Aug 03, 2025

Public workspaceIn-vitro MDR1-MDCKII permeability assay

  • Nick Lynch1,2
  • 1Curlew Research;
  • 2ASAP Discovery Consortium
  • ASAP Discovery
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Protocol CitationNick Lynch 2025. In-vitro MDR1-MDCKII permeability assay. protocols.io https://dx.doi.org/10.17504/protocols.io.yxmvmm6n9v3p/v1
License: This is an open access protocol distributed under the terms of the Creative Commons Attribution License,  which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited
Protocol status: Working
We use this protocol and it's working
Created: May 26, 2025
Last Modified: August 03, 2025
Protocol Integer ID: 218984
Keywords: ADME, DMPK, drug discovery, MDR1-MDCKII, permeability, efflux ratio, Papp, mdckii permeability assay, mdckii permeability, brain barrier, mdckii cell, potential drug interaction, mdr1, drug interaction, ability of drug candidate, apparent permeability coefficient, brain penetration, glycoprotein, gp protein
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Abstract
In vitro MDR1-MDCKII permeability assays are used to assess the ability of drug candidates to cross the blood-brain barrier (BBB) and to identify P-glycoprotein (P-gp) substrates and inhibitors. MDR1-MDCKII cells, which express the human P-gp protein, are grown on semi-permeable supports and used in a dual-chamber diffusion system to simulate the BBB. The assay helps determine the apparent permeability coefficient (Papp) and efflux ratios, which can be used to predict brain penetration and identify potential drug interactions with P-gp. 
Troubleshooting
Safety warnings
Always wear appropriate PPE for this protocol
Refer to Material Safety Data Sheets for additional safety and handling information.

Summary
The MDR1-MDCKII permeability assay is performed using MDCK-MDR1 cells, cultured for 4 days to form a monolayer on 24-well PET inserts.

Sample Preparation
Integrity of monolayer confirmed with TEER > 350Ωcm2 (before assay) and lucifer yellow < 1 x10-6cm.s-1 (after assay).

The compounds are incubated at 10µM for 2hr at 37ºC, on a orbital shaker to minimise the unstirred water layer effect. Volumes used are 0.4ml in the apical and 0.8ml in the basolateral.
Assay
Test compound is added to apical well (gentle agitation) and transport determined by measuring concentration in basolateral well at 2hr (A → B).
Mix
At the same time as A → B incubation, a parallel incubation is also performed where test compound is added to a basolateral well and then measured in the apical well (B → A) at 2hr.
The efflux ratio is then calculated by comparing the rates of transport in both directions (B → A / A → B) to determine if test compound is an efflux transporter substrate.

Further parallel incubations performed using Pgp inhibitor (Cyclosporin A) that is co-incubated with test compound to confirm if the transporters are involved. All donor wells contain lucifer yellow. The final solvent concentration is 0.1% DMSO.
After the 2hr incubation, aliquots are removed from all apical and basolateral wells for analysis by LC-MSMS analysis with internal standard against a standard curve.
Data Analysis
For each well,

Response ratio = Test peak area /Internal standard peak area

Response ratio is compared with the standard curve to determine the concentrations in receiver and donor wells and calculate the apparent permeability. The % recovery is calculated to indicate non-specific binding of the test compound.

The apparent permeability Papp is calculated according to

Papp = (V / (A x Co)) * (dC X dt )

Where
V = receiver volume (cm3)
A = transwell membrane surface area (cm2)
Co= initial donor well concentration
dC/dt= rate of concentration change on receiver side (μM.s-1

Efflux = Papp (B to A) / Papp (A to B)

Net flux ratio = Efflux ratio with MDCK-MDR1 cells / Efflux ratio with Wild-type cell
Acknowledgements
Grateful to Concept Life Sciences for supplying the original protocol summary