氩的药代动力学:使用基于生理的药代动力学模型对猪进行测量和对人进行分析

IF 3 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Medical Gas Research Pub Date : 2024-03-28 DOI:10.4103/mgr.mgr_20_23
I. Katz, R. Tissier, M. Kohlhauer, Joël Lemaire, Arthur Hamlin, Matthieu Chalopin, Géraldine Farjot, A. Milet
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引用次数: 0

摘要

本研究的主要目的是研究使用机械通气的幼猪吸入氩气的药代动力学。同时,基于生理的氩气药代动力学(PBPK)模型也通过文献中的人体氙气数据和幼猪的新数据进行了验证。进行氩的药代动力学研究本身就很困难,因此使用 PBPK 模型尤为重要。该模型用于研究成人和新生儿的氩气药代动力学。对幼年猪(n = 4)进行麻醉、气管插管并使用传统呼吸机进行机械通气。氩气吸入是通过将动物从第一个机械呼吸器(空气/氧气)切换到第二个机械呼吸器来实现的,第二个机械呼吸器由预混合气瓶提供 75% 的氩气和 25% 的氧气。使用四极杆技术对血液样本进行分析,以确定氩气浓度。与 190-872 μM 的平均测量 Cmax 值相对应的血气分配系数范围为 0.005-0.022。根据平均曲线,T1/2= 75 秒。PBPK 与猪的实验数据基本一致。吸入氩气的给药表现出一种开关性质,即 AUC 与给药时间成正比。尽管受试者之间存在差异和合并症,但 PBPK 模型的可信度以及氩气药代动力学的显著稳健和稳定的开关性质表明,吸入氩气可随时应用于任何治疗方法。
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Argon pharmacokinetics: measurements in pigs and analysis in humans using a physiologically based pharmacokinetics model
The primary objective of this study was to investigate the pharmacokinetics of inhaled argon in young pigs using mechanical ventilation. Also a physiologically based model of argon pharmacokinetics (PBPK) is validated with human data for xenon from the literature and the new data from juvenile pigs. The inherent difficulty in performing pharmacokinetics studies of argon makes the use of the PBPK model especially relevant. The model is used to investigate argon pharmacokinetics for adult and neonate applications. Juvenile pigs (n = 4) were anesthetized, submitted to endotracheal intubation, and mechanical ventilation using a conventional ventilator. Argon inhalation was achieved by switching the animal from the first mechanical ventilator (with air/oxygen) to a second one that was supplied with 75% argon and 25% oxygen from premixed gas cylinders. This administration yielded blood samples that were analyzed using a quadrupole based technique for determining argon concentration. The range of blood:gas partition coefficient corresponding to the average measured Cmax of 190–872 μM is 0.005–0.022. Based on the average curve, T1/2= 75 seconds. The PBPK is shown to be in general agreement with the experimental data in pigs. Inhaled argon administration exhibited an on-off nature such that AUC was proportional to administration time. Confidence in the PBPK model and the remarkably robust and stable on-off nature of argon pharmacokinetics, notwithstanding intersubject variability and comorbidity, suggests that inhaled argon could readily be applied to any treatment regime.
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来源期刊
Medical Gas Research
Medical Gas Research MEDICINE, RESEARCH & EXPERIMENTAL-
CiteScore
5.10
自引率
13.80%
发文量
35
期刊介绍: Medical Gas Research is an open access journal which publishes basic, translational, and clinical research focusing on the neurobiology as well as multidisciplinary aspects of medical gas research and their applications to related disorders. The journal covers all areas of medical gas research, but also has several special sections. Authors can submit directly to these sections, whose peer-review process is overseen by our distinguished Section Editors: Inert gases - Edited by Xuejun Sun and Mark Coburn, Gasotransmitters - Edited by Atsunori Nakao and John Calvert, Oxygen and diving medicine - Edited by Daniel Rossignol and Ke Jian Liu, Anesthetic gases - Edited by Richard Applegate and Zhongcong Xie, Medical gas in other fields of biology - Edited by John Zhang. Medical gas is a large family including oxygen, hydrogen, carbon monoxide, carbon dioxide, nitrogen, xenon, hydrogen sulfide, nitrous oxide, carbon disulfide, argon, helium and other noble gases. These medical gases are used in multiple fields of clinical practice and basic science research including anesthesiology, hyperbaric oxygen medicine, diving medicine, internal medicine, emergency medicine, surgery, and many basic sciences disciplines such as physiology, pharmacology, biochemistry, microbiology and neurosciences. Due to the unique nature of medical gas practice, Medical Gas Research will serve as an information platform for educational and technological advances in the field of medical gas.
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