Development of a Dynamic Physiologically Based Mechanistic Kidney Model to Predict Renal Clearance
Open accessAbstract
Renal clearance is usually predicted via empirical approaches including quantitative structure activity relationship and allometric scaling. Recently, mechanistic prediction approaches using in silico kidney models have been proposed. However, empirical scaling factors are typically used to adjust for either passive diffusion or active secretion, to acceptably predict renal clearances. The goal of this study was to establish a renal clearance simulation tool that allows prediction of renal clearance (filtration and pH‐dependent passive reabsorption) from in vitro permeability data. A 35‐compartment physiologically based mechanistic kidney model was developed based on human physiology. The model was verified using 46 test compounds, including neutrals, acids, bases, and zwitterions. The feasibility of incorporating active secretion and pH‐dependent bidirectional passive diffusion into the model was demonstrated using para‐aminohippuric acid (PAH), cimetidine, memantine, and salicylic acid. The developed model enables simulation of renal clearance from in vitro permeability data, with predicted renal clearance within twofold of observed for 87% of the test drugs.
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Renal and biliary elimination involving active transport are challenging to model mechanistically from in-vitro data, and prediction of human pharmacokinetics for transported molecules is difficult.
“Renal [39, 40] and biliary [41] elimination involving active transport are also challenging to model mechanistically from in-vitro data, and, in general, prediction of human pharmacokinetics for transported molecules is difficult because absorption, distribution and elimination can all be affected [18].”
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- Authors
- Huang, W., & Isoherranen, N.
- Affiliations
- University of Washington (US)
- Corresponding author
- Isoherranen, Nina
- Venue
- CPT: Pharmacometrics & Systems Pharmacology
- Publisher
- Wiley
- Published
- 2018-08-11
- Volume
- 7
- Issue
- 9
- Pages
- 593-602
- ISSN
- 2163-8306 (ISSN-L)
- PMC
- PMC6157663
- OpenAlex
- W2884215650
- Cited by
- 49
- References
- 46
- Citations by year
- 2026: 4 · 2025: 3 · 2024: 5 · 2023: 5 · 2022: 4 · 2021: 8 · 2020: 10 · 2019: 8 · 2018: 1 · 2017: 1
- FWCI
- 5.05
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- CPT Pharmacometrics & Systems Pharmacology (publishedVersion, cc-by-nc)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- National Institutes of Health (P01 DA032507)
- Topics
- Physical Sciences › Computer Science › Computational Theory and Mathematics › Computational Drug Discovery Methods
- Health Sciences › Medicine › Oncology › Drug Transport and Resistance Mechanisms
- Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Pharmacology › Pharmacogenetics and Drug Metabolism
- Keywords
- renal clearance, physiologically based pharmacokinetic modeling, kidney model, active secretion, in vitro permeability, drug clearance prediction, para-aminohippuric acid, cimetidine, memantine, salicylic acid
- MeSH terms
- Humans, Kidney, Metabolic Clearance Rate, Models, Biological
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