Pharmacodynamics mononuclear cells

For other efflux transporters such as BCRP (ABCG2), human pharmacokinetic and pharmacodynamic data are currently rare. However, an investigation of the influence of polymorphisms in ABC-transporter genes on the accumulation of nelfinavir in peripheral blood mononuclear cells (PBMCs) revealed no associations between the polymorphisms in the transporters analyzed and the accumulation of nelfinavir in the PBMCs [151], A second study in patients clearly demonstrated an increase in the AUC of the orally and intravenously administered BCRP substrate topotecan when it is given with GF120918, an inhibitor of P-glycoprotein and BCRP [152],... 

The relationship between toxicity and pharmacokinetic (PK) and pharmacodynamic (PD) parameters is a difficult one and somewhat poorly characterized. The key targets of HDACi are unknown and predicting which patients will respond to HDACi therapy is difficult. Correlation between surrogate markers (for example, levels of acetylated histones in peripheral blood mononuclear cells [PBMNC] pre- and post-dosing) is not always in keeping with measured PK profiles. 

NOVEL PHARMACODYNAMIC MEASURES USING FLOW CYTOMETRY AND BLOOD MONONUCLEAR CELLS AS A SURROGATE FOR TISSUE RESPONSES... 

Figure 12.2 Pharmacodynamic profiles of NPI-0052 and bortezomib after a single IV administration in mice or rats. (A) Inhibition of CT-L, T-L and C-L 205 proteasome activities in packed whole blood (PWB) lysates after a single IV administration of NPI-0052 (0.15 mg/kg) or bortezomib (1 mg/kg) in mice. NPI-0052 exhibits a broader and longer 20>S proteasome inhibition profile than bortezomib.14 (B) CT-L 205 proteasome activity recovers more quickly in peripheral blood mononuclear cell (PBMQ lysates compared with PWB lysates after NPI-0052 administration to rats at 0.05 mg/kg or 0.1 mg/kg.

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