Abstract
Methods for in vivo assessment of blood-brain barrier (BBB) transport are presented, with their advantages and disadvantages. The methods described are brain uptake index, the i.v. injection technique, in situ brain perfusion, brain efflux index, % injected dose, microdialysis, CSF sampling and positron emission tomography, and the combinatorial mapping of unbound drug partitioning across the BBB. The methods are put into a pharmacokinetic context by delineating the type of readings that they give, be it the rate of transport across the BBB or the extent of transport of total drug (unbound and bound), or of the unbound drug.
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Abbreviations
- %ID:
-
Percentage of the injected dose
- A :
-
Capillary surface area (also denoted S in the literature)
- AUC:
-
Area under the concentration–time curve
- BBB:
-
Blood–brain barrier
- BCRP:
-
Breast cancer resistance protein
- BCSFB:
-
Blood–cerebrospinal fluid barrier
- BEI:
-
Brain efflux index
- BUI:
-
Brain uptake index
- C blood :
-
Concentration of drug in blood
- C brain :
-
Concentration of drug in brain devoid of blood
- C injectate :
-
Concentration of drug in the injection solution
- C plasma :
-
Concentration of drug in plasma
- CLact_efflux :
-
Active efflux clearance at the BBB (sum of all processes contributing to active efflux)
- CLact_uptake :
-
Active uptake clearance at the BBB (sum of all processes contributing to active uptake)
- CLbulk_flow :
-
Clearance caused by bulk flow of fluid from brain ISF to CSF
- CLin :
-
Influx clearance i.e. the net influx given all transport processes at the BBB
- CLmetabolism :
-
Clearance caused by metabolism in the BBB or brain parenchyma
- CLout :
-
Efflux clearance, i.e., the net efflux given all transport and metabolism processes from the brain ISF
- CLpassive :
-
Passive clearance (permeability surface area product) across the BBB being the same in both directions
- CSF:
-
Cerebrospinal fluid
- C tot,brain,ss :
-
Total brain concentrations at steady state (whole brain minus capillary blood)
- C tot,plasma,ss :
-
Total plasma concentrations at steady state
- C u,brainISF :
-
Concentration of drug in brain ISF
- C u,plasma :
-
Unbound drug concentration in plasma
- F :
-
Blood flow
- f u,brain :
-
Fraction of unbound drug in whole brain homogenate
- f u,plasma :
-
Fraction of unbound drug in plasma
- ICF:
-
Intracellular fluid
- ISF:
-
Interstitial fluid
- J in :
-
Rate of influx to the brain
- J out :
-
Rate of efflux from the brain
- K in :
-
Transfer constant at the BBB (a clearance term)
- K out :
-
Overall loss constant (a clearance term)
- K p,brain :
-
Partition coefficient of total drug between whole brain and plasma
- K p,uu,brain :
-
Partition coefficient of unbound drug between brain ISF and plasma
- LC-MS/MS:
-
Liquid chromatography–tandem mass spectrometry
- Mrp1:
-
Multidrug resistance protein 1
- P :
-
Permeability
- PET:
-
Positron emission tomography
- P-gp:
-
P-glycoprotein
- PA:
-
Permeability surface area product (mL min−1 g brain−1) also denoted PS
- Q brain :
-
Amount of drug in brain parenchyma devoid of blood
- Q tot,brain :
-
Amount of drug in brain parenchyma including capillary blood
- V blood :
-
Physiological volume of blood in brain
- V brain :
-
Effective volume of distribution in the brain
- V i :
-
Effective vascular space in which a compound can be found including endothelial cell binding and accumulation and intravascular volume
- V u,brain :
-
Volume of distribution of unbound drug in the brain
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Hammarlund-Udenaes, M. (2013). In Vivo Approaches to Assessing the Blood–Brain Barrier. In: Fricker, G., Ott, M., Mahringer, A. (eds) The Blood Brain Barrier (BBB). Topics in Medicinal Chemistry, vol 10. Springer, Berlin, Heidelberg. https://doi.org/10.1007/7355_2013_27
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