The Transport of Lysine Across Monolayers of Human Cultured Intestinal Cells

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    The transport of lysine across monolayers of human culturedintestinal cells (Caco-2) depends on Napositive-dependent andNapositive-independent mechanisms on different plasma membranedomainsFerruzza, Simonetta;Ranaldi, Giulia;Di Girolamo, Mario;Sambuy, Yula.TheJournal of Nutrition 125.10 (Oct 1995): 2577-85.

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    Abstrak (ringkasan)TerjemahkanAbstrak

    To characterize the mechanisms involved in the intestinal absorption of the essential amino acid L-

    lysine from the diet, the transepithelial transport of L-lysine was studied in monolayers of cultured

    human intestinal cells (Caco-2) grown and differentiated on microporous membrane supports. L-lysine

    was transported mainly in the apical (AP) to basolateral (BL) direction and the BL to AP transport wasapproximately one order of magnitude lower at all concentrations tested. Non-linear regression

    analysis of the transport in the AP to BL and the BL to AP direction identified, in both cases, single

    saturable components with similar Km but different Vmax and a nonsaturable diffusional component.

    The AP to BL L-lysine transport was highly energy- and sodium-dependent and was unaffected by an

    unfavorable concentration gradient. Selective replacement of sodium ions in the AP or the BL

    compartment and determination of both AP to BL transport and the intracellular soluble lysine pool

    showed that uptake occurs via a sodium-independent mechanism, not significantly influenced by

    membrane potential, whereas efflux is a sodium-dependent process. Competition experiments showed

    that L-lysine uptake is highly stereospecific and is shared by cationic and large neutral amino acids.

    This study demonstrates the presence of a sodium-dependent mechanism of lysine efflux across the

    BL membrane of intestinal cells, which may be essential for lysine transport into the blood circulation.

    Overall, these results support the use of the Caco-2 cell model for studies of intestinal nutrient

    transport.

    Teks Lengkap

    TerjemahkanTeks lengkap

    The cationic amino acid L-lysine belongs to the class of the nutritionally essential, or indispensable,

    amino acids (Young 1994). As such, its transport mechanisms across the human intestinal mucosa are

    of particular interest to nutritionists. Unfortunately, with the only exception of a study conducted on

    brush border vesicles isolated from fetal intestine (Malo 1991), studies on human tissue are lacking

    because of difficulties in obtaining material for experiments. The intestinal transport of cationic amino

    acids has been investigated in various animal models, employing different experimental approaches

    and tissue preparations; these studies have identified both sodium-dependent and sodium-

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    independent transport mechanisms (Cassano et al. 1983, Munck and Munck 1992, Paterson et al.

    1981, Wolfram et al. 1984). However, because wide interspecies variations occur in amino acid

    transport (Hopfer 1987), a human cell model would be extremely useful to unravel the mechanisms

    and the factors regulating intestinal cationic amino acid transport.

    In recent years, the human intestinal cell line Caco-2 has increasingly been used as a model to

    investigate the transepithelial transport of nutrients and drugs across the intestinal mucosa (Alvarez-

    Hernandez et al. 1994, Chen et al. 1994, Hidalgo and Borchardt 1990a, Raffaniello et al. 1992, Ranaldi

    et al. 1992, Ranaldi et al. 1994, Riley et al. 1991, Thwaites et al. 1993).

    This cell line, derived from a human colon adenocarcinoma (Fogh et al. 1977), has been shown to

    express in culture some differentiated traits of the small intestinal absorptive enterocyte, such as a

    polarized morphology, a well-developed brush border, functional tight junctions and the expression of

    enterocyte-specific enzymatic activities on the apical surface (disaccharidases and peptidases) and of

    several active transport carriers (Zweibaum et al. 1991).

    In the present study we investigated the transepithelial transport of L-lysine across monolayers of

    differentiated Caco-2 cells grown on microporous membrane supports and identified and characterized

    an energy-and sodium-dependent transport, operating in the apical (AP)(4) to basolateral (BL)

    direction. Further analysis of this system has shown that the uptake into the cells occurs via one or

    more sodium-independent carriers, while the efflux is highly sodium-dependent.

    MATERIALS AND METHODS

    Cell culture. The intestinal Caco-2 cell line was routinely grown, as previously described (Ranaldi et al.

    1992, Ranaldi et al. 1994), in plastic tissue culture flasks (75 cm sup 2 growth area; Falcon, Becton

    Dickinson, Italia, Milan, Italy) using Dulbecco modified minimum essential medium containing 25

    mmol/L glucose, 3.7 g/L NaHCO3 and supplemented with 4 mmol/L L-glutamine, 10% heat-

    inactivated fetal calf serum, 1% nonessential amino acids, 1 X 10 sup 5 U/L penicillin, 100 mg/L

    streptomycin. At confluency (usually every 4-5 days) the cells were passaged at 1:6 split ratio, by

    detaching them with 0.25% trypsin (1:250) and 10 mmol/ L EDTA in calcium-free and magnesium-

    free PBS. Cells were used between passage 80 and 100. All cell culture reagents were from Flow

    Laboratories International (Opera, Milan, Italy). The fluorescent dye bisbenzimide (H 33258;

    Boehringer Mannheim, Milan, Italy) was routinely used to screen cells for mycoplasma contamination

    (Chen 1977).

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    For transport experiments the cells were seeded on polycarbonate filter cell culture chamber inserts

    (Transwell, 24-mm diameter, 4.7-cm sup 2 area, 0.45-mu m pore diameter; Costar Europe,

    Badhoevedorp, The Netherlands,) at a density of 2 X 10 sup 6 cells/filter; the high seeding density

    allows confluency to be reached within 48 h. Caco-2 cells were left to differentiate for 13-21 days after

    confluency; the medium was regularly changed three times a week.

    Measurements of transepithelial electrical resistance (TEER). The development of functional tight

    junctions during the differentiation of Caco-2 cells was monitored by determining TEER of filter-grown

    cell monolayers on different days after seeding. The TEER was measured using the Millicell ERS

    apparatus (Millipore, Bedford, MA), according to the manufacturer's instructions. Briefly, the

    resistance system was calibrated, and electrical resistance of the monolayers was measured by placing

    one electrode on either side of the polycarbonate filter; the resistance of cell-free filters was

    subtracted from that of the experimental filters to give the electrical resistance of the epithelial cell

    monolayer. The TEER, expressed as Omega X cm sup 2 , was also measured before each transport

    experiment to monitor the intactness of cell monolayers.

    Amino acid transport experiments. Transport experiments were conducted essentially as previously

    described (Ranaldi et al. 1994) but using Hank's saline containing 5 mmol/L glucose as the transport

    buffer. Before transport experiments the cells were depleted of amino acids by incubation for 30 min

    at 37degC in Hank's saline, after which the donor and acceptor solutions were replaced with the

    appropriate solutions prewarmed at 37degC. The donor solution contained L[4,5 sup -3 H] lysine HC1

    (Amersham International, Amersham, Buckinghamshire, UK; sp. act. 3.7 TBq/mmol), dissolved in

    Hank's saline in the presence of varying amounts of nonlabeled L-lysine to give the required final

    concentration. The specific activity of sup 3 H-L-lysine in the transport medium varied between 2

    MBq/mu mol at 10 mu mol/L and 0.1 MBq/mu mol at 2 mmol/L final concentration. To avoid amino

    acid backflow, the acceptor medium was changed after each time point with fresh prewarmed saline.

    The radioactive amino acid ( sup 3 H-lysine) in the transport medium was analyzed by liquid

    scintillation spectrometry using a Beckmann LS1801 instrument (Beckmann Instruments, Fullerton,

    CA) after diluting with liquid scintillation cocktail (Ready Safe; Beckmann Instruments). The rates of

    transport were calculated, after subtraction of the lag period (5 min), from the slope of the linear

    portion of the amino acid appearance curve (usually between 5 and 35-60 min; see Fig. 2), with time

    points taken every 10 or 15 min. (Figure 2 omitted) The pH of the transport medium was always

    maintained at pH 7.4.

    To determine sodium dependency of transport, NaC1 in Hank's saline was replaced with equimolar

    amounts of either KC1 or choline chloride, and sodium salts were replaced with their potassium

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    means (Kleinbaum and Kupper 1978), using the Statview 512+ computer program (Brainspower,

    Calabasas, CA). Values in the text are means +/- SD

    RESULTS

    Caco-2 cells in culture undergo a process of in vitro differentiation starting at confluency and

    continuing for 2-3 wk. The formation of an intact monolayer of cells coupled by functional tight

    junctions was monitored by measuring the establishment of a TEER during the differentiation process.

    As shown in Figure 1, the TEER increased over the first 10 d and reached a plateau that remained

    relatively stable between 12 and 30 d after seeding. Although several morphological and functional

    traits reach full expression by the 2nd wk of confluency, it has been shown that active transport

    functions may not achieve full expression before the 3rd wk, as observed for bile acid transport

    (Hidalgo and Borchardt 1990b). It is therefore essential to determine the effects of the time the cells

    remain in culture, on the parameter under investigation. There was no significant difference in the rate

    of transport of L-lysine across Caco-2 cells in the AP to BL and BL to AP direction between d 15 and 28

    after seeding (variations observed on different days were similar to those detected in separate

    experiments using cells of the same age in culture; data not shown). All further transport experiments

    were conducted between d 18 and 23 after seeding.

    The transport of L-lysine at 10 mu mol/L measured in the AP to BL and the BL to AP direction, after an

    initial lag period over the first 5 min, was linear up to 35 min for AP to BL and 60 min for BL to AP

    transport (Fig. 2); the lag period was due to the time required for transport across the membrane on

    the donor side, through the cell and out of the membrane on the acceptor side (Fig. 2). At 10 mu

    mol/L the BL to AP transport was very much lower than that in the AP to BL direction, which in vivo

    corresponds to the absorption from the intestinal lumen to the portal circulation. The transport of 10

    mu mol/L L-lysine in the AP to BL direction was 45.8 +/4.7 pmol (min X mg protein) and was not

    significantly affected (P > 0.05) by the presence of increasing amounts (0.01, 0.1, 1 and 10 mmol/L)

    of unlabeled L-lysine in the acceptor (BL) compartment, indicating that the transepithelial transport of

    L-lysine occurs equally well against a concentration gradient.

    We also compared the transport in the AP to BL and BL to AP directions at 4degC at different L-lysine

    concentrations, ranging from 10 mu mol/L to 2 mmol/L (Fig. 3). (Figure 3 omitted) The transport at

    4degC was comparable in both directions and proportional to concentration. Computer fitting of the

    data to the equation:

    (1) v = Kd(AA)

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    representative of a diffusional component, where v is the velocity of transport, [AA] is the amino acid

    concentration and Kd is the diffusion constant for a nonsaturable component, gave apparent Kd 0.013

    +/- 0.0005 and 0.014 +/0.0003 pmol/(min X mg protein X mu mol X L sup -1 ) for AP to BL and BL to

    AP transport, respectively. The transport at 4degC was much lower than the AP to BL and the BL to AP

    transports at 37degC; at the lower concentrations (10-500 mu mol/L), it represented a negligible

    fraction of the transport in both directions and at 2 mmol/L it was 3% of the AP to BL and 8% of the

    BL to AP transport at 37degC.

    The L-lysine transport was investigated at different concentrations (10 mu mol/L-2 mmol/L) in the AP

    to BL and BL to AP direction; Figure 4 shows the rates of transport at all L-lysine concentrations.

    (Figure 4 omitted) Kinetic analysis of the transport in both directions was performed by fitting the data

    by nonlinear regression analysis to the following equation, including a saturable component and a

    nonsaturable diffusion component:

    (Equation 2 omitted)

    where v is the velocity of transport, [AA] is the amino acid concentration, Vmax is the maximal

    velocity of transport, Km is the amino acid concentration at which the velocity is half maximal and Kd

    is the diffusion constant. For the AP to BL transport the calculated values of the apparent kinetic

    parameters were Km 203 +/50 mu mol/L, Vmax 413 +/- 57 pmol/(min X mg protein) and Kd 0.27 +/-

    0.029 pmol/(min X mg protein X mu mol X L sup -1 ). For the BL to AP transport the calculated values

    of the apparent parameters were Km 255 +/- 201 mu mol/L, Vmax 71 +/- 34 pmol/(min X mg

    protein) and Kd 0.14 +/- 0.015 pmol/(min X mg protein X mu mol X L sup -1 ]. These apparent

    kinetic parameters result from the sum of distinct processes, including entry into the cell, diffusion and

    compartmentalization in the cytoplasm and efflux from the cell.

    When the transport medium was supplemented with 1 mmol/L NaN sub 3 , a metabolic inhibitor, and

    with 50 mmol/L 2-deoxy-glucose to block glucose uptake and utilization, the AP to BL transport of L-

    lysine was 39% of control (Table 1). (Table 1 omitted) Substitution of sodium in the transport medium

    by KC1 or choline chloride also decreased the AP to BL transport dramatically: the transport in the

    absence of sodium ions was approximately 20% of control (Table 1). A similar inhibition of transport,

    although less pronounced (52% of control), was obtained by the addition of 1 mmol/L ouabain to the

    sodium-containing transport medium (Table 1).

    To analyze the characteristics of the sodium-independent component, contributing to the total AP to

    BL transport, the rates of transport of L-lysine in the concentration range from 10 mu mol/L to 500

    mu mol/L were measured in the presence of choline ions substituting for sodium ions (Figure 5).

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    (Figure 5 omitted) Kinetic analysis of the sodium-independent AP to BL transport by nonlinear curve

    fitting to Equation 2 gave these apparent parameters: Km 2.6 +/3.9 mu mol/L, Vmax 9 +/- 2 pmol/

    (min X mg protein) and Kd O.16 +/- 0.006 pmol/(min X mg protein X mu mol X L sup -1 ]. This

    indicates that in the absence of sodium there was a saturable component with higher affinity but lower

    capacity than that observed in the presence of sodium (Fig. 4), although most of the transport could

    be accounted for by a nonsaturable diffusional component.

    To determine the specificity of the AP to BL transport of L-lysine, experiments were undertaken in the

    presence of a 100-fold excess of nonlabeled amino acids in the donor compartment. As shown in Table

    2 the strongest inhibition was observed with the cationic amino acids L-arginine, L-ornithine and L-

    lysine (9-14% of control); conversely, the lysine stereoisomer D-lysine did not inhibit transport

    significantly. A strong inhibition was observed also with the large neutral amino acids L-phenylalanine,

    L-leucine and L-methionine (17-27% of control). A weaker inhibiting effect was observed with L-

    tryptophan, L-threonine and L-valine (76-86% of control). The acidic amino acid L-aspartate, the

    amino acid L-proline and the small neutral amino acid glycine did not compete significantly to the

    transport of L-lysine. To further characterize the inhibition by L-arginine, L-ornithine, L-phenylalanine

    and L-leucine, experiments were performed in the presence of different concentrations of the

    competitors. As shown in Figure 6, the amino acid exerting the strongest competition at the lowest

    concentration used (10-fold excess) was L-arginine, whereas the least effective competitor was L-

    phenylalanine. (Figure 6 omitted) When the competitor was added at 500-fold excess, all four amino

    acids produced comparable and not significantly different inhibiting effects (Fig. 6).

    Because the transepithelial transport of substances from the intestinal lumen to the blood circulation

    involves at least three distinct components, namely, entry into the cell from the AP surface, diffusion

    across the cell cytoplasm and finally efflux across the BL membrane, we attempted to dissect the

    requirements of these different processes by experimentally manipulating the conditions under which

    transport was measured. As shown in Table 1, the substitution of the sodium ions with potassium or

    choline ions significantly inhibited the transepithelial transport of L-lysine. The uptake into the cells of

    cationic amino acids can be driven by the membrane electrical potential difference (Em) because of

    the positive charge of the molecules and the more negative electrical potential inside the cell (White

    1985). However, because a high extracellular potassium concentration leads to depolarization of the

    plasma membrane while a similar high concentration of choline ions has no effect on Em (Hodgkin and

    Huxley 1952), we compared the effects of either high extracellular potassium or choline on the

    transport and on the intracellular pool of L-lysine. The results reported in Figure 7A and B show that

    sodium replacement in the extracellular medium induced a significant (P < 0.01) reduction in AP to BL

    transepithelial L-lysine transport and a large increase in the intracellular soluble pool as compared

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    with control. (Figure 7A and B omitted) In the presence of high extracellular potassium the effects on

    transepithelial transport and on intracellular accumulation of L-lysine were only more marked than

    with high extracellular choline, indicating a limited involvement of Em on the uptake of L-lysine.

    Overall, the results suggested that there was a sodium requirement for the efflux rather than for the

    uptake into the cell. This was further investigated by determining L-lysine transepithelial transport and

    the amino acid concentration in the intracellular soluble pool under different experimental conditions,

    by selectively replacing sodium ions in the AP or BL compartments with either potassium or choline.

    When sodium was absent from the BL compartment, the intracellular soluble pool increased (Fig. 7B)

    and the transepithelial transport decreased (Fig. 7A) significantly (P < 0.01), compared with both

    sodium-containing control and with conditions in which the sodium was absent only from the AP

    compartment, thus confirming the sodium requirement for efflux from the cell BL membrane. The

    amount of L-lysine incorporated into newly synthesized proteins during the 60 min of the experiment

    in the presence of extracellular sodium was 44.0 +/15.5 pmol/mg protein and did not changesignificantly (P > 0.05) when differences in the ionic compositions of the extracellular medium

    produced the significant changes in L-lysine transport rate and soluble pool shown in Figure 7.

    DISCUSSION

    Caco-2 cells grown on microporous membranes were utilized to investigate the transepithelial

    transport of L-lysine. L-lysine transport activity was not affected by the time of differentiation in

    culture, as previously reported for the transport of large neutral amino acids (Hidalgo and Borchardt

    1990a). L-lysine transport was investigated in the two directions, AP to BL and BL to AP. The AP to BL

    transport, corresponding in vivo to the absorption from the intestinal lumen to the blood circulation,

    was much faster than that in the opposite direction, indicating the presence in the Caco-2 cells of one

    or more specific polarized systems for the transepithelial transport of cationic amino acids. In addition,

    the predominantely active nature of the transport in the AP to BL direction was suggested by the

    following three observations: 1) it was unaffected by the presence of an unfavorable concentration

    gradient in the acceptor compartment; 2) it exhibited a strong temperature dependence; and 3) it was

    markedly reduced by energy depletion. The presence of metabolic inhibitors reduced the AP to BL

    transport to 39% of control, although the real energy dependence may be higher but could not be

    determined because the gate function of tight junctions is itself ATP dependent and would have been

    affected using stronger energy depletion (Mandel et al. 1993).

    Kinetic analysis of the AP to BL and BL to AP transport identified, in both cases, a single saturable

    component and a nonsaturable diffusional component. The calculated apparent Km, indicating the

    affinities of the saturable components in the two directions of transport, were similar, whereas the

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    transport in the AP to BL direction exhibited a much higher capacity than that in the opposite

    direction. The apparent Kd calculated for the diffusional component was also similar in the two

    directions of transport; this nonsaturable transport component probably represents the contribution of

    the paracellular pathway to the total transport of lysine across the Caco-2 cell monolayer. Tight

    junctions have in fact been shown to exhibit cation selectivity (Jackson 1987) and may allow the

    transport of a small positively charged molecule such as lysine. Especially during the peak of lysine

    delivery to the intestinal mucosa that occurs after a meal, this transport component may significantly

    contribute to lysine absorption.

    The AP to BL transport of L-lysine was markedly reduced by the removal of sodium ions from the

    transport medium, indicating a strong sodium dependence. In addition, kinetic analysis of the residual

    L-lysine transport in the absence of sodium ions indicated the presence of a minor sodium-

    independent component, characterized by a very high affinity but a low transport capacity (Fig. 5).

    The characteristics of the cationic amino acid transport in the human intestine have, to the best of our

    knowledge, previously been investigated only in fetal brush border vesicles, where a sodium-

    independent transport of L-lysine was shown to operate (Malo 1991). Uptake studies performed on

    brush border vesicles or mucosal preparations from small intestine, reported either sodium-dependent

    and sodium-independent (Munck and Munck 1992, Paterson et al. 1981, Wolfram et al. 1984) or only

    sodium-independent (Cassano et al. 1983) L-lysine transport systems. This discrepancy could be the

    result of regulation by nutritional factors (Wolfram et al. 1984). In a recent study, the activities

    responsible for L-lysine uptake in rat intestine were characterized after mRNA expression in Xenopus

    laevis oocytes. Three transport activities were identified: one sodium dependent and two sodium

    independent, that could be distinguished on the basis of their interactions with other amino acids

    (Harvey et al. 1993); these systems had some features in common with the previously described

    system B sup 0+ and b sup 0+ for cationic and neutral amino acids (Van Winkle et al. 1990), as

    defined in mouse blastocysts, and with the cationic specific system y sup + described in several

    tissues as well as the intestine (White 1985). However, expression of exogenous transport activities in

    oocytes can characterize their function and requirements but cannot provide information on their

    localization in the cell of origin. Transepithelial transport is in fact the result of at least three distinct

    processes regulated by transporters located on the different plasma membrane domains: entry into

    the cell, diffusion across the cytoplasm and efflux out of the cell.

    At physiological pH L-lysine is positively charged and therefore its uptake from the lumen across the

    AP membrane should be favored by the more negative potential difference inside the cell, whereas the

    efflux across the BL membrane would have to occur against the electrochemical gradient. By

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    selectively removing sodium ions on either side of the cell monolayer and comparing the transport

    across the cells and the intracellular soluble amino acid pool, it is possible to alter the membrane

    potential and to distinguish the sodium requirement of the entry and of the efflux mechanisms. The

    depolarization of the plasma membrane, produced by the replacement of sodium ions in the

    extracellular medium with potassium ions, strongly inhibited the transepithelial transport of L-lysine

    but did not markedly affect its uptake at the AP membrane; the amino acid accumulated in the

    intracellular pool at levels not significantly different from the sodium-containing control. By

    comparison, sodium replacement by choline, which does not lead to membrane depolarization,

    produced a similar decrease in transepithelial transport and a large accumulation of L-lysine in the

    intracellular pool. The results indicate that L-lysine entry into Caco-2 cells is not driven primarily by

    the membrane potential, and it is not affected by sodium. Conversely, the efflux out of the BL

    membrane is strongly inhibited by the absence of sodium in the acceptor compartment. In addition, all

    experimental conditions that altered the extracellular ionic composition did not appear to affect themetabolic activity of the cells, as sown by the similar levels of sup 3 H-lysine incorporation into newly

    synthesized proteins over the course of the transport experiments.

    The specificity of the uptake of L-lysine was studied by competition experiments using amino acids

    with different chemical characteristics, with particular attention for essential amino acids. The

    transport of L-lysine was shared by the cationic amino acids L-arginine and L-ornithine, and it showed

    stereospecificity for the L-isomer. The lack of competition by glycine and the marked inhibition by L-

    phenylalanine, L-leucine and L-methionine indicate that the carrier(s) responsible for the uptake of L-

    lysine interact with bulky neutral amino acids but not with small ones. These results are consistent

    with previous studies in the intestine where it was shown that some of the systems responsible for the

    transport of cationic amino acids also accept large neutral amino acids (Cassano et al. 1983, Harvey et

    al. 1993, Munck and Munck 1992, Paterson et al. 1981).

    In filter-grown Caco-2 cell monolayers the transepithelial transport of L-phenylalanine was partially

    inhibited by L-lysine, and it was suggested that cationic and large neutral amino acids may share the

    same carrier that has L-phenylalanine as the preferred substrate (Hidalgo and Borchardt 1990a). We

    found a similar interaction of L-lysine and large neutral amino acids, although our results indicate that

    the system highlighted by studying lysine transport has higher affinity for the cationic than for the

    neutral amino acids. Our results therefore suggest that there may be one or more sodium-

    independent carriers on the AP surface, able to transport cationic amino acids but also shared by large

    neutral amino acids, as it was previously shown in other experimental systems (Cassano et al. 1983,

    Malo 1991, Paterson et al. 1981). The fact that a sodium-dependent uptake mechanism was not

    detected in our system may be related to nutritional factors; in rat intestine it was in fact shown that

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    the sodium-dependent uptake of L-lysine was induced by a high protein diet and may therefore not be

    expressed in cell culture conditions (Wolfram et al. 1984).

    Because the efflux from the BL membrane must occur against the electrochemical gradient, the

    presence of a sodium-dependent efflux mechanism may be required for efficient transport out of the

    cell. This may be particularly important in the case of L-lysine, which needs to be efficiently obtained

    from the diet. An actively regulated eFflux system for cationic amino acids has been suggested as the

    rate-limiting step in the transepithelial transport of these amino acids (Cheeseman 1992). The

    presence of a sodium-dependent efflux mechanism in the Caco-2 cells may therefore reflect a

    physiological need for the whole organism. Although its presence in normal human intestine still needs

    to be demonstrated, such a mechanism would play a very important nutritional role, allowing the

    eFflux and transport into the circulation of an essential amino acid, thus increasing its bioavailability

    from the diet. The presence of a physiologically essential transport mechanism for cationic amino acids

    on the BL membrane of intestinal cells is strongly suggested by the defects associated with the

    autosomal recessive phenotype lysinuric protein intolerance (Mc Kusick number 222700). This

    condition, producing severe effects on growth and development of affected children, is believed to

    arise from selective impairment of cationic amino acid efflux at the BL membrane in renal and

    intestinal epithelium; it is characterized by greatly reduced levels of plasma cationic amino acid

    concentrations, hyperammonaemia and cationic aminoaciduria (Smith et al. 1987).

    The characterization of the transepithelial transport in the Caco-2 cell line of the cationic amino acid L-

    lysine and the different requirements for its uptake at the AP membrane and its efflux from the BL

    membrane were the object of this paper. The results confirm that, in the absence of alternative

    human models, the Caco-2 cell line provides a useful experimental system to elucidate intestinal

    amino acid transport mechanisms on both AP and BL plasma membrane domains. In addition, this

    cellular model can be used to study metabolic, dietary or other extracellular environmental effects on

    the intestinal bioavailability of nutrients; in the case of essential nutrients, such as lysine, these

    studies could contribute to the reassessment of the recommended daily allowances of essential amino

    acids that were recently under discussion (Young 1994).

    ACKNOWLEDGMENTS

    We thank Maria Antonietta Spadoni (INN) and Khalid Islam (Lepetit Research Center) for helpful

    comments and suggestions, Amleto De Amicis (INN) for expert advice on the statistical analysis of the

    data and Giuseppe Crocchioni (INN) for excellent technical assistance. Alain Zweibaum, INSERM,

    Villejuif, France, donated the intestinal Caco-2 cell line.

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    1 Supported by National Research Council of Italy, Special Project RAISA, Subproject 4, Paper 1889

    and Target Project Biotechnology and Bioinstrumentation and by the Italian Ministry of Education, MPI

    60%.

    2 The costs of publication of this article were defrayed in part by the payment of page charges. This

    article must therefore be hereby marked "advertisement" in accordance with 18 USC section 1734

    solely to indicate this fact.

    3 To whom correspondence and reprint requests should be addressed.

    4 Abbreviations used: AP, apical; BL, basolateral; Em, membrane electrical potential difference; TCA,

    trichloroacetic acid; TEER, transepithelial electrical resistance; TLC, thin layer chromatography.

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