Tracer kinetic model of blood-brain barrier transport of plasma protein-bound ligands. Empiric testing of the free hormone hypothesis.

Tracer kinetic model of blood-brain barrier transport of plasma protein-bound ligands. Empiric testing of the free hormone hypothesis.
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血浆蛋白结合配体血脑屏障转运的示踪动力学模型。

DOI:
10.1172/jci111490
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发表时间:
1984
期刊:
The Journal of clinical investigation
影响因子:
--
通讯作者:
Landaw,EM
Landaw,EM
中科院分区:
--
文献类型:
--
作者:
Pardridge,WM;Landaw,EM

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先前的研究已经表明,与血浆蛋白结合的激素或药物的部分易于通过脑内皮壁转运,即,血脑屏障(BBB)。为了测试这些观察结果是否与游离激素假说相一致,在本研究中使用示踪剂动力学模型分析蛋白结合的类固醇激素(双氢睾酮,睾酮,雌二醇和皮质酮),甲状腺激素(三碘甲腺原氨酸)和亲脂性胺药物(普萘洛尔)的BBB转运的体内初始提取数据。使用的血浆蛋白是牛白蛋白和人乳清类粘蛋白。运输数据拟合到毛细血管生理学的Kety-Renkin-Crone方程的修改;修改后的方程结合了毛细血管生理学和血浆蛋白质-配体质量作用结合关系的原理。在大多数情况下,当配体蛋白结合反应的表观体内解离常数KDa增加到比体外解离常数KD大5- 50倍时,实验数据最适合模型方程。该结果表明,相对于体外情况,在毛细血管床中配体从血浆蛋白解离的速率加快。据推测,导致蛋白质结合的配体体内快速转运到组织如脑中的主要因素是内皮诱导的血浆蛋白对配体亲和力的降低。在这些条件下,可用于体内组织清除的血浆配体的量与蛋白结合部分平行,而不是游离激素。
Previous studies have shown that the fraction of hormone or drug that is plasma protein bound is readily available for transport through the brain endothelial wall, i.e., the blood-brain barrier (BBB). To test whether these observations are reconcilable with the free-hormone hypothesis, a tracer-kinetic model is used in the present investigations to analyze in vivo initial extraction data on BBB transport of protein-bound steroid hormones (dihydrotestosterone, testosterone, estradiol, and corticosterone), thyroid hormones (triiodothyronine), and lipophilic amine drugs (propranolol). The plasma proteins used are bovine albumin and human orosomucoid. Transport data was fit to a modification of the Kety-Renkin-Crone equation of capillary physiology; the modified equation incorporates the principles of both capillary physiology and plasma protein-ligand mass action binding relationships. In most cases, the experimental data is best fit to the model equation when the apparent in vivo dissociation constant, KDa, of the ligand protein binding reaction increases to values that are 5- to 50-fold greater than the in vitro dissociation constant, KD. This result indicates that the rate of ligand dissociation from the plasma protein is accelerated in the capillary bed relative to the in vitro situation. It is hypothesized that the major factor leading to the rapid transport in vivo of protein-bound ligands into tissues such as brain is an endothelial-induced decrease in the affinity of the plasma protein for the ligand. Under these conditions, the amount of plasma ligand available for tissue clearance in vivo parallels the protein-bound fraction, not the free hormone.
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