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药物研发与毒代动力学中的种间缩放及比较

Interspecies scaling and comparisons in drug development and toxicokinetics.

作者信息

Ings R M

机构信息

Servier Research & Development Limited, Fulmer, Bucks, UK.

出版信息

Xenobiotica. 1990 Nov;20(11):1201-31. doi: 10.3109/00498259009046839.

DOI:10.3109/00498259009046839
PMID:2275215
Abstract
  1. Methods of interspecies extrapolation using physiological models and allometric scaling have been reviewed with their possible application to drug development, both for candidate drug selection and the interpretation of toxicokinetic data. 2. Physiological models offer a mechanistic approach to extrapolation from one species to another, examining individual components which interrelate to produce the characteristics of the whole system. Tissues of interest are arranged in anatomical order based on blood circulation, and the disposition of a drug can be simulated with knowledge of tissue size (volume), tissue perfusion (blood flow), drug permeability, binding of the drug between the tissue and blood (partition), as well as elimination. Using this approach the behaviour of the drug under different conditions, such as dose route, disease state or animal species, can be predicted. 3. The alternative approach of allometric scaling is an empirical examination of relationships between size, time and its consequences. A regression of the logarithm of the pharmacokinetic parameter and the logarithm of the body weight of the animal species produces a linear relationship which enables the value of pharmacokinetic parameters in any animal species to be calculated from the product of an allometric coefficient and the body weight to a power function. 4. Whilst this technique gives acceptable predictions for the pharmacokinetics of those drugs eliminated renally, or which are blood flow-dependent, there is poor prediction for humans for low clearance drugs primarily eliminated by the mixed-function oxidase system. This appears to be a result of differences in maturation, and can be corrected for by including a brain weight or maximum life-span potential term into the allometric equation. 5. Of the two approaches described for extrapolation of pharmacokinetics between animal species, physiological models tend to be resource-demanding and costly, with more frequent failures, but can be invaluable for examining target organ exposure and for the targeting of drugs as in cancer chemotherapy. For routine drug development, however, allometric scaling is potentially more useful since it uses data which are routinely obtained and the calculations are relatively simple. 6. The problems of intraspecies scaling from high-dose data to low-dose predictions are discussed with respect to current models of dose levels. A new approach is proposed using a modified Hill equation based on drug exposure, which should allow for a more meaningful determination of the toxicity of a compound with different drug exposures.(ABSTRACT TRUNCATED AT 400 WORDS)
摘要
  1. 已对使用生理模型和异速生长比例法进行种间外推的方法及其在药物研发中的可能应用进行了综述,这些应用包括候选药物的选择以及毒代动力学数据的解释。2. 生理模型提供了一种从一个物种外推到另一个物种的机制方法,研究相互关联以产生整个系统特征的各个组成部分。基于血液循环将感兴趣的组织按解剖顺序排列,并且可以通过了解组织大小(体积)、组织灌注(血流量)、药物通透性、药物在组织与血液之间的结合(分配)以及消除情况来模拟药物的处置。使用这种方法,可以预测药物在不同条件下的行为,例如给药途径、疾病状态或动物物种。3. 异速生长比例法的另一种方法是对大小、时间及其影响之间的关系进行实证研究。药代动力学参数的对数与动物物种体重的对数之间的回归产生线性关系,这使得可以根据异速生长系数与体重的幂函数的乘积来计算任何动物物种中药代动力学参数的值。4. 虽然该技术对于经肾脏消除或依赖血流量的药物的药代动力学给出了可接受的预测,但对于主要由混合功能氧化酶系统消除的低清除率药物,对人类的预测效果较差。这似乎是成熟度差异的结果,可以通过在异速生长方程中纳入脑重量或最大寿命潜能项来进行校正。5. 在描述的两种动物物种间药代动力学外推方法中,生理模型往往需要大量资源且成本高昂,失败频率更高,但对于检查靶器官暴露以及在癌症化疗中靶向给药可能非常有价值。然而,对于常规药物研发,异速生长比例法可能更有用,因为它使用常规获得的数据且计算相对简单。- 6. 针对当前剂量水平模型,讨论了从高剂量数据到低剂量预测的种内比例缩放问题。提出了一种基于药物暴露的改进希尔方程的新方法,该方法应能更有意义地确定不同药物暴露情况下化合物的毒性。(摘要截断于400字)

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