Gabrielsson J, Green A R
Discovery DMPK and BAC, AstraZeneca R&D Mölndal, S-431 83 Mölndal, Sweden.
J Pharmacol Exp Ther. 2009 Dec;331(3):767-74. doi: 10.1124/jpet.109.157172. Epub 2009 Sep 24.
Pharmacodynamics (PD) examines the relationship between drug concentration and onset, intensity, and duration of the pharmacological effect. Pharmacokinetics (PK) is the science of the time course of drugs in the organism. The quantitative pharmacological approach focuses on concentration-response and response-time relationships, with special emphasis on the proposed impact of the drug on the disease. The review aims to raise awareness among pharmacologists with regard to why pharmacokinetic-pharmacodynamic (PKPD) integration is essential in basic pharmacology research to improve interpretation of data. Quantitative pharmacology is vital in drug discovery for target validation, optimizing the development of lead compounds, and scaling compounds to humans and has become mandatory for regulatory bodies. However, its use is still comparatively rare in experimental pharmacology, and its absence diminishes the interpretative value of published experimental data and can allow the presentation of misleading information. A primary requirement for PKPD integration is establishing the inter-relationships between in vitro and in vivo PK and PD properties and extrapolation to the known or possible future clinical use of a compound. This review examines the use of PKPD in experimental pharmacology by reviewing drug exposure measurements, plasma protein binding, exposure-effect relationships, and the measurement of active metabolites. It examines the significance of dosing schedules, the importance of target engagement, and problems in examining time-response relationships. It shows how quantitative pharmacology adds significant value to study design and examines why ignoring pharmacokinetics can lead to misleading results and conclusions. Finally, a guide list of points to be considered when performing studies is provided.
药效学(PD)研究药物浓度与药理效应的起效、强度和持续时间之间的关系。药代动力学(PK)是研究药物在生物体内随时间变化过程的科学。定量药理学方法侧重于浓度-反应和反应-时间关系,特别强调药物对疾病的假定影响。本综述旨在提高药理学家对药代动力学-药效学(PKPD)整合在基础药理学研究中为何至关重要的认识,以改进数据解读。定量药理学在药物发现中对于靶点验证、优化先导化合物的开发以及将化合物按比例放大至人体研究方面至关重要,并且已成为监管机构的强制要求。然而,其在实验药理学中的应用仍然相对较少,其缺失降低了已发表实验数据的解释价值,并可能导致误导性信息的呈现。PKPD整合的一个主要要求是建立体外和体内PK与PD特性之间的相互关系,并外推至化合物已知或可能的未来临床应用。本综述通过回顾药物暴露测量、血浆蛋白结合、暴露-效应关系以及活性代谢物的测量,来探讨PKPD在实验药理学中的应用。它研究了给药方案的重要性、靶点结合的重要性以及研究时间-反应关系时存在的问题。它展示了定量药理学如何为研究设计增添重要价值,并探讨了忽视药代动力学为何会导致误导性结果和结论。最后,提供了一份在进行研究时需考虑要点的指南清单。