Yasui H, Yamaoka K, Nakagawa T
Faculty of Pharmaceutical Sciences, Kyoto University, Japan.
J Pharmacokinet Biopharm. 1995 Apr;23(2):183-203. doi: 10.1007/BF02354271.
A new hepatocellular diffusion model was developed to kinetically evaluate the hepatobiliary transport processes of drugs in the perfusion system, based on the physiological structure of the liver. Since the equations describing the hepatocellular diffusion phenomena were derived as image forms in the Laplace domain, the fast inverse Laplace transform (FILT) was adopted to manipulate the image equations. Cefixime and cefpiramide were selected as model drugs. The concentrations in the perfusate and the excreted amounts into the bile were simultaneously measured at appropriate intervals after the rapid administration of each drug into the portal vein. The hepatocellular diffusion model was fitted to the biliary excretion profiles from rat livers, by means of a nonlinear least squares program, MULTI(FILT). According to this model, the hepatobiliary transport process of drug is kinetically separated into three steps, that is, the diffusion into and through the hepatocytes, the transfer from the hepatocytes into the bile canaliculi, and the movement through the bile canaliculi to the outlet of bile duct. These steps are characterized by the diffusion rate constant through hepatocytes (kdif), the permeability rate constant into the bile canaliculi (kbmc) and the transit time through the bile canaliculi to the outlet of bile duct (tcan), respectively. It was demonstrated that kdif of cefixime (0.023 min-1) was significantly smaller than that of cefpiramide (0.044 min-1), while the differences in kbmc and tcan were not obvious between cefixime and cefpiramide. kbmc and tcan of both drugs were about 1.2 min-1 and about 1.0 min, respectively. These parameters were correlated to the excretion ratio into the bile (Fbile) and the mean transit time from the sinusoid through the hepatocytes to the outlet of bile duct (tbile).
基于肝脏的生理结构,开发了一种新的肝细胞扩散模型,用于在灌注系统中动态评估药物的肝胆转运过程。由于描述肝细胞扩散现象的方程是在拉普拉斯域中以图像形式推导出来的,因此采用快速拉普拉斯逆变换(FILT)来处理这些图像方程。选择头孢克肟和头孢匹胺作为模型药物。在将每种药物快速注入门静脉后,在适当的时间间隔同时测量灌注液中的浓度和排入胆汁的量。通过非线性最小二乘法程序MULTI(FILT),将肝细胞扩散模型拟合到大鼠肝脏的胆汁排泄曲线。根据该模型,药物的肝胆转运过程在动力学上分为三个步骤,即扩散进入并穿过肝细胞、从肝细胞转移到胆小管以及通过胆小管移动到胆管出口。这些步骤分别由穿过肝细胞的扩散速率常数(kdif)、进入胆小管的渗透率常数(kbmc)和通过胆小管到胆管出口的转运时间(tcan)来表征。结果表明,头孢克肟的kdif(0.023 min-1)明显小于头孢匹胺的kdif(0.044 min-1),而头孢克肟和头孢匹胺之间kbmc和tcan的差异不明显。两种药物的kbmc和tcan分别约为1.2 min-1和约1.0 min。这些参数与胆汁排泄率(Fbile)以及从肝血窦穿过肝细胞到胆管出口 的平均转运时间(tbile)相关。