Daousani Chrysa, Macheras Panos
Laboratory of Biopharmaceutics & Pharmacokinetics, Faculty of Pharmacy, National and Kapodistrian University of Athens, Athens 15771, Greece.
Laboratory of Biopharmaceutics & Pharmacokinetics, Faculty of Pharmacy, National and Kapodistrian University of Athens, Athens 15771, Greece.
Eur J Pharm Sci. 2016 Dec 1;95:82-87. doi: 10.1016/j.ejps.2016.08.001. Epub 2016 Aug 3.
The biopharmaceutics classification system (BCS) was based on the tube model of the intestinal lumen. This model considers constant drug permeability along the intestines, a plug flow fluid with the suspended drug particles moving with the fluid, and dissolution in the small particle limit. Since then the research work focusing on drug gastrointestinal (GI) absorption phenomena and processes rely on the classical laws of transport, diffusion and kinetics; however, the homogeneous assumptions associated with the well-stirred Euclidean media, where the classical laws of diffusion and kinetics apply, have been questioned in the past. In this work we explore the biopharmaceutic classification of drugs using a heterogeneous pseudo steady-state model of oral drug absorption. The fraction of dose absorbed (F) was expressed as a function of two time-dependent processes where time dependent coefficients govern drug absorption and non-absorption processes. Fundamental drug properties like the absorption potential are correlated with F and allow the biopharmaceutic classification of drugs taking into account the heterogeneous aspects of oral drug absorption. This analysis reveals that for Class I drugs no time dependency is expected for both absorption and non absorption processes since the gastric emptying is controlling the absorption of Class I drugs while the completion of absorption (F>90%) is terminated along the first part of the jejunum. Due to the biopharmaceutical properties of Class II, III and IV drugs, these drugs travel throughout the GI tract and therefore both absorption and non absorption processes will exhibit time dependency. Thus, the calculation of F (<90%) for Class II, III and IV is dependent on the estimates of the time exponents of time dependent coefficients controlling drug absorption e.g. dissolution, uptake or non absorption e.g. precipitation.
生物药剂学分类系统(BCS)基于肠腔的管模型。该模型考虑了药物在肠道内的渗透性恒定、药物颗粒随流体以活塞流形式移动以及在小颗粒极限下的溶解情况。从那时起,专注于药物胃肠道(GI)吸收现象和过程的研究工作依赖于经典的传输、扩散和动力学定律;然而,与经典扩散和动力学定律适用的充分搅拌的欧几里得介质相关的均匀假设,在过去受到了质疑。在这项工作中,我们使用口服药物吸收的非均匀伪稳态模型探索药物的生物药剂学分类。吸收剂量分数(F)表示为两个随时间变化的过程的函数,其中随时间变化的系数控制药物吸收和非吸收过程。诸如吸收潜力等基本药物性质与F相关,并考虑到口服药物吸收的非均匀方面,从而实现药物的生物药剂学分类。该分析表明,对于I类药物,吸收和非吸收过程预计均与时间无关,因为胃排空控制I类药物的吸收,而吸收的完成(F>90%)在空肠的第一部分就已终止。由于II、III和IV类药物的生物药剂学性质,这些药物会在整个胃肠道中移动,因此吸收和非吸收过程都将表现出时间依赖性。因此,II、III和IV类药物F(<90%)的计算取决于控制药物吸收(如溶解、摄取)或非吸收(如沉淀)的随时间变化系数的时间指数估计值。