A large variety of drugs bind effectively
to melanin, and this
binding influences their ocular pharmacokinetic and distribution profiles.
We aimed to establish a correlation between in vitro melanin binding
and in vivo ocular pharmacokinetics (PK). The extent of melanin binding
in vitro was determined for a set of model drugs; binding kinetics
and binding isotherms were generated and fitted to a mechanistic model
to derive the drug–melanin binding parameters (B
max, K
D, k
on, and k
off). In addition,
in vitro ADME properties such as cellular permeability, P-glycoprotein-mediated
efflux, plasma protein binding, and octanol partition coefficients
were determined. Moreover, cellular uptake was measured in the nonpigmented
ARPE-19 cells and in lightly pigmented human epidermal melanocytes.
Finally, in vivo ocular PK studies were performed in albino and pigmented
rats using intravenous injections. Substantial drug enrichment accompanied
by a very long residence time was observed in pigmented ocular tissues,
which could be linked to the melanin binding determined in vitro and
to the intracellular drug uptake into the pigmented cells. The resulting
ocular PK profile is shown to be a consequence of the interplay of
melanin binding with concurrent processes such as systemic clearance,
plasma protein binding, cellular permeation, P-glycoprotein efflux,
pH partitioning, and tissue binding. Understanding this interplay
at a mechanistic level could help in the rational design and development
of new small-molecule drug candidates with the desired PK/pharmacodynamic
profile to target the back of the eye.