Re. Oliver et al., A whole-body physiologically based pharmacokinetic model incorporating dispersion concepts: Short and long time characteristics, J PHARMA PH, 28(1), 2001, pp. 27-55
In whole-body physiologically based pharmacokinetic (PBPK) models, each tis
sue or organ is frequently portrayed as a single well-mixed compartment wit
h distribution, perfusion rate limited However, single-pass profiles from i
solated organ studies are more adequately described by models which display
an intermediate degree of mixing. One such model is the dispersion model,
which successfully describes the outflow profiles from the liver and the pe
rfused hindlimb of many compounds, under a variety of conditions. A salient
parameter of this model is the dispersion number, a dimensionless term, wh
ich characterizes the relative axial spreading of compound oil transit thro
ugh the organ. We have developed a whole-body PBPK model wherein the distri
bution of drug on transit through each organ is described by the dispersion
model with closed boundary l? conditions incorporated The model equations
were numerically solves using finite differencing methods, in particular, t
he method of lines. AH integrating routine suitable for solving stiff sets
of equations was used. Physiological parameters, blood flows, and tissue vo
lumes, It ere taken from the literature, as were the tissue dispersion numb
ers, which characterize the mixing properties of each tissue; where noire c
ould be found the value was set as that for liver. On solution, tissue, ven
ous and arterial blood concentration-time profiles are generated The profil
es exhibited both short and long time characteristics. Oscillations were ob
served in the venous and arterial profiles over the first 10 min of simulat
ion for the rut. Bn scale-up to hu,nan, the effects M:ere seen over a 30 mi
n period. Longer time effects of tissue distribution involve buildup of dru
g in the large tissues of distribution: skeletal muscle, skin, and adipose.
The extent of distribution in the large tissues was somewhat dependent on
the magnitude of the dispersion number, the lower the dispersion number, th
e greater the extent of distribution after an intravenous bolus dose. The m
odel has a distinct advantage over tire well-stirred organ whole-body PBPK
model in its ability to describe both short and long time characteristics.