CNS drug design: balancing physicochemical properties for optimal brain exposure.

Abstract:

:The human brain is a uniquely complex organ, which has evolved a sophisticated protection system to prevent injury from external insults and toxins. Designing molecules that can overcome this protection system and achieve optimal concentration at the desired therapeutic target in the brain is a specific and major challenge for medicinal chemists working in CNS drug discovery. Analogous to the now widely accepted rule of 5 in the design of oral drugs, the physicochemical properties required for optimal brain exposure have been extensively studied in an attempt to similarly define the attributes of successful CNS drugs and drug candidates. This body of work is systematically reviewed here, with a particular emphasis on the interplay between the most critical physicochemical and pharmacokinetic parameters of CNS drugs as well as their impact on medicinal chemistry strategies toward molecules with optimal brain exposure. A summary of modern CNS pharmacokinetic concepts and methods is also provided.

journal_name

J Med Chem

authors

Rankovic Z

doi

10.1021/jm501535r

subject

Has Abstract

pub_date

2015-03-26 00:00:00

pages

2584-608

issue

6

eissn

0022-2623

issn

1520-4804

journal_volume

58

pub_type

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