Drug-Drug Interaction Assay

Drug-Drug Interaction Assay on Human Gut Tissue.

Measure nuclear receptor induction on RepliGut® Planar, a human intestinal epithelium grown from donor stem cells. Probe PXR, AhR, and VDR with prototypical inducers, and read gut-specific interaction risk.

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Why it matters

Why the gut has its own interaction risk

A drug-drug interaction assay flags whether a compound induces the enzymes and transporters that clear other drugs. In the intestine, that induction runs through nuclear receptors such as PXR, AhR, and VDR.

Caco-2 cannot model these pathways well, and the gut induction profile differs from the liver. So a liver-only view misses interactions that start in the intestine. Regulators expect a clear induction read, set out in the FDA guidance on in vitro drug interaction studies.

Gut-specific induction

Induction the intestine actually shows

RepliGut® Planar expresses functional nuclear receptors, so you can activate each pathway with its classic inducer and read the response by gene expression. The gut profile is distinct from the liver. That supports the shift toward human-relevant alternative testing methods.

PathwayInducerWhat the intestine shows
PXR / RXRRifampinActivation needs about 100 times the liver dose, so intestinal PXR-mediated interaction risk is lower than in the liver.
AhR3-MethylcholanthreneGene induction appears at concentrations as low as 100 nM.
VDRCalcitriolInduction at low doses, and vitamin D can reach high levels in the gut, so nutrient-drug interactions matter here.
A gut-only interaction

Vitamin D supplements can exceed 1200 uM in the small intestine, enough to drive VDR-mediated induction the liver never sees at those levels. RepliGut® is an ideal model for nutrient-drug interactions through nuclear receptor pathways, which Caco-2 and liver models miss.

Capabilities

What the drug-drug interaction assay delivers

The assay doses mature RepliGut® Planar with a chosen inducer, then profiles the induced genes. You get a gut-specific read on enzyme and transporter induction.

PXR

PXR induction, rifampin

Dose rifampin and measure CYP3A4 and related induction by gene expression, the classic PXR readout.

AhR

AhR induction, 3-MC

Activate the aryl hydrocarbon receptor with 3-methylcholanthrene and track CYP1A induction.

VDR

VDR induction, calcitriol

Probe vitamin D receptor signaling with calcitriol, central to nutrient-drug interactions.

Readout

Gene expression profiling

Quantify fold induction by RNAseq or qRT-PCR across enzymes and transporters, dose by dose.

Validation
Drug-drug interaction assay data: 24 hour dose-dependent induction of CYP3A4, CYP2C9, CYP2C19, and P-gp by rifampin in RepliGut Planar

Dose-dependent induction with rifampin

RepliGut® Planar shows clear dose-dependent induction after 24 hours of rifampin. CYP3A4, CYP2C9, CYP2C19, and P-gp all rise with concentration.

That confirms functional PXR-mediated induction in human intestinal tissue, the signal a drug-drug interaction assessment depends on. See the method in our publications.

Nutrient-drug interactions

A model for nutrient-drug interactions

The gut meets dietary compounds at concentrations the liver never sees. Vitamin D, for one, can reach high levels in the small intestine and drive VDR induction. RepliGut® lets you test how nutrients and supplements interact with drug metabolism through nuclear receptor pathways, then follow up on our intestinal metabolism assay.

Why the data holds up

Built to reflect the human gut

Human nuclear receptors

PXR, AhR, and VDR are functional in an epithelium grown from human donor stem cells.

Gut-specific profile

Induction responses are distinct from the liver, so gut interaction risk gets its own read.

Dose-dependent signal

Rifampin drives clear, dose-dependent induction of CYP and transporter genes.

Region and donor range

Profile induction across gut regions and multiple donors to capture real variability.

Get started

Run it in your lab or have us run it

RepliGut® Kits

Run induction studies in your own lab. Kits ship in 12-well and 96-well formats, complete with cells, plates, media, and technical support.

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Full-service DDI studies

Have our scientists run it. We deliver dose-response induction and gene expression profiles, ready for your model.

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Part of a broader program? See our intestinal metabolism assay and drug transporter assay, or the full in vitro DMPK and ADME hub.

Ready to run a DDI assay on human tissue?

Send us your compound. We will design a drug-drug interaction assay on RepliGut® Planar and profile gut-specific induction risk.

Design your study