A. Marzo et A. Rescigno, PHARMACOKINETICS OF ENDOGENOUS SUBSTANCES - SOME PROBLEMS AND SOME SOLUTIONS, European journal of drug metabolism and pharmacokinetics, 18(1), 1993, pp. 77-88
The paper deals with the most relevant aspects related to the pharmaco
kinetics of endogenous substances. Two different views are presented i
n order to focus on two aspects of the problem, the physiological back
ground of these substances and the need for empirical or tailored mode
ls to process pharmacokinetic data. Very often endogenous substances f
ollow saturable enzyme biotransformation, reversible interconversion,
active and diffusional transports, renal threshold, endogenous synthes
is plus dietary supply with possible balancement between these two fac
tors, feedback processes, asymmetric distribution with specific body s
torage, and gender differences. These mechanisms allow the body to pre
serve and restore homeostatic equilibria of endogenous substances. The
most relevant problem in pharmacokinetics of these substances is the
presence of baseline concentration which needs to be carefully defined
also for possible rhythms related to age, sex, diet, night and day pe
riods. Theoretical considerations are presented for the management of
pharmarokinetic analysis of these substances, which only rarely follow
linear processes. Throughout the text various practical examples are
considered.