Application of a high‐resolution in vitro human MDR1‐MDCK assay and in vivo studies in preclinical species to improve prediction of CNS drug penetration

Abstract P‐glycoprotein (P‐gp, MDR1) is expressed at the blood-brain barrier (BBB) and restricts penetration of its substrates into the central nervous system (CNS). In vitro MDR1 assays are frequently used to predict the in vivo relevance of MDR1‐mediated efflux at the BBB. It has been well establi...

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Main Authors: Licong Jiang (Author), Sanjeev Kumar (Author), Marc Nuechterlein (Author), Marissa Reyes (Author), Dao Tran (Author), Clifford Cabebe (Author), Peggy Chiang (Author), James Reynolds (Author), Scott Carrier (Author), Yongkai Sun (Author), Peter Eddershaw (Author), Tanya Hay (Author), Weichao Chen (Author), Bo Feng (Author)
Format: Book
Published: Wiley, 2022-02-01T00:00:00Z.
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042 |a dc 
100 1 0 |a Licong Jiang  |e author 
700 1 0 |a Sanjeev Kumar  |e author 
700 1 0 |a Marc Nuechterlein  |e author 
700 1 0 |a Marissa Reyes  |e author 
700 1 0 |a Dao Tran  |e author 
700 1 0 |a Clifford Cabebe  |e author 
700 1 0 |a Peggy Chiang  |e author 
700 1 0 |a James Reynolds  |e author 
700 1 0 |a Scott Carrier  |e author 
700 1 0 |a Yongkai Sun  |e author 
700 1 0 |a Peter Eddershaw  |e author 
700 1 0 |a Tanya Hay  |e author 
700 1 0 |a Weichao Chen  |e author 
700 1 0 |a Bo Feng  |e author 
245 0 0 |a Application of a high‐resolution in vitro human MDR1‐MDCK assay and in vivo studies in preclinical species to improve prediction of CNS drug penetration 
260 |b Wiley,   |c 2022-02-01T00:00:00Z. 
500 |a 2052-1707 
500 |a 10.1002/prp2.932 
520 |a Abstract P‐glycoprotein (P‐gp, MDR1) is expressed at the blood-brain barrier (BBB) and restricts penetration of its substrates into the central nervous system (CNS). In vitro MDR1 assays are frequently used to predict the in vivo relevance of MDR1‐mediated efflux at the BBB. It has been well established that drug candidates with high MDR1 efflux ratios (ERs) display poor CNS penetration. Following a comparison of MDR1 transporter function between the MDR1‐MDCKI cell line from National Institutes of Health (NIH) and our internal MDR1‐MDCKII cell line, the former was found to provide better predictions of in vivo brain penetration than our in‐house MDR1‐MDCKII cell line. In particular, the NIH MDR1 assay has an improved sensitivity to differentiate the compounds with ERs of <3 in our internal cell line and is able to reduce the risk of false negatives. A better correlation between NIH MDR1 ERs and brain penetration in rat and non‐human primate (NHP) was demonstrated. Additionally, a comparison of brain penetration time course of MDR1 substrates and an MDR1 non‐substrate in NHP demonstrated that MDR1 interaction can delay the time to equilibrium of drug concentration in the brain with plasma. It is recommended to select highly permeable compounds without MDR1 interaction for rapid brain penetration to produce the maximal pharmacological effect in the CNS with a quicker onset. 
546 |a EN 
690 |a CNS penetration 
690 |a MDR1 assay 
690 |a MDR1 efflux transporter 
690 |a Therapeutics. Pharmacology 
690 |a RM1-950 
655 7 |a article  |2 local 
786 0 |n Pharmacology Research & Perspectives, Vol 10, Iss 1, Pp n/a-n/a (2022) 
787 0 |n https://doi.org/10.1002/prp2.932 
787 0 |n https://doaj.org/toc/2052-1707 
856 4 1 |u https://doaj.org/article/5ad250f2f08541b7bd83cab4d6b1d30c  |z Connect to this object online.