头孢羟氨苄在小鼠、大鼠和人体中的生理药代动力学建模,以预测感染组织中的浓度-时间曲线。

Physiologically Based Pharmacokinetic Modeling of Cefadroxil in Mouse, Rat, and Human to Predict Concentration-Time Profile at Infected Tissue.

作者信息

Tan Zhongxia, Zhang Youxi, Wang Chao, Sun Le

机构信息

Department of Pharmaceutics, School of Pharmacy, China Medical University, Shenyang, China.

Department of Pharmacy, The Fourth Affiliated Hospital, China Medical University, Shenyang, China.

出版信息

Front Pharmacol. 2021 Dec 23;12:692741. doi: 10.3389/fphar.2021.692741. eCollection 2021.

Abstract

The aim of this study was to develop physiologically based pharmacokinetic (PBPK) models capable of simulating cefadroxil concentrations in plasma and tissues in mouse, rat, and human. PBPK models in this study consisted of 14 tissues and 2 blood compartments. They were established using measured tissue to plasma partition coefficient ( ) in mouse and rat, absolute expression levels of hPEPT1 along the entire length of the human intestine, and the transporter kinetic parameters. The PBPK models also assumed that all the tissues were well-stirred compartments with perfusion rate limitations, and the ratio of the concentration in tissue to the unbound concentration in plasma is identical across species. These PBPK models were validated strictly by a series of observed plasma concentration-time profile data. The average fold error (AFE) and absolute average fold error (AAFE) values were all less than 2. The models' rationality and accuracy were further demonstrated by the almost consistent calculated by the PBPK model and noncompartmental method, as well as the good allometric scaling relationship of and . The model suggests that hPEPT1 is the major transporter responsible for the oral absorption of cefadroxil in human, and the plasma concentration-time profiles of cefadroxil were not sensitive to dissolution rate faster than T = 2 h. The cefadroxil PBPK model in human is reliable and can be used to predict concentration-time profile at infected tissue. It may be useful for dose selection and informative decision-making during clinical trials and dosage form design of cefadroxil and provide a reference for the PBPK model establishment of hPEPT1 substrate.

摘要

本研究的目的是建立基于生理的药代动力学(PBPK)模型,以模拟头孢羟氨苄在小鼠、大鼠和人体血浆及组织中的浓度。本研究中的PBPK模型由14个组织和2个血液隔室组成。它们是利用小鼠和大鼠中测得的组织与血浆分配系数、人小肠全长上hPEPT1的绝对表达水平以及转运体动力学参数建立的。PBPK模型还假定所有组织均为具有灌注速率限制的充分搅拌隔室,并且组织中浓度与血浆中未结合浓度的比值在不同物种间是相同的。这些PBPK模型通过一系列观察到的血浆浓度-时间曲线数据进行了严格验证。平均倍数误差(AFE)和绝对平均倍数误差(AAFE)值均小于2。PBPK模型和非房室方法计算得到的结果几乎一致,以及 和 良好的异速生长比例关系,进一步证明了模型的合理性和准确性。该模型表明,hPEPT1是人体中负责头孢羟氨苄口服吸收的主要转运体,并且头孢羟氨苄的血浆浓度-时间曲线对溶解速率快于T = 2小时不敏感。人体中的头孢羟氨苄PBPK模型是可靠的,可用于预测感染组织处的浓度-时间曲线。它可能有助于头孢羟氨苄临床试验和剂型设计中的剂量选择和信息决策,并为hPEPT1底物的PBPK模型建立提供参考。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c58/8733657/be95a71537c1/fphar-12-692741-g001.jpg

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