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药物动力学-药效动力学联合模型的研究概况
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作者 胡苹 李玉平 《湖南中医药大学学报》 CAS 2011年第6期62-64,共3页
药物动力学(pharmacokinetics,PK)-药效动力学(pharmacodynamics,PD)联合模型是将PK与PD紧密结合,用于研究药理效应随时间变化规律的一种模型。此模型可应用于药物开发的临床前和临床试验的各个阶段。本文介绍了该领域的一些概... 药物动力学(pharmacokinetics,PK)-药效动力学(pharmacodynamics,PD)联合模型是将PK与PD紧密结合,用于研究药理效应随时间变化规律的一种模型。此模型可应用于药物开发的临床前和临床试验的各个阶段。本文介绍了该领域的一些概念和国内外研究概况,包括: 展开更多
关键词 药物动力学 药效动力学 药物动力学-药效动力学联合模型
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PK-PD模型在中药药物代谢动力学中的应用 被引量:13
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作者 袁美燕 吴虹 《安徽中医学院学报》 CAS 2009年第5期86-88,共3页
关键词 药物代谢动力学 药效动力学 药物代谢动力学-药效动力学模型 中药药理
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急性有机磷农药中毒解毒药的药物动力学研究现状 被引量:1
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作者 刘扬 胡英华 +1 位作者 丁国华 冯克玉 《航空航天医学杂志》 2015年第3期363-366,共4页
急性有机磷农药中毒是我国常见中毒事件之一,解毒药在救治急性有机磷中毒时给药时机和剂量是解毒成功的关键。本文通过收集近年国内外急性有机磷农药中毒解毒药的药物动力学研究有关文献,对其在动物和人体的药物动力学实验研究成果、临... 急性有机磷农药中毒是我国常见中毒事件之一,解毒药在救治急性有机磷中毒时给药时机和剂量是解毒成功的关键。本文通过收集近年国内外急性有机磷农药中毒解毒药的药物动力学研究有关文献,对其在动物和人体的药物动力学实验研究成果、临床应用现状和存在的问题进行总结分析,提出了运用其药物动力学规律可设计给药剂量,为临床医生合理应用解毒药及判断中毒患者组织中的药理效应、药效维持时间及毒副作用关系提供科学依据,也为解毒药药物动力学-药效动力学的深入研究提供基础,使其最大限度地发挥药效,减少毒副作用成为可能。 展开更多
关键词 急性有机磷农药中毒 解毒药 药物动力学 剂量 药物动力学-药效动力学模型
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神经外科术后患者静脉输注去甲万古霉素后血清及脑脊液药物浓度 被引量:10
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作者 武元星 康建磊 +1 位作者 王强 李太生 《中国感染控制杂志》 CAS 北大核心 2017年第5期393-398,共6页
目的了解神经外科术后患者静脉输注去甲万古霉素后血清及脑脊液内药物浓度变化特点。方法选择2014年某院神经外科手术后留置术区/脑室引流管的患者,按给药方式不同分为2组,各12例,常规给药组:去甲万古霉素0.8 g,泵入60 min,12 h重复给药... 目的了解神经外科术后患者静脉输注去甲万古霉素后血清及脑脊液内药物浓度变化特点。方法选择2014年某院神经外科手术后留置术区/脑室引流管的患者,按给药方式不同分为2组,各12例,常规给药组:去甲万古霉素0.8 g,泵入60 min,12 h重复给药;持续给药组:去甲万古霉素0.8 g,泵入60 min,再0.4 g泵入11 h,后以0.4 g持续泵入12 h,于给药后不同时间点采集患者血清和脑脊液标本,测定去甲万古霉素浓度。结果常规给药组与持续给药组去甲万古霉素血清峰浓度分别为(55.52±26.04)、(59.22±41.88)mg/L,给药24 h血清浓度分别为(8.21±6.04)、(9.11±5.09)mg/L;脑脊液峰浓度分别为(16.31±11.15)、(8.82±8.91)mg/L,给药24 h脑脊液浓度分别为(6.12±2.34)、(5.71±4.72)mg/L。常规给药组药物脑脊液穿透率以药物浓度曲线下面积比计算(AUC_(脑脊液)/AUC_(血清))0~12 h为63.3%,12~24 h为59.0%;持续给药组0~12 h为25.4%,0~24 h为47.4%。以目标细菌MRSA95%的最低抑菌浓度(MIC_(90))为2 mg/L计算,常规给药组AUC_(0-24)/MIC_(90)为192,持续给药组AUC_(0-24)/MIC_(90)为184。结论神经外科术后患者早期使用标准剂量去甲万古霉素,常规及持续给药脑脊液内药物浓度均可达目标细菌的MIC_(90)。 展开更多
关键词 去甲万古霉素 持续给药 血清药物浓度 脑脊液药物浓度 药物代谢动力学/药效动力学
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正电子发射断层显像及其在医药学研究中的应用 被引量:4
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作者 唐刚华 《中国药科大学学报》 CAS CSCD 北大核心 2002年第1期1-5,共5页
目的 :阐述正电子发射断层 ( PET)显像的原理及其在临床诊断、疗效评价和药物研究等方面的应用。方法 :参阅有关文献 ,对其进行综合、分析和归纳。结果和结论 :PET结合正电子药物已广泛用于神经精神病、心血管病和肿瘤三大疾病的诊断与... 目的 :阐述正电子发射断层 ( PET)显像的原理及其在临床诊断、疗效评价和药物研究等方面的应用。方法 :参阅有关文献 ,对其进行综合、分析和归纳。结果和结论 :PET结合正电子药物已广泛用于神经精神病、心血管病和肿瘤三大疾病的诊断与疗效监测 ,PET也已用于药物药效动力学和代谢动力学研究 。 展开更多
关键词 正电子发射断层显像 临床诊断 疗效评价 药物研究 药物药效动力学 代谢动力学
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Pharmacokinetics of Scutellarin in Dogs 被引量:5
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作者 李素华 蒋学华 +2 位作者 兰轲 杨俊毅 周静 《Journal of Chinese Pharmaceutical Sciences》 CAS 2003年第3期127-130,共4页
Aim To establish an RP-HPLC method for the determination of scutellarin in plasma and study its pharmacokinetics in dogs. Methods Scutellarin was given to dogs by intravenous injection and determined by RP-HPLC, the m... Aim To establish an RP-HPLC method for the determination of scutellarin in plasma and study its pharmacokinetics in dogs. Methods Scutellarin was given to dogs by intravenous injection and determined by RP-HPLC, the mean plasma concentration-time curve was plotted and pharmacokinetic parameters were calculated by program 3p87. Resu;ts The concentration-time curve of scutellarin could be fitted to three-compartment model with T1/2 pi, T1/2 α and T1/2 β being 1.05 ± 0.80 min, 6.99 + 2.76 min and 51.61 + 28.78 min, respectively, Vc being 880.1 + 508.3 mL, CL being 189.6 + 53.8 mL@ min- 1, and AUC0-90 and AUC0-∞ being 574.43 + 133.95 μg@ min@ mL - 1 and 599.34 ± 132.00μg@ min@mL- 1, respectively. Conclusion The fact that the concentrations of scutellarin in plasma declined rapidly after the medication suggested that the T1/2 of scutellarin should be taken into account in drug administration and preparation development. 展开更多
关键词 SCUTELLARIN PHARMACOKINETICS RP-HPLC
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精准医学时代下临床药学监护模式新进展 被引量:18
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作者 黄晓晖 周国华 《医学研究生学报》 CAS 北大核心 2019年第5期455-461,共7页
精准医学已成为现代医学的发展新模式,个性化用药更是精准医学在临床应用的重要体现。生命科学技术的进步促进了精准医学的发展,同时也促进了临床药学监护模式从合理用药、个性化用药向精准用药模式的发展。精准用药的实现需借助于先进... 精准医学已成为现代医学的发展新模式,个性化用药更是精准医学在临床应用的重要体现。生命科学技术的进步促进了精准医学的发展,同时也促进了临床药学监护模式从合理用药、个性化用药向精准用药模式的发展。精准用药的实现需借助于先进的生命科学技术,对患者个体差异、疾病病理差异和疾病进展相关标志物群进行精准分析和准确描述。文中阐述精准医学时代下药代/药效动力学技术、组学技术和液体活检技术等在给药方案制定、疗效及不良反应预测等方面的最新应用研究进展,并对面向精准医学的临床药学监护模式发展方向进行展望。 展开更多
关键词 精准医学 临床药学监护 个体化用药 精准用药 药物动力学/药效动力学技术组学技术 液体活检技术
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Pharmacokinetic Study of a Novel Recombinant Human Granulocyte Colony-stimulating Factor in Rats 被引量:4
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作者 Xiao-xiao Liu Yong-ping Jiang 《Chinese Medical Sciences Journal》 CAS CSCD 2010年第1期13-19,共7页
Objective To study the pharmacokinetics of a novel recombinant human granulocyte colonystimulating factor (rhG-CSFa) in rats and to determine the proteolytic rates of rhG-CSFa in the whole blood and serum of rats in v... Objective To study the pharmacokinetics of a novel recombinant human granulocyte colonystimulating factor (rhG-CSFa) in rats and to determine the proteolytic rates of rhG-CSFa in the whole blood and serum of rats in vitro. Methods The pharmacokinetics of rhG-CSFa and conventional (wild type,WT) granulocyte colonystimulating factor (G-CSF) were investigated in Sprague-Dawley rats which received either intravenous or subcutaneous injection of rhG-CSFa or WT G-CSF at three different doses (20,50,or 100 μg/kg). The blood samples of rats were collected at multiple time points (from 0.08 to 12 h) and the concentrations of rhG-CSFa and WT G-CSF in serum were determined with a sandwich enzyme-linked immunosorbent assay (ELISA). For the study of proteolytic rates in vitro,the concentrations of rhG-CSFa or WT G-CSF were determined at 3-minute intervals after addition of the respective drug to rat’s whole blood or serum. Results Pharmacokinetic analysis of serum rhG-CSFa or WT G-CSF levels indicated that,at each dose tested,for either route of drug administration,the area under concentration-time curve values and the maximum serum concentration of rhG-CSFa were higher than those of WT G-CSF,and the serum half life of rhG-CSFa was longer than that of WT G-CSF. Subsequent in vitro whole blood and serum stability study showed that the rates of drug degradation in WT G-CSF were 1.8 folds and 1.5 folds higher than those in rhG-CSFa,respectively. Conclusion rhG-CSFa has better serum and whole blood stability in vitro and higher bioavailability in vivo as compared to WT G-CSF. 展开更多
关键词 recombinant human granulocyte colony-stimulating factor PHARMACOKINETICS half life BIOAVAILABILITY proteolytic rate
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Pharmacokinetics and Pharmacodynamics of Subcutaneous Single Doses of Pegylated Human G-CSF Mutant(PEG30-rhG-CSF) in Beagle Dogs 被引量:2
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作者 Yongming Cai Zhengmin Chen Ling Jiang Ming Li Changxiao Liu 《Chinese Journal of Clinical Oncology》 CSCD 2008年第5期326-332,共7页
OBJECTIVE To compare the pharmacokinetics and pharmacodynamics of PEG30-rhG-CSF administered to beagle dogs at three different dosages with PEG20-rhG-CSF administered at one dosage, and to provide an experimental basi... OBJECTIVE To compare the pharmacokinetics and pharmacodynamics of PEG30-rhG-CSF administered to beagle dogs at three different dosages with PEG20-rhG-CSF administered at one dosage, and to provide an experimental basis for clinical trials.METHODS Beagle dogs received single, subcutaneous doses of PEG30-rhG-CSF at 100, 200 and 400 μg/kg or PEG20-rhG-CSF at 200 μg/kg. PEG30-rhG-CSF and PEG20-rhG-CSF concentrations in serum were analyzed using an enzymeqinked immunosorbent assay (ELISA). WBC, ANC and PLT counts of whole blood samples were measured using fully automated analytic instrumentation. Pharmacokinetic and pharmacodynamic parameters were calculated using DAS 2.0 statistical analysis software.METHODS Beagle dogs received single, subcutaneous doses of PEG30-rhG-CSF at 100, 200 and 400 μg/kg or PEG20-rhG-CSF at 200μg/kg. PEG30-rhG-CSF and PEG20-rhG-CSF concentrations in serum were analyzed using an enzyme-linked immunosorbent assay (ELISA). WBC, ANC and PLT counts of whole blood samples were measured using fully automated analytic instrumentation. Pharmacokinetic and pharmacodynamic parameters were calculated using DAS 2.0 statistical analysis software. RESULTS The pharmacokinetic parameters of PEG30-rhG-CSF calculated from the serum concentration data determined by ELISA were as follows: the mean elimination half-life (t1/2ke) was 40.6 h (33.5-45.4 h); the mean time to reach peak concentration (Tmax) was 19.2 h (11.7-24.0 h); the drug clearance from the serum (CL) was decreased with increasing doses; the peak concentration (Cmax) and the area under the serum concentration-time curve (AUC) were increased with increasing doses. For PEG20-rhG- CSF, the half-life was shorter (12 h) and Tmax was achieved much earlier (10 h) relative to PEG30-rhG-CSF. The AUC of PEG30- rhG-CSF was much greater than that of PEG20-rhG-CSF, and the relative bioavailability with a subcutaneous injection was 158.7%. Administration of single doses of PEG30-rhG-CSF resulted in substantial increases in the absolute The time to reach ANC (ANCTmax) neutrophil count (ANC). was 72 h. The maximum observed absolute neutrophil counts (ANCmax) and the area over the baseline effect curve (AOBEC) was increased with increasing doses. The effect-elimination half-life (t1/2E) ranged from 60 h to 80 h after subcutaneous administration. The PLT count was slightly elevated 8-12 h after s.c. injection, and declined after 24 h. CONCLUSION The mean elimination half-life of PEG30-rhG- CSF was longer than that of PEG20-rhG-CSF at the same dose, and the other main pharmacokinetic and pharmacodynamic parameters of PEG30-rhG-CSF, including C ANCmax, AUC and AOBEC were much greater than those following PEG20-rhG-CSF injection. 展开更多
关键词 PEG30-rhG-CSF PEG20-rhG-CSF pharmacoki-netics PHARMACODYNAMICS ANC ELISA beagle dogs.
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P-glycoprotein mediated interactions between Chinese materia medica and pharmaceutical drugs 被引量:2
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作者 YANG Xi PENG Yuzhong +4 位作者 HE Yufei HUANG Xuejun XU Aili BI Xiaoli XIE Ying 《Digital Chinese Medicine》 2021年第4期251-261,共11页
P-glycoprotein(P-gp)is an important transmembrane ATP-binding cassette(ABC)drug efflux transporter expressed in various human tissues such as the intestines,liver,kidneys,and bloodbrain barrier.It limits the intracell... P-glycoprotein(P-gp)is an important transmembrane ATP-binding cassette(ABC)drug efflux transporter expressed in various human tissues such as the intestines,liver,kidneys,and bloodbrain barrier.It limits the intracellular concentration of xenobiotics by pumping them out of the cells,affecting drug pharmacokinetics and therapeutic effects.With its broad substrate specificity,it has the potential to remove a wide range of drugs from Chinese materia medica(CMM),including conventional medicines and active compounds.Increasing evidence has confirmed the superior therapeutic effectiveness of CMM in treating a wide range of diseases worldwide,as well as in conjunction with western drugs.As a result,herbal medicine-drug compounds have prompted widespread concern,with the majority of these interactions involving transporters such as P-gp.This review systematically summarizes the inhibition or induction of P-gp expression/function by active CMM compounds and the underlying regulatory mechanisms.It will aid in improving understanding of the synergistic or inhibiting effects associated with transporter P-gp as well as rational safety concerns for using CMM,particularly in combination with drugs. 展开更多
关键词 P-glycoprotein(P-gp) Chinese materia medica(CMM) Drug interactions Pharmacokinetic-pharmacodynamic effects INDUCERS INHIBITORS
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原子力显微镜观察加替沙星和头孢美唑联合抗生素后效应期间大肠埃希菌形态学特征 被引量:1
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作者 王睿 张永青 +1 位作者 朱曼 张健鹏 《中华医学杂志》 CAS CSCD 北大核心 2006年第7期492-494,共3页
关键词 原子力显微镜观察 抗生素后效应期 大肠埃希菌 加替沙星 头孢美唑 形态学特征 联合 药物药效动力学 effect 形态学改变
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Mechanism-based pharmacokinetic/pharmacodynamic modeling of the effects of sitagliptin on DPP-4 activity, insulin and glucose in diabetic rats
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作者 Ye Yao Xiangfei Jiu +2 位作者 Siyuan Wang Wei Lu Tianyan Zhou 《Journal of Chinese Pharmaceutical Sciences》 CAS CSCD 2018年第6期371-382,共12页
Dipeptidyl peptidase-4(DPP-4) inhibitors exert their antihyperglycemic effects through repressing inactivation of certain incretin hormones and thus increasing insulin secretion and controlling glucose level. In thi... Dipeptidyl peptidase-4(DPP-4) inhibitors exert their antihyperglycemic effects through repressing inactivation of certain incretin hormones and thus increasing insulin secretion and controlling glucose level. In this study, the plasma concentrations of sitagliptin, a potent DPP-4 inhibitor, after a single oral dose of 300 mg/kg in streptozotocin-induced type 2 diabetic rats were determined by HPLC. A one-compartment pharmacokinetic(PK) model with first order absorption was developed to describe the PK profile of sitagliptin, and the drug concentrations at the doses given in the pharmacodynamic(PD) study were simulated accordingly. The dynamic changes in DPP-4 activity, insulin concentration and blood glucose level in diabetic rats at doses of 1, 5 and 10 mg/kg were measured, and a mechanism-based PK/PD model was established subsequently. In this model, the inhibitory effect of sitagliptin on DPP-4 activity was demonstrated using the Hill's function with direct link, and the downstream increase in insulin secretion and inhibition of glucose production were characterized using indirect response(IDR) models. This model interpreted the mechanism of antihyperglycemic action of sitagliptin, and may be modified and applied to other species or other agents in this class. 展开更多
关键词 SITAGLIPTIN Type 2 diabetes mellitus Rats DPP-4 INSULIN GLUCOSE Mechanism-based pharmacokinetic/pharmacodynamicmodel
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