Time-dependent elimination of substrates flowing through the liver or kidney

Established steady-state models of elimination of flowing substrates by Michaelis-Menten kinetics in the intact liver and kidney are extended to time-dependent situations. It is shown how time-dependent distributions of substrate concentration can be calculated using steady-state results and a knowledge of the motion of fluid through the organs. The result is simplest when time-dependence is due to changes in substrate concentrations at the inlet, for example following injection or infusion. The case of the liver is treated in greater detail, and includes an evaluation of the instantaneous overall elimination rate.     

Environmental induction models for the investigation of activity: changes in glutathione peroxidase, a crucial factor of the antioxidant defence

Glutathione peroxidase enzyme superfamily plays significant role in the elimination of reactive oxygen free radicals in the animals. Many characteristics of these proteins have been revealed already, but their regulation is still not known. Several data suggest that some environmental factors have certain regulatory effect, while others propose strict genetic regulation. In this report we present four different environmental induction models in which New Zealand white rabbits were used as experimental animals. In three models, free radical load of different origin, lipidperoxide load, application of a glutathione depletor or a prooxidant agent, was introduced. Beside these negative models a positive model was also constructed in which additive selenium was supplied. Glutathione peroxidase activity was measured in blood serum, erythrocyte haemolysate and liver. Reduced glutathione, and malondialdehyde concentration in the liver were also determined. According to the results, the established models are capable for analysing the enzyme activity x environmental interactions.     

Enzymatic elimination of substrates flowing through the intact liver

Enzymatic elimination of a class of substrates by the liver is analyzed in terms of a convective model of the microcirculation carrying the substrates. The elimination generates concentration gradients of the substrates which in turn affect the elimination rate through Michaelis-Menten saturation kinetics. The interplay of biochemical, anatomical and haemo-dynamic factors results in a variety of limiting regimes of elimination which are given a quantitative discussion and classification. The kinetic parameters of the enzymatic elimination reaction are expressed in terms of quantities observable on the intact liver. An overall elimination efficiency is defined by comparison with a homogenous process and evaluated for all elimination regimes, with clinical implications. Examples of two types of experiments supporting the validity of the model are presented.     

Effect of physical exercise on the fate of drugs in the body

A data from the literature on the effect of physical exercise on the fate of drugs in the body have been collected. An intensive exercise and training produce several important changes in the physiological and metabolic function of the tissues and organs, especially kidneys, liver and circulatory system. Therefore, absorption, metabolism, and elimination of numerous drugs are modified. An intensive physical exercise increases or decreases blood levels of drugs and effect their elimination. It should be stressed that the data on these problems are incomplete and related to various groups of drugs, different modes of application, and various models of exercise testing. It seems, however, that physical exercise should be considered and additional, besides genetic factors, diet or patient's age, factor affecting the fate of drugs in the body.     

Liver alcohol dehydrogenase activity in the female rat: Effects of ovariectomy and estradiol administration

The effects of ovariectomy and administration of estradiol on the activity of liver alcohol dehydrogenase and on the rate of ethanol elimination were determined in female Sprague-Dawley rats. The activity of the enzyme and the rates of ethanol elimination in the female sham-operated animals were higher than obtained previously in male rats of the same age. Ovariectomy had no effect on liver alcohol dehydrogenase and on rates of ethanol elimination. Estradiol administration resulted in an increase in liver weight and in total liver alcohol dehydrogenase activity per animal in sham-operated but not in ovariectomized animals. The increase in enzyme activity after estradiol administration in sham-operated animals was not associated with a significant increase in the rate of ethanol elimination, suggesting that the enzyme activity in female rats is not rate-limiting in in vivo ethanol oxidation.     

Use of Approximate Bayesian Computation to Assess and Fit Models of Mycobacterium leprae to Predict Outcomes of the Brazilian Control Program

Hansen’s disease (leprosy) elimination has proven difficult in several countries, including Brazil, and there is a need for a mathematical model that can predict control program efficacy. This study applied the Approximate Bayesian Computation algorithm to fit 6 different proposed models to each of the 5 regions of Brazil, then fitted hierarchical models based on the best-fit regional models to the entire country. The best model proposed for most regions was a simple model. Posterior checks found that the model results were more similar to the observed incidence after fitting than before, and that parameters varied slightly by region. Current control programs were predicted to require additional measures to eliminate Hansen’s Disease as a public health problem in Brazil.     

In vitro models for metabolic studies of small peptide hormones in sport drug testing

Peptide hormones represent an emerging class of potential doping agents. Detection of their misuse is difficult due to their short half‐life in plasma and rapid elimination. Therefore, investigating their metabolism can improve detectability. Unfortunately, pharmacokinetic studies with human volunteers are often not allowed because of ethical constraints, and therefore alternative models are needed. This study was performed in order to evaluate in vitro models (human liver microsomes and S9 fraction) for the prediction of the metabolism of peptidic doping agents and to compare them with the established models. The peptides that were investigated include desmopressin, TB‐500, GHRP‐2, GHRP‐6, hexarelin, LHRH and leuprolide. Several metabolites were detected for each peptide after incubation with human liver microsomes, S9 fraction, and serum, which all showed endopeptidase and exopeptidase activity. In vitro models from different organs (liver vs. kidney) were compared, but no significant differences were recorded. Deamidation was not observed in any of the models and was therefore evaluated by incubation with α‐chymotrypsin. In conclusion, in vitro models are useful tools for forensic and clinical analysts to detect peptidic metabolic markers in biological fluids. Copyright © 2014 European Peptide Society and John Wiley & Sons, Ltd.     

Plasmodium vivax pre-erythrocytic stages and the latent hypnozoite

Plasmodium vivax is the most geographically widespread malaria parasite on the planet. This is largely because after mosquito transmission, P. vivax sporozoites can invade hepatocytes and form latent liver stages known as hypnozoites. These persistent liver stages can activate weeks, months or even years after an infected individual suffers a primary clinical infection. Activation then leads to replication and liver stage schizont maturation that ultimately cause relapse of blood stage infection, disease, and onward transmission. Thus, the latent hypnozoite can lie in wait during times when onward transmission is unlikely due to conditions that do not favor the mosquito. For example, in temperate climates where mosquito prevalence is only seasonal. Furthermore, the elimination of hypnozoites is challenging since the hypnozoite reservoir is currently undetectable and not killed by most antimalarial drugs. Here, we review our current knowledge of the pre-erythrocytic stages of the malaria parasite – the sporozoite and liver stages, including the elusive and enigmatic hypnozoite. We focus on our understanding of sporozoite biology, the novel animal models that are available to study the hypnozoite and hypnozoite activation and the ongoing efforts to understand the biological makeup of the hypnozoite that allow for its persistence in the human host.     

氯霉素在罗非鱼体内的代谢和消除规律

水产养殖动物口服氯霉素后可能在可食组织中造成残留,本文通过以50mg/kg鱼体重的氯霉素(CAP)的剂量对尼罗罗非鱼单次口灌给药,采用HPLC和GC-ECD分析方法研究了CAP在罗非鱼体内的代谢和消除规律。给药0.5h后,CAP在血浆和肝脏中的浓度均迅速上升,分别为4288.01±1285.53ng/mL和5214.18±1105.62ng/g,2h达到峰值22246.42±355.84ng/mL和25717.47±1740.66ng/g;而肌肉中CAP却上升较慢,2h仅为7744.08±2118.74ng/g,8h才达到峰值13232.89±1612.74ng/g,峰值仅约为血浆和肝脏的1/2。CAP在罗非鱼肌肉和肝脏中的消除速度均较慢,但肌肉比肝脏稍快,肌肉中第96d CAP降至为0.07±0.01ng/g,而肝脏中第120d尚在0.1ng/g以上,为0.25±0.06ng/g。肌肉和肝脏浓度常用对数-时间消除曲线方程分别为y=-0.0966x+5.4292;y=-0.053x+4.7258,二者的T1/2β为7.14d和13.08d。若要使CAP在罗非鱼肌肉和肝脏中的浓度降至0.1ng/g以下,则休药期分别需80.47d和132.61d。试验表明CAP在罗非鱼组织中消除缓慢,尤其在肝脏中,因此肝脏可以作为CAP残留监测的首选组织。       

Enhanced tumour growth in the rat liver after selective elimination of Kupffer cells

The evidence that Kupffer cells are capable of controlling metastatic growth in the liver in vivo is largely circumstantial. The best approach when studying natural cytotoxicity activities of Kupffer cells is to investigate the effect of Kupffer cell elimination on tumour growth. Until now it has not been possible to eliminate Kupffer cells without affecting other cell populations. We have recently developed a new method to eliminate Kupffer cells selectively: intravenous injection of liposome-encapsulated (dichloromethylene)bisphosphonate (Cl₂MDP-liposomes) leads to effective elimination of all Kypffer cells, without affecting non-phagocytic cells. Wag/Rij rats were injected with Cl₂MDP-liposomes. After 48 h, rats were inoculated with syngeneic CC531 colon carcinoma cells by injection in the portal system. The results show a strongly enhanced tumour growth in the liver of the Cl₂MDP-liposometreated rats. In these animals, livers were almost completely replaced by tumour and had increased in weight, whereas in the control groups only a few (four to eight) small (1-mm) tumour nodules were found. These data show that selective elimination of Kupffer cells results in enhanced tumour growth in the liver, implying that Kupffer cells play a crucial role in controlling tumour growth in the liver.     

In vivo ethanol elimination in man, monkey and rat: a lack of relationship between the ethanol metabolism and the hepatic activities of alcohol and aldehyde dehydrogenases

The in vivo ethanol elimination in human subjects, monkeys and rats was investigated after an oral ethanol dosage. After 0.4 g. ethanol/kg of body weight, ethanol elimination was much slower in human subjects than in monkeys. In order to detect a rise in monkey plasma ethanol concentrations as early as observed in human subjects, ethanol had to be administered at a dose of 3 g/kg body weight. Ethanol metabolism in rats was also much faster than in human subjects. However, human liver showed higher alcohol dehydrogenase activity and higher low Km aldehyde dehydrogenase activity than rat liver. Thus, our data suggest a lack of relationship between hepatic ethanol-metabolizing activities and the in vivo ethanol elimination rate.     

Y Chromosome mosaicism in pouch young of the marsupial,greater glider (Marsupialia: Petauridae)

Y chromosome elimination was studied in three tissues from 13 pouch young greater gliders. There was no sex chromosome loss from the liver, spleen or bone marrow of female pouch young ranging in age from approximately 4 to 80 days. All liver cells in a 15 day old male were XY but only 75 to 80% of the cells were found to be XY in older pouch young. The Y chromosome was eliminated from a higher percentage of spleen cells, with 45 to 50% of the cells retaining the Y chromosome in 60-100 day old animals. — Y chromosome elimination in greater gliders appears to most closely resemble the X and Y chromosome elimination system of the marsupial bandicoots. There are no clear resemblances to the kinds of sex chromosome elimination which occur in eutherian mammals.     

Clinical stage drugs targeting inhibitor of apoptosis proteins purge episomal Hepatitis B viral genome in preclinical models

A major unmet clinical need is a therapeutic capable of removing hepatitis B virus (HBV) genome from the liver of infected individuals to reduce their risk of developing liver cancer. A strategy to deliver such a therapy could utilize the ability to target and promote apoptosis of infected hepatocytes. Presently there is no clinically relevant strategy that has been shown to effectively remove persistent episomal covalently closed circular HBV DNA (cccDNA) from the nucleus of hepatocytes. We used linearized single genome length HBV DNA of various genotypes to establish a cccDNA-like reservoir in immunocompetent mice and showed that clinical-stage orally administered drugs that antagonize the function of cellular inhibitor of apoptosis proteins can eliminate HBV replication and episomal HBV genome in the liver. Primary human liver organoid models were used to confirm the clinical relevance of these results. This study underscores a clinically tenable strategy for the potential elimination of chronic HBV reservoirs in patients.Subject terms: Target validation, Hepatitis B, Preclinical research, Translational research     

Toxicokinetics of cobalt and the problems of biological monitoring

Toxicokinetics of cobalt was studied on rats by the method of radioactive isotopes using single or repeated administrations. Co was used in the form of sulphate in doses of 0.1 and 0.2 mg/kg administered by 4 different routes (intragastric, intraperitoneal, intratracheal, subcutaneous). Good absorption was established in the parenteral routes of administration, the regularities of absorption, retention in the internal organs and elimination of cobalt were determined and mathematically expressed. Clear dependence was established between the doses administered and the content in biomedia. The liver and the kidneys were found to be the organs of highest accumulation of cobalt. Elimination half-lives and the time of establishment of a constant level during long-term exposure were determined. It is proposed to carry out diagnostic examination in the course of a few hours after the work shift. Urine and blood are the test objects in which direct correlation has been established. Delayed elimination of cobalt from the organism under protracted exposure may be the essential cause of increased hazard for man, which conditions the necessity of determining maximum acceptable concentration for this substance.     

Chemometric approaches to improve PLSDA model outcome for predicting human non-alcoholic fatty liver disease using UPLC-MS as a metabolic profiling tool

An MS-based metabolomics strategy including variable selection and PLSDA analysis has been assessed as a tool to discriminate between non-steatotic and steatotic human liver profiles. Different chemometric approaches for uninformative variable elimination were performed by using two of the most common software packages employed in the field of metabolomics (i.e., MATLAB and SIMCA-P). The first considered approach was performed with MATLAB where the PLS regression vector coefficient values were used to classify variables as informative or not. The second approach was run under SIMCA-P, where variable selection was performed according to both the PLS regression vector coefficients and VIP scores. PLSDA models performance features, such as model validation, variable selection criteria, and potential biomarker output, were assessed for comparison purposes. One interesting finding is that variable selection improved the classification predictiveness of all the models by facilitating metabolite identification and providing enhanced insight into the metabolic information acquired by the UPLC-MS method. The results prove that the proposed strategy is a potentially straightforward approach to improve model performance. Among others, GSH, lysophospholipids and bile acids were found to be the most important altered metabolites in the metabolomic profiles studied. However, further research and more in-depth biochemical interpretations are needed to unambiguously propose them as disease biomarkers.     

Elimination of asialofetuin and asialoorosomucoid by the intact rat. Quantitative aspects of the hepatic clearance mechanism.

The capacity of the liver to eliminate asialofetuin and asialoorosomucoid was investigated in intact rats. From plasma radioactivity curve measurements and assays on tissue homogenates the liver is shown to be able to dispose of an average of 19.8 microgram of asialofetuin/min per 100 g body weight. No other major route is identified for the disappearance of asialofetuin from the plasma, although trace amounts of the protein were detectable in the urine. From analyses of the plasma radioactivity curves the elimination process for asialoorosomucoid appears to be comparatively complex because of the existence of extrahepatic disposal routes. Quantification of labelled asialoorosomucoid in liver homogenates indicates, however, that the hepatic clearance rate for asialoorosomucoid is similar to that for asialofetuin. Urinary excretion significantly contributes to the disappearance of asialoorosomucoid from the plasma but the hepatic and renal routes do not account for all the protein lost from this compartment. At plasma concentrations above the maximal eliminative capacity of the liver, the hepatic clearance of asialofetuin obeys zero-order kinetics and is remarkably constant. Elimination of a quantity of asialoglycoprotein which exceeds the calculated total number of binding sites in the liver does not reduce the efficiency of the pathway, and studies of [3H]leucine incorporation indicate that the lectin, unlike the bound asialoglycoprotein, is not destroyed in the elimination process. Cytochalasin B (80 microgram/100 g body wt.) had no measureable effect on the hepatic clearance of asialofetuin. Administration of colchicine (10 mg/100 g body wt.) resulted in transitory accumulations of asialoorosomucoid in the liver, presumably due to interference with the intracellular transport of the endocytised protein.     

Effect of cirrhosis of the liver on the pharmacokinetics of chlormethiazole.

The pharmacokinetics of chlormethiazole were studied in eight patients with advanced cirrhosis of the liver and in six healthy volunteers after oral and intravenous administration of the drug. In the patients the systemic bioavailability of oral chlormethiazole was increased about tenfold, whereas its elimination was only slightly retarded. The increased bioavailability was clearly due to decreased first-pass metabolism of chlormethiazole in the cirrhotic liver. The results indicate that chlormethiazole should be used in reduced dosage when given by mouth to patients with cirrhosis of the liver.     

Radiolabeled constructs for evaluation of the asialoglycoprotein receptor status and hepatic functional reserves

Transplantation of isolated hepatocytes may eventually replace a whole liver transplantation for the treatment of selected liver metabolic disorders and acute hepatic failure. To understand the behavior of transplanted hepatocytes, methods for longitudinal assessment of functional activity and survival of hepatocyte transplants must be developed. Targeting of asialoglycoprotein receptor (ASGPr) with various radiolabeled or Gd-labeled constructs of asialofetuin (AF) is expected to allow noninvasive and quantitative assessments of the ASGPr status in functioning hepatocytes before and after the transplant. Six new constructs of (125)I-, (99m)Tc-, (153)Gd-, and (111)In-radiolabeled AF with distinct stabilities and clearance rates were prepared and evaluated in vitro in mice, rat, porcine, and human hepatocytes, and in vivo in mice and rats. The blood and organ clearance rates, as well as liver and spleen uptake, were measured. Even extensive chemical modifications of AF with poly-l-lysine and various chelating agents do not appear to diminish AF's binding to ASGPr. Binding to isolated hepatocytes and the in vivo liver uptake studies indicate unimpaired functional activity of AF as evidenced by the rapid (<10 min) and nearly complete hepatic extraction of AF constructs from the systemic circulation. The catabolic processing and elimination of AF constructs from liver depend on the chemical modification used in the preparation of a given reagent. Radioiodinated AF has by far the shortest postabsorption (5.1 min +/- 0.05 min) and elimination half-lives (2.8 +/- 0.06 h) in liver. In comparison, the AF construct prepared by conjugation of DTPA- and 2-iminothiolane-substituted p-Lys with N-sulfosuccinimidyl 4-(p-maleimidophenyl)butyrate (SMPB)-modified AF (AF-SMPB-Traut-p-Lys-((111)In-DTPA)(20)(-)(30)) has a hepatic postabsorption time of 9.1 +/- 0.1 min and an elimination half-life of 44.3 +/- 3.08 h, whereas [(99m)Tc]technetium-labeled AF appears to be permanently retained in liver. These differences in rates of liver uptake and clearance of catabolized radiolabeled AF can be used to determine functional activity of liver and transplanted hepatocytes.     

How small is the functional variability of liver sinusoids?

Published experimental results on steady elimination of galactose by isolated rat livers perfused at different flow rates, predicted earlier from a model of hepatic elimination with functionally identical sinusoids, are assessed in terms of a more general model. An upper limit on the functional variability (heterogeneity) of liver sinusoids is deduced from the experimental results, and conditions for the detection of the actual variability by the same type of experiment are discussed quantitatively.