Molecular Bio-computation and Drug Design Laboratory, School of Health Sciences, University of KwaZulu-Natal, Westville Campus, Durban, 4001, South Africa.
Department of Pharmacy, University of Malakand, Dir Lower, KPK, Pakistan.
AAPS PharmSciTech. 2022 Mar 15;23(3):86. doi: 10.1208/s12249-022-02229-5.
The oral drug bioavailability (BA) problems have remained inevitable over the years, impairing drug efficacy and indirectly leading to eventual human morbidity and mortality. However, some conventional lab-based methods improve drug absorption leading to enhanced BA, and the recent experimental techniques are up-and-coming. Nevertheless, some have inherent drawbacks in improving the efficacy of poorly insoluble and low impermeable drugs. Drug BA and strategies to overcome these challenges were briefly highlighted. This review has significantly unravelled the different computational models for studying and predicting drug bioavailability. Several computational approaches provide mechanistic insights into the oral drug delivery system simulation of descriptors like solubility, permeability, transport protein-ligand interactions, and molecular structures. The in silico techniques have long been known still are just being applied to unravel drug bioavailability issues. Many publications have reported novel applications of the computational models towards achieving improved drug BA, including predicting gastrointestinal tract (GIT) drug absorption properties and passive intestinal membrane permeability, thus maximizing time and resources. Also, the classical molecular simulation models for free solvation energies of soluble-related processes such as solubilization, dissolutions, supersaturation, and precipitation have been used in virtual screening studies. A few of the tools are GastroPlus that supports biowaiver for drugs, mainly BCS class III and predicts drug compounds' absorption and pharmacokinetic process; SimCyp® simulator for mechanistic modelling and simulation of drug formulation processes; pharmacodynamics analysis on non-linear mixed-effects modelling; and mathematical models, predicting absorption potential/maximum absorption dose. This review provides in silico-experiment annexation in the drug bioavailability enhancement, possible insights that lead to critical opinion on the applications and reliability of the various in silico models as a growing tool for drug development and discovery, thus accelerating drug development processes.
多年来,口服药物生物利用度(BA)问题一直不可避免,这会降低药物疗效,并间接导致患者发病率和死亡率上升。然而,一些常规的实验室方法可以改善药物吸收,从而提高 BA,最近的实验技术也在不断涌现。尽管如此,一些方法在提高难溶性和低渗透性药物的疗效方面存在固有缺陷。本文简要介绍了药物 BA 及其克服这些挑战的策略。本文综述显著揭示了用于研究和预测药物生物利用度的不同计算模型。几种计算方法提供了对口服药物传递系统模拟的机制见解,例如描述符的溶解度、渗透性、转运蛋白-配体相互作用和分子结构。尽管这些计算方法很早就为人所知,但目前仍在应用中,以揭示药物生物利用度问题。许多出版物都报告了计算模型在实现改善药物 BA 方面的新应用,包括预测胃肠道(GIT)药物吸收特性和被动肠膜通透性,从而最大限度地利用时间和资源。此外,还使用了经典的分子模拟模型来研究与可溶性相关的过程(如增溶、溶解、过饱和和沉淀)的自由溶剂化能,用于虚拟筛选研究。一些工具包括 GastroPlus,它支持药物的生物豁免,主要是 BCS 分类 III,并预测药物化合物的吸收和药代动力学过程;SimCyp®模拟器,用于药物制剂过程的机械建模和模拟;基于非线性混合效应模型的药效学分析;以及预测吸收潜力/最大吸收剂量的数学模型。本文综述提供了药物生物利用度增强的计算实验附件,这些可能的见解为各种计算模型的应用和可靠性提供了关键意见,作为药物开发和发现的新兴工具,从而加速了药物开发过程。