Yan Zhengyin, Ma Li, Huang Julie, Carione Pasquale, Kenny Jane R, Hop Cornelis E C A, Wright Matthew
Department of Drug Metabolism and Pharmacokinetics, Genentech Inc., South San Francisco, California 94080, United States.
Anal Chem. 2023 Feb 28;95(8):4086-4094. doi: 10.1021/acs.analchem.2c04864. Epub 2023 Feb 15.
Determination of drug binding kinetics in plasma is important yet extremely challenging. Accordingly, we introduce "dynamic free fraction" as a new binding parameter describing drug-protein binding kinetics. We demonstrate theoretically and experimentally that the dynamic free fraction can be determined by coupling the drug binding assay with a reporter enzyme in combination with high-resolution mass spectrometry measuring the relative initial steady-state rates of enzymatic reactions in the absence and presence of matrix proteins. This novel and simple methodology circumvents a long-standing challenge inherent in existing methods for determining binding kinetics constants, such as and , and enables assessment of the impact of protein binding kinetics on pharmaceutical properties of drugs. As demonstrated with nine model drugs, the predicted liver extraction ratio, a measure of efficiency of drug removal by the liver, correlates significantly better to the observed extraction ratio when using the dynamic free fraction () in place of the unbound fraction () of the drug in plasma. Similarly, the hepatic clearance of these drugs, a measure of liver drug elimination, is highly comparable to the clearance values calculated with the dynamic free fraction (), which is markedly better than those calculated with the unbound fraction (). In contrast to the prevailing view, these results indicate that protein binding kinetics is an important pharmacokinetic property of a drug. As plasma protein binding is one of the most important drug properties, this new methodology may represent a breakthrough and could have a real impact on the field.
测定血浆中的药物结合动力学既重要又极具挑战性。因此,我们引入“动态游离分数”作为描述药物 - 蛋白质结合动力学的新结合参数。我们通过理论和实验证明,动态游离分数可以通过将药物结合测定与报告酶相结合,并结合高分辨率质谱来测量在有无基质蛋白存在下酶促反应的相对初始稳态速率来确定。这种新颖且简单的方法规避了现有测定结合动力学常数方法(如[具体常数1]和[具体常数2])中固有的长期挑战,并能够评估蛋白质结合动力学对药物药学性质的影响。正如用九种模型药物所证明的那样,预测的肝脏提取率(衡量肝脏药物清除效率的指标)在使用药物的动态游离分数([具体符号1])代替血浆中药物的未结合分数([具体符号2])时,与观察到的提取率显著更好地相关。同样,这些药物的肝脏清除率(衡量肝脏药物消除的指标)与用动态游离分数([具体符号1])计算的清除值高度可比,这明显优于用未结合分数([具体符号2])计算的值。与普遍观点相反,这些结果表明蛋白质结合动力学是药物的重要药代动力学性质。由于血浆蛋白结合是最重要的药物性质之一,这种新方法可能代表了一项突破,并可能对该领域产生实际影响。