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Independent estimates of the axis of arrhythmia for assessing pro-arrhythmic drugs 评估促心律失常药物的心律失常轴的独立估计
IF 1.8 4区 医学 Q4 PHARMACOLOGY & PHARMACY Pub Date : 2025-09-01 Epub Date: 2025-09-19 DOI: 10.1016/j.vascn.2025.107826
Stewart Heitmann, Jamie I. Vandenberg, Adam P. Hill
Many classes of drugs can induce potentially lethal cardiac arrhythmias. International safety guidelines (ICH-S7B) therefore recommend that all new drugs be tested for pro-arrhythmic risk prior to conducting human trials. The principal biomarker of drug-induced arrhythmia is prolongation of the ventricular cardiac action potential. Prolongation is known to be caused by drug-block of the hERG channel, hence that channel is of primary interest in safety testing. However, more accurate predictions of pro-arrhythmic risk can be achieved by considering the effect of the drug across multiple ion channels. The axis of arrhythmia is a new metric for predicting the pro-arrhythmic risk directly from a drug's effect on four key ion-currents (ICaL, IKr, INaL, IKs). In a previous study, we derived the axis of arrhythmia from computer simulations of a large population of ventricular cardiomyocytes. There, the axis was defined by the most potent combination of ion-channel blocks that shifted the simulated electrophysiology towards a pro-arrhythmic regime that was characterized by early-afterdepolarizations. In the present study, we derive the axis of arrhythmia using an entirely different method. Here, the axis is derived directly from a dataset of drugs (n = 109) without modeling the action potential. We statistically analyzed the drug potencies for each ion channel to find the linear boundary that optimally segregates the pro-arrhythmic drugs from the benign drugs, according to their clinical risk labels. The orthogonal line to that linear boundary corresponds to the axis of arrhythmia defined in our original study. The agreement between the two methods is remarkable. The axis derived from the simulated cardiomyocytes predicted the pro-arrhythmic risk of n = 109 test drugs with 88.1 %–90.8 % accuracy. In comparison, the axis derived from the drug dataset predicted the pro-arrhythmic risk with 89.9 %—90.8 % accuracy (cross-validated). The difference is negligible. Further analysis revealed that those accuracy rates could be improved to 90.8 %—92.7 % and 89.9 %—91.7 %, respectively, by excluding the IKs current. Such accuracy rates are comparable to the best biophysical model in contemporary computational cardiology. From a theoretical perspective, the independent derivations of the axis of arrhythmia represent convergent findings from complex biophysical models and simple statistical models.
许多种类的药物都能诱发潜在的致命性心律失常。因此,国际安全指南(ICH-S7B)建议在进行人体试验之前对所有新药进行促心律失常风险测试。药物性心律失常的主要生物标志物是心室动作电位的延长。已知延长是由药物阻断hERG通道引起的,因此该通道是安全性测试的主要关注点。然而,通过考虑药物跨多个离子通道的作用,可以实现更准确的促心律失常风险预测。心律失常轴是一种新的指标,可直接从药物对四种关键离子电流(ICaL, IKr, INaL, IKs)的影响来预测致心律失常风险。在之前的一项研究中,我们从大量心室心肌细胞的计算机模拟中推导出心律失常轴。在那里,轴是由离子通道块的最有效组合来定义的,这将模拟的电生理转向了以早期后去极化为特征的促心律失常状态。在本研究中,我们用一种完全不同的方法推导出心律失常的轴。在这里,轴直接从药物数据集(n = 109)导出,而没有对动作电位进行建模。我们统计分析了每个离子通道的药物效价,以根据其临床风险标签找到最佳隔离促心律失常药物和良性药物的线性边界。与该线性边界的正交线对应于我们最初研究中定义的心律失常轴。这两种方法的一致性是显著的。由模拟心肌细胞导出的轴预测n = 109种试验药物的促心律失常风险,准确率为88.1% % -90.8 %。相比之下,来自药物数据集的坐标轴预测心律失常风险的准确率为89.9 % -90.8 %(交叉验证)。差别可以忽略不计。进一步的分析表明,在排除ik电流后,这些准确率分别可以提高到90.8 % -92.7 %和89.9% % -91.7 %。这样的准确率可以与当代计算心脏病学中最好的生物物理模型相媲美。从理论角度来看,心律失常轴的独立推导代表了复杂生物物理模型和简单统计模型的趋同结果。
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引用次数: 0
Improved translation of Nav1.5 channel inhibition to in vivo QRS interval prolongation via the hIPSC cardiomyocyte model 通过hIPSC心肌细胞模型改善了Nav1.5通道抑制到体内QRS间期延长的翻译。
IF 1.3 4区 医学 Q4 PHARMACOLOGY & PHARMACY Pub Date : 2025-09-01 Epub Date: 2025-07-13 DOI: 10.1016/j.vascn.2025.108384
John P. Imredy , Holly Clouse , Mei Zhang , Spencer Dech , Qiuwei Xu , Jeremy Ellis , Shaun Gruver , Julia C. Hotek , Christopher P. Regan

Introduction

Drug risk assessment to ventricular conduction typically involves measuring functional inhibition of the cardiac sodium channel (Nav1.5) followed by nonclinical in vivo assessment of prolongation of the electrocardiographic QRS interval. The Nav1.5 IC50 concentration, however, underpredicts the threshold concentrations of in vivo QRS prolongation by 10–20-fold. We here develop and implement a novel human induced pluripotent stem cell derived cardiomyocyte (hIPSC-CM) field potential spike analysis paradigm that facilitates the use of this model for accurate forecasting of QRS prolongation concentration thresholds.

Methods and results

Using multi-electrode arrays we record the extracellular field potential spike of hIPSC-CM monolayers. Large variations in the field potential spike amplitudes across the array, however, confound translation of this parameter. To solve this shortcoming we derive a novel time parameter, TA/Vmax, defined as the quotient of the amplitude (A) and the peak rate of change (Vmax) of the of the cardiomyocyte field potential spike. TA/Vmax normalizes effects on spike amplitude independent of Nav1.5 inhibition, such as cell density, amplitude drift, and variable attachment of the monolayer to the field potential electrode. Small changes (< 5 %) in TA/Vmax become statistically significant and directly comparable to threshold QRS interval changes in early in vivo screening models. Characterization of a set of 12 compounds including Class I antiarrhythmics and internal test compounds demonstrates that the TA/Vmax EC5% more consistently and accurately predicts both clinical and non-clinical QRS prolongation than the Nav1.5 IC50; accuracy of threshold concentration forecasting improved 16-fold and the correlation coefficient, R, increased from 0.76 to 0.88.

Conclusion

Calculation of TA/Vmax enables use of the hIPSC-CM field potential spike to predict in vivo QRS prolongation. Use of this in vitro model in early screening or mechanistic evaluation of risk to ventricular conduction should facilitate a broader cardiac in vitro electrophysiologic assessment strategy for new molecular entities.
导言:对心室传导的药物风险评估通常包括测量心脏钠通道(Nav1.5)的功能抑制,然后进行心电图QRS间期延长的非临床体内评估。然而,Nav1.5 IC50浓度低于体内QRS延长的阈值浓度10-20倍。我们在此开发并实现了一种新的人类诱导多能干细胞衍生心肌细胞(hIPSC-CM)场电位峰值分析范式,该范式有助于使用该模型准确预测QRS延长浓度阈值。方法与结果:利用多电极阵列记录hIPSC-CM单层细胞外场电位峰值。然而,在整个阵列中,场电位峰值振幅的大变化混淆了该参数的转换。为了解决这一缺点,我们推导了一个新的时间参数,TA/Vmax,它被定义为心肌细胞场电位峰值的振幅(a)和峰值变化率(Vmax)的商。TA/Vmax使与Nav1.5抑制无关的峰值振幅效应归一化,如细胞密度、振幅漂移和单层电场电位电极的可变附着。TA/Vmax的微小变化(< 5 %)具有统计学意义,与早期体内筛选模型的阈值QRS间隔变化直接相当。包括I类抗心律失常药和内测化合物在内的12种化合物的表征表明,TA/Vmax EC5%比Nav1.5 IC50更一致和准确地预测临床和非临床QRS延长;阈值浓度预测准确率提高16倍,相关系数R由0.76提高到0.88。结论:计算TA/Vmax可以利用hIPSC-CM场电位峰值预测体内QRS延长。将这种体外模型用于心室传导风险的早期筛查或机制评估,将有助于为新的分子实体提供更广泛的体外心脏电生理评估策略。
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引用次数: 0
Metabolomics using high-resolution magic angle spinning nuclear magnetic resonance: Neurotoxicological applications 使用高分辨率魔角旋转核磁共振的代谢组学:神经毒理学应用。
IF 1.3 4区 医学 Q4 PHARMACOLOGY & PHARMACY Pub Date : 2025-09-01 Epub Date: 2025-07-11 DOI: 10.1016/j.vascn.2025.108382
Rachel Neita , Kenna L.R. Hynes , Grace V. Mercer , Céline Schneider , Lindsay S. Cahill
High-resolution magic angle spinning nuclear magnetic resonance (HRMAS NMR) is a cutting-edge technology for metabolomics studies that has found application in pharmacology and toxicology. Metabolomics provides insight into how biological systems function, providing a unique chemical fingerprint of the physiological state of an organism. Using the high signal sensitivity and spectral resolution of HRMAS NMR, metabolic screening of intact tissue samples can be performed for complex organs such as the brain. In this study, we present a detailed HRMAS NMR methodology including sample preparation and experimental conditions to ensure data repeatability and reproducibility. We present the results of a neurotoxicology study, involving exposure of adult mice to 50 ppm of a legacy perfluoroalkyl substance, perfluorooctanoic acid (PFOA), through their drinking water for one month (n = 8/group). The PFOA exposed group had a significant increase in the relative concentration of glutamate compared to controls (p < 0.05), illustrating the potential for HRMAS NMR metabolomics to be used to determine the mode of action of neurotoxins and to provide an understanding of the molecular biochemical pathways impacted by toxicant exposure.
高分辨率魔角旋转核磁共振(HRMAS NMR)是代谢组学研究的前沿技术,已在药理学和毒理学领域得到应用。代谢组学提供了对生物系统如何运作的见解,提供了生物体生理状态的独特化学指纹。利用HRMAS NMR的高信号灵敏度和光谱分辨率,可以对复杂器官(如大脑)进行完整组织样本的代谢筛选。在本研究中,我们提出了详细的HRMAS NMR方法,包括样品制备和实验条件,以确保数据的可重复性和再现性。我们介绍了一项神经毒理学研究的结果,该研究涉及成年小鼠通过饮用水暴露于50 ppm的传统全氟烷基物质全氟辛酸(PFOA)一个月(n = 8/组)。与对照组相比,PFOA暴露组谷氨酸的相对浓度显著增加(p
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引用次数: 0
Evaluating a non-invasive telemetry jacket as an alternative to the reference methods for cardio-respiratory safety pharmacological testing in rats 评估无创遥测夹克作为大鼠心肺安全药理学试验参考方法的替代方法
IF 1.8 4区 医学 Q4 PHARMACOLOGY & PHARMACY Pub Date : 2025-09-01 Epub Date: 2025-09-19 DOI: 10.1016/j.vascn.2025.107767
Fatima-Zahra Khamlichi, Heike Schauerte, Werner Mayer, Leonie-Theresa Hezler, Eric Martel, George Rast, Nicolas Pairet
The gold standard methods used to assess cardiorespiratory system in rats, whether telemetry implants or whole-body plethysmography (WBP), have their shortcomings. One method requires surgery, while the other involves the isolation of rats. In a 3Rs approach, alternatives such as the use of non-invasive telemetry jackets, allowing simultaneous cardiorespiratory assessment, without hemodynamic parameters evaluation have been considered. No peer-reviewed publication to date has investigated the concordance between cardiorespiratory parameters recorded simultaneously via the jackets and the reference methods, following the administration of a pharmacological compound. Goal: to test and potentially validate the telemetry jackets by comparing data generated using this device with those obtained using gold standard methods at the same time, in the same animal, in an integrative interpretation approach. We compared cardiac (heart rate (HR)) and respiratory (respiratory rate (RR), minute ventilation (MV), tidal volume (TV)) parameters recorded via the invasive (DSI implant), non-invasive (Jacket DECRO) telemetry systems, and via the WBP (Buxco + Notocord HEM), simultaneously in the same male rats (n = 8rats/ pharmacological compound in a cross-over design). The recording lasted 7 h after the per-os administration of vehicle or pharmacological reference compounds tested (Ivabradine or Theophylline) at 3 doses. A generalized linear model was used to assess the effects of the pharmacological compounds. The Bland-Altman method was used to study the agreement between the jackets and the two reference methods. The jackets and reference methods both captured the expected pharmacological effects. For Ivabradine, a significant dose-dependent decrease in HR was observed, while no changes were noted in respiratory variables. Theophylline induced a dose-dependent increase in heart rate and RR. No significant change on TV and MV was noticed with the WBP, whereas a significant increase was shown with the jackets. Bland-Altman analysis revealed an increasing discrepancy in high TV, RR and MV values between the two devices under the experimental conditions of the studies. Jackets can be used as an alternative to implanted telemetry for recording HR without hemodynamic parameters. Although the two respiratory methods detect pharmacological effects, further investigation is needed to determine what is the current state of the respiratory parameters.
用于评估大鼠心肺系统的金标准方法,无论是遥测植入还是全身体积脉搏描记(WBP),都有其缺点。一种方法需要手术,而另一种方法则需要隔离老鼠。在3Rs方法中,考虑使用非侵入性遥测套等替代方法,允许同时进行心肺功能评估,而无需评估血液动力学参数。到目前为止,还没有同行评审的出版物调查了在给药后通过夹克衫和参考方法同时记录的心肺参数之间的一致性。目的:通过将使用该设备生成的数据与使用金标准方法在同一时间、同一动物中以综合解释方法获得的数据进行比较,测试并潜在地验证遥测夹克。我们比较了通过有创(DSI植入物)、无创(Jacket DECRO)遥测系统和WBP (Buxco + Notocord HEM)同时记录的同一雄性大鼠(n = 8只大鼠/交叉设计的药物化合物)的心率(HR)和呼吸(呼吸率(RR)、分钟通气量(MV)、潮气量(TV))参数。记录持续7 h后,每10次给药的对照物或药理对照物(伊伐布雷定或茶碱)为3个剂量。采用广义线性模型来评估药理学化合物的作用。采用Bland-Altman方法研究了夹克衫与两种参考方法的一致性。夹克衫和参考方法都捕获了预期的药理作用。对于伊伐布雷定,观察到明显的剂量依赖性HR下降,而呼吸变量没有变化。茶碱诱导心率和RR的剂量依赖性增加。WBP在电视和MV上没有明显的变化,而夹克则有明显的增加。Bland-Altman分析显示,在本研究的实验条件下,两种设备之间的高TV、RR和MV值差异越来越大。夹克可以作为一种替代植入式遥测记录HR没有血流动力学参数。虽然两种呼吸方法检测到药理作用,但需要进一步研究以确定呼吸参数的当前状态。
{"title":"Evaluating a non-invasive telemetry jacket as an alternative to the reference methods for cardio-respiratory safety pharmacological testing in rats","authors":"Fatima-Zahra Khamlichi,&nbsp;Heike Schauerte,&nbsp;Werner Mayer,&nbsp;Leonie-Theresa Hezler,&nbsp;Eric Martel,&nbsp;George Rast,&nbsp;Nicolas Pairet","doi":"10.1016/j.vascn.2025.107767","DOIUrl":"10.1016/j.vascn.2025.107767","url":null,"abstract":"<div><div>The gold standard methods used to assess cardiorespiratory system in rats, whether telemetry implants or whole-body plethysmography (WBP), have their shortcomings. One method requires surgery, while the other involves the isolation of rats. In a 3Rs approach, alternatives such as the use of non-invasive telemetry jackets, allowing simultaneous cardiorespiratory assessment, without hemodynamic parameters evaluation have been considered. No peer-reviewed publication to date has investigated the concordance between cardiorespiratory parameters recorded simultaneously via the jackets and the reference methods, following the administration of a pharmacological compound. Goal: to test and potentially validate the telemetry jackets by comparing data generated using this device with those obtained using gold standard methods at the same time, in the same animal, in an integrative interpretation approach. We compared cardiac (heart rate (HR)) and respiratory (respiratory rate (RR), minute ventilation (MV), tidal volume (TV)) parameters recorded via the invasive (DSI implant), non-invasive (Jacket DECRO) telemetry systems, and via the WBP (Buxco + Notocord HEM), simultaneously in the same male rats (<em>n</em> = 8rats/ pharmacological compound in a cross-over design). The recording lasted 7 h after the per-os administration of vehicle or pharmacological reference compounds tested (Ivabradine or Theophylline) at 3 doses. A generalized linear model was used to assess the effects of the pharmacological compounds. The Bland-Altman method was used to study the agreement between the jackets and the two reference methods. The jackets and reference methods both captured the expected pharmacological effects. For Ivabradine, a significant dose-dependent decrease in HR was observed, while no changes were noted in respiratory variables. Theophylline induced a dose-dependent increase in heart rate and RR. No significant change on TV and MV was noticed with the WBP, whereas a significant increase was shown with the jackets. Bland-Altman analysis revealed an increasing discrepancy in high TV, RR and MV values between the two devices under the experimental conditions of the studies. Jackets can be used as an alternative to implanted telemetry for recording HR without hemodynamic parameters. Although the two respiratory methods detect pharmacological effects, further investigation is needed to determine what is the current state of the respiratory parameters.</div></div>","PeriodicalId":16767,"journal":{"name":"Journal of pharmacological and toxicological methods","volume":"135 ","pages":"Article 107767"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145094209","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Enhanced cardiotoxicity assessment through propagation pattern analysis using HD-CMOS-MEA in hiPSC-derived cardiomyocytes 利用HD-CMOS-MEA对hipsc源性心肌细胞进行繁殖模式分析,增强心脏毒性评估
IF 1.8 4区 医学 Q4 PHARMACOLOGY & PHARMACY Pub Date : 2025-09-01 Epub Date: 2025-09-19 DOI: 10.1016/j.vascn.2025.107810
Nami Nagafuku, Naoki Matsuda, Ikuro Suzuki
Cardiotoxicity is a common reason for drug discontinuation in new drug development. The in vitro microelectrode array (MEA) method using human-induced pluripotent stem cell-derived cardiomyocytes (hiPSC-CMs) is expected to be an alternative to animal experiments, but hiPSC-CMs cannot mature sufficiently in two-dimensional culture. In addition, the evaluation method of MEA is mainly based on the field potential duration (FPD) as an index, and the mechanism of action based on conduction velocity and propagation pattern has not been predicted. This research aims to construct an evaluation method focusing on conduction velocity and propagation pattern as indices for MEA. To enable detailed analysis, hiPSC-CMs were measured using a high-density (HD)-CMOS-MEA with 236,880-microelectrodes instead of conventional MEA. Pharmacological tests used compounds and concentrations undetectable by conventional MEA, measuring extracellular potentials for 14 compounds, including negative controls. The HD-CMOS-MEA can record a single cell with dozens of electrodes. Seventeen parameters were established for the propagation pattern, including the number of origins, origin position fluctuation, propagation velocity, and propagation area. A specific increase in origins was detected with isoproterenol, an adrenergic β1 receptor agonist. A decrease in propagation velocity was observed with mexiletine, a Na channel inhibitor. A decrease in propagation area was detected with E4031, a hERG potassium channel inhibitor. Furthermore, differences in conduction velocity and propagation pattern based on the mechanism of action of each compound were revealed, suggesting that cardiotoxicity evaluation using CMOS-MEA may capture differences in channel activity for each concentration of compounds with multiple actions with high sensitivity. Additionally, a decrease in propagation area and propagation velocity was detected 24 h after exposure to 0.1 μM doxorubicin, which exhibits cardiotoxicity when administered chronically. Cardiotoxicity evaluation using CMOS-MEA demonstrated that cardiotoxicity could be detected at lower concentrations and shorter durations of chronic administration compared to conventional cardiotoxicity evaluations. This indicates that cardiotoxicity evaluation using HD-CMOS-MEA may detect cardiotoxicity risks that could not be identified by conventional MEA analysis, based on new parameters. This underscores the potential use of imaging technology in drug discovery and compound toxicity evaluation.
心脏毒性是新药开发中常见的停药原因。利用人诱导的多能干细胞衍生心肌细胞(hiPSC-CMs)的体外微电极阵列(MEA)方法有望成为动物实验的替代方法,但hiPSC-CMs不能在二维培养中充分成熟。此外,MEA的评价方法主要以电场电位持续时间(FPD)为指标,基于传导速度和传播方式的作用机制尚未得到预测。本研究旨在构建以传导速度和传播模式为评价指标的MEA评价方法。为了进行详细分析,使用具有236,880个微电极的高密度(HD)-CMOS-MEA代替传统的MEA来测量hiPSC-CMs。药理学试验使用传统MEA无法检测到的化合物和浓度,测量14种化合物的细胞外电位,包括阴性对照。HD-CMOS-MEA可以用数十个电极记录单个细胞。建立了17个传播模式参数,包括原点数、原点位置波动、传播速度、传播面积。用异丙肾上腺素(一种肾上腺素能β1受体激动剂)检测到特异性的起源增加。用美西汀(一种钠通道抑制剂)观察到繁殖速度的降低。用hERG钾通道抑制剂E4031可使繁殖面积减小。此外,基于不同作用机制的传导速度和传播模式的差异也被揭示出来,这表明利用CMOS-MEA进行心脏毒性评价可以高灵敏度地捕捉到不同浓度的多种作用化合物在通道活性上的差异。此外,暴露于0.1 μM阿霉素24 h后,检测到繁殖面积和繁殖速度下降,长期给药时表现出心脏毒性。使用CMOS-MEA进行心脏毒性评估表明,与传统的心脏毒性评估相比,在较低浓度和较短时间的慢性给药下可以检测到心脏毒性。这表明,基于新的参数,使用HD-CMOS-MEA进行心脏毒性评估可以检测到传统MEA分析无法识别的心脏毒性风险。这强调了成像技术在药物发现和化合物毒性评价中的潜在应用。
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引用次数: 0
Variability of manual patch clamp data on CaV1.2 and NaV1.5 channels generated using standardized protocols and following ICH S7B Q&A 2.1 best practices – Progress update of a HESI-coordinated multi-laboratory study 使用标准化协议并遵循ICH S7B Q&A 2.1最佳实践生成的CaV1.2和NaV1.5通道手动膜片钳数据的可变性- hesi协调的多实验室研究的进展更新
IF 1.8 4区 医学 Q4 PHARMACOLOGY & PHARMACY Pub Date : 2025-09-01 Epub Date: 2025-09-19 DOI: 10.1016/j.vascn.2025.107808
Huimei Yu , Claudia Alvarez Baron , Jun Zhao , Ming Ren , Shovan Naskar , Donglin Guo , Manni Mashaee , Jose Vicente , Lars Johannesen , Jiansong Sheng , Simon Hebeisen , James Kramer , Andrew Bruening-Wright , Koji Nakano , Jennifer Pierson , David Strauss , Wendy W. Wu
Concomitant block of CaV1.2 and/or NaV1.5 channels may mitigate Torsade de Pointes risk associated with hERG block. However, CaV1.2 channel block may cause bradycardia/hypotension; NaV1.5 channel block may induce conduction slowing and sudden cardiac death in patients with structural heart diseases. Understanding drug effects on multiple cardiac ion channels can be of value for proarrhythmia risk assessment. Literature shows large degrees of lab-to-lab variability for drug potencies on cardiac ion channels. Ion channel data alignment with drug-induced ECG changes can thus be dataset-dependent. Lab-to-lab differences can arise from different experimental protocols and/or data quality. Thus, ICH S7B Q&A 2.1 was released to provide best practice recommendations for conducting cardiac ion channels assays to support proarrhythmia risk assessment. The goal of this HESI-coordinated, multi-laboratory research effort is to generate block potencies for 28 drugs in low, intermediate, and high proarrhythmia risk categories for hERG, CaV1.2, and peak and late NaV1.5 currents with standardized protocols and best practices. This abstract focuses on the CaV1.2 and peak and late NaV1.5 currents; hERG data are presented in a companion abstract (Alvarez-Baron et al.). Five laboratories conducted manual patch clamp experiments at near physiological temperatures on cell lines over-expressing CaV1.2 or NaV1.5 channels. The research is ongoing, hence drug potencies are not presented. Instead, this abstract presents findings on data variability for each current, estimated using meta-analysis to account for drug-specific (i.e., potencies) and laboratory-specific effects. Systematic data variability was not observed from any laboratory for any current. After removing drug- and laboratory-specific effects, residual data variability was pooled across all drugs/laboratories to estimate overall assay variability. Variability measures for CaV1.2 and peak and late NaV1.5 currents will be shared on the poster. This dataset can be compared with existing clinical data to understand nonclinical-clinical translation. Experiments on these three currents are ~75 % complete. Once complete, outcomes of this study will: 1) inform assay variability and support identification of safety margins for CaV1.2 and NaV1.5 channels; and 2) produce a dataset to develop an in-silico myocyte model that can integrate multi-cardiac ion channel data for proarrhythmia risk prediction.
同时阻断CaV1.2和/或NaV1.5通道可减轻与hERG阻滞相关的角扭转风险。然而,CaV1.2通道阻滞可能导致心动过缓/低血压;NaV1.5通道阻滞可导致结构性心脏病患者传导减慢和心源性猝死。了解药物对心脏多个离子通道的影响对心律失常的风险评估有价值。文献显示,药物在心脏离子通道上的效力在实验室与实验室之间存在很大程度的差异。因此,离子通道数据与药物引起的ECG变化的一致性可能依赖于数据集。不同的实验方案和/或数据质量可能导致实验室间的差异。因此,发布ICH S7B Q&;A 2.1,以提供进行心脏离子通道检测以支持心律失常原风险评估的最佳实践建议。这项由hesi协调的多实验室研究工作的目标是通过标准化的方案和最佳实践,为hERG、CaV1.2、峰值和晚期NaV1.5电流的低、中、高心律失常风险类别的28种药物产生阻滞效应。本摘要重点介绍了CaV1.2和峰值和后期的NaV1.5电流;hERG数据在伴随摘要(Alvarez-Baron et al.)中给出。五个实验室在接近生理温度的条件下对过表达CaV1.2或NaV1.5通道的细胞系进行了手动膜片钳实验。这项研究仍在进行中,因此药物效力尚未公布。相反,这篇摘要提出了每个电流的数据变异性的发现,使用荟萃分析来估计药物特异性(即,效力)和实验室特异性效应。没有从任何实验室观察到任何电流的系统数据变异性。在去除药物和实验室特异性影响后,汇总所有药物/实验室的剩余数据变异性,以估计总体分析变异性。CaV1.2和峰值和后期NaV1.5电流的变异性测量将在海报上分享。该数据集可以与现有的临床数据进行比较,以了解非临床到临床的转化。这三种电流的实验完成了~ 75% %。一旦完成,本研究的结果将:1)告知检测变异性并支持CaV1.2和NaV1.5通道的安全边际识别;2)建立数据集,开发可整合多心脏离子通道数据的计算机心肌细胞模型,用于心律失常风险预测。
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引用次数: 0
Challenges in adapting a conscious dog haemodynamic systems model to an anaesthetised dog protocol 在适应一个有意识的狗血流动力学系统模型的挑战麻醉狗协议
IF 1.8 4区 医学 Q4 PHARMACOLOGY & PHARMACY Pub Date : 2025-09-01 Epub Date: 2025-09-19 DOI: 10.1016/j.vascn.2025.107831
Joanne Mahmud , Chris E. Pollard , Tariq Abdulla , Barira Islam , Yevgeniya E. Koshman , Michael K. Pugsley , Will S. Redfern
Previously1, the cardiovascular-contractility systems model described by Fu et al.2 was evaluated and extended using Simcyp™ Designer, a graphical interface platform and physiologically-based pharmacokinetic tool. Model outputs replicated published dog telemetry data1. In the present study, the model was adapted for use in pentobarbital-anaesthetised beagle dogs, utilizing cardiovascular (CV) and exposure data for atenolol and atropine3. Model adaptations included removal of circadian rhythm, attenuation of baroreflex negative feedback, and development of a pharmacokinetic model in Simcyp™ Designer to accommodate intravenous dose escalation and hysteresis. Model simulations and experimental data for atenolol (0.3, 1, and 3 mg/kg/30 min) showed a decrease in dP/dtmax from 2300 to 1800 mmHg/s and mean arterial pressure (MAP) from 120 to 110 mmHg. The model predicts a decrease in heart rate (HR) from 110 to 85 bpm; however, bradycardia was not observed experimentally. For atropine (0.01, 0.03, 0.1 mg/kg/30 min), model outputs and experimental data displayed an increase in HR (124 to 164 bpm) and dP/dtmax (2650 to 3000 mmHg/s). While experimental MAP data decreased from 130 to 120 mmHg, model outputs predicted an increase from 105 to 130 mmHg. Several challenges were encountered during the development of the anaesthetised systems model. Firstly, the study design for the anaesthetised dog differs markedly from that of conscious dog telemetry. Secondly, the extent to which the baroreceptor reflex is attenuated by the anesthesia is unknown. Furthermore, the Fu et al. model2 employs antagonist Kd values to predict haemodynamic effects, rather than in vivo EC50 values. Finally, the decrease in HR predicted by the model following atenolol administration was not observed in anaesthetised dogs, possibly due to low resting cardiac sympathetic tone under the anesthesia. Despite these limitations, the adapted Fu et al.2 model has the potential to maximise the use of anaesthetised CV dog data. Specifically: to interpolate CV effects at intermediate dose levels, derive threshold plasma concentrations for detectable CV effects, and predict the CV effects at doses which cannot be tolerated.
1. Mahmud et al. (2023) SPS Meeting, Brussels, Belgium
2. Fu et al. (2022) https://doi.org/10.1002/psp4.12774
3. Antic et al. (2024) https://doi.org/10.1016/j.vascn.2024.107497
先前,Fu等人描述的心血管收缩系统模型使用Simcyp™Designer(图形界面平台和基于生理的药代动力学工具)进行了评估和扩展。模型输出复制公布的狗遥测数据1。在本研究中,该模型适用于戊巴比妥麻醉的小猎犬,利用心血管(CV)和阿替洛尔和阿托品的暴露数据3。模型调整包括去除昼夜节律,减弱压力反射负反馈,以及在Simcyp™ Designer中开发药代动力学模型以适应静脉剂量递增和迟滞。阿替洛尔(0.3、1和3 mg/kg/30 min)的模型模拟和实验数据显示,dP/dtmax从2300降低到1800 mmHg/s,平均动脉压(MAP)从120降低到110 mmHg。该模型预测心率(HR)从110降至85 bpm;然而,实验未观察到心动过缓。对于阿托品(0.01,0.03,0.1 mg/kg/30 min),模型输出和实验数据显示HR(124至164 bpm)和dP/dtmax (2650至3000 mmHg/s)增加。 虽然实验MAP数据从130到120 mmHg下降,但模型输出预测从105到130 mmHg增加。在麻醉系统模型的开发过程中遇到了几个挑战。首先,麻醉犬的研究设计与有意识犬遥测的研究设计明显不同。其次,麻醉对压力感受器反射的减弱程度尚不清楚。此外,Fu等人的模型2采用拮抗剂Kd值来预测血流动力学效应,而不是体内EC50值。最后,模型预测的阿替洛尔给药后HR的下降在麻醉犬中没有观察到,可能是由于麻醉下静息心脏交感神经张力较低。尽管存在这些限制,但经过调整的Fu等人2 模型有可能最大限度地利用麻醉后的CV狗数据。具体来说:在中间剂量水平插入CV效应,得出可检测CV效应的阈值血浆浓度,并预测不能耐受剂量下的CV效应。Mahmud等人(2023)SPS会议,布鲁塞尔,比利时2。Fu等(2022)https://doi.org/10.1002/psp4.127743。Antic et al. (2024) https://doi.org/10.1016/j.vascn.2024.107497
{"title":"Challenges in adapting a conscious dog haemodynamic systems model to an anaesthetised dog protocol","authors":"Joanne Mahmud ,&nbsp;Chris E. Pollard ,&nbsp;Tariq Abdulla ,&nbsp;Barira Islam ,&nbsp;Yevgeniya E. Koshman ,&nbsp;Michael K. Pugsley ,&nbsp;Will S. Redfern","doi":"10.1016/j.vascn.2025.107831","DOIUrl":"10.1016/j.vascn.2025.107831","url":null,"abstract":"<div><div>Previously<sup>1</sup>, the cardiovascular-contractility systems model described by Fu et al.<sup>2</sup> was evaluated and extended using Simcyp™ Designer, a graphical interface platform and physiologically-based pharmacokinetic tool. Model outputs replicated published dog telemetry data<sup>1</sup>. In the present study, the model was adapted for use in pentobarbital-anaesthetised beagle dogs, utilizing cardiovascular (CV) and exposure data for atenolol and atropine<sup>3</sup>. Model adaptations included removal of circadian rhythm, attenuation of baroreflex negative feedback, and development of a pharmacokinetic model in Simcyp™ Designer to accommodate intravenous dose escalation and hysteresis. Model simulations and experimental data for atenolol (0.3, 1, and 3 mg/kg/30 min) showed a decrease in dP/dt<sub>max</sub> from 2300 to 1800 mmHg/s and mean arterial pressure (MAP) from 120 to 110 mmHg. The model predicts a decrease in heart rate (HR) from 110 to 85 bpm; however, bradycardia was not observed experimentally. For atropine (0.01, 0.03, 0.1 mg/kg/30 min), model outputs and experimental data displayed an increase in HR (124 to 164 bpm) and dP/dt<sub>max</sub> (2650 to 3000 mmHg/s). While experimental MAP data decreased from 130 to 120 mmHg, model outputs predicted an increase from 105 to 130 mmHg. Several challenges were encountered during the development of the anaesthetised systems model. Firstly, the study design for the anaesthetised dog differs markedly from that of conscious dog telemetry. Secondly, the extent to which the baroreceptor reflex is attenuated by the anesthesia is unknown. Furthermore, the Fu et al. model<sup>2</sup> employs antagonist K<sub>d</sub> values to predict haemodynamic effects, rather than <em>in vivo</em> EC<sub>50</sub> values. Finally, the decrease in HR predicted by the model following atenolol administration was not observed in anaesthetised dogs, possibly due to low resting cardiac sympathetic tone under the anesthesia. Despite these limitations, the adapted Fu et al.<sup>2</sup> model has the potential to maximise the use of anaesthetised CV dog data. Specifically: to interpolate CV effects at intermediate dose levels, derive threshold plasma concentrations for detectable CV effects, and predict the CV effects at doses which cannot be tolerated.</div><div>1. Mahmud et al. (2023) SPS Meeting, Brussels, Belgium</div><div>2. Fu et al. (2022) <span><span>https://doi.org/10.1002/psp4.12774</span><svg><path></path></svg></span></div><div>3. Antic et al. (2024) <span><span>https://doi.org/10.1016/j.vascn.2024.107497</span><svg><path></path></svg></span></div></div>","PeriodicalId":16767,"journal":{"name":"Journal of pharmacological and toxicological methods","volume":"135 ","pages":"Article 107831"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145095004","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Quantitative comparison of ECG limb lead configurations: Evaluating synonymity of interval measurements using alternative leads under appropriately controlled study conditions 心电图肢体导联配置的定量比较:在适当控制的研究条件下,评估使用替代导联的间隔测量的同义性
IF 1.8 4区 医学 Q4 PHARMACOLOGY & PHARMACY Pub Date : 2025-09-01 Epub Date: 2025-09-19 DOI: 10.1016/j.vascn.2025.107829
Courtney Jenkins , Steve Tichenor
In Safety Pharmacology studies, electrocardiogram (ECG) waveform recording in a lead II configuration is the established gold standard for ECG lead placement. This approach, with proper surgical techniques, yields high fidelity data suitable for quantitative and qualitative assessment. External lead configurations, using either external telemetry (ET) or manual restraint methods, are widely accepted practices to integrate CV assessments on to general toxicology studies. While both methods can provide reliable data, improper lead placement or unexpected displacement of electrodes can compromise data quality, hindering accurate assessment of waveform morphology and interval measurements. The aim of this project was to investigate advantages of a multi‑lead ECG design, focusing on the feasibility of interchanging external lead configurations to provide concurrent comparison within a single study. This approach allowed for direct comparison of measurements obtained from different external lead configurations. Six non-human primates were equipped with Jacketed ET (JET-3ETA, manufactured by Data Sciences International). Following proper animal acclimation, a 24-h ECG recording period was conducted with ECG leads positioned in standard lead I (lateral vector, coronal plane), II (inferior vector, sagittal plane), and III (inferior vector, frontal plane) orientations. Comparison of lead II to lead III demonstrated minimal differences in ECG interval measurements for HR (0.1 %), PR (0.4 %) QRS (0.6 %), RR (0.1 %), QT (1.7 %) and rate corrected QTc (1.9 %), while differences in lead II to lead I orientations were slightly greater: HR (1.0 %), PR (3.3 %) QRS (0.3 %), RR (0.3 %), QT (3.6 %) and rate corrected QTc (3.0 %). The results demonstrated minimal difference among the different limb leads that were within a range of variation that was biologically inconsequential. This suggests that utilization of an external multi‑lead ECG design on a large animal study can improve data yield or quality by incorporating analysis from other leads if the primary lead (lead II) has waveforms that are of unsuitable quality. The synonymous correlation in measurements from lead II to lead III was expected given their similar orientation within the same electrical plane. This supports the feasibility of interchanging data among these external lead configurations without compromise to data interpretation.
在安全药理学研究中,在导联II配置中记录心电图(ECG)波形是ECG导联放置的既定金标准。该方法配合适当的手术技术,可获得适合定量和定性评估的高保真数据。外部铅配置,使用外部遥测(ET)或手动约束方法,被广泛接受的做法是将CV评估整合到一般毒理学研究中。虽然这两种方法都可以提供可靠的数据,但引线放置不当或电极意外位移可能会影响数据质量,妨碍准确评估波形形态和间隔测量。该项目的目的是研究多导联心电图设计的优势,重点是在单一研究中交换外部导联配置以提供并发比较的可行性。这种方法可以直接比较从不同外部引线配置获得的测量值。六种非人类灵长类动物配备了夹克ET (JET-3ETA,由数据科学国际公司制造)。在适当的动物驯化后,将心电图导联定位在标准导联I(侧导联,冠状面)、II(下导联,矢状面)和III(下导联,额平面)的24小时心电图记录周期。比较铅二世领导三世证明最小差异心电图间隔测量人力资源(0.1 %),公关(0.4 %)QRS(0.6 %),RR(0.1 %),QT(1.7 %)和速度(1.9 %),纠正高职院校学前教育专业差异导致二世领导我方向略大的:人力资源(1.0 %),公关(3.3 %)QRS(0.3 %),RR(0.3 %),QT(3.6 %)和速度(3.0 %)纠正高职院校学前教育专业。结果表明,在生物学上无关紧要的变化范围内,不同肢体导联之间的差异极小。这表明,在大型动物研究中,如果主导联(II导联)的波形质量不佳,通过结合其他导联的分析,使用外部多导联心电图设计可以提高数据的产量或质量。从铅II到铅III测量的同义相关性是预期的,因为它们在同一电平面内具有相似的取向。这支持在这些外部引线配置之间交换数据的可行性,而不影响数据解释。
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引用次数: 0
A retrospective review of the effects of moxifloxacin in dogs at four different test sites 莫西沙星在四个不同试验地点对狗的影响的回顾性回顾
IF 1.8 4区 医学 Q4 PHARMACOLOGY & PHARMACY Pub Date : 2025-09-01 Epub Date: 2025-09-19 DOI: 10.1016/j.vascn.2025.107781
Kevin Norton , Michael Scott , Abdel El Amrani , Jared Slain , Nacera Mella , Steve Denham , Matt St Peter , Jill Dalton
With adoption of the ICH E14/S7B Q&A best practice guidance, non-clinical cardiovascular data sets can be used in place of clinical data to support of a TQT waiver application. However, as part of this guidance each laboratory is required to demonstrate adequate sensitivity of their specific in vivo model using a known positive control agent (e.g., moxifloxacin) or through retrospective review of historical data sets. These requirements raise questions around how often a positive control study should be conducted and how stable the effects of moxifloxacin are across multiple laboratories. In the current review we assessed the effects of moxifloxacin, in dogs, from four test sites. All four laboratories administered moxifloxacin at 10, 30 and 90 mg/kg by oral administration and evaluated cardiovascular parameters for 24 h post administration. The study designs between labs differed slightly, with test sites 1 and 2 utilizing a traditional 4*4 cross-over design in a single housing paradigm, test site 3 utilizing a 4*4 cross-over design with paired housing, and test site 4 utilizing a modified cross-over design with only two dose levels assessed per day. Additionally test site 1, used female animals, with other sites using males. Concentration-QTc modeling was also conducted at two sites with minor site-to-site variances in the blood sample collection methods and timing observed. All sites illustrated comparable dose dependent increases in QTc prolongation. Administration at 90 mg/kg resulted in QTc prolongation of up to 30.5, 35.6 33.2 and 31.2 msec, relative to control, at test sites 1, 2, 3 and 4 respectively. Whilst a review of study specific least significant difference, ranged from 6.4 to 11.1 msec, and residual error ranged from 4.1 to 6.4 msec; with conc-QT modeling, at test site 1 and 4,indicating that concentration ranges of 2867 to 2937 ng/ml would be expected to induce a 10-msec prolongation. These results indicate that when following best practice methodologies, dog CV models are highly consistent, independent of laboratory. This suggests that repeated administration of moxifloxacin across all laboratories is not essential and reliance on historical data sets alone should suffice to confirm model suitability.
随着ICH E14/S7B Q&;A最佳实践指南的采用,非临床心血管数据集可以代替临床数据来支持TQT豁免申请。然而,作为本指南的一部分,要求每个实验室使用已知的阳性对照剂(例如莫西沙星)或通过对历史数据集的回顾性审查来证明其特定体内模型的足够敏感性。这些要求提出了以下问题:应多久进行一次阳性对照研究,以及莫西沙星在多个实验室中的作用有多稳定。在当前的综述中,我们评估了莫西沙星对狗的影响,来自四个试验点。所有四个实验室均口服莫西沙星10、30和90 mg/kg,并评估给药后24 h的心血管参数。实验室之间的研究设计略有不同,试验点1和2在单一住房范例中使用传统的4*4交叉设计,试验点3使用配对住房的4*4交叉设计,试验点4使用改进的交叉设计,每天仅评估两个剂量水平。另外,试验点1使用雌性动物,其他试验点使用雄性动物。还在两个地点进行了浓度- qtc建模,观察到血液样本采集方法和时间在不同地点之间存在较小差异。所有位点均显示QTc延长的剂量依赖性增加。在试验位点1、2、3和4,给药剂量为90 mg/kg导致QTc延长30.5、35.6 33.2和31.2 msec,相对于对照。而对研究特定的最不显著差异的回顾,范围为6.4至11.1 msec,残差范围为4.1至6.4 msec;通过conc-QT建模,在测试位点1和4,表明浓度范围为2867至2937 ng/ml预计会诱导10毫秒的延长。这些结果表明,当遵循最佳实践方法时,狗的CV模型是高度一致的,独立于实验室。这表明在所有实验室重复使用莫西沙星是不必要的,仅依靠历史数据集就足以确认模型的适用性。
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引用次数: 0
Sensitivity of latin square and ascending dose designs for in vivo QT moxifloxacin positive control to support ICH E14/S7B studies 活体QT莫西沙星阳性对照的拉丁方和递增剂量设计的敏感性支持ICH E14/S7B研究
IF 1.8 4区 医学 Q4 PHARMACOLOGY & PHARMACY Pub Date : 2025-09-01 Epub Date: 2025-09-19 DOI: 10.1016/j.vascn.2025.107779
Rachael Hardman , Joyce Obeng , Jill Nichols , Karim Melliti
The Latin square crossover is recommended as best practice for in-vivo QT studies. However, an escalating design may instead be required due to compound long half-life, insufficient toxicity data to inform dose level selection, a need to build up tolerance to the test article to enable safe dosing, or logistics (e.g. avoiding use of multiple simultaneous inhalation dose generation systems thereby reducing risk of contamination). We have performed ICH E14/S7B Q&A compliant in vivo QT validation studies with oral moxifloxacin using both a Latin square and an ascending dose design in primate (n = 4), dog (n = 4 for Latin square and n = 6 for ascending dose design) and minipig (n = 8 for Latin square and n = 5 for ascending dose design). The objective of this work was to compare the sensitivity of the dosing designs and to generate positive moxifloxacin QTc data in support of ICH E14/S7B studies when using an ascending dose design. Increases in QTc at the highest doses for the Latin square and ascending dose designs were + 30 and + 26 msec in primate, +40 and + 34 msec in dog, +86 and + 67 msec in minipig, respectively. Root mean square error (RMSE) values ranged from 5.9 to 10.8 msec for Latin square and 4.1 to 7.3 msec for ascending dose in all species. The smallest statistically detectable difference (SSDD) for the Latin square and ascending dose designs were 10 and 6.6 msec in primate, 10.2 and 5.4 msec in dog, and 11.4 and 10 msec in minipig, respectively. While the SSDD values cannot directly be compared due to the differing N values for dog and minipig, SSDD values were generally low for all species and study designs (6.6–11.4 msec). In conclusion, these data demonstrate that the sensitivity to detect a moxifloxacin-induced increase in QTc was similar with use of either an ascending dose or Latin square design. However, it is important to note that day effect is confounded with treatment effect in an ascending dose design, risking bias in the estimation of a treatment-related effect. Therefore, while sensitivity values were similar between designs, when feasible, Latin square is preferred over ascending dose.
拉丁方交叉被推荐为体内QT研究的最佳实践。然而,由于化合物的半衰期较长,毒性数据不足以为剂量水平选择提供信息,需要建立对测试品的耐受性以确保安全给药,或物流(例如,避免使用多个同时吸入剂量产生系统,从而降低污染风险),可能需要逐步升级的设计。我们有执行我E14灯头/ S7B Q&顺从的体内QT验证研究口服莫西沙星使用拉丁方和一个提升剂量设计在灵长类动物(n = 4),狗(n = 4拉丁方和n = 6升剂量设计)和minipig (n = 8拉丁方和n = 5升剂量设计)。本研究的目的是比较两种剂量设计的敏感性,并生成莫西沙星QTc阳性数据,以支持ICH E14/S7B研究中使用的递增剂量设计。在最高剂量的增加高职院校学前教育专业的拉丁方和提升剂量设计 + 30和  + 26 msec在灵长类动物,+ 40和 + 34 msec狗,+ 86和 + 67年minipig msec,分别。均方根误差(RMSE)为5.9 ~ 10.8 msec,拉丁平方误差为4.1 ~ 7.3 msec。拉丁方和上升剂量设计的最小统计学差异(SSDD)分别为灵长类动物10和6.6 msec,狗10.2和5.4 msec,迷你猪11.4和10 msec。虽然由于狗和迷你猪的N值不同,不能直接比较SSDD值,但所有物种和研究设计的SSDD值普遍较低(6.6-11.4 msec)。总之,这些数据表明,检测莫西沙星诱导的QTc增加的灵敏度与使用上升剂量或拉丁方设计相似。然而,值得注意的是,在递增剂量设计中,日效与治疗效应是混淆的,这可能会导致治疗相关效应的估计出现偏倚。因此,虽然不同设计的灵敏度值相似,但在可行的情况下,拉丁方优于剂量递增。
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Journal of pharmacological and toxicological methods
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