Cited by 49Computational Drug Discovery MethodsDrug Transport and Resistance MechanismsPharmacogenetics and Drug Metabolism

Development of a Dynamic Physiologically Based Mechanistic Kidney Model to Predict Renal Clearance

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Huang, Weize, Isoherranen, Nina·2018·CPT: Pharmacometrics & Systems Pharmacology

Abstract

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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  1. [38]Rowland, M.. & Tozer, T. Clinical Pharmacokinetics and Pharmacodynamics: Concepts and Applications (Lippincott Williams & Wilkins, New York, NY, 2012).

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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)
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
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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