in vitro DMPK Flashcards

1
Q

how is oral absorption predicted (lipinski rule of 5)

A

Lipinski’s rule of 5
1. MW<500
2. cLogP < 5 (lipophilicity measure)
3. hydrogen donors < 5
4. N/O atoms < 10 (no more than 10 H bond acceptors)

95% of drugs do not break more than two rules

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2
Q

how is absorption modelled in vitro, vivo and situ.

A

in vitro:
1. artificial membranes like PAMPA.
2. epithelial monolayers (MDCK/CACO-2)
3. affinity against efflux transporters (cell free ATPase assays/cell based with recombinant transporter expression)

in situ:
chamber isolated perfused rat gut (compound administered to whole intestine looks at disappearance from gut and appearance into blood)

in vivo:
hepatic portal vein sampling with radiolabelled compound with p glycoprotein knockout mice. (oral and iv administration needed)

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3
Q

what does PAMPA estimate

A

(synthetic phospholipid membrane)
passive transcellular permeability. (hydrophobic membrane with no transporters)
determine apparent permeability in cm/s
lipophilicity plays major role in passive diffusion.
polar surface area, molecular volume, hydrogen bonding also affect passive permeability.
does not account for intake and efflux transporters.

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4
Q

why are MDCK AND CACO cell lines important

A

mimic intestinal cells to understand process of oral drug absorption.
(contains enzymes and transporters.
permeability can be measured for both directions)

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5
Q

what are characteristics of CACO2 cells

A

Caco-2 cells grown (harder than pampa).
absorption quantified by HPLC or MS.
originated from human colonic cancer cells that mimic small intestine.
cells placed on semi-permeable membrane.
must calculate standard curves as there is variability in cell lines in terms of expression of transporters.

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6
Q

what can in vitro absorption assays with Caco2 cells determine

A

mechanism of absorption
(paracellular passive diffusion, transcellular passive diffusion , efflux, active accumulation/against conc. gradient)

measure drug levels to basolateral side from apical side
measure drug levels to apical side from basolateral side
if A to B = B to A passive ba/ab=1
if A to B > B to A active uptake into blood ba/ab<1
if A to B < B to A effluxed. ba/ab >1

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7
Q

What are some characteristics of MDCK cell lines

A

they are canine kidney cells
takes 3 days to grow
can be genetically altered to express one transporter of interest

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8
Q

how can plasma protein binding be measured and why is it important

A

fresh plasma in filter devices or using dialysis
determines levels of unbound drug in circulation (drug available to target. also determines clearance)

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9
Q

how is Blood brain barrier permeability measured

A

transfected MDCK cell lines
(MDR1 or BCRP genes)

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10
Q

what are examples of in vitro renal models

A
  1. transfected cell lines (MDCK/HEK transfected with uptake and efflux transporters)
  2. primary cell cultures (proximal tubule cells)
  3. kidney slices
  4. isolated perfused kidney (intact organ, expensive viable for 2 hours)
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11
Q

what are microsomes

A

fragments of smooth ER with ribosomes. they contain all membrane bound proteins of the cell. cofactors like NADPH can be used to initiate metabolism simulations in vitro.

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12
Q

what are benefits of using hepatocytes

A

contain all metabolising enzymes of the liver (microsomal and cytosolic)
can be used to asses metabolic stability and to identify metabolites. (assessed metabolism and metabolites)

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13
Q

how is intrinsic clearance (metabolic clearance) measured

A

substrate disappearance is measured at set enzyme and substrate concentrations.
substrate dissaperance to time (x) graph
natural log graph
slope is rate of metabolism
vmax/Km (initial rate/substrate conc)

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14
Q

what is the difference between first order and zero order kinetics

A

first: metabolism dependent on one substrate conc (at start of metabolite production)
zero: metabolism dependent on enzyme conc. (towards end of metabolite production)

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15
Q

what are some requirements for ivive

A
  1. major clearance pathway must be metabolic
  2. metabolism must be first order
  3. substrate cant inhibit product
  4. disappearance of substrate must be detectable.
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16
Q

how can DDi’s be measured in vitro

A

using recombinant human CYP450 enzymes
measure effect of other drug on rate of metabolism of other substrate and calculate IC50
lower IC50 indicated DDI.