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Article: Improving the in vitro prediction of in vivo central nervous system penetration: integrating permeability, P-glycoprotein efflux, and free fractions in blood and brain.

Summerfield, Scott G / Stevens, Alexander J / Cutler, Leanne / del Carmen Osuna, Maria / Hammond, Beverley / Tang, Sac-Pham / Hersey, Ann / Spalding, David J / Jeffrey, Phil

The Journal of pharmacology and experimental therapeutics

2006  Volume 316, Issue 3, Page(s) 1282–1290

Abstract: This work examines the inter-relationship between the unbound drug fractions in blood and brain homogenate, passive membrane permeability, P-glycoprotein (Pgp) efflux ratio, and log octanol/water partition coefficients (cLogP) in determining the extent ... ...

Abstract This work examines the inter-relationship between the unbound drug fractions in blood and brain homogenate, passive membrane permeability, P-glycoprotein (Pgp) efflux ratio, and log octanol/water partition coefficients (cLogP) in determining the extent of central nervous system (CNS) penetration observed in vivo. The present results demonstrate that compounds often considered to be Pgp substrates in rodents (efflux ratio greater than 5 in multidrug resistant Madin-Darby canine kidney cells) with poor passive permeability may still exhibit reasonable CNS penetration in vivo; i.e., where the unbound fractions and nonspecific tissue binding act as a compensating force. In these instances, the efflux ratio and in vitro blood-brain partition ratio may be used to predict the in vivo blood-brain ratio. This relationship may be extended to account for the differences in CNS penetration observed in vivo between mdr1a/b wild type and knockout mice. In some instances, cross-species differences that might initially seem to be related to differing transporter expression can be rationalized from knowledge of unbound fractions alone. The results presented in this article suggest that the information exists to provide a coherent picture of the nature of CNS penetration in the drug discovery setting, allowing the focus to be shifted away from understanding CNS penetration toward the more important aspect of understanding CNS efficacy.
MeSH term(s) ATP-Binding Cassette, Sub-Family B, Member 1/metabolism ; Animals ; Blood-Brain Barrier ; Brain/metabolism ; Dialysis ; Dogs ; Male ; Mice ; Permeability ; Rats ; Solubility ; Species Specificity
Chemical Substances ATP-Binding Cassette, Sub-Family B, Member 1
Language English
Publishing date 2006-03
Publishing country United States
Document type Journal Article
ZDB-ID 3106-9
ISSN 1521-0103 ; 0022-3565
ISSN (online) 1521-0103
ISSN 0022-3565
DOI 10.1124/jpet.105.092916
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