Steady-state volume of distribution of two-compartment models with simultaneous linear and saturated elimination

Steady-state volume of distribution of two-compartment models with simultaneous linear and saturated elimination
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同时线性和饱和消除的两室模型的稳态分布体积

DOI:
10.1007/s10928-016-9483-z
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发表时间:
2016-07
影响因子:
2.5
通讯作者:
Jun Li
Jun Li
中科院分区:
医学4区
文献类型:
--
作者:
Xiaotian Wu;Fahima Nekka;Jun Li

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生理稳态分布体积(Vdss,p)的独立于模型的估计,通常被称为非隔室分析(NCA),历史上是基于中心消除的线性隔室模型结构。然而,基于NCA的稳态分布体积(VDSS,NCA)不能推广到更复杂的模型。本文研究同时具有一阶消去法和Michaelis-Menten消去法的两室模型。特别地,研究了两个不可区分的模型M1和M2,它们都具有中心Michaelis-Menten消元,而一阶消元只存在于中心隔室或外围隔室。推导了基于模型的分布Vdss,Mi(i=1,2)的稳态体积表达式及其与基于NCA的Vdss;NCA的关系。公式中明确描述了非线性和边缘消除的影响。考虑到模型的可辨识性和不可区分性问题,提出了Vdss,p的区间估计。
The model-independent estimation of physiological steady-state volume of distribution (Vdss,p), often referred to non-compartmental analysis (NCA), is historically based on the linear compartment model structure with central elimination. However the NCA-based steady-state volume of distribution (Vdss,nca) cannot be generalized to more complex models. In the current paper, two-compartment models with simultaneous first-order and Michaelis–Menten elimination are considered. In particular, two indistinguishable models M1 and M2, both having central Michaelis–Menten elimination, while first-order elimination exclusively either from central or peripheral compartment, are studied. The model-based expressions of the steady-state volumes of distribution Vdss,Mi (i=1,2) and their relationships to NCA-based Vdss;nca are derived. The impact of non-linearity and peripheral elimination is explicitly delineated in the formulas. Being concerned with model identifiability and indistinguishability issues, an interval estimate of Vdss,p is suggested.
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