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Nonlinear mixed effect modeling of the pharmacodynamics of natriuretic peptides in rats
Authors:Yukiya Hashimoto  Sachiyo Mori  Norio Hama  Kazuwa Nakao  Hiroo Imura  Masayuki Yamaguchi  Masato Yasuhara  Ryohei Hori
Institution:(1) Department of Pharmacy, Kyoto University Hospital, Sakyo-ku, 606 Kyoto, Japan;(2) Second Division, Department of Internal Medicine, School of Medicine, Kyoto University, Sakyo-ku, 606 Kyoto, Japan
Abstract:Natriuretic peptides have not only natriuretic/diuretic but also hypotensive activities, and the decreased renal perfusion caused by the excessive hypotension is known to attenuate the diuretic actions. The present study was designed to examine the relationship between the dosing (intravenous constant infusion) rates and the diuretic actions of agr-rat atrial natriuretic peptide (agr-rANP) and rat brain natriuretic peptide (rBNP) in rats, and population (nonlinear mixed effect model) analysis was applied to these complicated diuretic actions. The intrinsic diuretic activities of agr-rANP and rBNP could be analyzed, and the effects of blood pressure, heart rate, and also inhibition of degradation enzyme on the diuresis of natriuretic peptides were estimated simultaneously. The population analysis was useful for analyzing such pharmacodynamic data for which the individual analysis could not be applied easily.
Keywords:atrial natriuretic peptide  brain natriuretic peptide  neutral endopeptidase  NONMEM  nonlinear mixed effect model  pharmacodynamics  phosphoramidon
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