Lei Zhixin, Liu Qianying, Yang Shuaike, Yang Bing, Khaliq Haseeb, Li Kun, Ahmed Saeed, Sajid Abdul, Zhang Bingzhou, Chen Pin, Qiu Yinsheng, Cao Jiyue, He Qigai
State Key Laboratory of Agricultural Microbiology, College of Veterinary Medicine, Huazhong Agricultural University, Wuhan, China.
National Reference Laboratory of Veterinary Drug Residues and MAO Key Laboratory for Detection of Veterinary Drug Residues, Huazhong Agricultural University, Wuhan, China.
Front Pharmacol. 2018 Jan 17;9:2. doi: 10.3389/fphar.2018.00002. eCollection 2018.
The aims of the present study were to establish optimal doses and provide an alternate CO for florfenicol against based on pharmacokinetic-pharmacodynamic integration modeling. The recommended dose (30 mg/kg b.w.) were administered in healthy pigs through intramuscular and intravenous routes for pharmacokinetic studies. The main pharmacokinetic parameters of , AUC, AUC, Ke, , MRT, and Cl, were estimated as 4.44 μg/ml, 88.85 μg⋅h/ml, 158.56 μg⋅h/ml, 0.048 h, 14.46 h, 26.11 h, 4 h and 0.185 L/h⋅kg, respectively. The bioavailability of florfenicol was calculated to be 99.14% after I.M administration. A total of 124 from most cities of China were isolated to determine the minimum inhibitory concentration (MIC) of florfenicol. The MIC and MIC were calculated as 1 and 2 μg/ml. A serotype 2 (WH-2), with MIC value similar to MIC, was selected as a representative for an and pharmacodynamics study. The MIC values of WH-2 in TSB and plasma were 2 μg/ml, and the MBC/MIC ratios were 2 in TSB and plasma. The MPC was detected to be 3.2 μg/ml. According to inhibitory sigmoid model, plasma AUC/MIC values of florfenicol versus were 37.89, 44.02, and 46.42 h for the bactericidal, bacteriostatic, and elimination activity, respectively. Monte Carlo simulations the optimal doses for bactericidal, bacteriostatic, and elimination effects were calculated as 16.5, 19.17, and 20.14 mg/kg b.w. for 50% target attainment rates (TAR), and 21.55, 25.02, and 26.85 mg/kg b.w. for 90% TAR, respectively. The PK-PD cutoff value (CO) analyzed from MCS for florfenicol against was 1 μg/ml which could provide a sensitivity cutoff value. These results contributed an optimized alternative to clinical veterinary medicine and showed that the dose of 25.02 mg/kg florfenicol for 24 h could have a bactericidal action against after I.M administration. However, it should be validated in clinical practice in the future investigations.
本研究的目的是基于药代动力学-药效学整合模型确定氟苯尼考的最佳剂量,并提供一种替代的药时曲线下面积(AUC)。通过肌肉注射和静脉注射途径,对健康猪给予推荐剂量(30mg/kg体重)进行药代动力学研究。氟苯尼考的主要药代动力学参数,AUC、AUC、消除速率常数(Ke)、半衰期(t1/2)、平均滞留时间(MRT)、达峰时间(Tmax)和清除率(Cl),分别估计为4.44μg/ml、88.85μg·h/ml、158.56μg·h/ml、0.048h、14.46h、26.11h、4h和0.185L/h·kg。肌肉注射后氟苯尼考的生物利用度经计算为99.14%。从中国大多数城市分离出总共124株[细菌名称未给出]以确定氟苯尼考的最低抑菌浓度(MIC)。MIC和[另一MIC未明确的指标]经计算分别为1和2μg/ml。选择一株MIC值与[未明确的MIC指标]相似的2型[细菌名称未给出](WH-2)作为[细菌名称未给出]的抗菌和药效学研究的代表。WH-2在胰酪大豆胨肉汤(TSB)和血浆中的MIC值为2μg/ml,在TSB和血浆中的MBC/MIC比值均为2。检测到防突变浓度(MPC)为3.2μg/ml。根据抑制性S型Emax模型,氟苯尼考对[细菌名称未给出]的血浆AUC/MIC值在杀菌、抑菌和清除活性方面分别为37.89、44.02和[原文此处有误,应与前文逻辑对应,按前文推测此处应为46.42]46.42h。蒙特卡洛模拟得出,对于50%的目标达成率(TAR),杀菌效果、抑菌效果和清除效果的最佳剂量分别计算为16.5、19.17和20.14mg/kg体重;对于90%的TAR,分别为21.55、25.02和26.85mg/kg体重。从蒙特卡洛模拟(MCS)分析得出的氟苯尼考对[细菌名称未给出]的药代动力学-药效学临界值(CO)为1μg/ml,这可以提供一个敏感性临界值。这些结果为临床兽医学提供了一种优化的替代方案,并表明肌肉注射后25.02mg/kg氟苯尼考持续24h对[细菌名称未给出]可能具有杀菌作用。然而,在未来的研究中应在临床实践中进行验证。