Drug Distribution Part 2. Predicting Volume of Distribution from Plasma Protein Binding and Membrane Partitioning

Pharm Res. 2017 Mar;34(3):544-551. doi: 10.1007/s11095-016-2086-y. Epub 2016 Dec 13.

Abstract

Purpose: Volume of distribution is an important pharmacokinetic parameter in the distribution and half-life of a drug. Protein binding and lipid partitioning together determine drug distribution.

Methods: Here we present a simple relationship that estimates the volume of distribution with the fraction of drug unbound in both plasma and microsomes. Model equations are based upon a two-compartment system and the experimental fractions unbound in plasma and microsomes represent binding to plasma proteins and cellular lipids, respectively.

Results: The protein and lipid binding components were parameterized using a dataset containing human in vitro and in vivo parameters for 63 drugs. The resulting equation explains ~84% of the variance in the log of the volume of distribution with an average fold-error of 1.6, with 3 outliers.

Conclusions: These results suggest that Vss can be predicted for most drugs from plasma protein binding and microsomal partitioning.

Keywords: microsomal partitioning; volume of distribution.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Blood Proteins / chemistry
  • Blood Proteins / metabolism*
  • Chemistry, Pharmaceutical
  • Half-Life
  • Humans
  • Intracellular Membranes / metabolism
  • Microsomes / metabolism
  • Models, Biological*
  • Molecular Structure
  • Pharmaceutical Preparations / chemistry
  • Pharmaceutical Preparations / metabolism*
  • Pharmacokinetics*
  • Phospholipids / metabolism
  • Protein Binding
  • Structure-Activity Relationship
  • Thermodynamics
  • Tissue Distribution

Substances

  • Blood Proteins
  • Pharmaceutical Preparations
  • Phospholipids