Estimating Human Jejunal Effective Permeability Using Numerical Deconvolution of Oral Solution Concentration Data
摘要
Accurate determination of human intestinal effective permeability (Peff) typically relies on technically challenging human intestinal perfusion experiments. This study aimed to develop a numerical deconvolution method to estimate jejunal permeability using concentration data obtained from oral solution and intravenous administration.
MethodsTwenty-seven drugs (4 acidic, 11 basic, 7 amphophilic, and 5 neutral) were included using predefined criteria. Numerical deconvolution of intravenous and oral solution data across five time windows (0.25–0.75, 0.5–1, 0.75–1.25, 1–1.5, and 1.5–2 h) was applied to estimate regional jejunal permeability. Estimates were generated under two conditions: uncorrected (Peff, uncorr) and corrected for first-pass metabolism (Peff, FP_corr). The resulting permeability values were compared with observed human perfusion data (Peff, obs), as well as with the reported three-parameter average model and the site-specific data-based deconvolution method.
ResultsCorrelations of jejunal permeability were performed for 26 drugs (lisinopril excluded due to unreliable Peff, obs). The 0.25–0.75 h window showed the best agreement with observed values. Within this window, correlations with Peff, obs were moderate for Peff, uncorr (R2 = 0.47) and strong for Peff, FP_corr (R2 = 0.83). The proposed method outperformed the three-parameter average model (R2: 0.83 vs 0.57) and was comparable to the site-specific deconvolution method (R2: 0.94 vs 0.96) using overlapping compounds.
ConclusionsOur oral solution–based numerical deconvolution method, accounting for first-pass metabolism, enables accurate estimation of jejunal permeability.