype on a test agent's modulation of PC export transport and/or formation. For example, hepatocytes derived from a human liver expressing a genetic polymorphism deficiency in cytochrome P450 2D6 enzyme activity can be practiced in the method to measure a test agent's modulation on PC export transport and/or formation.

[0090] As one skilled in the art would appreciate, the present method can be used as a drug discovery-screening assay to measure the effect of multiple test agents on PC export transport and/or formation activity. The assays can include known inhibitors and non-inhibitors of PC transport. Results from the screening assay can be used for selection or ranking of test agent's modulation of PC export transport and/or formation. Furthermore, the method can be practiced to determine in vitro IC.sub.50 values for test agents. Additionally, the results can be used as part of in vitro-in vivo correlation of a PC transport activity profile.

[0091] The presently disclosed subject matter for the method to measure a test agent's modulation of PC export transport and/or formation activity and embodiments can be practiced to identify chemicals or biological test agents that have the potential to cause liver injuries, drug-drug interactions, and/or can be used as therapeutic agents for the treatment of cholestasis, abnormality of bile salt metabolism, liver diseases, and cholesterol abnormality.

[0092] The presently disclosed subject matter and embodiments can be provided in the form of a kit comprising buffers, reagents, chemicals, stable isotope- or radioisotope-labeled choline, bile acids, bile salts, internal standard, incubation platforms, and instructions that together allow a person skilled in the art to practice the instant disclosure.

[0093] The references cited in the specification are incorporated herein by reference to the extent that they supplement or explain, or provide a background for or teach methodology, techniques, and/or compositions employed herein.

[0094] Abbreviations: ABC transporters: ATP binding cassette transporters; ADME: absorption, distribution, metabolism, and excretion; BRIC2: benign recurrent intrahepatic cholestasis type 2; PC: phosphatidylcholine; HPLC: high performance liquid chromatography; LC/MS/MS: liquid chromatography coupled with a tandem mass spectrometry; MDR3: multidrug resistance protein 3 or multidrug-resistant 3 P-glycoprotein; MRM: multiple ion monitoring; PFIC2: progressive familial intrahepatic cholestasis type 2.

EXAMPLES

[0095] The following examples have been included to illustrate the representative modes of the invention. One of ordinary skill in the art will appreciate that the following examples are intended to be representative only and that additional variations and modifications can be employed without departing from the spirit and scope of the presently disclosed subject matter.

Experimental Procedures:

[0096] Unless specifically stated otherwise, the following experimental procedures were applied.

[0097] Chemicals and Biochemicals: d9-Choline was purchased from Cambridge Isotope Laboratories Inc. (Tewksbury, Mass.). Mouse, rat, dog, monkey, rabbit, and human hepatocytes and InVitroGRO HT medium were obtained from BioreclamationlVT (Baltimore Md.). Williams Medium E was purchased from GIBCO. Other reagents were purchased from Sigma-Aldrich (St. Louis, Mo.) unless stated otherwise in the text.

[0098] Preparation of hepatocytes: Functional hepatocytes to be employed in any variation of the present PC export transport and/or formation activity assay can, as one skilled in the art would be well aware, be derived from cryopreserved hepatocytes (stored in liquid nitrogen) or hepatocytes freshly prepared from liver, and may be co-cultured with other cell types such as stromal cells and Kuffer cells. Hepatocytes should have high cell viability (>80%), high activity to form PC, and high activity to transport PC.

[0099] Fifty mL InVitroGRO HT medium was pre-warmed in a 37° C. water bath. A vial of hepatocyte was removed from a liquid N.sub.2 tank and quickly warmed in a 37° C. water bath by holding in hand with slow rotation. As soon as the edge of the frozen cells was separated from the wall of the vial, the frozen cells were poured into the pre-warmed HT medium and the remaining cells in the vial were collected using pipette. The tube was centrifuged at 50 g, 25° C. for 5 minutes, the supernatant was removed and the cell pellet was re-suspended in 8 mL of pre-warmed Williams E buffer, the cell numbers were counted in a hemocytometer. The yield was 1×10.sup.6 cells /mL. The cells were counted in 0.4% Trypan blue (80 μL Williams E buffer+10 μL Trypan blue stock+10 μL cells). The hepatocyte concentration was adjusted with Williams E buffer to meet the objectives of various experiments.

[0100] LC/MS/MS assays: Liquid chromatography was carried out using a Shimadzu (Columbia, Md.) HPLC system consisting of an SCL-10 Avp system controller, two LC-10 ADvp pumps, a CTC HTC PAL autosampler, a Shimadzu SPD-10 ADvp UV detector and an automated switching valve. The switching valve was used to divert the column effluent to either waste or to the MS instrument. The Shimadzu HPLC system was used for sample injection and analyte separation. Each sample was loaded onto a reverse phase column, Phenomenex (Torrance, Calif.) Luna C85μ2 mm×50 mm. The column chamber's temperature was ambient. The initial HPLC mobile phase conditions used for separation and elution of analytes comprised 50% acetonitrile in water containing 0.1% formic acid (A) and isopropanol:acetonitrile (9:1) (B). The flow rate was 0.5 mL/min. The amount of B in the mobile phase was ramped linearly up to 62% over a 0.5-minute period followed by a slow increase to 63% B in 4.5 minutes, then a rapid increase to 95% B in 0.1 min. After holding at 95% B for 2.3 minutes, the mobile phase was reset to the initial conditions in 0.1 minute. The analytical column was equilibrated with the starting mobile phase for 2.5 minutes. The total run time for each sample analysis was approximately 10 minutes.

[0101] The HPLC elute was injected into an AB Sciex AP14000 LC/MS/MS system (Framingham, Mass.) equipped with a Turbo lonSpray source set with a desolvation temperature of 450° C. Nitrogen was used as curtain gas, nebulizer gas, heater gas, and collision gas. Data for PC was acquired in the positive ion mode using multiple reaction monitoring methods (MRM). The ion transitions of the MRM method for specific detection of PC species were developed in standard fashion. lonspray voltage was set at 4000 V and the collision gas (CAD) set at 6. Declustering potential and collision energy was set at 50 and 42 respectively for PC. The PC species were monitored using the following transitions: 768.fwdarw.193, 770.fwdarw.193, 796.fwdarw.193, 798.fwdarw.193, 792.fwdarw.193, 794.fwdarw.193, 816.fwdarw.193. (S)-(+)-Methyl 2-(4,5,6,7-tetrahydrothieno[3,2-c]pyridin-5-yl)-2-(2-chlorophenyl)acetate hydrogensulfate was used as an internal standard with the following ion transition: 322.2.fwdarw.152.1. Propane-1-sulfonic acid {3-[5-(4-chlorophenyl)-1H-pyrrolo[2,3-b]pyridine-3-carbonyl]-2,4difluoro-phenyl}-amide was also used as an internal standard with the following ion transition: 490.1.fwdarw.383.1.

[0102] Data analysis: Extracellular concentrations of PC were determined by LC/MS/MS MRM analysis of the 4000 RPM supernatant fractions post-incubation. Cellular concentrations of PC were determined by LC/MS/MS MRM of the extracts of hepatocytes post incubation. PC export transport and/or formation activity and test agent percent inhibition were calculated using the following equations:

[00002]$\mathrm{PC}.Math..Math.\mathrm{Export}.Math..Math.\mathrm{Transport}.Math..Math.\mathrm{Activity}=\frac{\left(\mathrm{Extracellular}.Math..Math.\mathrm{Concentration}.Math..Math.\mathrm{PC}\right)}{\left(\mathrm{Hepatocyte}.Math..Math.\mathrm{Concentration}\right)\times \left(\mathrm{Incubation}.Math..Math.\mathrm{Time}\right)}$$\mathrm{Total}.Math..Math.\mathrm{PC}.Math..Math.\mathrm{amount}=\mathrm{Extracellular}.Math..Math.\mathrm{amount}\times \mathrm{Cellular}.Math..Math.\mathrm{amount}$$\mathrm{PC}.Math..Math.\mathrm{Formation}.Math..Math.\mathrm{Activity}=\frac{\left(\mathrm{Total}.Math..Math.\mathrm{PC}.Math..Math.\mathrm{amount}\right)}{\left(\mathrm{Total}.Math..Math.\mathrm{number}.Math..Math.\mathrm{of}.Math..Math.\mathrm{hepatocytes}\right)\times \left(\mathrm{Incubation}.Math..Math.\mathrm{Time}\right)}$$\%.Math..Math.\mathrm{Inhibition}=\frac{\left(\begin{array}{c}\mathrm{Activity}.Math..Math.\mathrm{without}.Math..Math.\mathrm{Test}.Math..Math.\mathrm{Agent}-\\ \mathrm{Activity}.Math..Math.\mathrm{with}.Math..Math.\mathrm{Test}.Math..Math..Math.\mathrm{Agent}\end{array}\right)\times 100}{\left(\mathrm{Activity}.Math..Math.\mathrm{without}.Math..Math.\mathrm{Test}.Math..Math.\mathrm{Agent}\right)}$

[0103] Kinetic parameters were calculated using standard Michaelis-Menten kinetics. IC.sub.50 values were determined using Prism software (La Jolla, Calif.) or median-effect equation (Chou, T. C., et al. [2006] Theoretical basis, experimental design, and computerized simulation of synergism and antagonism in drug combination studies. Pharmacol Rev, 58(3), 621-681.).

Example 1

[0104] Formation and transport of d9-PC in hepatocytes: Hepatocytes from mouse, rat, dog, rabbit, monkey, and human were prepared in Williams E buffer at concentrations ranging from 0. 1 to 0.5 million cells/mL. The hepatocytes in suspension or plated in cell culture plates were incubated with d9-choline at 100 μg/mL in the presence of 0.1-10 mM taurocholic acid in the final volume of 100 μL at 37° C. under 5% CO.sub.2 for 1-2 hours. Experiments were carried out in triplicate or duplicate. Suspensions were then centrifuged at 4000 RPM for 15 minutes at room temperature. The 4000 RPM supernatants were mixed with 3× volume isopropanol and the mixtures were centrifuged at 4000 RPM for 20 minutes at room temperature. The supernatants were analyzed by LC/MS/MS for PC species. The hepatocyte cell pellets were re-suspended in 100 μL Williams E buffer and subjected to a standard freeze-thaw procedure and sonication to detach cells. The re-suspended cell suspensions were mixed in 3× volume hexane:isopropanol (9:1) solution followed by centrifugation at 4000 RPM for 10 minutes. The organic phase was collected and dried under N.sub.2. The residues were reconstituted with 200 μL isopropanol for LC/MS/MS analysis of PC species.

[0105] The chemical structures of d9-PC molecular species and d9-choline are shown in FIGS. 1 and 2. Through in situ synthesis in hepatocytes, d9-choline was incorporated into PC (FIG. 3). Several d9-PC species were formed at various amounts in human hepatocytes, containing saturated and/or unsaturated fatty acids. The major PC species include 34:2, 34:1, 36:2, 36:1, 36:4, 36:3, and 38:6 (Table 1). The PC 34:2 was the most abundant among all the PC species detected. These major PC species were also formed in hepatocytes from rat, dog, and monkey.

[0106] PC species detected in extracellular medium are shown in FIG. 4 and Table 1. The PC 34:2 is most abundant among all these detected PC species. This in vitro PC species profile is consistent with the profile of human bile (Gauss, A., et al. [2013]. Biliary phosphatidylcholine and lysophosphatidylcholine profiles in sclerosing cholangitis. World J Gastroenterol, 19(33), 5454-5463.). Similar results were observed with hepatocytes from rat, dog, and monkey.

TABLE-US-00001 TABLE 1 Phosphatidylcholine (PC) molecular species formed in and transported out of hepatocytes in the presence of d9-choline. Unlabeled d9-Labeled PC Molecular Species MW* MW** m/z{circumflex over ( )} 34:2 758 767 768 34:1 760 769 770 36:2 786 795 796 36:1 788 797 798 36:4 782 791 792 36:3 784 793 794 38:6 806 815 816 *Expected molecular weight of the PC species; **d9-Labeled molecular weight of the PC species {circumflex over ( )}m/z Values detected by LC/MS/MS in positive ionization mode

Example 2

[0107] Effect of d9-choline concentration on the formation of d9-PC in hepatocytes: Human hepatocytes at about 0.25 million cells/mL were incubated with d9-choline in the presence of 0.5-5 mM taurocholic acid in Williams E buffer at various concentrations ranging from 0-1000 μg/mL in the final volume of 100 μL at 37° C. under 5% CO.sub.2 for 1-2 hours. Experiments were carried out in triplicate or duplicate. Suspensions were then centrifuged at 4000 RPM for 15 minutes at room temperature. The 4000 RPM supernatants were mixed with 3× volume acetonitrile, and the mixtures centrifuged at 4000 RPM for 20 minutes at 4° C. The supernatants were analyzed by LC/MS/MS for PC species. The hepatocyte cell pellets were re-suspended in Williams E buffer and subjected to a standard freeze-thaw procedure and sonication to lyse cell membranes. The re-suspended cell suspensions were mixed to 3× volume hexane:isopropanol (9:1) solution followed by centrifugation at 4000 RPM for 10 min. The organic phase was collected and dried under N.sub.2. The residues were reconstituted with 200 μL isopropanol for LC/MS/MS analysis of PC species.

[0108] The incorporation of d9-choline into d9-PC through in situ synthesis in hepatocytes was related to the concentration of d9-choline (FIG. 5). The incorporation followed Michaelis—Menten kinetics.

Example 3

[0109] Time courses for transport of d9-PC in hepatocytes: Hepatocytes at about 0.25 million cells/mL were incubated with 100 μg/mL d9-choline in the presence of 0.5-5 mM taurocholic acid in Williams E buffer in the final volume of 100 μL at 37° C. under 5% CO.sub.2 for various times ranging from 0-2 hours. Experiments were carried out in triplicate or duplicate. Suspensions were then centrifuged at 4000 RPM for 15 minutes at room temperature. The 4000 RPM supernatants were mixed with 3× volume isopropanol, and the mixtures were centrifuged at 4000 RPM for 20 minutes at 4° C. The supernatants were analyzed by LC/MS/MS for PC species.

[0110] The transport of PC was increased when the incubation time increased from 0 to 2 hours, which appeared to be approximately linear between 60 and 120 minutes (FIG. 6).

Example 4

[0111] Effects of hepatocyte density on transport of d9-PC: Hepatocytes were prepared in suspension in Williams E buffer at concentrations ranging from 0 to 1 million cells/mL. After pre-incubation in a 96-well plate for 10 minutes at 37° C. under 5% CO.sub.2, the hepatocyte suspensions were incubated with d9-choline at 100 μg/mL in the presence of 0.5-5 mM taurocholic acid in the final volume of 100 μL at 37° C. under 5% CO.sub.2 for 1-2 hours. Experiments were carried out in triplicate or duplicate. Suspensions were then centrifuged at 4000 RPM for 15 minutes at room temperature. The 4000 RPM supernatants were mixed with 3X volume isopropanol, and the mixtures were centrifuged at 4000 RPM for 20 minutes at room temperature. The supernatants were analyzed by LC/MS/MS for PC species.

[0112] The transport of d9-PC activity as a function of hepatocyte density appeared to be linear between 10,000-40,000 cells/well in 96-well plate format (FIG. 7).

Example 5

[0113] Effect of bile salts on transport of PC in hepatocytes: Hepatocytes at about 0.25 million cells/mL were incubated with 100 μg/mL d9-choline at various concentrations of taurocholic acid in Williams E buffer in the final volume of 100 μL at 37° C. under 5% CO.sub.2 for 2 hours. Experiments were carried out in triplicate or duplicate. Suspensions were then centrifuged at 4000 RPM for 15 minutes at room temperature. The 4000 RPM supernatants were mixed with 3× volume isopropanol, and the mixtures were centrifuged at 4000 RPM for 20 minutes at 4° C. The supernatants were analyzed by LC/MS/MS for PC species.

[0114] The activity of PC transport in hepatocytes was enhanced by bile salts in a concentration-dependent manner (FIG. 8).

Example 6

[0115] Effect of drugs on the transport of bile salts in hepatocytes: Hepatocytes at about 0.25 million cells/mL were incubated with test drugs in the presence of 100 μg/mL d9-choline and 5 mM taurocholic acid in Williams E buffer in the final volume of 100 μL at 37° C. under 5% CO.sub.2 for 2 hours. Experiments were carried out in triplicate or duplicate. Suspensions were then centrifuged at 4000 RPM for 15 minutes at room temperature. The 4000 RPM supernatants were mixed with 3× volume isopropanol and the mixtures were centrifuged at 4000 RPM for 20 minutes at 4° C. The supernatants were analyzed by LC/MS/MS for PC species.

[0116] Several drugs were tested for the potential modulation of the transport of PC in hepatocytes from mouse, rat, dog, monkey, and human. Some of the drugs tested are known to cause drug-induced liver injury (DILI) and/or cholestasis; some have no known association with DILI. The drugs tested include haloperidol, ketoconazole, saquinavir, chlorpromazine, imipramine, troglitazone, clotrimazole, griseofulvin, sulindac, biotin, furosemide, and penicillamine. The results are shown in Tables 2 and 3. The inhibition of PC transport in hepatocytes is correlated with the incidence of liver injury.

TABLE-US-00002 TABLE 2 Inhibition (%) of PC export transport activity by DILI drugs in human hepatocytes Drug 1 μM 10 μM 100 μM Type Biotin A* A A Non- DILI Haloperidol A A C.sup.# DILI Furosemide A A A Non- DILI Ketoconazole A B{circumflex over ( )} C DILI Saquinavir A B C DILI Chlorpromazine A B C DILI Imipramine A A C DILI Penicillamine A A A Non- DILI Troglitazone A B C DILI *A: ≦30%; {circumflex over ( )}B: 30-70%; .sup.#C: ≧70%.

TABLE-US-00003 TABLE 3 Inhibition (%) of PC export transport activity by DILI drugs in rat hepatocytes Drug 1 μM 10 μM 100 μM Type Biotin A* A A Non-DILI Haloperidol A B{circumflex over ( )} C.sup.# DILI Furosemide A A A Non-DILI Ketoconazole B B C DILI Saquinavir A C C DILI Chlorpromazine B C C DILI Clotrimazole A A C DILI Griseofulvin A B C DILI Imipramine B B C DILI Sulindac A B C DILI *A: ≦30%; {circumflex over ( )}B: 30-70%; .sup.#C: ≧70%.