図説薬理学 pictured pharmacology - ric.hi-ho.ne.jp · 3 薬は体の中でどう動くか...
TRANSCRIPT
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Pictured Pharmacology
Copyright: Katsuaki ItoVeterinary PharmacologyUniversity of Miyazaki
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per os (p.o.)
intravenous (i.y.)100
intraperitoneal (i.p.)IV
subcutaneous (s.c.)IVIMIP
intramuscular (i.m.)SC
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404
P
PP
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pH
pHpH
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+ + ++ +++
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pHpHHenderson-Hasselbalch
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Henderson-Hasselbalch
pKa Ka=10-x MpKa=x
][]][[
HAAHKa+
=
loglog == pKapH
loglog == pKapH
pHpH
KaKapKapKapHHenderson-HasselbalchpKa6.5pH6.5
pKbpKb = 14 pKaHenderson-HasselbalchpKa
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COO- COOH
9910.199.979010199650501090510905050419990103
0.199.99912
(pKa 5.0)(pKa 4.0)
pHNH3
+ NH2
(pKa 4.0)(pKa 5.0)pHHenderson-Hasselbalch
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pH 2.4
pKa 9.4
74.94.2log === pKapH
10,000,0001
(pKa 9.4)3
pH2.4Henderson-Hasselbalch10-710,000,0001
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pKapH
0
50
100
-4 -3 -2 -1 0 1 2 3 4
pH - pKa
pH pH
Copyright Katsuaki Ito, Miyazaki Univ.
pH pKapHpH
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10
pH 8.4
pKa 9.4
14.94.8log === pKapH
101
100 1
pH8.481011/101/10pH7.4100
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pKa 9.4
14.94.8log === pKapH
101
100 1
pH 8.4
1/10
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pHpH6.66.6~6.9)~6.9)pH (7.4)pH (7.4)
QQ
log= pKapH
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(pore) 40 4
P
P
Na,K-ATPaseCa-ATPaseH,K-ATPase
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(first pass effect)
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500~800 M 1 15~30 M
99%
90
1111/60 1
90
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blood brain barrier (BBB)
BBB
P
(Bllod brain barrier: BBB)P
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PP-glycoprotein
P
ATP ADPATP ADP
PP
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P450CYP
P450 (CYP)UDP
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P450 (CYP)
NADPH 6 CO450nm
-OH-
prodrug
p.26 p.16Copyright Katsuaki Ito, Miyazaki Univ.
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**R*CYP1A2
********R**
CYP3A4
***
CYP2D6
***CYP2C19
R*S*
CYP2C9
*
450
****
P-
*
N-
*
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CYP2A62C192C8/9/18, 3A4/5/7mRNA
CYP3A4
CYP
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CYP1A2CYP2C9CYP1A2CYP1A2 2C9 2C193A4CYP1A2
CYP2C9CYP3A4CYP1A2 2C9, 3A4CYP2D6, PPCYP2C9PCYP1A2 2C9 2C193A4PCYP2C9CYP2C9CYP2D6CYP2E1
Nature Review 1:392002
CYP3A4
Grapefruit juice effect
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conjugation
transferase
UDP
UDP
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enterohepatic circulation
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1)
2)
3) Henderson-HasselbalchpHpH
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pH 6.4
pKa 9.4
10001loglog34.94.6 ====
pKapH
pH 7.4
pKa 9.4pH6.48.4
101loglog14.94.8 ====
pKapH
pH 8.4
pKa 9.4
pH 7.4
1001log24.94.7 ====
pKapH
pH6.48.4
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60gpH8.57.5
55:219 2002)
log= pKapH
pHHenderson-HasselbalchpKapH PP450 (CYP)