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大鼠肠道外流的原位动力学建模:节段差异的功能表征及其与体外结果的相关性。

In situ kinetic modelling of intestinal efflux in rats: functional characterization of segmental differences and correlation with in vitro results.

作者信息

González-Alvarez Isabel, Fernández-Teruel Carlos, Casabó-Alós Vicente G, Garrigues Teresa M, Polli James E, Ruiz-García Ana, Bermejo Marival

机构信息

Departamento Farmacia y Tecnología Farmacéutica, Facultad de Farmacia, Universidad de Valencia, Av. Vicente A. Estellés, Sn Burjassot 46100 Valencia, España.

出版信息

Biopharm Drug Dispos. 2007 Jul;28(5):229-39. doi: 10.1002/bdd.548.

Abstract

The objective was to devise and apply a novel modelling approach to combine segmental in situ rat perfusion data and in vitro cell culture data, in order to elucidate the contribution of efflux in drug absorption kinetics. The fluoroquinolone CNV97100 was used as a model P-gp substrate. In situ intestinal perfusion was performed in rat duodenum, jejunum, ileum and colon to measure the influence of P-gp expression on efflux. Inhibition studies of CNV97100 were performed in the presence of verapamil, quinidine, cyclosporin A and p-aminohippuric acid. Absorption/efflux parameters were modelled simultaneously, using data from both in situ studies as well as in vitro studies. The maximal efflux velocity was modelled as a baseline value, corrected for each segment based on the expression level. CNV97100 passive diffusional permeability (P(diff)) and its affinity for the efflux carrier (K(m)) were assumed to be the same in all segments. The results indicate the new approach to combine in situ data and in vitro data succeed in yielding a unified, quantitative model for absorption/efflux. The model incorporated a quantitative relationship between P-gp expression level and the efflux functionality, both across in situ and in vitro systems, as well across different intestinal segments in the in situ studies. Permeability values decreased from duodenum to ileum in accordance with the increasing P-gp expression levels in rat intestine. The developed model reflects a strong correlation between in vitro and in situ results, including intrinsic differences in surface area. The successful application of a model approach to combine absorption data from two different experimental systems holds promise for future efforts to predict absorption results from one system to a second system.

摘要

目的是设计并应用一种新颖的建模方法,将大鼠节段原位灌注数据和体外细胞培养数据相结合,以阐明外排在药物吸收动力学中的作用。氟喹诺酮CNV97100用作模型P-糖蛋白底物。在大鼠十二指肠、空肠、回肠和结肠进行原位肠灌注,以测量P-糖蛋白表达对外排的影响。在维拉帕米、奎尼丁、环孢素A和对氨基马尿酸存在的情况下进行CNV97100的抑制研究。使用原位研究和体外研究的数据同时对吸收/外排参数进行建模。将最大外排速度建模为基线值,并根据表达水平对每个节段进行校正。假设CNV97100的被动扩散渗透率(P(diff))及其对外排载体的亲和力(K(m))在所有节段中相同。结果表明,将原位数据和体外数据相结合的新方法成功地产生了一个统一的吸收/外排定量模型。该模型纳入了P-糖蛋白表达水平与外排功能之间的定量关系,无论是在原位和体外系统之间,还是在原位研究的不同肠段之间。随着大鼠肠道中P-糖蛋白表达水平的增加,渗透率值从十二指肠到回肠逐渐降低。所开发的模型反映了体外和原位结果之间的强相关性,包括表面积的内在差异。一种将来自两个不同实验系统的吸收数据相结合的模型方法的成功应用,为未来从一个系统预测另一个系统的吸收结果的努力带来了希望。

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