Quignot (2013) reviews how physiologically-based pharmacokinetic (PBPK) models can predict drug exposure in barrier-protected organs (brain, testis, placenta, retina), arguing that correct mechanistic characterization of transcellular, paracellular, and efflux pathways is crucial, and that in vitro assays (tissue homogenates, membrane preparations, cell monolayers, PAMPA) supply the key parameters—partition coefficients, Papp, and Michaelis-Menten transport terms .
The review predates and under-weights human-relevant microfluidic platforms that directly target the in vivo/in vitro gap it describes. Microfluidic NVU/BBB-on-chip systems now recapitulate flow, multicellular interactions, and heterogeneity, though translational relevance and donor variability remain unresolved . Multiplexed BBB organ-on-chip work reports measured permeability coefficients spanning roughly an order of magnitude by molecular weight (4 kDa dextran: 8.92 × 10-6 cm/s; 20 kDa: 1.06 × 10-6 cm/s), illustrating the quantitative Papp-style inputs Quignot's framework requires :
Newer human iPSC-based tricultures additionally show microglia strengthen endothelial junctions (ZO-1, VE-cadherin) and reduce 3D vessel permeability ~2.3-fold—cell-type complexity the 2013 review's monolayer-centric discussion does not capture .
A solid pedagogical review connecting barrier biology to PBPK parameterization; its main weaknesses are absence of worked quantitative case studies, thin validation discussion, and species/individual-variability blind spots it does not resolve. What would falsify its central thesis: demonstration that barrier-protected organ concentrations are predicted equally well by simple flow-limited partitioning without any barrier-specific parameters.
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