P-glycoprotein (PGP) is an efflux pump physiologically expressed in the api
cal membrane of the proximal tubular cells. PGP may play a role in the elim
ination of exogenous substances such as chemotherapeutic drugs, calcium cha
nnel blockers and immunosuppressors. The involvement of renal PGP in the tr
ansport of endogenous substrates is under investigation. HK-2 is an immorta
lized proximal tubule cell fine from normal adult human kidney, reported to
retain a phenotype indicative of a well-differentiated state. No data rega
rding expression and/or activity of PGP in this cell line are available The
aim of this study was to ascertain the usefulness of HK-2 cell line to inv
estigate the properties and roles of PGP in proximal tubular cells. PGP exp
ression in HK-2 cells was determined by immunoblotting analysis using the m
onoclonal antibody C219. The activity of PGP was assessed by measuring the
transport of the fluorescent probe Rhodamine 123 (R-123) in intact cell mon
ostrates. The interactions of putative PGP modulators, including verapamil
and cyclosporin A were also evaluated. Western blot revealed a C219 immunor
eactive band of about 150 kDa consistent with the presence of PGP. HK-2 cel
ls preloaded with R-123 rapidly effluxed the dye, the efflux being inhibite
d by verapamil. Verapamil and, to a major extent cyclosporin A, significant
ly increased R-123 intracellular accumulation. PGP immunoblottable amount w
as increased when cells were cultured in the presence of either cyclosporin
A or dexamethasone. The results suggest that the HK-2 cells, among the var
ious differentiation features of proximal tubules, retain also the expressi
on of a functional PGP in their membranes and that both PGP activity and ex
pression may be modulated by drugs. Therefore, HK-2 line appears a suitable
and promising tool for the study in vitro of renal transport processes dep
endent on PGP.