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Investigating antimicrobial features and drug interactions of sedoanalgesics in intensive care unit: an experimental study 研究重症监护病房中sedo镇痛药的抗菌特性和药物相互作用:一项实验研究
IF 2.5 Q2 CHEMISTRY, MEDICINAL Pub Date : 2021-09-06 DOI: 10.5599/admet.1042
Ozge Unlu, Emre Bingul, S. Kesi̇ci̇, M. Demirci
Study Objective Aim of this study was to evaluate antimicrobial effects and interaction between analgesic combinations of fentanyl citrate, dexmedetomidine hydrochloride and tramadol hydrochloride on Staphylococcus aureus, Klebsiella pneumoniae, Escherichia coli, Pseudomonas aeruginosa and Candida albicans which are some of the most common nosocomial infection related microorganisms. Design In vitro prospective study. Setting University Clinical Microbiology Laboratory. Measurements In order to evaluate in vitro antimicrobial effects and interaction between analgesic combinations, tramadol hydrochloride, fentanyl citrate and dexmedetomidin were used against S. aureus ATCC 29213, K. pneumoniae, E. coli ATCC 25922, P. aeruginosa ATCC 27853 and C. albicans ATCC 10231 standard strains by microdilution method. Main Results According to microdilution assays tramadol has shown the most efficient antimicrobial activity also it has been observed that 10 μg/ml concentrated dexmedetomidine has antimicrobial effects on S. aureus, K. pneumoniae and P. aeruginosa. Fentanyl has displayed evident inhibitory potency on the pathogens except for Klebsiella pneumoniae, nevertheless our predefined minimum concentration inhibited growth by 9.5 %. Fentanyl and dexmedetomidine together exhibited more antimicrobial effect on P. aeruginosa and E. coli growth. Additionally, when the three drugs examined together, microbial inhibition occurred more than expected on E. coli again and also on C. albicans growth. Conclusions Our results revealed the antimicrobial properties and synergy with the different combinations of fentanyl, dexmedetomidine and tramadol against the most common nosocomial infection agents in the ICU. This is the first study in the literature looking into the microbial “interactions” of opioids and sedative drugs but more research is needed in order to define clinico-laboratory correlation.
研究目的评价枸橼酸芬太尼、盐酸右美托咪定和盐酸曲马多联合使用镇痛药对最常见的院内感染相关微生物金黄色葡萄球菌、肺炎克雷伯菌、大肠杆菌、铜绿假单胞菌和白色念珠菌的抗菌作用及相互作用。设计体外前瞻性研究。设置大学临床微生物实验室。为了评价盐酸曲马多、枸橼酸芬太尼和右美托咪定对金黄色葡萄球菌ATCC 29213、肺炎克雷伯菌、大肠杆菌ATCC 25922、铜绿假单胞菌ATCC 27853和白色念珠菌ATCC 10231标准株的体外抗菌效果及镇痛药组合间的相互作用。结果曲马多对金黄色葡萄球菌、肺炎克雷伯菌和铜绿假单胞菌均有抑菌作用,10 μg/ml浓度右美托咪定对金黄色葡萄球菌、肺炎克雷伯菌和铜绿假单胞菌均有抑菌作用。芬太尼对肺炎克雷伯菌以外的病原菌有明显的抑制作用,但我们预先设定的最低浓度对病原菌生长的抑制作用为9.5%。芬太尼和右美托咪定联合使用对铜绿假单胞菌和大肠杆菌的抑菌效果更好。此外,当三种药物一起检测时,对大肠杆菌和白色念珠菌的微生物抑制作用再次超出预期。结论芬太尼、右美托咪定和曲马多联合用药对ICU最常见医院感染药物的抗菌性能及协同作用。这是文献中第一个研究阿片类药物和镇静药物的微生物“相互作用”的研究,但需要更多的研究来定义临床-实验室相关性。
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引用次数: 3
Are we ready to design oral PROTACs®? 我们准备好设计口服PROTACs®了吗?
IF 2.5 Q2 CHEMISTRY, MEDICINAL Pub Date : 2021-08-31 DOI: 10.5599/admet.1037
Diego García Jiménez, M. Rossi Sebastiano, G. Caron, G. Ermondi
PROTACs® are expected to strongly impact the future of drug discovery. Therefore, in this work we firstly performed a statistical study to highlight the distribution of E3 ligases and POIs collected in PROTAC-DB, the main online database focused on degraders. Moreover, since the emerging technology of protein degradation deals with large and complex chemical structures, the second part of the paper focuses on how to set up a property-based design strategy to obtain oral degraders. For this purpose, we calculated a pool of seven previously ad hoc selected 2D descriptors for the 2258 publicly available degraders in PROTAC-DB (average values: MW= 972.9 Da, nC= 49.5, NAR= 4.5, PHI= 17.3, nHDon= 4.5, nHAcc= 17.7 and TPSA= 240 Å2) and compared them to a dataset of 50 bRo5 orally approved drugs. Then, a chemical space based on nC, PHI and TPSA was built and subregions with optimal permeability and bioavailability were identified. Bioavailable degraders (ARV-110 and ARV-471) tend to be closer to the Ro5 region, using mainly semi-rigid linkers. Permeable degraders, on the other hand, are placed in an average central region of the chemical space but chameleonicity could allow them to be located closer to the two Arvinas compounds.
PROTACs®有望对药物发现的未来产生重大影响。因此,在这项工作中,我们首先进行了统计研究,以突出在主要的降解物在线数据库PROTAC-DB中收集的E3连接酶和poi的分布。此外,由于新兴的蛋白质降解技术涉及大而复杂的化学结构,本文的第二部分侧重于如何建立基于性能的设计策略来获得口服降解剂。为此,我们为PROTAC-DB中2258种公开可用的降解剂(平均值:MW= 972.9 Da, nC= 49.5, NAR= 4.5, PHI= 17.3, nHDon= 4.5, nHAcc= 17.7和TPSA= 240 Å2)计算了7个先前特别选择的2D描述符池,并将它们与50个口服批准的bRo5药物的数据集进行了比较。在此基础上,构建了基于nC、PHI和TPSA的化学空间,并确定了具有最佳渗透性和生物利用度的分区。生物可利用的降解剂(ARV-110和ARV-471)倾向于更靠近Ro5区,主要使用半刚性连接物。另一方面,可渗透降解剂被放置在化学空间的平均中心区域,但变色性可以使它们靠近两种Arvinas化合物。
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引用次数: 10
Current state and future of 3D bioprinted models for cardiovascular research and drug development 用于心血管研究和药物开发的3D生物打印模型的现状和未来
IF 2.5 Q2 CHEMISTRY, MEDICINAL Pub Date : 2021-08-25 DOI: 10.5599/admet.951
L. Polonchuk, C. Gentile
In the last decade, 3D bioprinting technology has emerged as an innovative tissue engineering approach for regenerative medicine and drug development. This article aims at providing an overview about the most commonly used bioengineered tissues, focusing on 3D bioprinted cardiac cells and how they have been utilized for drug discovery and development. The review describes that, while this field is still developing, cardiovascular research may benefit from laboratory-engineered heart tissues built of specific cell types with precise 3D architecture mimicking the native cardiac microenvironment. It also describes the role played by regulatory agencies and potential commercialization pathways for direct translation from the bench to the bedside of studies using 3D bioprinted cardiac tissues.
在过去的十年中,3D生物打印技术已经成为再生医学和药物开发的一种创新的组织工程方法。本文旨在概述最常用的生物工程组织,重点介绍3D生物打印的心脏细胞以及它们如何用于药物发现和开发。该综述指出,虽然该领域仍在发展,但心血管研究可能受益于实验室工程心脏组织,该组织由特定细胞类型构建,具有精确的3D结构,模仿天然心脏微环境。它还描述了监管机构所扮演的角色,以及使用3D生物打印心脏组织从实验室直接转化为临床研究的潜在商业化途径。
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引用次数: 1
Lost in modelling and simulation? 迷失在建模和仿真中?
IF 2.5 Q2 CHEMISTRY, MEDICINAL Pub Date : 2021-03-20 DOI: 10.5599/ADMET.923
K. Sugano
Over the past few decades, physiologically-based pharmacokinetic modelling (PBPK) has been anticipated to be a powerful tool to improve the productivity of drug discovery and development. However, recently, multiple systematic evaluation studies independently suggested that the predictive power of current oral absorption (OA) PBPK models needs significant improvement. There is some disagreement between the industry and regulators about the credibility of OA PBPK modelling. Recently, the editorial board of AMDET&DMPK has announced the policy for the articles related to PBPK modelling (Modelling and simulation ethics). In this feature article, the background of this policy is explained: (1) Requirements for scientific writing of PBPK modelling, (2) Scientific literacy for PBPK modelling, and (3) Middle-out approaches. PBPK models are a useful tool if used correctly. This article will hopefully help advance the science of OA PBPK models.
在过去的几十年里,基于生理的药代动力学建模(PBPK)被认为是提高药物发现和开发效率的有力工具。然而,最近,多个独立的系统评价研究表明,目前口服吸收(OA) PBPK模型的预测能力需要显著提高。对于OA PBPK模型的可信度,行业和监管机构之间存在一些分歧。最近,AMDET&DMPK编辑委员会宣布了与PBPK建模(建模与仿真伦理)相关的文章政策。在这篇专题文章中,解释了这一政策的背景:(1)PBPK建模的科学写作要求;(2)PBPK建模的科学素养;(3)Middle-out方法。如果使用得当,PBPK模型是一个有用的工具。本文将有助于推进OA PBPK模型的科学研究。
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引用次数: 18
Synthesis and biological activity of 2-[6-methyl-4-(thietan-3-yloxy)pyrimidin-2-ylthio]acetohydrazide derivatives 2-[6-甲基-4-(噻坦-3-基氧基)嘧啶-2-基硫]乙酰肼衍生物的合成及生物活性研究
IF 2.5 Q2 CHEMISTRY, MEDICINAL Pub Date : 2021-02-18 DOI: 10.5599/admet.941
S. Meshcheryakova, Alina Shumadalova, O. Beylerli, I. Gareev
The synthesis and antimicrobial evaluation of new 2-[6-methyl-4-(thietan-3-yloxy)pyrimidin-2-ylthio]acetohydrazide derivatives was investigated. According to the literature, there are a lot of antimicrobial agents among the pyrimidines and hydrazides, and therefore it seems promising to use 2-[6-methyl-4-(thietan-3-yloxy)pyrimidin-2-ylthio]acetohydrazide as a base object for synthesizing new biologically active substances. 2-[6-methyl-4-(thietan-3-yloxy)pyrimidin-2-ylthio]acetohydrazide was obtained by the hydrazinolysis of ethyl thioacetate, using a 3-fold molar excess of 85 % hydrazine hydrate in ethanol, at room temperature. Interaction of 2-[6-methyl-4-(thietan-3-yloxy)pyrimidin-2-ylthio]acetohydrazide with ketones during boiling in ethanol yielded N-ylidenehydrazides. The solid obtained by concentration was collected, and then purified by recrystallization. The new compounds were characterized by 1H, 13C NMR, IR spectroscopy and elemental analysis. The antibacterial and antifungal activities of the new compounds were analysed using agar diffusion and tenfold broth (pH 7.2 – 7.4) dilution methods, in comparison with the clinical used drugs, ceftriaxone and Pimafucin. The structure–activity studies showed that, depending on the nature of the hydrazide fragment, the newly synthesized compounds exhibited varying degrees of microbial inhibition. Within the same series the antimicrobial activity depends on the nature of the substituent attached to the benzene ring. The investigation of antibacterial screening data revealed that the compounds N′-[1-(4-aminophenyl)ethylidene]-2-[6-methyl-4-(thietan-3-yloxy)pyrimidin-2-ylthio]acetohydrazide, N′-[1-(4-hydroxyphenyl)ethylidene]-2-[6-methyl-4-(thietan-3-yloxy)pyrimidin-2-ylthio]acetohydrazide, N′-[1- (2,5-dihydroxyphenyl) ethylidene]-2-[6-methyl-4-(thietan-3-yloxy)-pyrimidin-2-ylthio]acetohydrazide were found to be more potent than the other synthesized analogues.
研究了新型2-[6-甲基-4-(噻坦-3-基氧基)嘧啶-2-基硫]乙酰肼衍生物的合成及其抗菌性能。据文献报道,在嘧啶类和肼类化合物中有许多抗菌药物,因此以2-[6-甲基-4-(噻坦-3-酰基氧基)嘧啶-2-基硫]乙酰肼为底物合成新的生物活性物质是很有前景的。在室温下,以85%的水合肼为溶剂,以硫乙酸乙酯为原料,以3倍摩尔过量的乙醇为溶剂,进行肼解反应,制得2-[6-甲基-4-(噻坦-3-基氧基)嘧啶-2-基硫代]乙酰肼。2-[6-甲基-4-(乙烷-3-酰基氧基)嘧啶-2-酰基硫]乙酰肼与酮在乙醇中沸腾时相互作用生成n-酰基肼。将浓缩得到的固体收集起来,再进行重结晶提纯。通过1H、13C NMR、IR和元素分析对新化合物进行了表征。采用琼脂扩散法和10倍肉汤(pH 7.2 ~ 7.4)稀释法对新化合物的抑菌和抗真菌活性进行了分析,并与临床常用药物头孢曲松和匹马弗辛进行了比较。结构活性研究表明,根据酰肼片段的性质,新合成的化合物表现出不同程度的微生物抑制作用。在同一系列中,抗菌活性取决于苯环上的取代基的性质。抗菌筛选结果表明,N ' -[1-(4-氨基苯基)乙基]-2-[6-甲基-4-(噻坦-3-基氧基)嘧啶-2-基硫]乙酰肼、N ' -[1-(4-羟基苯基)乙基]-2-[6-甲基-4-(噻坦-3-基氧基)嘧啶-2-基硫]乙酰肼、N ' -[1-(2,5-二羟基苯基)乙基]-2-[6-甲基-4-(噻坦-3-基氧基)嘧啶-2-基硫]乙酰肼比其他合成的类似物更有效。
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引用次数: 0
Evaluation of pharmacokinetics of warfarin from validated pharmacokinetic-pharmacodynamic model 从有效的药动学-药效学模型评价华法林的药动学
IF 2.5 Q2 CHEMISTRY, MEDICINAL Pub Date : 2021-01-18 DOI: 10.5599/admet.909
K. Sridharan, R. Al Banna, Aysha A Husain
Background Pharmacokinetics of warfarin has not been described in our population. We derived the pharmacokinetic parameters from a validated pharmacokinetic-pharmacodynamic model. Methods Patients receiving warfarin for at least 6 months were recruited and their demographic characteristics, prothrombin time international normalized ratio (PT-INR), warfarin doses and concomitant drugs were collected. Using a validated pharmacokinetic-pharmacodynamic model, we predicted maximum plasma concentration (Cmax), total clearance (CL), volume of distribution (Vd) and elimination rate (k). Warfarin sensitive index (WSI) and warfarin composite measures (WCM) were estimated from the dose and INR values. Liver weight was predicted using validated formula. Results Two-hundred and twenty patients were recruited. The following were the predicted pharmacokinetic parameters: Cmax (mg/L) was 5.8 (0.4); k (L/day) was 1 (0.1); CL (L/day) was 2.1 (0.2); and Vd (L) was 7.6 (0.2). Patients with Cmax and elimination rate outside the mean+1.96 SD had significantly lower WSI and higher WCM. Significant correlations were observed between Cmax with CL, Vd, and k of warfarin. Significant correlations were also observed between CL and Vd of warfarin with liver weight of the study participants. Conclusion We predicted pharmacokinetic parameters of warfarin from the validated pharmacokinetic-pharmacodynamic model in our population. More studies are needed exploring the relationship between various pharmacodynamic indices of warfarin and pharmacokinetic parameters of warfarin.
背景:华法林的药代动力学在我国人群中尚未被描述。我们从经过验证的药代动力学-药效学模型中推导出药代动力学参数。方法收集接受华法林治疗6个月以上患者的人口学特征、凝血酶原时间国际标准化比值(PT-INR)、华法林剂量及伴随用药情况。通过验证的药代动力学-药效学模型,我们预测了最大血浆浓度(Cmax)、总清除率(CL)、分布体积(Vd)和清除率(k),并根据剂量和INR值估计了华法林敏感指数(WSI)和华法林复合测量值(WCM)。采用验证公式预测肝脏重量。结果共纳入220例患者。预测药代动力学参数为:Cmax (mg/L)为5.8 (0.4);k (L/day) = 1 (0.1);CL (L/day)为2.1 (0.2);Vd (L)为7.6(0.2)。Cmax和清除率在平均值+1.96 SD之外的患者WSI显著降低,WCM显著升高。Cmax与华法林的CL、Vd、k呈显著相关。华法林的CL和Vd与研究参与者的肝脏重量也有显著的相关性。结论我们通过验证的华法林药动学-药效学模型预测了华法林在我国人群中的药动学参数。华法林的各种药效学指标与药动学参数之间的关系有待进一步研究。
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引用次数: 0
A concise review on lipidomics analysis in biological samples 生物样品中的脂质组学分析综述
IF 2.5 Q2 CHEMISTRY, MEDICINAL Pub Date : 2020-12-08 DOI: 10.5599/admet.913
R. Addepalli, R. Mullangi
Lipids are a complex and critical heterogeneous molecular entity, playing an intricate and key role in understanding biological activities and disease processes. Lipidomics aims to quantitatively define the lipid classes, including their molecular species. The analysis of the biological tissues and fluids are challenging due to the extreme sample complexity and occurrence of the molecular species as isomers or isobars. This review documents the overview of lipidomics workflow, beginning from the approaches of sample preparation, various analytical techniques and emphasizing the state-of-the-art mass spectrometry either by shotgun or coupled with liquid chromatography. We have considered the latest ion mobility spectroscopy technologies to deal with the vast number of structural isomers, different imaging techniques. All these techniques have their pitfalls and we have discussed how to circumvent them after reviewing the power of each technique with examples..
脂质是一种复杂而关键的异质性分子实体,在理解生物活动和疾病过程中起着复杂而关键的作用。脂质组学旨在定量定义脂类,包括它们的分子种类。生物组织和流体的分析是具有挑战性的,因为极端的样品复杂性和分子种类的出现异构体或等压线。本文综述了脂质组学的工作流程,从样品制备的方法,各种分析技术开始,并强调了最先进的质谱法,无论是霰弹枪还是液相色谱法。我们考虑了最新的离子迁移率光谱技术来处理大量的结构异构体,不同的成像技术。所有这些技术都有它们的缺陷,在用示例回顾了每种技术的功能之后,我们讨论了如何绕过它们。
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引用次数: 2
In vitro pH dependent passive transport of ketoprofen and metformin 体外pH依赖性酮洛芬和二甲双胍的被动转运
IF 2.5 Q2 CHEMISTRY, MEDICINAL Pub Date : 2020-12-08 DOI: 10.5599/admet.916
A. Elezovic, Amina Marić, Amila Biščević, J. Hadžiabdić, Selma Škrbo, S. Špirtović-Halilović, O. Rahić, E. Vranić, A. Elezović
The kinetics of passive transport of ketoprofen and metformin, as model substances for high and low permeability, respectively, across the artificial membrane under the influence of the pH of donor solution was investigated. There was an upward trend in the apparent permeation coefficient (Papp) of ketoprofen with the decrease in pH to a value close to pKa. At the pH value below pKa the permeation coefficient had lower value, due to the higher retention of ketoprofen in the artificial membrane. Metformin is a low permeable compound, and the highest permeation values were recorded at pH 7.4. Two dissociation constants determine that metformin at physiological pH exists as a hydrophilic cationic molecule, i.e. predominantly in ionized form. At pH values below 2.8, metformin mainly exists in diprotonated form, and it was, thus, very poorly permeable. The highest retention, i.e. affinity of both ketoprofen and metformin to the membrane, was at the lowest pH values, which is explained by different mechanisms. At higher pH values of donor compartment the substances showed significantly less affinity to the membrane. The obtained values of apparent permeation coefficients at studied pH values showed good correlation with the obtained experimental values by other in vitro methods.
研究了酮洛芬和二甲双胍作为高通透性和低通透性的模型物质,在供液pH值的影响下,通过人工膜的被动运输动力学。酮洛芬的表观渗透系数(Papp)随pH值的降低呈上升趋势,接近pKa。当pH值低于pKa时,由于酮洛芬在人工膜中的保留率较高,渗透系数较低。二甲双胍是一种低渗透性化合物,pH值为7.4时,其渗透性最高。两个解离常数决定了二甲双胍在生理pH值下作为亲水阳离子分子存在,即主要以电离形式存在。在pH值低于2.8时,二甲双胍主要以双质子化形式存在,因此其渗透性很差。在最低的pH值下,酮洛芬和二甲双胍对膜的亲和力最高,这可以通过不同的机制来解释。在较高pH值的供体室中,这些物质对膜的亲和力明显降低。所得的表观渗透系数值与其他体外方法所得的实验值具有良好的相关性。
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引用次数: 1
Intestinal absorption of BCS class II drugs administered as nanoparticles: A review based on in vivo data from intestinal perfusion models 以纳米颗粒形式给药的BCS II类药物的肠道吸收:基于肠道灌注模型体内数据的综述
IF 2.5 Q2 CHEMISTRY, MEDICINAL Pub Date : 2020-09-17 DOI: 10.5599/admet.881
D. Dahlgren, E. Sjögren, H. Lennernäs
An established pharmaceutical strategy to increase oral drug absorption of low solubility–high permeability drugs is to create nanoparticles of them. Reducing the size of the solid-state particles increases their dissolution and transport rate across the mucus barrier and the aqueous boundary layer. Suspensions of nanoparticles also sometimes behave differently than those of larger particles in the fed state. This review compares the absorption mechanisms of nano- and larger particles in the lumen at different prandial states, with an emphasis on data derived from in vivo models. Four BSC class II drugs—aprepitant, cyclosporine, danazol and fenofibrate—are discussed in detail based on information from preclinical intestinal perfusion models.
提高低溶解度-高渗透性药物口服吸收的既定药物策略是制造纳米颗粒。减小固体颗粒的尺寸增加了它们通过黏液屏障和水边界层的溶解和运输速率。纳米颗粒的悬浮液有时也会表现得与那些在喂食状态下的大颗粒不同。这篇综述比较了纳米颗粒和大颗粒在不同膳食状态下在腔内的吸收机制,重点是来自体内模型的数据。根据临床前肠道灌注模型的信息,详细讨论了四种BSC II类药物-阿瑞吡坦,环孢素,那那唑和非诺贝特。
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引用次数: 8
Do you know your r2? 你知道r2吗?
IF 2.5 Q2 CHEMISTRY, MEDICINAL Pub Date : 2020-08-30 DOI: 10.5599/admet.888
A. Avdeef
The prediction of solubility of drugs usually calls on the use of several open-source/commercially-available computer programs in the various calculation steps. Popular statistics to indicate the strength of the prediction model include the coefficient of determination (r2), Pearson’s linear correlation coefficient (rPearson), and the root-mean-square error (RMSE), among many others. When a program calculates these statistics, slightly different definitions may be used. This commentary briefly reviews the definitions of three types of r2 and RMSE statistics (model validation, bias compensation, and Pearson) and how systematic errors due to shortcomings in solubility prediction models can be differently indicated by the choice of statistical indices. The indices we have employed in recently published papers on the prediction of solubility of druglike molecules were unclear, especially in cases of drugs from ‘beyond the Rule of 5’ chemical space, as simple prediction models showed distinctive ‘bias-tilt’ systematic type scatter.
药物溶解度的预测通常需要在各种计算步骤中使用几个开源/商业可用的计算机程序。表明预测模型强度的常用统计数据包括决定系数(r2)、Pearson线性相关系数(rPearson)和均方根误差(RMSE)等。当程序计算这些统计信息时,可能会使用稍微不同的定义。本文简要回顾了三种类型的r2和RMSE统计(模型验证、偏差补偿和Pearson)的定义,以及由于溶解度预测模型的缺陷而导致的系统误差如何通过统计指标的选择来不同地表示。我们在最近发表的预测类药物分子溶解度的论文中使用的指标并不明确,特别是在“超过5法则”化学空间的药物的情况下,因为简单的预测模型显示出明显的“偏倚-倾斜”系统类型分散。
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引用次数: 7
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