ABSTRACT:We explored the properties of a catenary model that includes the basolateral (B), apical (A), and cellular compartments via simulations under linear and nonlinear conditions to understand the asymmetric observations arising from transporters, enzymes, and permeability in Caco-2 cells. The efflux ratio (EfR; P app,B3A / P app,A3B ), obtained from the effective permeability from the A3B and B3A direction under linear conditions, was unity for passively permeable drugs whose transport does not involve transporters; the value was unaffected by cellular binding or metabolism, but increased with apical efflux. Metabolism was asymmetric, showing lesser metabolite accrual for the B3A than A3B direction because of inherent differences in the volumes for A and B. Moreover, the net flux (total ؊ passive permeation) due to saturable apical efflux, absorption, or metabolism showed nonconformity to simple The majority of drugs available on the market are in oral dosage forms. For the assessment of permeability and oral drug absorption, in silico models (Stenberg et al., 2001) and high throughput systems, such as the parallel artificial membrane permeability assay (Kansy et al., 1998) and cell-based systems (Hidalgo et al., 1989) exist to relate drug permeability to absorption, especially for compounds that do not undergo intestinal metabolism (Usansky and Sinko, 2005). The most popular high-throughput screening tool for drug permeability is human colon carcinoma (Caco-2) (Hidalgo et al., 1989) or transfected Madin-Darby canine kidney (Irvine et al., 1999) cells. Upon culture, Caco-2 cells differentiate and become confluent to form monolayers with tight junctions and polarized apical/mucosal (A side) and basolateral/serosal (B side) membranes that are structurally and functionally similar to those of enterocytes.ABC efflux transporters such as P-glycoprotein (Pgp) multidrug resistance-associated protein 2 (MRP2), and the breast cancer-resistant protein (BCRP) are expressed on the mucosal membrane of Caco-2 (Hunter et al., 1993;Hirohashi et al., 2000), as are the absorptive transporters, such as the proton-coupled oligopeptide transporter (PEPT1) (Guo et al., 1999) and the organic anion transporting polypeptide (OATP) (Kobayashi et al., 2003). Likewise, on the serosal membrane, basolateral efflux transporters such as MRP3 (Hirohashi et al., 2000) and organic solute transporters ␣ and  (OST␣-OST) (Okuwaki et al., 2007) are expressed in Caco-2. In addition, multiple metabolic enzymes such as the sulfotransferases, UDPglucuronosyltransferases (H. Sun, L. Zhang, E. C. Chow, G. Lin, K. S. Pang, Z. Zuo, unpublished data), and the glutathione S-transferases (Peters and Roelofs, 1989) N-(4-[2-(1,2,3,4-tetrahydro-6,7-dimethoxy-2-isoquinolinyl)ethyl]-phenyl)-9,10-dihydro-5-methoxy-9-oxo-4-acridine carboxamide; A, apical; B, basolateral; C D,0 , initial loading concentration in donor side at t ϭ 0; P app , effective permeability; EfR, efflux ratio; MK571,vinyl]phenyl]-(2-dimethylcarbamoylethylsulfanyl)methylsulfanyl] propioni...