药代动力学和药效学中的物种差异。
Species differences in pharmacokinetics and pharmacodynamics.
作者信息
Toutain Pierre-Louis, Ferran Aude, Bousquet-Mélou Alain
机构信息
Unité Mixte de Recherche 181 Physiopathologie et Toxicologie Expérimentales, Institut National de la Recherche Agronomique et Ecole Nationale Vétérinaire de Toulouse, 23 Chemin des Capelles, BP 87 614, 31076 Toulouse Cedex 03, France.
出版信息
Handb Exp Pharmacol. 2010(199):19-48. doi: 10.1007/978-3-642-10324-7_2.
Veterinary medicine faces the unique challenge of having to treat many types of domestic animal species, including mammals, birds, and fishes. Moreover, these species have evolved into genetically unique breeds having certain distinguishable characteristics developed by artificial selection. The main challenge for veterinarians is not to select a drug but to determine, for the selected agent, a rational dosing regimen because the dosage regimen for a drug in a given species may depend on its anatomy, biochemistry, physiology, and behaviour as well as on the nature and causes of the condition requiring treatment. Both between- and within-species differences in drug response can be explained either by variations in drug pharmacokinetics (PK) or drug pharmacodynamics (PD), the magnitude of which varies from drug to drug. This chapter highlights selected aspects of species differences in PK and PD and considers underlying physiological and patho-physiological mechanisms in the main domestic species. Particular attention was paid to aspects of animal behaviour (food behaviour, social behavior, etc.) as a determinant of interspecies differences in PK or/and PD. Modalities of drug administration are many and result not only from anatomical, physiological and/or behavioural differences across species but also from management options. The latter is the case for collective/group treatment of food-producing animals, frequently dosed by the oral route at a herd or flock level. After drug administration, the main causes of observed inter-species differences arise from species differences in the handling of drugs (absorption, distribution, metabolism, and elimination). Such differences are most common and of greatest magnitude when functions which are phylogenetically divergent between species, such as digestive functions (ruminant vs. non-ruminant, carnivore vs. herbivore, etc.), are involved in drug absorption. Interspecies differences also exist in drug action but these are generally more limited, except when a particular targeted function has evolved, as is the case for reproductive physiology (mammals vs. birds vs. fishes; annual vs. seasonal reproductive cycle in mammals; etc.). In contrast, for antimicrobial and antiparasitic drugs, interspecies differences are more limited and rather reflect those of the pathogens than of the host. Interspecies difference in drug metabolism is a major factor accounting for species differences in PK and also in PD (production or not of active metabolites). Recent and future advances in molecular biology and pharmacogenetics will enable a more comprehensive view of interspecies differences and also between breeds with existing polymorphism. Finally, the main message of this review is that differences between species are not only numerous but also often unpredictable so that no generalisations are possible, even though for several drugs allometric approaches do allow some valuable interspecies extrapolations. Instead, each drug must be investigated on a species-by-species basis to guarantee its effective and safe use, thus ensuring the well-being of animals and safeguarding of the environment and human consumption of animal products.
兽医学面临着独特的挑战,即必须治疗多种家畜物种,包括哺乳动物、鸟类和鱼类。此外,这些物种已经进化成具有通过人工选择而形成的某些可区分特征的基因独特品种。兽医面临的主要挑战不是选择药物,而是为所选药物确定合理的给药方案,因为给定物种中药物的给药方案可能取决于其解剖学、生物化学、生理学和行为,以及所需治疗病症的性质和病因。药物反应的种间和种内差异都可以通过药物药代动力学(PK)或药物药效学(PD)的变化来解释,其程度因药物而异。本章重点介绍PK和PD中物种差异的选定方面,并考虑主要家畜物种潜在的生理和病理生理机制。特别关注动物行为(食物行为、社会行为等)方面,将其作为PK或/和PD种间差异的决定因素。药物给药方式多种多样,这不仅是由于物种间解剖学、生理学和/或行为上的差异,还源于管理选择。对于食用动物的群体/集体治疗来说就是这种情况,通常在畜群或禽群水平通过口服途径给药。给药后,观察到的种间差异的主要原因源于物种在药物处理(吸收、分布、代谢和消除)方面的差异。当物种间在系统发育上存在差异的功能,如消化功能(反刍动物与非反刍动物、食肉动物与食草动物等)参与药物吸收时,这种差异最为常见且程度最大。药物作用方面也存在种间差异,但通常较为有限,除非特定的靶向功能已经进化,如生殖生理学(哺乳动物与鸟类与鱼类;哺乳动物中的年度与季节性生殖周期等)的情况。相比之下,对于抗菌和抗寄生虫药物,种间差异更为有限,更多地反映病原体而非宿主的差异。药物代谢的种间差异是导致PK和PD种间差异(活性代谢物的产生与否)的主要因素。分子生物学和药物遗传学的最新进展以及未来的进步将使人们能够更全面地了解种间差异以及现有多态性品种之间的差异。最后,本综述的主要信息是,物种之间的差异不仅众多,而且往往不可预测,因此即使对于几种药物,异速生长方法确实允许进行一些有价值的种间推断,也不可能进行一概而论。相反,必须对每种药物进行逐个物种的研究,以确保其有效和安全使用,从而确保动物的健康以及保护环境和人类对动物产品的消费。