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两种药效传递模型在模型系统中分析肿瘤治疗反应的比较。

Comparison of two pharmacodynamic transduction models for the analysis of tumor therapeutic responses in model systems.

机构信息

The Department of Pharmaceutical Sciences, University at Buffalo, State University of New York, Amherst, New York 14260-1200, USA.

出版信息

AAPS J. 2010 Mar;12(1):1-10. doi: 10.1208/s12248-009-9155-7. Epub 2009 Nov 10.

Abstract

Semi-mechanistic pharmacodynamic (PD) models that capture tumor responses to anticancer agents with fidelity can provide valuable insights that could aid in the optimization of dosing regimens and the development of drug delivery strategies. This study evaluated the utility and potential interchangeability of two transduction-type PD models: a cell distribution model (CDM) and a signal distribution model (SDM). The evaluation was performed by simulating dense and sparse tumor response data with one model and analyzing it using the other. Performance was scored by visual inspection and precision of parameter estimation. Capture of tumor response data was also evaluated for a liposomal formulation of paclitaxel in the paclitaxel-resistant murine Colon-26 model. A suitable PK model was developed by simultaneous fitting of literature data for paclitaxel formulations in mice. Analysis of the simulated tumor response data revealed that the SDM was more flexible in describing delayed drug effects upon tumor volume progression. Dense and sparse data simulated using the CDM were fit very well by the SDM, but under some conditions, data simulated using the SDM were fitted poorly by the CDM. Although both models described the dose-dependent therapeutic responses of Colon-26 tumors, the fit by the SDM contained less bias. The CDM and SDM are both useful transduction models that recapitulate, with fidelity, delayed drug effects upon tumor growth. However, they are mechanistically distinct and not interchangeable. Both fit some types of tumor growth data well, but the SDM appeared more robust, particularly where experimental data are sparse.

摘要

具有保真度的半机械药效动力学(PD)模型可以捕获抗癌药物对肿瘤的反应,从而提供有价值的见解,有助于优化给药方案和开发药物输送策略。本研究评估了两种转导型 PD 模型的实用性和潜在可互换性:细胞分布模型(CDM)和信号分布模型(SDM)。通过使用一种模型模拟密集和稀疏的肿瘤反应数据,并使用另一种模型对其进行分析,从而对其进行评估。通过视觉检查和参数估计的精度来评分。还评估了紫杉醇脂质体制剂在紫杉醇耐药的结肠 26 模型中的肿瘤反应数据的捕获。通过同时拟合文献中关于紫杉醇在小鼠中的制剂的 PK 模型来开发合适的 PK 模型。对模拟肿瘤反应数据的分析表明,SDM 在描述对肿瘤体积进展的延迟药物作用方面更加灵活。SDM 非常适合 CDM 模拟的密集和稀疏数据,但在某些条件下,SDM 模拟的数据不太适合 CDM。尽管这两种模型都描述了结肠 26 肿瘤的剂量依赖性治疗反应,但 SDM 的拟合偏差较小。CDM 和 SDM 都是有用的转导模型,它们可以忠实地再现对肿瘤生长的延迟药物作用。然而,它们在机制上是不同的,不能互换。两种模型都能很好地拟合某些类型的肿瘤生长数据,但 SDM 似乎更稳健,特别是在实验数据稀疏的情况下。

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