Modelling intracellular and plasma data
Dear all,
I'm trying to fit concentrations of a drug simultaneously measured in plasma as
well as intracellularly (in peripheral blood mononuclear cells). I observe a
high accumulation in cells, but with a delayed absorption. I'm trying to fit
the intracellular data dependent of the plasma pharmacokinetics. The volume of
distribution of the cellular compartment can be considered negligeble compared
to the volume of distribution in plasma (no distribution to a second
compartment can be observed in the plasma pharmacokinetics. However, cellular
accumulation depends on plasma concentrations.
I'm fitting the data with a first order oral absorption and elimination,
basically it can be summarized as:
$Model (DOSE) (CENTRAL) (CELL)
I have a rich sampling dataset of 11 individuals with at each timepoint an
observation in the cellular and plasma compartment. I have tried several
approaches for modelling cellular accumulation. I have tried fixing the
cellular volume to a very small volume.
$PK
k12=theta(1)
v1=theta(2)
cl=theta(3)
k20=cl/v1
v3=0.0001
k23=theta(4)
k32=theta(5)
This didn't work. K23 was estimated to be very small and k32 was estimated to
be very large, giving the same fit as estimating an accumulation ratio, which
is not a good fit, since a delayed absorption in the cellular compartment was
observed. There is some mass transport going on between the central and
cellular compartments, that I do not want. My cellular pharmacokinetics depend
on the plasmapharmacokinetics, but I don't want my cellular pharmacokinetics to
influence my plasma pharmacokinetics, since this effect is likely negligible.
Does anyone have a smart idea on how to code this?
Sincerely,
Rob ter Heine
_______________________________
Rob ter Heine, MSc, PharmD
Department of Pharmacology, Slotervaart Hospital
Amsterdam, The Netherlands
E: [EMAIL PROTECTED]
T: +31-20-5124737