Improving the prediction of the brain disposition for orally administered drugs using BDDCS

Fabio Broccatelli, Caroline A. Larregieu, Gabriele Cruciani, Tudor Oprea, Leslie Z. Benet

    Research output: Contribution to journalJournal articleResearchpeer-review

    Abstract

    In modeling blood–brain barrier (BBB) passage, in silico models have yielded ~80% prediction accuracy, and are currently used in early drug discovery. Being derived from molecular structural information only, these models do not take into account the biological factors responsible for the in vivo outcome. Passive permeability and P-glycoprotein (Pgp, ABCB1) efflux have been successfully recognized to impact xenobiotic extrusion from the brain, as Pgp is known to play a role in limiting the BBB penetration of oral drugs in humans. However, these two properties alone fail to explain the BBB penetration for a significant number of marketed central nervous system (CNS) agents. The Biopharmaceutics Drug Disposition Classification System (BDDCS) has proved useful in predicting drug disposition in the human body, particularly in the liver and intestine. Here we discuss the value of using BDDCS to improve BBB predictions of oral drugs. BDDCS class membership was integrated with in vitro Pgp efflux and in silico permeability data to create a simple 3-step classification tree that accurately predicted CNS disposition for more than 90% of 153 drugs in our data set. About 98% of BDDCS class 1 drugs were found to markedly distribute throughout the brain; this includes a number of BDDCS class 1 drugs shown to be Pgp substrates. This new perspective provides a further interpretation of how Pgp influences the sedative effects of H1-histamine receptor antagonists.
    Original languageEnglish
    JournalAdvanced Drug Delivery Reviews
    Volume64
    Issue number1
    Pages (from-to)95-109
    ISSN0169-409X
    DOIs
    Publication statusPublished - 2012

    Bibliographical note

    2011 Editors' Collection

    Keywords

    • Brain disposition
    • Data mining
    • Drug discovery
    • Rules of thumb

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