Division of Pharmacokinetics, Toxicology and Targeting, University of Groningen, P.O. Box 196, 9700 AD, Groningen, The Netherlands.
Pharm Res. 2012 Jul;29(7):1932-48. doi: 10.1007/s11095-012-0722-8. Epub 2012 Mar 22.
A pharmacokinetic-pharmacodynamic (PK-PD) model was developed to describe the time course of brain concentration and dopamine D₂ and serotonin 5-HT(2A) receptor occupancy (RO) of the atypical antipsychotic drugs risperidone and paliperidone in rats.
A population approach was utilized to describe the PK-PD of risperidone and paliperidone using plasma and brain concentrations and D₂ and 5-HT(2A) RO data. A previously published physiology- and mechanism-based (PBPKPD) model describing brain concentrations and D₂ receptor binding in the striatum was expanded to include metabolite kinetics, active efflux from brain, and binding to 5-HT(2A) receptors in the frontal cortex.
A two-compartment model best fit to the plasma PK profile of risperidone and paliperidone. The expanded PBPKPD model described brain concentrations and D₂ and 5-HT(2A) RO well. Inclusion of binding to 5-HT(2A) receptors was necessary to describe observed brain-to-plasma ratios accurately. Simulations showed that receptor affinity strongly influences brain-to-plasma ratio pattern.
Binding to both D₂ and 5-HT(2A) receptors influences brain distribution of risperidone and paliperidone. This may stem from their high affinity for D₂ and 5-HT(2A) receptors. Receptor affinities and brain-to-plasma ratios may need to be considered before choosing the best PK-PD model for centrally active drugs.
建立了一个药代动力学-药效学(PK-PD)模型,以描述非典型抗精神病药物利培酮和帕利哌酮在大鼠中的脑浓度、多巴胺 D₂ 和 5-羟色胺 5-HT(2A)受体占有率(RO)的时间过程。
利用群体方法描述利培酮和帕利哌酮的 PK-PD,使用血浆和脑浓度以及 D₂ 和 5-HT(2A) RO 数据。先前发表的描述纹状体脑浓度和 D₂ 受体结合的基于生理学和机制的(PBPKPD)模型被扩展到包括代谢物动力学、脑内主动外排以及与额叶皮层中的 5-HT(2A)受体结合。
两室模型最适合利培酮和帕利哌酮的血浆 PK 谱。扩展的 PBPKPD 模型很好地描述了脑浓度和 D₂ 和 5-HT(2A) RO。纳入与 5-HT(2A)受体的结合对于准确描述观察到的脑-血浆比是必要的。模拟表明,受体亲和力强烈影响脑-血浆比模式。
与 D₂ 和 5-HT(2A)受体的结合影响利培酮和帕利哌酮在大脑中的分布。这可能源于它们对 D₂ 和 5-HT(2A)受体的高亲和力。在选择中枢活性药物的最佳 PK-PD 模型之前,可能需要考虑受体亲和力和脑-血浆比。