Background
P-glycoprotein (Pgp), the product of the multidrug resistance 1 (
MDR1) or
ABCB1 gene, is an ATP-dependent efflux transporter that affects the absorption, distribution, and excretion of various clinically important drugs [
1]. At the blood–brain barrier (BBB), which tightly regulates the movement of ions, molecules, and cells between the blood and the brain, Pgp is mainly located at the apical (luminal) surface of brain capillary endothelial cells (BCECs) that primarily form the BBB [
2]. Through this localization, Pgp restricts or prevents brain entry of a wide variety of small lipophilic drugs, which presents a significant hurdle to the treatment of various central nervous system (CNS) diseases [
1,
3‐
5]. Thus, the identification of compounds that are Pgp substrates is important to aid the optimization and selection of new drug candidates [
6‐
9].
In addition to the plasma membrane, several studies suggested that Pgp is localized in the membrane of lysosomes and may mediate the active sequestration of anticancer drugs in lysosomes [
10‐
12]. Indeed, anticancer drugs such as doxorubicin enter the lysosome either by passive diffusion along the cytoplasmic to lysosomal pH gradient (the lysosomal pH is approximately 5) or may be actively transported across the membrane by inward-turned Pgp pumps embedded in the lysosomal membrane. This so-called “drug safe house” effect of lysosomes is thought to contribute to the chemoresistance of cancer cells, but, as shown by us recently, also occurs in other cell types such as BCECs that form the BBB [
13].
A variety of in vitro assays have been developed as high-throughput and low-cost alternatives to excessive animal testing for classifying compounds as Pgp substrates, including inhibition assays (based on cellular uptake of rhodamine 123 (Rho123) or calcein-AM) and functional assays (ATPase activity assay and transcellular transport assay) [
6‐
8,
14]. For large-scale Pgp screening of new chemical entities (NCEs), often BBB surrogate models such as
MDR1-transfected MDCKII (Madin-Darby canine kidney strain II) and LLC-PK1 (Lilly Laboratories cells—porcine kidney 1) cells or a human colon carcinoma cell line (Caco-2) are used as general barrier models, because these polarized epithelial cells form tight monolayers resulting in high transepithelial/-endothelial electrical resistance (TEER) and low paracellular permeability, thus enabling to study transcellular Pgp-mediated vectorial drug transport [
14‐
20]. However, such simple epithelial cell models do not reflect the complexity of the BBB but exhibit different cytoarchitecture and genetically programmed molecular differences, such as the expression of specific sets of tight junction proteins and the lack of several BBB-specific transporters [
15,
21]. Indeed, when directly comparing identification of Pgp substrates by BBB surrogate models vs. a triple culture of primary rat BCECs with pericytes and astrocytes, the Caco-2 and MDCK-
MDR1 models identified more Pgp drug substrates than the rat brain BBB model [
22]. Furthermore, the rat brain BBB model resulted in the best correlation with in vivo drug permeability data in rodents [
22]. However, primary BBB cell culture models are too costly and laborious for routine use.
This has led to the development of several immortalized BCEC lines that share many of the in vivo characteristics of the BBB [
16,
17,
23‐
26]. The rat endothelial cell line RBE4 [
27] and the human endothelial cell line hCMEC/D3 [
28] are the most commonly used immortalized BCEC lines for the establishment of in vitro BBB models [
23‐
26]. However, as all available BCEC lines, both RBE4 and hCMEC/D3 cells exhibit a relatively low junctional tightness under routine culture conditions, which is a challenge regarding their use for studying vectorial transport of small molecule compounds [
23,
25,
29]. Furthermore, both cell lines exhibit markedly lower Pgp expression than rat or human primary BCECs or freshly isolated brain capillaries, which restricts the use of these immortalized cells as in vitro models for classifying compounds as Pgp substrates [
29,
30]. For this reason we transduced hCMEC/D3 cells with a doxycycline-inducible
MDR1-EGFP (enhanced green fluorescent fusion protein) fusion plasmid, which resulted in a 15-fold increase in Pgp expression and an increased efflux of the Pgp substrate Rho123 [
31]. Furthermore, the EGFP-labeled Pgp expressed by these cells allowed us to study drug-induced intra- and intercellular trafficking of Pgp [
13,
32] and led to the recent discovery of a novel mechanism of drug disposal at the BBB [
9,
13].
Pgp is involved in a complex relationship with its host membrane environment, which modulates the various functions of the protein, including ATP hydrolysis, drug binding, and drug transport [
33]. Species differences have been described both for the membrane properties of BCECs and for Pgp function [
23,
34,
35], which complicates studying functional differences of Pgp in BCECs of different species. In the present study, we transduced RBE4 cells with the doxycycline-inducible
MDR1-EGFP fusion plasmid, which allowed us to compare the localization, trafficking, and function of human Pgp in BCEC lines from two different species, resulting in interesting similarities and differences. For this purpose, with few exceptions, the experiments in wild-type (WT) and
MDR1-EGFP transduced RBE4 and hCMEC/D3 cells were performed face-to-face. For comparison, primary cultured rat BCECs (rBCECs), freshly prepared rat brain capillaries, and, for vectorial drug transport,
MDR1-transfected LLC-PK1 cells were used.
Materials and methods
Cell lines and cell culture
In this study two immortalized brain capillary endothelial cell lines were used. Rat brain endothelial (RBE4) cells were kindly provided by Prof. Francoise Roux (INSERM U26, Hôpital Fernand Widal, Paris, France). The RBE4 cell line has been obtained after transfection of a primary rat brain endothelial cell culture with the plasmid pE1A-adenovirus encoding gene [
27]. The human cerebral microvascular endothelial cell line hCMEC/D3 was kindly provided by Dr. Pierre-Olivier Couraud (Institute COCHIN, Paris, France). The hTERT/SV40-immortalized hCMEC/D3 clonal cell line was derived from human temporal lobe microvessels isolated from tissue resected during epilepsy surgery [
28].
Doxycycline-inducible
MDR1-EGFP-transduced variants (RBE4-
MDR1-EGFP, hCMEC/D3-
MDR1-EGFP) were derived from WT cells by lentiviral transduction as described previously for the hCMEC/D3 cell line, using an
MDR1-linker-EGFP vector (with EGFP located at the C-terminus of human
MDR1) kindly provided by Prof. Piet Borst (The Netherlands Cancer Institute, Amsterdam, The Netherlands) as template [
31]. The linker sequence in the vector fusing EGFP and
MDR1 consists of 36 bp (TCGACGGTACCGCGGGCCCGGGATCCATCGCCACC). hCMEC/D3-WT, RBE4-WT, and hCMEC/D3-
MDR1-EGFP cell lines were cultivated as previously described [
13,
36]. The same culture conditions were used for the newly prepared RBE4-
MDR1-EGFP cell line. As described previously [
13,
36], hydrocortisone (1.4 µM) was added to the culture medium to enhance the expression and functionality of Pgp and transendothelial resistance [
23,
36]. All endothelial cell lines were grown on rat-tail collagen I (60 µg/mL, Gibco) coated 100 mm cultures dishes or permeable membrane supports at 37 °C and 5% CO
2. Pgp-EGFP protein expression in
MDR1-EGFP transduced cells was induced by cell cultivation in medium containing 1 µg/µL doxycycline. Expression of Pgp-EGFP was regularly verified by observing the cells with an inverted fluorescence microscope. Doxycycline supplementation of the medium was maintained during the whole culturing period of Pgp-EGFP expressing cells. For experiments, hCMEC/D3 and RBE4 cells were seeded in a density of 50,000 cells/cm
2. Immortalized
MDR1 transfected porcine kidney LLC-PK1 (LLC-
MDR1) cells, which were used as a reference standard for vectorial transport experiments, were kindly provided by Prof. Piet Borst. We have used these cells previously for studying vectorial transport of Pgp substrates in the concentration equilibrium transport assay (CETA), which was also used in the present study (see below). Cells were cultivated in medium 199 (Gibco) supplemented with 10% fetal calf serum (FCS, Linaris), and penicillin (100 U/mL)/streptomycin (100 µg/mL) (Merck) and were seeded at a density of 300,000 cells/cm
2 for experiments. All experiments were carried out between passage 13–35 at 5-days post-confluency (equal to 7 days after seeding).
Primary cultures of rat brain capillary endothelial cells
The RBE4 and hCMEC/D3 cell lines used here are immortalized, which has the advantage that these cells are stable for several passages and may yield a large number of endothelial cells with the same genetic and phenotypical characteristics. The immortalization status, however, causes several alterations as compared to the native original cell type, including low junctional tightness of cell monolayers and reduced expression of efflux transporters such as Pgp [
23]. Therefore, for comparison with the
MDR1-EGFP transduced rat RBE4 cells, experiments were also performed with primary cultured rat brain capillary endothelial cells (rBCECs). As described by us previously [
36], rBCECs were prepared following a protocol by Régina et al. [
37] and Perrière et al. [
38] from 2 to 3 weeks old Wistar rats (obtained from Charles River; Sulzfeld, Germany). All animals were treated according to protocols evaluated and approved by the ethical committee of our university. In short, meninges were removed from cerebral cortices in phosphate-buffered saline (PBS) with 1% penicillin (100 U/mL)/streptomycin (100 μg/mL) (Biochrom AG) on ice. Subsequently, cortices were mechanically dissociated with scalpels. The homogenate was suspended in enzyme solution: DMEM/F-12 (Gibco®/Life Technologies) supplemented with 1 mg/mL dispase II (Roche), 0.1 mg/mL DNAse I (Roche), 270 U/mL collagenase II (Biochrom AG), and 1% penicillin (100 U/mL)/streptomycin (100 μg/mL) (Biochrom AG) and was incubated for 1.5 h at 37 °C with gentle agitation. The homogenate was centrifuged in 20% bovine serum albumin (Linaris GmbH) solution (1000
g, 15 min, 4 °C) and the obtained cell pellet was incubated again in the enzyme solution for 1 h at 37 °C. The resulting homogenate was filtered and the retained capillary fragments were removed from the filter with EBM-2 (Lonza) medium supplemented with 20% FCS, 1% penicillin (100 U/mL)/streptomycin (100 μg/mL) (Biochrom), 1 mM HEPES (Gibco®/Life Technologies), 1%
l-glutamine (200 mM, Sigma-Aldrich), and 0.5 μg/mL hydrocortisone (Sigma-Aldrich). The cells were seeded on collagen type IV (Sigma-Aldrich) coated 28 cm
2 plates and cultivated for 72 h in presence of 4 μg/mL puromycin (Sigma-Aldrich) for removal of pericytes [
38] in humidified 5% CO
2/95% air at 37 °C. Thereafter, puromycin was removed and replaced by 2 ng/mL basic FGF (Gibco®/Life Technologies). Cells were cultured until confluency and then seeded for western blot, determination of TEER, Rho123 uptake assay, and vectorial drug transport assay essentially as described in the following for RBE4 and hCMEC/D3 cells.
Isolation of rat brain capillaries
Capillaries were isolated from the gray matter of four rat brains, according to protocols kindly provided by Drs. Elena Puris (Ruprecht-Karls University, Heidelberg, Germany) and Björn Bauer (University of Kentucky, Lexington, KY, USA). Wistar rats (3 months old) were anesthetized by CO2 inhalation and subsequently decapitated. Brains were removed immediately and placed on ice. After removing meninges, choroid plexus, and large superficial blood vessels by rolling each brain on Whatman® blotting paper, cortices were separated from the cerebellum, brain stem, and white matter. Pieces of cortical gray matter were homogenized in 5 volumes (w/v) of buffer A (101 mM NaCl, 4.6 mM KCl, 5 mM CaCl2, 1.2 mM KH2PO4, 1.2 mM MgSO4, 15 mM HEPES, 5 mM D-glucose, 1 mM sodium pyruvate, pH 7.4) using a dounce tissue homogenizer. After centrifugation (2000g, 10 min, 4 °C) the pellet was resuspended thoroughly in buffer B (buffer A with additional 16% dextran, Sigma-Aldrich) and capillaries were separated from the remaining brain parenchyma by centrifugation in a swinging bucket rotor at 4500g for 20 min at 4 °C without brake. The pellet was suspended in 10 mL buffer C (buffer A supplemented with 0.5% BSA) and the resulting suspension was passed sequentially through cell strainers with mesh sizes of 200 µm, 100 µm, and 30 µm. The fraction retained on the 30 µm cell strainer was collected in 40 mL buffer C and centrifuged at 1000g for 5 min at 4 °C to pellet capillaries, which were then washed twice with PBS and analyzed by western blotting.
Western blot analysis
Pgp expression in immortalized cell lines, primary cells, and brain capillaries was evaluated by western blotting. Cells were scraped in radioimmunoprecipitation assay (RIPA) buffer (20 mM Tris, 50 mM NaCl, 0.5% (w/v) sodium deoxycholate, 0.5% (v/v) Triton X-100) supplemented with a protease inhibitor cocktail (Roche) and mechanically lysed by passage through a 21 G syringe needle. Accordingly, brain capillaries were lysed in RIPA buffer. Cell debris was removed by centrifugation and protein concentrations were determined using a BCA protein assay kit (Thermo Fisher Scientific). Equal amounts of protein were loaded onto 10% handcasted SDS-polyacrylamide gels or 4–20% Mini-PROTEAN gels (Bio-Rad) and the separated proteins were then transferred to a PVDF-membrane (Roth). After blocking in 5% milk (Roth) membranes were incubated with anti-Pgp (1:100, Enzo, #ALX-801-002-C100) or anti-β-actin (1:4000, Sigma-Aldrich, #A2066) antibodies for 1 h at room temperature. Secondary antibody incubation was performed for 45 min at room temperature with HRP-conjugated anti-rabbit (1:1000, Dako, #P0448) or anti-mouse (1:1000, Dako, #P0260) antibodies. Protein bands were visualized with the SuperSignal™ West Femto Maximum Sensitivity Substrate (Thermo Fisher Scientific) and detected utilizing the ChemiDoc MP Imager (Bio-Rad). Densitometric protein band quantification was conducted with the Image Lab software version 6.1 (Bio-Rad). Expression of Pgp is reported normalized to β-actin.
Transendothelial electrical resistance (TEER) measurement
The barrier integrity of hCMEC/D3 and RBE4 cells was monitored using the non-invasive TEER measurement that quantifies the electrical resistance of a cell monolayer. Cells were grown on rat-tail collagen I (60 µg/mL, Gibco) coated permeable filter inserts [ThinCert®; Greiner Bio-One, 12-well, 0.4 µm pore size, polyethylene terephthalate (PET)] and subjected to TEER measurements daily starting on day one post-seeding in at least three replicates. Manual TEER measurements were conducted with the EVOM Volt-Ohm resistance meter (World Precision Instruments) equipped with an EndOhm-12 chamber. TEER values were reported as the measured electrical resistance multiplied by the growth area of the filter inserts and were calculated by subtracting the measured TEER of a coated filter insert without cells from the TEER of a coated filter insert with cells. For comparison of TEER values measured in the ThinCert® system, TEERs were also measured in the Transwell® system from Corning (Corning Costar Corporation, Cambridge, MA) and tissue culture (TC−) inserts from Sarstedt (Nümbrecht, Germany). Furthermore, 6-well and 12-well multiwell plates and different membrane materials were compared (Additional file
1).
Mannitol permeability assay
The functional tightness of hCMEC/D3-WT, hCMEC/D3-
MDR1-EGFP, RBE4-WT, and RBE4-
MDR1-EGFP cell monolayers grown on filter inserts was evaluated by their paracellular permeability to radiolabeled D-mannitol (MW = 182.2 Da, Hartmann Analytic). Seven days post-seeding, the medium in the basolateral donor chamber of the 12-well ThinCert® system was replaced by Opti-MEM (12-well: 1.5 mL, 6-well: 2.7 mL) containing
d-[
14C]mannitol (specific activity 2.035 GBq/mmol) in a concentration of 1.85 kBq/mL. The upper compartment was filled with mannitol-free assay buffer (12-well: 0.7 mL, 6-well: 2 mL) to measure transport in the basolateral-to-apical direction (b-A). Incubation was performed under cell culture conditions (37 °C, 5% CO
2, humidified atmosphere) on a horizontal shaker (55 rpm). After 30, 60, 120, and 180 min, samples (12-well: 50 µL, 6-well: 130 µL) were collected from the apical chamber and the amount of transported
d-mannitol was quantified by liquid scintillation counting using the 1450 Microbeta Trilux liquid scintillation counter (Perkin Elmer Wallac). Basolateral volume was adjusted after each sampling to compensate for changes in the hydrostatic pressure. TEER measurements before and after the assay were carried out to confirm barrier integrity. The apparent permeability coefficients (P
app) in nm per second were calculated according to Artursson [
39]. Each experiment was performed in at least three replicates. As was described for the TEER measurements above, mannitol fluxes were compared in the ThinCert®, Transwell®, and Sarstedt-TC-insert systems, using 6-well and 12-well multiwell plates and different membrane materials. Based on this comparison, all subsequent experiments were performed with ThinCert® cell culture inserts [12-well, 0.4 µm pore size, polyethylene terephthalate (PET)] from Greiner Bio-One.
Rhodamine 123 uptake/accumulation assay
The functionality of Pgp in RBE4-WT, RBE4-
MDR1-EGFP, hCMEC/D3-WT, hCMEC/D3-
MDR1-EGFP cells, and primary rBCECs was analyzed by measuring the uptake of the fluorescent Pgp substrate Rho123 (Sigma-Aldrich). Cells were grown on 6-well plates and cultured for seven days in the presence or absence of doxycycline (1 µg/mL, Biochrom). On the day of the assay, cells were incubated with the Pgp inhibitor tariquidar (0.5 µM, dissolved in DMSO) or the dissolvent in Opti-MEM for one hour under cell culture conditions on a horizontal shaker (55 rpm). Afterward, Rho123 (5 µM, dissolved in ethanol) was added and cells were incubated for another two hours. Rho123 transport was terminated by washing the cells twice with ice-cold PBS. Intracellular Rho123 concentration was determined by cell lysis in standard lysis buffer (25 mM Tris, 50 mM NaCl, 0.5% (w/v) sodium deoxycholate, 0.5% (w/v) Triton X-100) and measurement of fluorescence intensity with the FLUOstar OPTIMA (ex.: 485 nm, em.: 520 nm; BMG Labtech). Protein concentrations were determined using a BCA assay kit (Thermo Fisher Scientific). Rho123 uptake was obtained for each condition in triplicates and calculated as absolute fluorescence per mg protein. Additionally, Pgp functionality was expressed as multidrug resistance activity factor (MAF) as described by Huber et al. [
40]. This factor describes Pgp efflux activity based on differences in intracellular Rho123 accumulation in cells after Pgp inhibition compared to cells with active Pgp-mediated efflux. Thus, higher MAF values correlate with increased Pgp activity. For better comparison, differences in Rho123 accumulation are normalized to intracellular Rho123 levels in inhibitor-treated cells. MAF values for Pgp were calculated according to Huber et al. 2012 utilizing the following equation: MAF (%) = 100 · (MFI
TQ − MFI
0)/(MFI
TQ) where MFI
TQ and MFI
0 represent the mean fluorescence intensity of intracellular Rho123 in tariquidar (TQ)-treated and non-treated cells, respectively.
Vectorial drug transport assay
For these experiments, a concentration equilibrium transport assay (CETA) was used, which is more sensitive to identify Pgp substrates than conventional bidirectional (concentration gradient) transport assays [
41]. In the CETA, the drug is added to both (apical and basolateral) sides of the monolayer, so that the initial drug concentration is the same in both compartments, thereby minimizing the effect of passive diffusion across the cell monolayer. Particularly for lipophilic compounds, passive transcellular diffusion could form a bias in Transwell assays by concealing active transport, which we have previously demonstrated by comparing vectorial drug transport of various small lipophilic drugs in conventional bidirectional assays versus drug transport in CETA [
41].
In the present study, the CETA assay was used to determine the flux of the radiolabeled Pgp substrate [
N-methyl-
3H]N-desmethyl loperamide ([
3H]dLop) across hCMEC/D3-
MDR1-EGFP and RBE4-
MDR1-EGFP monolayers. Although Kannan et al. [
42] have shown that [
3H]dLop is trapped in lysosomes, this does not restrict its use for studying Pgp-mediated vectorial drug transport in BCECs, as demonstrated recently by us in primary cultured porcine BCECs [
43]. Cells were grown on permeable ThinCert® filter supports (12-well, 0.4 µm pore size, PET, Greiner Bio-One). LLC-
MDR1 monolayers were used as a reference standard for the demonstration of vectorial transport of the Pgp substrate ([
3H]dLop) used in these experiments. Transport studies were performed in triplicates seven days after seeding. Before substrate exposure, the culture medium was replaced by Opti-MEM (Gibco) with or without the Pgp inhibitor verapamil (20 µM) for 1 h in the apical and basolateral chambers. Verapamil was preferred to tariquidar (which was used in the Rho123 accumulation experiments) because tariquidar has been shown to compete for lysosomal trapping of [
3H]dLop [
42], which may form a bias for data on vectorial drug transport at the cell membrane. To initiate transport studies, [
3H]dLop was added to the upper and lower compartment in a concentration of 5 nM in the absence or presence of verapamil (20 µM). After 30, 60, 120, 180, and 240 min, samples of 50 µL and 70 µL were retrieved from the apical and basolateral chambers, respectively. Quantification of substrate transport was conducted by liquid scintillation counting using a 1450 Microbeta Trilux liquid scintillation counter (Perkin Elmer Wallac). All incubation steps were performed under cell culture conditions on a horizontal shaker (55 rpm) with 0.7 mL medium in the upper and 1.5 mL medium in the lower compartment. Barrier tightness was confirmed via TEER measurements before and after the assay. Baseline dLop levels were corrected by the amount of dLop absorbed by the filter system as measured in blank inserts without cells.
Additionally, vectorial drug transport across RBE4-MDR1-EGFP, hCMEC/D3-MDR1-EGFP, LLC-MDR1, and primary rBCEC monolayers was studied using 2 µM Rho123 as a fluorescent Pgp substrate essentially following the same protocol as described for [3H]dLop. Transport was measured using a FLUOstar OPTIMA fluorescence reader (ex.: 485 nm, em.: 520 nm; BMG Labtech), analyzing samples from basolateral and apical compartments collected at the various time points.
Microscopy
Cell morphology of hCMEC/D3, RBE4, rBCECs, and LLC cells was assessed via phase-contrast microscopy. Therefore, cells were seeded onto 6-well cell culture dishes and analyzed after confluence with an inverted fluorescence microscope (Olympus IX-70, Hamburg, Germany) and a 10× objective.
Pgp localization was visualized in confluent RBE4- and hCMEC/D3-MDR1-EGFP monocultures grown on glass coverslips by confocal fluorescence microscopy and live-cell imaging.
Intercellular Pgp transfer was studied by coculturing RBE4-WT and –MDR1-EGFP cells to equal amounts (50:50) on glass coverslips until confluency. Wildtype cells were prelabeled with either Cell Proliferation Dye eFluor 670 (5 µM, 10 min, 37 °C, eBioscience) or CellTracker red CMTPX (5 µM, 25 min, 37 °C, Thermo Fisher Scientific) for identification in the monolayer after coculturing. Since Pgp-EGFP is exclusively expressed by MDR1-EGFP transduced cells and not by WT cells (which exhibit only low intrinsic Pgp levels), Pgp transfer between transduced and WT cells can be easily traced by the green fluorescent signal of the EGFP-tagged Pgp. Cell nuclei were stained with bisbenzimide H (5 mM, 5 min, 37 °C, Sigma-Aldrich). Images were acquired by confocal fluorescence microscopy and live-cell imaging.
Intracellular distribution of the autofluorescent Pgp substrate doxorubicin was investigated in cocultures of RBE4-WT and -MDR1-EGFP cells seeded on glass coverslips until confluency. Coculturing of WT and MDR1-EGFP cells allowed to compare the differential intracellular distribution of the autofluorescent Pgp substrate in WT cells with low intrinsic expression of Pgp and MDR1-EGFP transduced cells with a higher Pgp expression. Cells were incubated with LysoTracker (75 nM, 1 h, 37 °C, Thermo Fisher Scientific) and doxorubicin (10 µM, 30 min, 37 °C, Enzo) before live-cell imaging and confocal microscopy. For imaging, glass coverslips were mounted into a PeCon open chamber (PeCon, Erbach, Germany), covered with serum-free Opti-MEM, and kept at 37 °C. Endolysosomal staining in MDR1-EGFP transduced RBE4 and hCMEC/D3 cell cultures was performed similarly, however, without doxorubicin incubation.
Confocal fluorescence microscopy was conducted with a Leica TCS SP5 II fluorescence microscope (Leica Microsystems, Bensheim, Germany) combined with a 63 × 1.2 water immersion objective. For excitation, wavelengths of 405 nm (bisbenzimide H, LysoTracker), 561 nm (doxorubicin, CMTPX), 633 nm (eFluor 670), and 488 nm (Pgp-EGFP) were used.
For analysis of the effects of doxorubicin on Pgp-inhibited cells, confluent monolayers of RBE4- and hCMEC/D3-MDR1-EGFP cells grown on coverslips were preincubated with or without the Pgp inhibitor tariquidar (0.5 µM, 1 h, 37 °C) in Opti-MEM before the addition of doxorubicin (10 µM, 30 min, 37 °C). After substrate incubation, cells were covered with cell culture medium for 24 h. Cells were then washed once with PBS, fixed with paraformaldehyde (4%, 30 min), and permeabilized with Triton X-100 (1%, 5 min). Finally, cells were washed and coverslips were mounted in Prolong Gold antifade (Carl Roth GmbH, Karlsruhe, Germany) containing 4’,6-diamidino-2-phenylindole (DAPI) to stain nuclei. Analysis was performed with a Zeiss Axio Observer fluorescence microscope including an ApoTome.2 and using a 40× or 63× objective.
To evaluate the number of green-fluorescent (Pgp-EGFP positive) intracellular vesicles in RBE4- and hCMEC/D3-MDR1-EGFP cells before and 24 h after treatment with doxorubicin (10 µM, 30 min, 37 °C), imaging of the cells was performed using an inverted fluorescence microscope Lumascope 620 (Etaluma Carlsbach, USA) placed in the cell culture incubator. After treatment with doxorubicin, cells were maintained in a doxorubicin-free cell culture medium until imaging. Before imaging, cellular debris was removed by washing the cells twice with sterile PBS followed by the addition of fresh doxorubicin-free culture medium.
Following fixation of the cells with paraformaldehyde or ice-cold methanol (10 min, − 20 °C) indirect Pgp staining was performed as described above using a primary monoclonal antibody against Pgp (1:100, Sigma-Aldrich, #P7965) and a secondary Alexa Fluor 568 antibody (1:500, Thermo Fisher Scientific, #A11004).
Statistics
Data are presented as means ± standard error of the mean (SEM) of at least three biological replicates. An unpaired t-test was applied to assess the significance of intergroup differences. Significant differences between multiple groups within one experiment were either calculated by one-way or two-way analysis of variance (ANOVA) followed by Dunnett’s or Bonferroni post hoc tests. P values < 0.05 were considered statistically significant. Statistical analyses were conducted using the PRISM 8 software (GraphPad Software Inc.).
Discussion
We have shown previously that stable transduction of hCMEC/D3 cells with a doxycycline-inducible
MDR1-EGFP fusion plasmid allows studying the intracellular localization and intra- as well as intercellular trafficking of Pgp-EGFP in an in vitro model of the human BBB [
13,
31,
32]. Pgp expression can be effectively controlled in this system, providing an ideal environment in which cellular trafficking of the protein and interactions with a variety of intracellular targets can be studied [
9]. Furthermore, as shown in our previous studies, hCMEC/D3-
MDR1-EGFP cells can be used as a tool to study the effects of drugs on Pgp expression and functionality in human BCECs [
9]. Since the Pgp is artificially overexpressed in hCMEC/D3-
MDR1-EGFP cells, it was important to demonstrate that intrinsic and drug-induced Pgp trafficking was not simply a consequence of gross overexpression of the transporter, which was done recently by showing the same processes in primary cultured porcine BCECs [
13].
In the present study, we used the
MDR1-EGFP transduction strategy for RBE4 cells, i.e., one of the best characterized and commonly used immortalized rat BCEC lines in BBB modeling [
17,
24,
25,
29,
53,
54]. The major aim of the present study was to perform a face-to-face comparison of
MDR1-EGFP-transduced RBE4 vs. hCMEC/D3 cells to evaluate how the BCEC type (rat vs. human) and the resulting species differences in the cellular environment of Pgp affect the localization, trafficking, and function of Pgp from the same species (human). Interestingly, the Pgp-EGFP fusion protein was expressed differently in both BCEC types in that substantially more intracellular localization of Pgp-EGFP was seen in hCMEC/D3 cells, whereas the fusion protein was almost exclusively expressed at the plasma membrane in RBE4 cells. However, exposure to doxorubicin led to endolysosomal localization of both Pgp-EGFP and doxorubicin in RBE4-
MDR1-EGFP cells, indicating that doxorubicin exposure induced the formation of Pgp-containing endolysosomal vesicles in RBE4 cells as previously reported for cancer cells [
12]. Furthermore, these data suggest that Pgp-mediated lysosomal sequestration of this chemotherapeutic drug occurs in BCECs as recently reported for hCMEC/D3-
MDR1-EGFP cells [
13].
Except for red blood cells, all eukaryotic cells, including BBB endothelial cells, contain lysosomes, but their structure and number vary depending on the cell type and functional state [
55,
56]. Lysosomes are highly acidic, membrane-enclosed, intracellular organelles, carrying a battery of hydrolytic enzymes as well as several membrane-associated proteins [
55]. Recent evidence indicates that the importance of the lysosome for cellular homeostasis goes far beyond the simple degradation of cell waste [
43,
57,
58]. Lysosomes can rapidly adapt to both intracellular and extracellular cues and control their biogenesis [
57]. Two main mediators of these lysosomal adaptation mechanisms are the mechanistic target of rapamycin (mTOR) kinase complex and the transcription factor EB (TFEB) [
12,
57], which will be discussed in more detail below. As described in the Introduction, by sequestration of anticancer drugs, lysosomes play a role in the chemoresistance of cancer cells [
10‐
12]. We have recently described similar mechanisms of lysosomal drug sequestration in immortalized and primary cultured BCECs [
13], indicating that lysosomes may contribute to the function of the BBB in protecting the brain from intoxication by xenobiotics [
9]. In this respect, it is important to note that lysosomal drug sequestration in cells of the BBB is not restricted to chemotherapeutics, but also occurs with other drugs, including the Pgp substrate, dLop [
42], which was used here in some of the vectorial transport experiments.
As indicated by the present data, lysosomal trapping of doxorubicin in RBE4-
MDR1-EGFP cells likely contributed to the protection of the cell nucleus from damage by this cytotoxic agent, whereas doxorubicin bound to its nuclear target in RBE4-WT cells, inducing cell death. In the lysosomes, doxorubicin was colocalized with Pgp-EGFP, indicating that Pgp, at least in part, mediated the lysosomal sequestration of doxorubicin as recently reported for hCMEC/D3-
MDR1-EGFP cells [
13] and cancer cells [
59]. As described in the Introduction, cytostatic agents enter the lysosome either by passive diffusion along the pH gradient or may be actively transported across the membrane by inward-turned Pgp embedded in the lysosomal membrane [
11,
12], although the latter mechanism is debated [
51,
60]. The fate of drugs sequestered in lysosomes remains to be elucidated in more detail, but it was suggested that they either stay trapped in lysosomes, are degraded in the lysosomes, or are eliminated from the cell by drug-induced lysosomal exocytosis, preventing lysosomal damage [
9,
12]. Furthermore, we have recently described a new mechanism of drug disposal by hCMEC/D3 and primary porcine BCECs, which is the shedding of lysosomal Pgp/substrate complexes (“barrier bodies”) at the apical membrane and subsequent phagocytosis by neutrophils [
13]. Such aciniform barrier bodies were also observed in the present experiments in
MDR1-EGFP transduced RBE4 cells. The contribution of lysosomes to chemoresistance has raised interest in lysosome-targeting strategies to sensitize tumor cells to chemotherapy [
12]. Based on our findings on lysosomal trapping in BCECs that form the BBB, we have proposed lysosome-targeting strategies to enhance drug delivery to the brain [
9]. As suggested by the present data,
MDR1-EGFP transduced RBE4 cells provide an interesting tool to study such strategies.
Lysosomal drug accumulation is known to trigger cytoplasmic to nuclear translocation of the transcription factor TFEB, i.e., the master transcriptional regulator of lysosomal biogenesis and autophagy [
11,
12,
57]. TFEB activation results in increased lysosomal biogenesis, an elevated number of lysosomes per cell, increased lysosomal drug sequestration, and consequent drug resistance. By accumulating in the lysosomal lumen, cytostatic weak bases such as doxorubicin act like classic lysosomotropic compounds, raising lysosomal pH and increasing lysosomal volume, which activates TFEB. Furthermore, such drugs may directly activate TFEB, thus leading to the formation of lysosomes [
12] as shown here. Furthermore, TFEB acts as a transcription factor for several proteins that are essential for autophagy, which is a complex process promoting cell survival during stress conditions and a driving factor for the chemoresistance of cancer cells [
12]. We have recently suggested that these processes also play a role in the adaptation of the BBB to high blood levels of potentially toxic xenobiotics, thereby protecting the brain from intoxication [
9].
MDR1-EGFP transduced RBE4 cells appear to provide a useful model to study these processes.
The use of fluorescent substrates, such as Rho123, is valuable for the evaluation of membrane transporter activity [
14,
17,
61]. In the present study, the functionality of Pgp in WT and
MDR1-EGFP transduced RBE4 and hCMEC/D3 cells as well as in primary rBCECs could be demonstrated by the Rho123 accumulation assay. This assay showed that transduction with
MDR1-EGFP significantly increased the efflux of Rho123, reaching values that were also determined in primary rBCECs. Using the Rho123 uptake assay, we have previously compared RBE4- and hCMEC/D3-WT cells in their response to various known Pgp inducers, such as dexamethasone and several cytostatic drugs (including doxorubicin), as well as antiseizure drugs [
36]. Known Pgp inducers increased Rho123 efflux in both cell lines, but marked inter-cell line differences in effect size were observed. RBE4 cells were much more sensitive to the Pgp inducing effects of dexamethasone, doxorubicin, and puromycin than hCMEC/D3 cells. In rBCECs, Rho123 accumulation was not affected by exposure with dexamethasone but was significantly reduced by puromycin [
36]. At least in part, the differences between RBE4 and hCMEC/D3 cells could be due to species differences in the expression and functionality of nuclear receptors that mediate drug effects on Pgp in BCECs [
62]. For instance, stimulation of the vitamin D receptor, a hormone nuclear receptor, increased Pgp expression 2.5-fold in RBE4 cells, threefold in hCMEC/D3 cells, but fourfold in isolated rat brain capillaries [
63].
Veszelka et al. [
21] compared the expression of selected BBB related genes including tight junction proteins, solute carriers (SLC), ABC transporters, and metabolic enzymes in several epithelial cell and BCEC lines, including RBE4 and hCMEC/D3 cells, as well as, for reference, primary rBCECs that were cocultured with astrocytes and pericytes (E: endothelial cells P: pericytes, A: astrocytes, EPA). Furthermore, they immunostained tight junction proteins and studied transporter functionality by drug transport experiments in the Transwell system. The mRNA expression level of occludin was high in the EPA and hCMEC/D3 cells but low in the rat RBE4 cell line. Furthermore, marked differences in mRNA expression of claudins were found between RBE4, hCMEC/D3, and EPA cells. The mRNA level of claudin-5, which significantly contributes to the tightness of BCECs [
64], was significantly higher in the primary EPA model than in any of the cell lines [
21]. Furthermore, claudin-5 protein immunostaining was well visible on the cell border of primary rBCECs, while it was very weak or undetectable in the immortalized BCEC lines. All three BBB models (EPA, RBE4, hCMEC/D3) expressed the mRNA of Pgp with the highest values in EPA and lowest values in RBE4 [
21]. Average TEER values of RBE4 (64 Ω cm
2) and hCMEC/D3 cells (45 Ω cm
2) obtained with chopstick electrode measurement were markedly lower than the TEER value of EPA (475 Ω cm
2) and this was associated with high paracellular flux of fluorescein in the immortalized BCEC lines [
21]. Therefore, RBE4 and hCMEC/D3 cells were excluded from drug transport studies because they did not form a restrictive paracellular barrier to allow screening of the permeability of small molecules.
The low TEER and high paracellular permeability of RBE4 and hCMEC/D3 were confirmed in the present study and, as expected, this was not altered by transduction with
MDR1-EGFP. As a consequence, no vectorial drug transport of Pgp substrates was observed in these cell lines, whereas such transport was determined in primary rBCECs and
MDR1-transfected LLC cells, which are widely used for Pgp screening of NCEs as a surrogate in vitro model of the BBB [
14,
17‐
20]. We have shown recently that transduction of hCMEC/D3 cells with claudin-5 increases TEER and reduces paracellular mannitol flux in these cells; however, values of primary cultured BCECs were not reached [
43].
RBE4 cells have previously been used for transfection with various plasmids, including a protein tyrosine kinase [
65], green fluorescent magnetic nanoparticles [
66], mCherry-
Mct1 (monocarboxylic acid transporter 1 [
67]), siRNA-chitosan to silence Pgp [
68], choline acetyltransferase [
69], interleukin 15 receptor splicing variants [
70], and mutated versions of
MDR1 [
71]. In the latter study, transfection of RBE4 cells with mutated versions of
MDR1, in the caveolin-1 interaction motif, decreased the interaction between Pgp and caveolin-1 and enhanced Pgp transport activity and cell migration.
One of the inherent shortcomings of in vitro BBB models that use cell-based assays in a two-compartment Transwell chamber is the lack of critical microenvironmental parameters such as hemodynamic shear stress [
26]. Prabhakarpandian et al. [
72] described a two-compartment chamber microfluidic-based synthetic microvasculature model of the BBB (SyMBBB), in which RBE4 cells were cultured in the apical compartment under fluidic shear conditions and in continuous contact with astrocyte-conditioned medium in the basolateral compartment. In this model, compared to RBE4 cells in Transwell chambers, tight junction proteins (claudin-1 and ZO-1) and Pgp were significantly upregulated, resulting in a decreased paracellular flux of fluorescein isothiocyanate-dextran and increased efflux of Rho123 [
72]. However, it was not studied whether the SyMBBB model allows determining vectorial drug transport. It would be interesting to use this system with the
MDR1-EGFP transduced RBE4 cells presented here. Several other studies have reported that coculturing of RBE4 cells with astrocytes or use of astrocyte-conditioned medium increases barrier properties of the RBE4 cells [
27,
29,
73‐
78], but none of these studies demonstrated that this allow studying vectorial drug transport. Our experiments with coculturing of hCMEC/D3 cells with astrocytes failed to demonstrate vectorial transport of Pgp substrates [
79].