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Vol. 293, Issue 3, 761-770, June 2000
College of Pharmacy, Ohio State University, Columbus, Ohio
The intracellular pharmacokinetics of paclitaxel is closely related to
its pharmacodynamics. Although drug transport across the cell
membrane and extracellular and intracellular drug binding have been
shown to affect intracellular drug accumulation, their quantitative
relationship is unknown. This study was designed to establish a
mathematical model for computing the intracellular paclitaxel
pharmacokinetics. As a starting point, the model assumes drug transport
into and out of cells via passive diffusion. Experimental data on the
intracellular pharmacokinetics of [3H]paclitaxel were
obtained using monolayer cultures of human breast MCF7 tumor cells,
which have negligible expression of the mdr1 P-glycoprotein. The results indicate that, in addition to drug binding
and microtubule concentration, changes in cell number due to cell
growth and drug effects also affected intracellular drug
accumulation. A kinetic model was developed to describe several concomitant processes: 1) saturable drug binding to extracellular proteins, 2) saturable and nonsaturable drug binding to intracellular components, 3) time- and concentration-dependent drug depletion from
culture medium, 4) cell density-dependent drug accumulation, and 5)
time- and drug concentration-dependent enhancement of tubulin concentration. The model was validated by the close prediction (<7%
deviation) of the effects of extracellular-to-intracellular concentration gradient and cell density on the kinetics of drug accumulation and efflux. This model was used to predict the effects of
changing several parameters (number and binding affinity of intracellular binding sites, free fraction, and concentration of drug
in extracellular fluid) on intracellular drug accumulation. In
conclusion, the computational model of intracellular paclitaxel pharmacokinetics provides the means to predict drug concentration in cells.
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