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Buparlisib is a brain penetrable pan-PI3K inhibitor
Mark C de Gooijer1,2, Ping Zhang1,2,3, Levi C M Buil1,2
1Division of Pharmacology, The Netherlands Cancer Institute, Plesmanlaan 121, 1066 CX, Amsterdam, The Netherlands.
Abstract:
Characterization of the genomic landscapes of intracranial tumours has revealed a clear role for the PI3K-AKT-mTOR pathway in tumorigenesis and tumour maintenance of these malignancies, making phosphatidylinositol 3-kinase (PI3K) inhibition a promising therapeutic strategy for these tumours. Buparlisib is a novel pan-PI3K inhibitor that is currently in clinical development for various cancers, including primary and secondary brain tumours. Importantly however, earlier studies have revealed that sufficient brain penetration is a prerequisite for antitumor efficacy against intracranial tumours. We therefore investigated the brain penetration of buparlisib using a comprehensive set of in vitro and in vivo mouse models. We demonstrate that buparlisib has an excellent brain penetration that is unaffected by efflux transporters at the blood-brain barrier, complete oral bioavailability and efficient intracranial target inhibition at clinically achievable plasma concentrations. Together, these characteristics make buparlisib the ideal candidate for intracranially-targeted therapeutic strategies that involve PI3K inhibition.
Insights
Buparlisib, a phosphatidylinositol 3-kinase (PI3K) inhibitor, shows excellent brain penetration and oral bioavailability. This makes it a promising drug for treating brain tumours by inhibiting the PI3K-AKT-mTOR pathway.
Area of Science:
- Neuro-oncology
- Pharmacology
- Molecular Biology
Background:
- The PI3K-AKT-mTOR pathway is crucial in brain tumour development.
- Targeting this pathway with phosphatidylinositol 3-kinase (PI3K) inhibitors is a potential therapeutic strategy.
- Effective treatment requires drugs that penetrate the blood-brain barrier.
Purpose of the Study:
- To evaluate the brain penetration of buparlisib, a novel pan-PI3K inhibitor.
- To assess its potential as a therapeutic agent for intracranial tumours.
Main Methods:
- In vitro assays.
- In vivo mouse models.
- Assessment of blood-brain barrier penetration and efflux transporter interactions.
- Evaluation of oral bioavailability and target inhibition.
Main Results:
- Buparlisib demonstrated excellent brain penetration.
- Its penetration was not affected by blood-brain barrier efflux transporters.
- Complete oral bioavailability and efficient intracranial target inhibition were observed at clinically relevant plasma concentrations.
Conclusions:
- Buparlisib possesses ideal characteristics for targeting brain tumours.
- Its properties support its development for PI3K-inhibitor-based therapies against intracranial malignancies.
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