Purpose. To investigate the mechanisms by which proteolytic enzymes, s
uch as trypsin, chymotrypsin, papain, and bromelain, are able to cross
the intestinal mucosal barrier after oral administration to man. Meth
ods. Filter-grown Caco-2 cell monolayers were incubated with proteolyt
ic enzymes and then the transepithelial electrical resistance (TEER) a
nd the transport of the paracellular marker fluorescein were monitored
. The effects of the enzymes on the cells were investigated by light m
icroscopy and by biochemical assays. Transport of intact proteases acr
oss the cells was verified by monitoring the proteolytic activity and
MALDI-TOF mass spectroscopic identification of undegraded trypsin. Res
ults. Depending on time, concentration, and side of exposure to Caco-2
cell monolayers, all proteases decreased the TEER and increased the t
ransport of fluorescein. Some morphological and metabolic changes were
observed. The effects were reversible, but until 24 hours after remov
al of the proteases. Under the conditions of this in-vitro model, appr
oximately 10% of the apically applied dose reached the basolateral com
partment as biologically active, non-degraded molecules. Conclusions.
Proteolytic enzymes were found to exert considerable effects on the ba
rrier function of Caco-2 monolayers, facilitating the transport of nor
mally non-absorbable compounds. This suggests the also reported, but s
o far unexplained, systemic absorption of proteolytic enzymes after or
al administration in vivo may occur by self-enhanced paracellular tran
sport.