Unknown

Dataset Information

0

Fingerprints of CNS drug effects: a plasma neuroendocrine reflection of D2 receptor activation using multi-biomarker pharmacokinetic/pharmacodynamic modelling.


ABSTRACT:

Background and purpose

Because biological systems behave as networks, multi-biomarker approaches increasingly replace single biomarker approaches in drug development. To improve the mechanistic insights into CNS drug effects, a plasma neuroendocrine fingerprint was identified using multi-biomarker pharmacokinetic/pharmacodynamic (PK/PD) modelling. Short- and long-term D2 receptor activation was evaluated using quinpirole as a paradigm compound.

Experimental approach

Rats received 0, 0.17 or 0.86 mg·kg-1 of the D2 agonist quinpirole i.v. Quinpirole concentrations in plasma and brain extracellular fluid (brainECF ), as well as plasma concentrations of 13 hormones and neuropeptides, were measured. Experiments were performed at day 1 and repeated after 7-day s.c. drug administration. PK/PD modelling was applied to identify the in vivo concentration-effect relations and neuroendocrine dynamics.

Key results

The quinpirole pharmacokinetics were adequately described by a two-compartment model with an unbound brainECF -to-plasma concentration ratio of 5. The release of adenocorticotropic hormone (ACTH), growth hormone, prolactin and thyroid-stimulating hormone (TSH) from the pituitary was influenced. Except for ACTH, D2 receptor expression levels on the pituitary hormone-releasing cells predicted the concentration-effect relationship differences. Baseline levels (ACTH, prolactin, TSH), hormone release (ACTH) and potency (TSH) changed with treatment duration.

Conclusions and implications

The integrated multi-biomarker PK/PD approach revealed a fingerprint reflecting D2 receptor activation. This forms the conceptual basis for in vivo evaluation of on- and off-target CNS drug effects. The effect of treatment duration is highly relevant given the long-term use of D2 agonists in clinical practice. Further development towards quantitative systems pharmacology models will eventually facilitate mechanistic drug development.

SUBMITTER: van den Brink WJ 

PROVIDER: S-EPMC6135786 | biostudies-literature | 2018 Oct

REPOSITORIES: biostudies-literature

altmetric image

Publications

Fingerprints of CNS drug effects: a plasma neuroendocrine reflection of D<sub>2</sub> receptor activation using multi-biomarker pharmacokinetic/pharmacodynamic modelling.

van den Brink Willem J WJ   van den Berg Dirk-Jan DJ   Bonsel Floor E M FEM   Hartman Robin R   Wong Yin-Cheong YC   van der Graaf Piet H PH   de Lange Elizabeth C M ECM  

British journal of pharmacology 20180831 19


<h4>Background and purpose</h4>Because biological systems behave as networks, multi-biomarker approaches increasingly replace single biomarker approaches in drug development. To improve the mechanistic insights into CNS drug effects, a plasma neuroendocrine fingerprint was identified using multi-biomarker pharmacokinetic/pharmacodynamic (PK/PD) modelling. Short- and long-term D<sub>2</sub> receptor activation was evaluated using quinpirole as a paradigm compound.<h4>Experimental approach</h4>Rat  ...[more]

Similar Datasets

| S-EPMC9544602 | biostudies-literature
| S-EPMC2013984 | biostudies-other
| S-EPMC2483389 | biostudies-other
| S-EPMC6396849 | biostudies-literature
| S-EPMC8147021 | biostudies-literature
| S-EPMC6255991 | biostudies-literature
| S-EPMC8302240 | biostudies-literature
| S-EPMC7608663 | biostudies-literature
| S-EPMC5971577 | biostudies-literature
| S-EPMC5055137 | biostudies-literature