Abstract
Purpose
We developed simulation and modeling methods to predict the in vivo pharmacokinetic profiles of acyclovir, following escalating oral doses of valacyclovir, in wildtype and Pept1 knockout mice. We also quantitated the contribution of specific intestinal segments in the absorption of valacyclovir in these mice.
Methods
Simulations were conducted using a mechanistic advanced compartmental absorption and transit (ACAT) model implemented in GastroPlus™. Simulations were performed for 3 h post-dose in wildtype and Pept1 knockout mice following single oral doses of 10, 25, 50 and 100 nmol/g valacyclovir, and compared to experimentally observed plasma concentration-time profiles of acyclovir.
Results
Good fits were obtained in wildtype and Pept1 knockout mice. Valacyclovir was primarily absorbed from duodenum (42%) and jejunum (24%) of wildtype mice, with reduced uptake from ileum (3%) and caecum/colon (1%), for a total of 70% absorption. In contrast, the absorption of valacyclovir in Pept1 knockout mice was slow and sustained throughout the entire intestinal tract in which duodenum (4%), jejunum (14%), ileum (10%) and caecum/colon (12%) accounted for a total of 40% absorption.
Conclusion
The ACAT model bridged the gap between in situ and in vivo experimental findings, and facilitated our understanding of the complicated intestinal absorption processes of valacyclovir.
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Abbreviations
- ACAT:
-
Advanced compartmental absorption and transit
- AUC0–180 :
-
Area under the plasma concentration-time curve from time 0 to 180 min
- Cmax :
-
Peak plasma concentration
- GI:
-
Gastrointestinal
- Peff :
-
Intestinal permeability
- PEPT1:
-
Peptide Transporter 1
- PSA:
-
Parameter sensitivity analysis
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Acknowledgments and Disclosures
This work was supported by Public Health Service grant R01GM115481 from the National Institute of General Medical Sciences (to D.E.S.). We would like to thank Dr. Michael B. Bolger (Simulations Plus, Inc., Lancaster, CA) for his suggestions with modeling and insightful comments on our findings.
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Yang, B., Smith, D.E. In Silico Absorption Analysis of Valacyclovir in Wildtype and Pept1 Knockout Mice Following Oral Dose Escalation. Pharm Res 34, 2349–2361 (2017). https://doi.org/10.1007/s11095-017-2242-z
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DOI: https://doi.org/10.1007/s11095-017-2242-z