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贝格尔犬肝脏有机阴离子转运多肽介导的清除作用:评估体外-体内关系并应用跨物种经验性缩放因子提高对人体清除率的预测。

Hepatic Organic Anion Transporting Polypeptide-Mediated Clearance in the Beagle Dog: Assessing In Vitro-In Vivo Relationships and Applying Cross-Species Empirical Scaling Factors to Improve Prediction of Human Clearance.

机构信息

Centre for Applied Pharmacokinetic Research, University of Manchester, Manchester, United Kingdom (N.M., A.U., J.B.H., A.G.); Pharmacokinetic Research Laboratories, Ono Pharmaceutical Co., Ltd., Osaka, Japan (N.M.); and Lilly Research Laboratories, Eli Lilly and Company, Indianapolis, Indiana (B.L.M., D.W.B., J.B., M.A.M., K.M.H., S.D.H.).

Centre for Applied Pharmacokinetic Research, University of Manchester, Manchester, United Kingdom (N.M., A.U., J.B.H., A.G.); Pharmacokinetic Research Laboratories, Ono Pharmaceutical Co., Ltd., Osaka, Japan (N.M.); and Lilly Research Laboratories, Eli Lilly and Company, Indianapolis, Indiana (B.L.M., D.W.B., J.B., M.A.M., K.M.H., S.D.H.)

出版信息

Drug Metab Dispos. 2019 Mar;47(3):215-226. doi: 10.1124/dmd.118.084194. Epub 2018 Dec 28.

Abstract

In the present study, the beagle dog was evaluated as a preclinical model to investigate organic anion transporting polypeptide (OATP)-mediated hepatic clearance. In vitro studies were performed with nine OATP substrates in three lots of plated male dog hepatocytes ± OATP inhibitor cocktail to determine total uptake clearance (CL) and total and unbound cell-to-medium concentration ratio (Kp). In vivo intrinsic hepatic clearances (CL) were determined following intravenous drug administration (0.1 mg/kg) in male beagle dogs. The in vitro parameters were compared with those previously reported in plated human, monkey, and rat hepatocytes; the ability of cross-species scaling factors to improve prediction of human in vivo clearance was assessed. CL in dog hepatocytes ranged from 9.4 to 135 l/min/10 cells for fexofenadine and telmisartan, respectively. Active process contributed >75% to CL for 5/9 drugs. Rosuvastatin and valsartan showed Kp > 10, whereas cerivastatin, pitavastatin, repaglinide, and telmisartan had Kp < 5. The extent of hepatocellular binding in dog was consistent with other preclinical species and humans. The bias (2.73-fold) obtained from comparison of predicted versus in vivo dog CL was applied as an average empirical scaling factor (ESF) for in vitro-in vivo extrapolation of human CL The ESF based on dog reduced underprediction of human CL for the same data set (geometric mean fold error = 2.1), highlighting its utility as a preclinical model to investigate OATP-mediated uptake. The ESF from all preclinical species resulted in comparable improvement of human clearance prediction, in contrast to drug-specific empirical scalars, rationalized by species differences in expression and/or relative contribution of particular transporters to drug hepatic uptake.

摘要

在本研究中,评估比格犬作为一种临床前模型,用于研究有机阴离子转运多肽(OATP)介导的肝脏清除率。在三个批次培养的雄性犬肝细胞中进行了 9 种 OATP 底物的体外研究,加入或不加入 OATP 抑制剂混合物,以确定总摄取清除率(CL)以及总浓度与未结合细胞-培养基浓度比(Kp)。在雄性比格犬中静脉给予药物(0.1mg/kg)后,测定体内固有肝清除率(CL)。将体外参数与之前在培养的人、猴和大鼠肝细胞中报道的参数进行比较;评估跨物种比例因子对改善人体内清除率预测的能力。对于非索非那定和替米沙坦,犬肝细胞中的 CL 分别为 9.4 至 135 l/min/10 细胞。对于 5/9 种药物,主动转运过程对 CL 的贡献>75%。瑞舒伐他汀和缬沙坦的 Kp>10,而西立伐他汀、匹伐他汀、瑞格列奈和替米沙坦的 Kp<5。犬肝细胞内结合的程度与其他临床前物种和人类一致。比较预测的和体内犬 CL 获得的偏差(2.73 倍)被用作体外-体内外推人类 CL 的平均经验比例因子(ESF)。基于犬的 ESF 用于相同数据集时减少了对人类 CL 的预测不足(几何均数折叠误差=2.1),突出了其作为研究 OATP 介导摄取的临床前模型的用途。与药物特异性经验比例因子相比,所有临床前物种的 ESF 导致对人类清除率预测的可比改善,这是由表达和/或特定转运体对药物肝摄取的相对贡献的物种差异合理化的。

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