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Changes of pharmacokinetics and application of physiologically based pharmacokinetic modeling in pharmacotherapy during pregnancy
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Hong-yi YANG1, Liang ZHENG1, 2, Bin YU2, Cheng-ming WEN1, Xue-hua JIANG1, Ling WANG1, *
Acta Pharmaceutica Sinica | 2022, 57(3) : 615 - 626
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Acta Pharmaceutica Sinica | 2022, 57(3): 615-626
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Changes of pharmacokinetics and application of physiologically based pharmacokinetic modeling in pharmacotherapy during pregnancy
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Hong-yi YANG1, Liang ZHENG1, 2, Bin YU2, Cheng-ming WEN1, Xue-hua JIANG1, Ling WANG1, *
Affiliations
  • 1. Department of Clinical Pharmacy, West China School of Pharmacy, Sichuan University, Chengdu 610041, China
  • 2. Department of Clinical Pharmacology, the Second Hospital of Anhui Medical University, Hefei 230601, China
Published: 2022-03-12 doi: 10.16438/j.0513-4870.2021-1409
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The rational medication in pregnant women is a clinical issue that clinicians and pharmacists must take seriously. Most tissues and organs undergo anatomical and physiological changes during pregnancy that affect the absorption, distribution, metabolism, and excretion of drugs in vivo, which ultimately lead to changes in bioavailability. In order to achieve an effective therapeutic concentration, dose adjustment might be required during this period. In the past ten years, the application of modeling and simulation methods in the field of drug development and clinical therapy has continued to expand, for instance, using population pharmacokinetic (PPK) and physiologically based pharmacokinetic (PBPK) modeling to adjust dosage regimen in special populations. Rigorously designed and validated models will effectively make up for the deficiencies of clinical trials, provide valuable references for the design of clinical research, and even replace part of them. This article will introduce the physiological changes that affect the pharmacokinetic properties of the drug during pregnancy and review the progress in the application of PBPK modeling in pharmacokinetic studies in pregnant women.

pregnancy  /  pharmacokinetics  /  drug metabolic enzyme  /  physiologically based pharmacokinetics  /  modeling and simulation
Hong-yi YANG, Liang ZHENG, Bin YU, Cheng-ming WEN, Xue-hua JIANG, Ling WANG. Changes of pharmacokinetics and application of physiologically based pharmacokinetic modeling in pharmacotherapy during pregnancy[J]. Acta Pharmaceutica Sinica, 2022 , 57 (3) : 615 -626 . DOI: 10.16438/j.0513-4870.2021-1409
Year 2022 volume 57 Issue 3
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Article Info
doi: 10.16438/j.0513-4870.2021-1409
  • Receive Date:2021-09-24
  • Online Date:2025-12-22
  • Published:2022-03-12
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  • Received:2021-09-24
  • Revised:2021-11-10
Affiliations
    1. Department of Clinical Pharmacy, West China School of Pharmacy, Sichuan University, Chengdu 610041, China
    2. Department of Clinical Pharmacology, the Second Hospital of Anhui Medical University, Hefei 230601, China
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表12种不同金属材料的力学参数

Family
属数
Number of
genus
种数
Number of
species
占总种数比例
Percentage of
total species (%)

Genus
种数
Number of
species
占总种数比例
Percentage of total
species (%)
鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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