Relationship between exposure and nonspecific binding of thirty-three central nervous system drugs in mice

Drug Metab Dispos. 2005 Jan;33(1):175-81. doi: 10.1124/dmd.104.001222. Epub 2004 Oct 22.

Abstract

Unbound fractions in mouse brain and plasma were determined for 31 structurally diverse central nervous system (CNS) drugs and two active metabolites. Three comparisons were made between in vitro binding and in vivo exposure data, namely: 1) mouse brain-to-plasma exposure versus unbound plasma-to-unbound brain fraction ratio (fu(plasma)/fu(brain)), 2) cerebrospinal fluid-to-brain exposure versus unbound brain fraction (fu(brain)), and 3) cerebrospinal fluid-to-plasma exposure versus unbound plasma fraction (fu(plasma)). Unbound fraction data were within 3-fold of in vivo exposure ratios for the majority of the drugs examined (i.e., 22 of 33), indicating a predominately free equilibrium across the blood-brain and blood-CSF barriers. Some degree of distributional impairment at either the blood-CSF or the blood-brain barrier was indicated for 8 of the 11 remaining drugs (i.e., carbamazepine, midazolam, phenytoin, sulpiride, thiopental, risperidone, 9-hydroxyrisperidone, and zolpidem). In several cases, the indicated distributional impairment is consistent with other independent literature reports for these drugs. Through the use of this approach, it appears that most CNS-active agents freely equilibrate across the blood-brain and blood-CSF barriers such that unbound drug concentrations in brain approximate those in the plasma. However, these results also support the intuitive concept that distributional impairment does not necessarily preclude CNS activity.

Publication types

  • Comparative Study

MeSH terms

  • Animals
  • Blood Proteins / metabolism*
  • Brain / drug effects
  • Brain / metabolism*
  • Central Nervous System Agents / metabolism*
  • Central Nervous System Agents / pharmacology
  • Male
  • Mice
  • Protein Binding / drug effects
  • Protein Binding / physiology

Substances

  • Blood Proteins
  • Central Nervous System Agents