Computational pharmacokinetics/pharmacodynamics of rifampin in a mouse tuberculosis infection model

Verfasser / Beitragende:
[Michael Lyons, Anne Lenaerts]
Ort, Verlag, Jahr:
2015
Enthalten in:
Journal of Pharmacokinetics and Pharmacodynamics, 42/4(2015-08-01), 375-389
Format:
Artikel (online)
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024 7 0 |a 10.1007/s10928-015-9419-z  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s10928-015-9419-z 
245 0 0 |a Computational pharmacokinetics/pharmacodynamics of rifampin in a mouse tuberculosis infection model  |h [Elektronische Daten]  |c [Michael Lyons, Anne Lenaerts] 
520 3 |a One critical approach to preclinical evaluation of anti-tuberculosis (anti-TB) drugs is the study of correlations between drug exposure and efficacy in animal TB infection models. While such pharmacokinetic/pharmacodynamic (PK/PD) studies are useful for the identification of optimal clinical dosing regimens, they are resource intensive and are not routinely performed. A mathematical model capable of simulating the PK/PD properties of drug therapy for experimental TB offers a way to mitigate some of the practical obstacles to determining the PK/PD index that best correlates with efficacy. Here, we present a preliminary physiologically based PK/PD model of rifampin therapy in a mouse TB infection model. The computational framework integrates whole-body rifampin PKs, cell population dynamics for the host immune response to Mycobacterium tuberculosis infection, drug-bacteria interactions, and a Bayesian method for parameter estimation. As an initial application, we calibrated the model to a set of available rifampin PK/PD data and simulated a separate dose fractionation experiment for bacterial killing kinetics in the lungs of TB-infected mice. The simulation results qualitatively agreed with the experimentally observed PK/PD correlations, including the identification of area under the concentration-time curve as best correlating with efficacy. This single-drug framework is aimed toward extension to multiple anti-TB drugs in order to facilitate development of optimal combination regimens. 
540 |a Springer Science+Business Media New York, 2015 
690 7 |a Rifampin  |2 nationallicence 
690 7 |a PKPD  |2 nationallicence 
690 7 |a Tuberculosis  |2 nationallicence 
690 7 |a Mice  |2 nationallicence 
690 7 |a Immune response  |2 nationallicence 
690 7 |a Modeling  |2 nationallicence 
700 1 |a Lyons  |D Michael  |u Department of Microbiology, Immunology and Pathology, Colorado State University, Fort Collins, CO, USA  |4 aut 
700 1 |a Lenaerts  |D Anne  |u Department of Microbiology, Immunology and Pathology, Colorado State University, Fort Collins, CO, USA  |4 aut 
773 0 |t Journal of Pharmacokinetics and Pharmacodynamics  |d Springer US; http://www.springer-ny.com  |g 42/4(2015-08-01), 375-389  |x 1567-567X  |q 42:4<375  |1 2015  |2 42  |o 10928 
856 4 0 |u https://doi.org/10.1007/s10928-015-9419-z  |q text/html  |z Onlinezugriff via DOI 
898 |a BK010053  |b XK010053  |c XK010000 
900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s10928-015-9419-z  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Lyons  |D Michael  |u Department of Microbiology, Immunology and Pathology, Colorado State University, Fort Collins, CO, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Lenaerts  |D Anne  |u Department of Microbiology, Immunology and Pathology, Colorado State University, Fort Collins, CO, USA  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Journal of Pharmacokinetics and Pharmacodynamics  |d Springer US; http://www.springer-ny.com  |g 42/4(2015-08-01), 375-389  |x 1567-567X  |q 42:4<375  |1 2015  |2 42  |o 10928