The aim of this work was to investigate the effect of high glucose exposure on the absorption of folate by Caco-2 cells. We verified that apical high glucose did not affect the apical uptake of [ 3H]folate. Both different concentrations of glucose (10–45 mM) and different exposure times (10 min–24 h) were tested. Furthermore, apical high glucose (30 mM) did not affect the intracellular steady-state levels of [ 3H]folate, and simultaneous apical and basolateral high glucose (30 mM) did not change the apical-to-basolateral apparent permeability ( P app) to [ 3H]folate. Both the apical uptake and the steady-state intracellular levels of [ 3H]folate were strongly reduced by 5-methyltetrahydrofolate, methotrexate, SITS (4-acetamido-4′-isothiocyanato-2,2′-stilbenedisulfonic acid), DIDS (4,4′-diisothiocyanatostilbene-2,2′-disulfonic acid) and indomethacin, but were not affected or only hardly affected by p-aminohippuric acid and fumitremorgin C. Moreover, DIDS and indomethacin significantly reduced (by 50–60%) the apical-to-basolateral P app to [ 3H]folate, but [ 3H]folate present in the cells at the end of the experiment was higher in the case of indomethacin. Fumitremorgin C had no effect. The effect of the drugs tested was not changed or only hardly changed by high glucose. In conclusion, absorption of [ 3H]folate is not modulated by either apical or basolateral high glucose exposure in Caco-2 cells. Moreover, our results suggest that the apical uptake of [ 3H]folate by Caco-2 cells involves the Reduced Folate Transporter (but not the Organic Anion Transporter), and that Multidrug Resistance Protein and/or Organic Anion Transporter (but not Breast Cancer Resistance Protein) may mediate apical efflux of [ 3H]folate.
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