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* Department of Physics, University of Thessaloniki, Thessaloniki, Greece; and
Laboratory of Biopharmaceutics-Pharmacokinetics, School of Pharmacy, University of Athens, Athens, Greece
Correspondence: Address reprint requests to Panos Argyrakis, E-mail: panos{at}physics.auth.gr.
| ABSTRACT |
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| INTRODUCTION |
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The exponent n = 1 denotes Fickian diffusion whereas n < 1, observed in many low-dimensional media, denotes anomalous diffusion. Nonclassic diffusion has been observed in cellular media for water (Köpf et al., 1996
In this context, theoretical approaches (López-Quintela and Casado, 1989
; Berry, 2002
; Savageau, 1998
) based on fractal principles have been used to describe enzyme kinetics in low-dimensional disordered media. One of these approaches (López-Quintela and Casado, 1989
) has been also used to interpret experimental data of carrier-mediated transport (Macheras, 1995
; Ogihara et al., 1998
). It is proposed that the liver is a fractal-like object. In fact Javanaud (1989)
, using ultrasonic wave scattering, has measured the fractal dimension of the liver as approximately
over a wavelength domain of 0.151.5 mm. Recently, Fuite et al. (2002)
proposed that the fractal structure of the liver with attendant kinetic properties of drug elimination can explain the unusual nonlinear pharmacokinetics of mibefradil (Skerjanec et al., 1996
; Welker, 1998
). In this work we study the effect of species segregation on the kinetics of the enzyme reaction, firstly by using a microscopic pharmacokinetic model, and secondly by carrying out Monte Carlo (MC) simulations mimicking the intravenous (i.v.) and per os (p.o.) administration of the substrate for an enzyme reaction taking place in fractal media. The substrate profiles generated from both approaches were found to be in accord with mibefradil experimental observations. Based on these findings we developed a modified MM equation incorporating the time dependence in the Michaelian "constant," and we further used it to interpret the unusual nonlinear pharmacokinetics of mibefradil (Fuite et al., 2002
; Skerjanec et al., 1996
; Welker, 1998
) at the macroscopic level. We would like to emphasize that the models presented below represent only one possible explanation for reactions occurring in disordered media and they are certainly not the only possible approach.
| METHODS |
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![]() | (1) |
Because, after an initial prestabilized period, the concentration of the complex (C) in Eq. 1 remains practically constant, a quasistationary state assumption is used for simplification purposes (Wagner, 1993
). This simplification allows the derivation of the classic MM Eq. 1:
![]() | (2) |
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Mathematical formulation of a microscopic reaction model of MM kinetics under in vivo conditions
To model the above reaction scheme (Eq. 1) under in vivo conditions we have to take into account that the substrate (drug) is not confined at the reaction medium (liver), but it arrives at the liver either from the portal vein (oral administration) or through circulation (intravenous administration); a part of the substrate is metabolized (Fig. 1) while the rest exits from the liver and returns later through circulation, and so on.
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2. We further assume that E and C remain inside the liver and that only P and S get out and return through the circulatory system. Thus, the mathematical model for the in vivo MM reaction takes the form:
![]() | (3) |
![]() | (4) |
![]() | (5) |
Ta and 0 for t > Ta, where k0 is a constant and Ta is the duration of input from the gastrointestinal (GI) tract. The system of Eqs. 35 has to be solved with the initial condition ps(t = 0) = 0.
x X0 x ek
·t where X0 is a constant quantity (initial concentration of drug in the GI) and ka is the first-order rate constant. Again the system of Eqs. 35 has to be solved with the initial condition ps(t = 0) = 0.
in Eq. 4 is the rate of exit of drug molecules.
in Eq. 4 models the reentrance of drug due to the circulation. The term
is the number of drug molecules that exit at time u and the other term is the probability that a drug molecule that exits at u will return at the liver at time t. We integrate to account for the contribution from all times 0 < u < t.
in Eq. 5 is the rate of exit of product molecules.
in Eq. 5 models the reentrance of product due to the circulation.
The above system of integro-differential equations becomes even more complicated as we have to take into consideration segregation effects that will arise if we consider some degree of disorder in the medium. The basic fractal kinetics assumption, which is supported by Monte Carlo simulations (Kopelman, 1988
; Berry, 2002
; Kosmidis et al., 2003b
), is that segregation effects arising due to the fractal structure (in this case, the liver) can be incorporated in the model if we assume that k1, a1,and a2 are not constant but follow a power law. Thus, in the above model:
![]() | (6) |
In all results presented below, we have, for simplicity, assumed that
3 = 0, i.e., that the product molecules that exit the liver area do not return to it. Because the quantity we are primarily interested in is the blood concentration ps of substrate in the liver region this will not change the results of the numerical solutions. It may, however, make a difference in the Monte Carlo simulation results for ps at long times.
Monte Carlo simulations of enzyme reaction in fractal media
We simulated the Michaelis-Menten reaction depicted in Eq. 1 using a 2D square lattice and the Monte Carlo algorithm described below. See Fig. 2 for a graph of a 50 x 50 percolation fractal. Each molecule type performs a random walk on the lattice with excluded volume interactions. To model the complexity of the environment we have two choices, both of them very well known from percolation theory. Either we simply introduce immobile obstacles at a given concentration, cb, and force particles to move anywhere on the lattice but not on the obstacle sites, or we first introduce immobile obstacles at a given concentration cb and then we use a cluster labeling technique (as, e.g., the one proposed by Hoshen and Kopelman (1976)
) to identify the largest cluster and allow the reaction to occur only at the largest cluster. The largest cluster at the percolation threshold is known as the percolation fractal. Below we will refer to the first model as the "all-clusters model" and to the second as the "largest-cluster model." Both models will produce statistically the same results at low concentrations of obstacles, but will differ at long times if the concentration of obstacles is high and the enzyme concentration is low. The reason is that every site of the "largest cluster" is connected to every other site, whereas in the "all-clusters model" there are also several smaller "islands," where there may be some substrate molecules but no enzyme molecules can access them. Of course these small "islands" may be interpreted as areas where the MM reaction is more difficult to occur and both models may lead to useful results. Obviously, when no obstacles are used, then the matrix represents a Euclidean space with dimensionality equal to two. It should be noted that the "largest-cluster model" has been used in the past in problems related to drug release from polymeric devices (Bonny and Leuenberger, 1991
, 1993
; Kosmidis et al., 2003a
,b
). The "all-clusters model" on the other hand was recently used by Berry (2002)
for simulating enzyme reactions in restricted geometries.
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1.34, both in 2D and 3D lattices (Argyrakis et al., 1993
1.84, which is within the above interval (1.342.50) and in agreement with our proposed picture. Actually, it was possible to fit the same experimental data as Fuite with our 2D model and produce a better more accurate fit. Thus, using a 2D model per se, is not misleading or questionable. To mimic the enzyme reaction under in vivo conditions, special emphasis is given to the input and output of the substrate and the output of the product. To this end, we introduce sites that function as exits with a concentration cout and sites that function as entrances with a concentration cin, (see Fig. 2). In all cases presented below (unless otherwise denoted) we have used a 100 x 100 lattice with cin = 0.3 and cout = 0.1.
Reaction-diffusion processes are usually simulated using a random-walk model. To model a Michaelis-Menten type of reaction, which is actually a set of three elementary reactions (see Eq. 1) we have to introduce three reaction probabilities f, r, and g. These probabilities are proportional to the rate coefficients k1, k1, and k2 (see below and also Berry, 2002
). To mimic i.v. bolus injection-type delivery of the drug, at the beginning of each simulation, the E and S molecules are randomly placed on the permissible clusters of the lattice.
To mimic first-order drug delivery we calculate the number of substrate molecules Next that enter the liver, through the GI tract, from time t until t + 1 using the relation
where X0 is the initial quantity of drug in the GI and ka is the first-order rate constant. In simulations using the "largest-cluster" model we set the substrate concentration cs at a constant value and we set X0 = cs lf, where lf is the size of the percolation fractal. (For a 100 x 100 lattice the average size of the percolation fractal is a little more than 2500 sites). Those X0 molecules are gradually placed at the percolation fractal. At each MCS we place Next substrate molecules around the sites labeled as entrances.
At each MC step, an occupied lattice site is chosen at random (excluding obstacle sites). The rules for movement and reaction depend on the nature of the selected molecule:
and standard deviation
. This particle will return to the system at time t + x and it will be placed at a randomly chosen nearest neighbor of an entrance site. After each particle move time is incremented by 1/N, where N is the current number of molecules on the lattice. One time unit thus statistically represents the time necessary for each molecule to move once. The simulation goes on until a prescribed total time is reached. We average our results over 50 realizations for statistical purposes.
| RESULTS AND DISCUSSION |
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= 48,
= 10, b = 0.39, m = 0.07. The correspondence of arbitrary time and density units to the actual units is also determined by the Levenberg-Marquardt and it is found that 1 arbitrary density unit corresponds to 477.99 ng/mL and that 1 arbitrary time unit corresponds to 1.07 min. Particular emphasis should be placed on the estimate b = 0.39 for the power-law exponent of "segregation" term k1/tb (in Eq. 6) because it indicates a reaction taking place at a highly disordered environment. This result is in good agreement with the results of Berry (2002)
and
respectively, Eq. 6.
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i.e., when the substrate concentration becomes much less than the Michaelis constant (Murray, 1993
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In Fig. 6 we present a plot of pS versus time based on the Monte Carlo method. Points are the experimental in vivo data from Fuite et al. (2002)
, same as in Fig. 3. The dashed line is the MC simulation result using the "all-clusters model" and the solid line is the MC result using the "largest-cluster model." We performed several simulations under different conditions. In all cases, to achieve the best possible fitting, we had to assume a fractal structure for the liver either by assuming a concentration of obstacles near the percolation threshold in Monte Carlo simulations or by assuming a power-law form for the "constants" as in Eq. 6 in the mathematical modeling. Visual inspection of Fig. 6 reveals that the MC results derived from the "all-clusters model" describe better the experimental data than the "largest-cluster model." Any attempt to explain the experimental results using the classical Michaelis-Menten was completely unsatisfactory.
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An algebraic manipulation of the system of Eq. 36, using the classical quasistationary assumption and the additional assumptions that
1,
2 are small compared to k1 and that in most cases RSext(0) is also small, implies that a time-variant KM will be a suitable approximation. In fact, the above analysis indicates that a power-law form is probably the most appropriate for the time-variant KM as follows: KM = KM0 · th, where h is a dimensionless exponent and KM0 is a constant expressed in concentration (time)h units. Under homogeneous conditions, the terms KM and KM0 become identical and express the classic Michaelis constant since h = 0. Using the time-variant expression of KM, the time-dependent version of MM kinetics can be formulated as:
![]() | (7) |
Equation 7 reveals that the rate of the enzyme reaction depends on ps and t. This time dependency of KM (KM = KM0 x th) leads to an increase of this term with time (depending also on the value of the exponent, h). This characteristic constitutes the underlying cause for the successful application of Eq. 7 to mibefradil data.
Assuming one-compartment model disposition (Wagner, 1993
), Eq. 7 was used to analyze the concentration-time data of mibefradil after i.v. and per os administration (Fuite et al., 2002
; Skerjanec et al., 1996
; Welker, 1998
). For comparative purposes the classic Eq. 2 was also used to analyze the same data. Since Eqs. 2 and 7 were applied to concentration-time data (Fuite et al., 2002
), the term vmax was substituted with v*max denoting the normalized maximum rate, in terms of the volume of distribution of the compartment. These appropriately modified Eqs. 2 and 7 were fitted to experimental data (Fuite et al., 2002
; Skerjanec et al., 1996
; Welker, 1998
) using a program developed in FORTRAN for the numerical solution of the differential equations. A Levenberg-Marquardt algorithm was utilized for the optimization process. To compare the utilized models as for their ability to successfully describe the data, the Akaike information criterion (AIC), and the Schwarz information criterion (SIC) were used (Gabrielsson and Weiner, 1997
).
Fig. 7 A shows a semilogarithmic plot of the results derived from the fitting of Eq. 7 to the first set of human bolus intravenous data (Fuite et al., 2002
). The inset in Fig.7 A represents the fitting results of Eq. 2 to the same data. The values of the optimized parameters are quoted in Table 1. Visual inspection of Fig. 7 A and its inset reveals that Eq. 7 can successfully describe these data, whereas this is not the case for the classic MM approach (Eq. 2). The same conclusions can be derived from the analysis of the second set of intravenous data (Skerjanec et al., 1996
), which are shown in Fig.7 B (for Eq. 7) and at the inset of Fig.7 B for Eq. 2. Again, Eq. 7 shows a very good description of the experimental data, whereas the classic MM model fails to describe the data adequately. The parameter estimates for the second set of intravenous data derived after optimization along with the statistical criteria values are listed in Table 1. It should also be noted that these observations agree with the values of the corresponding statistical criteria (AIC, SIC) (see Table 1).
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The discrepancy of the fitting results between the intravenous and oral data is associated with the specific kinetic characteristics of the two types of administration. After intravenous bolus administration the entire quantity of drug reaches the liver as a "bolus" through the hepatic artery. On the contrary, the drug (substrate) reaches the liver gradually via the portal vein following the rate of uptake after oral administration. Besides, mibefradil exhibits extensive first-pass effect and therefore the portal vein concentration of the gradually absorbed mibefradil is considerably lower than the plasma concentrations of intravenous bolus administration. All these observations substantiate the view that only the i.v. bolus administration creates favorable conditions for the manifestation of fractal kinetics characteristics of the enzyme reaction.
To further verify our physically based interpretation for the differences noted in the analysis of i.v. and oral experimental data, a pharmacokinetic simulation study was undertaken. A model with one-compartment disposition, first-order input and elimination following Eq. 7 was utilized. Two sets of oral data were generated utilizing a high value for the absorption rate constant, ka = 1.0 (arbitrary time units)1 to mimic a rapid "intravenous-like" drug administration and a low value for ka = 0.01 (arbitrary time units)1 implementing a slower input rate. Again, Eqs. 2 and 7 were utilized for the analysis of the declining phase data. The fitting results obtained from the simulation data, Fig. 8, were found to be in agreement with the results of the experimental data. The time-dependent MM model (Eq. 7) described nicely both the two sets of data (Fig. 8, A and B). In contrast, Eq. 2 described the data correctly when a low value was assigned to the absorption rate constant (Fig. 8 B inset) and failed to describe the data adhering to the higher input rate (Fig. 8 A inset).
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| ACKNOWLEDGEMENTS |
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Submitted on March 8, 2004; accepted for publication May 20, 2004.
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