Analysis of nonlinear hepatic clearance of a cyclopentapeptide, BQ-123, with the multiple indicator dilution method using the dispersion model

Purpose. To bridge in vitro, in situ and in vivo kinetic analyses of the he patic clearance of a cyclopentapeptide, BQ-123, by using dispersion models that assume nonlinear pharmacokinetics. Methods. Rat livers were perfused by the multiple indicator dilution method with doses of BQ-123 ranging from 1-1000 mu g. The outflow dilution curves were fitted to a two-compartment dispersion model that was solved numerica lly by the finite difference method. Further, in vivo plasma concentrations of BQ-123 after bolus injection were analyzed with a hybrid physiological model that incorporates the hepatic dispersion model. Results. The calculated Michaelis-Menten constants (K-m = 12.0 mu M, V-max = 321 pmol/min/10(6) cells, P-dif = 1.2 mu l/min/10(6) cells) were comparab le to those obtained previously from the in vitro isolated hepatocyte exper iment (K-m = 9.5 mu M, V-max = 517 pmol/min/10(6) cells, P-dif = 1.1 mu l/m in/10(6) cells). The plasma concentrations of BQ-123 at doses of 1-25 mg/kg were explained well by the hybrid physiological model. Conclusions, These results suggest that carrier-mediated transport on the s inusoidal membrane was responsible for the in vivo hepatic elimination of B Q-123.