Subcellular drug distribution: mechanisms and roles in drug efficacy, toxicity, resistance, and targeted delivery

Drug Metab Rev. 2018 Nov;50(4):430-447. doi: 10.1080/03602532.2018.1512614. Epub 2018 Sep 29.

Abstract

After administration, drug molecules usually enter target cells to access their intracellular targets. In eukaryotic cells, these targets are often located in organelles, including the nucleus, endoplasmic reticulum, mitochondria, lysosomes, Golgi apparatus, and peroxisomes. Each organelle type possesses unique biological features. For example, mitochondria possess a negative transmembrane potential, while lysosomes have an intraluminal delta pH. Other properties are common to several organelle types, such as the presence of ATP-binding cassette (ABC) or solute carrier-type (SLC) transporters that sequester or pump out xenobiotic drugs. Studies on subcellular drug distribution are critical to understand the efficacy and toxicity of drugs along with the body's resistance to them and to potentially offer hints for targeted subcellular drug delivery. This review summarizes the results of studies from 1990 to 2017 that examined the subcellular distribution of small molecular drugs. We hope this review will aid in the understanding of drug distribution within cells.

Keywords: Subcellular distribution; drug delivery; drug resistance; organelle; transporter.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Animals
  • Drug Delivery Systems*
  • Drug Resistance*
  • Drug-Related Side Effects and Adverse Reactions / metabolism*
  • Eukaryotic Cells / metabolism
  • Humans
  • Membrane Transport Proteins / metabolism*
  • Organelles / metabolism*
  • Pharmaceutical Preparations / administration & dosage
  • Pharmaceutical Preparations / metabolism*
  • Tissue Distribution

Substances

  • Membrane Transport Proteins
  • Pharmaceutical Preparations