Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
52 Cards in this Set
- Front
- Back
drug flux in different gut regions
|
Unidirectional flux J is mass/time * area, so the surface area of each region is incorporated here
|
|
Flux equation
|
J- Dm*Pm*Cd/ h
|
|
Dm
|
diffusion coefficient in the barrier
|
|
Pm
|
the apparent partition coefficient between the membranes and the gut content (pH differences in individual regions are accounted for here)
|
|
Cd
|
drug concentration in the donor compartment (intestinal content)
|
|
h
|
the thickness of the barrier between the gut content and the blood in the capillaries inside the villi
|
|
Permeabilty Coefficient I
|
Characters of transport- frequently used albeit not exhaustively complete.
|
|
Permeability Coefficient I does not account for:
|
1. the delay in the start of the transport
2. accumulation in the barrier |
|
The permeability Coefficient can be used if sink conditions do not apply. What is an example of this?
|
for slowly distributed drugs that circulate in the bloodstream
|
|
The permeability coefficient PC describes the flux J as:
|
J= PC x (Cd - Ca)
|
|
Cd
|
the drug concentration in the donor compartment( intestinal content)
|
|
Ca
|
the drug concentration in the acceptor compartment ( the blood)
|
|
Permeability Coefficient II
(def and equ) |
by comparison with the expression for the unidirectional flux, the permeability coefficient can be as:
PC= Pm * Dm/h |
|
Dm (perm coef II)
|
is the diffusion coefficient in the barrier (several cell layers between the gut content and the bloodstream)
|
|
Pm (perm coef II)
|
the apparent partition coefficient between the membranes and the gut content (pH differences in individual regions are accounted for here, pH partition hypothesis applies)
|
|
h (perm coef II)
|
the thickness of the barrier between the gut content and the blood in the capillaries inside the villi
|
|
What are the units of PC?
|
unit of time/distance
|
|
Stomach pH
|
1-3
|
|
Stomach surface area
|
0.1
|
|
Stomach permeability
|
+/-
|
|
Duodenum pH
|
5-6
|
|
Duodenum surface area (m^2)
|
0.1
|
|
Duodenum permeability
|
++
|
|
Jejunum pH
|
6-7
|
|
Jejunum surface area (m^2)
|
60
|
|
Jejunum permeability
|
++
|
|
Ileum pH
|
7-8
|
|
Ileum surface area (m^2)
|
60
|
|
Ileum permeability
|
+
|
|
colon pH
|
5-8
|
|
Colon surface area (m^2)
|
0.2
|
|
Colon permeabilty
|
+/-
|
|
pH- partition hypothesis
|
for ionizable drugs, non-ionized species are transported much faster than ionized species
(but ionized species are transported too) |
|
Cause of pH- partition hypothesis
|
difference in the solvation of charged molecules in water and in the nonpolar environment
|
|
Is the pH- partition hypothesis manifested already at the level of the two-phase systems?
|
yes. ie. 1-octanol/water
|
|
Partitioning of acids
Ions partition to lesser extent than: |
non-ionized molecules and ion pairs
|
|
Partitioning of acids
Influence of counterions is: |
significant
|
|
Partitioning of bases
non-ionized and ion-pairs: |
partition well
|
|
Partitioning of bases
protonated molecules partition: |
to a lesser extent
|
|
The apparent partition coefficient
(definition) |
each form of the drug molecule (ionized, ion-pair, nonionized) has its own partition coefficient P
|
|
Various forms of drug molecules in the aqueous phase
We need all concentrations expressed via: |
[DH]w
|
|
equation (5) aqueous
|
qh
[DC]w= ------- * [DH]w qc |
|
equation (6) aqueous
|
[D-]w = qh * [DH]w
|
|
the partition coefficient of individual drug forms
for nonionized molecules: (7) |
[DH]o
Pdh= ---------- [DH]w |
|
the partition coefficient of individual drug forms
for ion pairs: (8) |
[DC]o
Pdc= ----------- [DC]w |
|
Papp: Dependence on [H+] and [C+] I
-- definition (9) |
[DH]o + [DC]o
Papp=-------------------------------- [DH]w + [DC]w + [D-]w |
|
substituting from (5) and (6)
gets equ (10) |
Pdh * [DH]w + Pdc * [DC}o
Papp= ------------------------------------------ [DH]w + [DC]w + [D-] |
|
Papp: dependence on [H+] and [C+] II
changing all drug forms to [DH]w using equations (3) and (4) equ (11) |
qh
Pdh*[DH]w+Pdc*------- * [DH] w Papp qc --------------------------------------------- [DH]w+qh/qc * [DH]w+qh * [DH]w |
|
Papp: dependence on [H+] and [C+] III
eliminating [DH]w (12) |
Pdh + Pdc * qh/qc
Papp=---------------------------------- 1 + qh/qc + qh |
|
the treatment (equ 3-12) is valid for acidic drugs. the dependence of Papp for basic drugs can be derived the same way
|
true
|
|
Papp: influence of counterions
|
counterions can, in principle, reverse the pH profile of the apparent partition coefficient, depending on the
1. concentration 2. ion-pairing ability 3. lipophilicity |
|
the absorption in jejunum is about 2 times faster than that in ileum. the reason is that the increased ionization in ileum leads to a decrease in Pm value and, consequently, to reduced permeability coefficient PC
|
true
|