using drugs 2cope: pharmacokinetics in excel
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Using Drugs 2CoPE: Pharmacokinetics in Excel. Gretchen A. Koch-Noble Department of Mathematics and Computer Science Goucher College BioQUEST Summer Workshop June 16 & 17, 2012. Data Literacy. Data Analytics NIST Big Data Retention Jobs. BIO 2010: Specific Strategies. - PowerPoint PPT PresentationTRANSCRIPT
Using Drugs 2CoPE: Pharmacokinetics in Excel
Gretchen A. Koch-NobleDepartment of Mathematics and Computer Science
Goucher CollegeBioQUEST Summer Workshop
June 16 & 17, 2012
Data Literacy
• Data Analytics• NIST Big Data• Retention• Jobs
BIO 2010:Specific Strategies
A strong interdisciplinary curriculumthat includes physical science, information technology, and math.
Early opportunities for independent research.
Meaningful laboratory experiences.
http://bioquest.org/esteem
Unpacking “ESTEEM”
• Excel: ubiquitous, easy, flexible, non-intimidating
• Exploratory: multifaceted, open-ended questions: students choose their own approach
• Experiential: see how math techniques enable more precise models, more rigorous tests
Three Boxes
Black box:Hide the model
? y = axb
Glass box:Study the model
y = axb
No box:Build the model!
How do students interact with the mathematical model underlying the
biology?
Pharmacokinetics• “The study of the process by which a drug is absorbed, distributed, and metabolized.”
(www.thefreedictionary.com)• What kinds of things do we want to consider when building a model?
– Absorbed, distributed, metabolized?– How do drugs get into body?
Ten minute breakout session in pairs!
Think, Pair, Share• “The study of the process by which a drug is absorbed, distributed, and metabolized.”
(www.thefreedictionary.com)• What kinds of things do we want to consider when building a model?
– Absorbed, distributed, metabolized?– How do drugs get into body?Time remaining:
10:00
Think, Pair, Share• “The study of the process by which a drug is absorbed, distributed, and metabolized.”
(www.thefreedictionary.com)• What kinds of things do we want to consider when building a model?
– Absorbed, distributed, metabolized?– How do drugs get into body?Time remaining:
5:00
Think, Pair, Share• “The study of the process by which a drug is absorbed, distributed, and metabolized.”
(www.thefreedictionary.com)• What kinds of things do we want to consider when building a model?
– Absorbed, distributed, metabolized?– How do drugs get into body?Time remaining:
4:00
Think, Pair, Share• “The study of the process by which a drug is absorbed, distributed, and metabolized.”
(www.thefreedictionary.com)• What kinds of things do we want to consider when building a model?
– Absorbed, distributed, metabolized?– How do drugs get into body?Time remaining:
3:00
Think, Pair, Share• “The study of the process by which a drug is absorbed, distributed, and metabolized.”
(www.thefreedictionary.com)• What kinds of things do we want to consider when building a model?
– Absorbed, distributed, metabolized?– How do drugs get into body?Time remaining:
2:00
Think, Pair, Share• “The study of the process by which a drug is absorbed, distributed, and metabolized.”
(www.thefreedictionary.com)• What kinds of things do we want to consider when building a model?
– Absorbed, distributed, metabolized?– How do drugs get into body?Time remaining:
1:00
Think, Pair, Share• “The study of the process by which a drug is absorbed, distributed, and metabolized.”
(www.thefreedictionary.com)• What kinds of things do we want to consider when building a model?
– Absorbed, distributed, metabolized?– How do drugs get into body?Time’s Up!
Think, Pair, Share Results• Effect of exercise on the concentration of the drug in the body;
stomach -> portal vein -> liver -> bloodstream; if the rate of blood flow in the liver increases/decreases, how does that effect the concentration in the bloodstream?
• Function that describes the rate of absorption: variables to include: rate of blood flow, sex, height, weight, condition of individual, chemical nature of drug; functions for delivery, absorption, and elimination
• Interaction of drug with foods, other drugs; effects of the byproducts of metabolism; amount lost versus amount used; age
• Administration of drug – intravenous, patch, swallowed, sublingual, inhaled, injected, suppositories
• Dose of drug• Liquid or solid form of drug• Systems model – what has to be done to get to the free drug
that has effect on target organ; threshold level of free drug• Feedback loops – molecules in the plasma – timing of
attachment on and off; absorption by tissue and sequestration; feedback loop for metabolism – excretion versus toxicity
Think, Pair, Share Results – Group 1
• Rate – how quickly metabolized, linear, exponential, how ingested, how excreted – linear, exponential
• Rate of delivery, method of delivery – different models of distribution and absorption? Which organs to use? Global controls for research. Wide margins of error with different organs absorbing vs intravenous.
• Compartments inside organism where drug can accumulate versus target
• Type of drug – water soluble, lipid soluble, etc.• Age, underlying disease, disease affecting
metabolization sites• Mechanism of action of drug – competive inhibitor,
cofactors, etc.
The Grand Model• Dosing
– How much and how often
– How taken• Transdermal• Inhaled• Swallowed
(liquid/solid/combination)
• Injection (vein/muscle/subcutaneous)
• Absorption– Chemical changes– Fat cells
• Distribution– Freely
circulating/carried– Movement from
bloodstream to affected area
– How long• Elimination
– Metabolism in liver– Excretion via kidneys– Special case:
Radioactive decay• Excess via kidneys• Rest via half-life
decay
Goals for the Model• Determine how much medication is
required to achieve the desired effect.– Minimum effective concentration– Minimum toxic concentration– Therapeutic window
• How long does it take a drug to reach a steady state in the body?– Consistently in therapeutic window
Key Ideas for the Model
• Every drug has a half-life that must be published by the manufacturer.
• The model will combine discrete and continuous processes.– Discrete: Dosing– Continuous: Distribution,
Absorption, and Elimination• Keep it simple to start.
Compartment Models• Look at the transfer of materials from one
compartment to another
• Balance Law: Rate of Change = Rate In – Rate Out
Transfer InAmount in
Compartment
Transfer Out
Pharmacokinetics Model• One-Compartment Model
– Bloodstream• Two-Compartment Model
– Bloodstream and Gastrointestinal Tract• Track relative concentrations• Dimensionless model
One-Compartment Model
• Rate of Change = Rate In – Rate Out• The rate of change in the concentration of
the drug in the blood is equal to the amount being injected minus the concentration that is metabolized.
Injection Metabolism
f (t)
Blood
α
Two-Compartment Model
Ingestion
Decay in GI tract
and absorption into blood
MetabolismGI Tract
( )g tBlood
( )b tf (t) αβ
Create the Model
Time remaining: 10:00
Ingestion
Decay in GI tract
and absorption into blood
MetabolismGI Tract
( )g tBlood
( )b tf (t) αβ
Create the Model
Time remaining: 5:00
Ingestion
Decay in GI tract
and absorption into blood
MetabolismGI Tract
( )g tBlood
( )b tf (t) αβ
Create the Model
Time remaining: 4:00
Ingestion
Decay in GI tract
and absorption into blood
MetabolismGI Tract
( )g tBlood
( )b tf (t) αβ
Create the Model
Time remaining: 3:00
Ingestion
Decay in GI tract
and absorption into blood
MetabolismGI Tract
( )g tBlood
( )b tf (t) αβ
Create the Model
Time remaining: 2:00
Ingestion
Decay in GI tract
and absorption into blood
MetabolismGI Tract
( )g tBlood
( )b tf (t) αβ
Create the Model
Time remaining: 1:00
Ingestion
Decay in GI tract
and absorption into blood
MetabolismGI Tract
( )g tBlood
( )b tf (t) αβ
Create the Model
Time’s Up!
Ingestion
Decay in GI tract
and absorption into blood
MetabolismGI Tract
( )g tBlood
( )b tf (t) αβ
Two-Compartment Model
• Rate of Change = Rate In – Rate Out• The rate of change in the concentration of the drug
in the GI tract is equal to the amount being ingested minus the concentration that is decaying.
• The rate of change in the concentration of the drug in the blood is equal to the concentration that is decaying from the GI tract minus the concentration that is decaying in the blood.
Pulse/Dosing Function
• f(t) depends on many different factors like buffers, manufacturers, etc.– Gives how often the drug is taken and
how long it takes to dissolve.
Using Drugs 2CoPE Module• Dynamic module where user chooses:
– Half-life of drugs in GI tract and bloodstream
– Parameters for the pulse function• What is the unit dosage (think number
of pills) taken?• How often is the drug taken?• How long does it take for the drug to
dissolve?• Single dose• Missed doses
Sliders to change
dosage functiondynamically.
User entry of drug
half-lives
Model descriptionand assumptions
Blood concentration versus GI concentration
Time is still independent variable.
Dosing FunctionDrug Concentrations
versus Time
Topics to be Explored Using 2CoPE• How long does it take for the concentration
of the drug in the blood to reach a steady state?
• What effect does the half-life of the drug in either the GI tract or blood have on reaching a steady state? What about the dosing function?
• What about drugs like lithium that have a narrow therapeutic range?
• Caffeine metabolism?• Other drugs?
Example Laboratory Exercise• Birth control and hormones
– How many doses can one skip before you get pregnant?
– Must it correspond to the hormonal cycle?
• Aygestin– Half-life: 8.51 hours– Standard dose: 5 mg
• Depo-Provera– Half-life: 50 days– Standard dose: 150 mg/mL
Units!!
Conclusion• Built mathematical models of
Pharmacokinetics• Many topics to explore• Useful in both a research and
classroom setting• Explore on your own!
Acknowledgements• PEER – UTK Organizers• John Jungck, Beloit College• Anton Weisstein, Truman State
University• Ethel Stanley, Beloit College• Sam Donovan, University of Pittsburgh• Claudia Neuhauser, U. Minn. – Rochester• Marsha Timmerman, LaSalle University• Tracey Schatteman, Lincoln Land
Community College• BioQUEST Curriculum Consortium• Goucher College
References1. Aygestin® Product Insert, Duramed Pharm., Inc., Pomona, NY,
July 20072. Drugs@FDA,
http://www.accessdata.fda.gov/scripts/cder/drugsatfda/ 3. Neuhauser, C. (2004) Calculus for Biology and Medicine. 2 ed.
Pearson Education.4. Physician Information for Depo-Provera Pharmacia & Upjohn
Company, Kalamazoo, MI, Feb. 20045. Robeva, R., et al. (2008) An Invitation to Biomathematics.
Elsevier.6. Spitznagel, E. (Fall 1992) Two-Compartment Pharmacokinetic
Models C-ODE-E. Harvey Mudd College, Claremont, CA.7. Strogatz, S.H. (1994) Nonlinear Dynamics and Chaos with
Applications to Physics, Biology, Chemistry, and Engineering. Addison-Wesley.
8. Yeargers, E.K., Shonkwiler, R.W., and Herod, J.V. (1996) An Introduction to the Mathematics of Biology. Birkhäuser.