Pharmacodynamics & -kinetics

12 important questions on Pharmacodynamics & -kinetics

What is a liposome and which liposomes are there?

A lipid bilayer around an aqueous core --> prolong circulation, avoid systemic toxicity, better targeting
  • SUV = small unilamellar vesicles
  • LUV = large unilamellar vesicles --> most room for hydrophylic drugs
  • MLV = multilamellar vesicles --> most room for hydrophobic drugs
  • MVV = multivesicular vesicles

What are the properties of liposomes?

Lipid composition, size distribution, surface charge, membrane fluidity, drug loading efficiency, stability.

Explain the liposome loading methods

  • Passive: drug is added during formulation of the liposomes
  • Dehydration-rehydration: post-formulation loading in which empty liposomes are freeze-dried in presence of the drug and later rehydrated with water.
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What are the pro's and con's for crystal-structures in liposomes?

Pro = less leakage, proper release at target site
con - slow release (needs to be dissolved first), delayed bioavailability.

What is the EPR effect?

Enhanced Permeation and Retention.
The core of a tumor becomes anoxic --> more vessel growth --> rapid growth results in less organization --> endothelium will become leaky --> liposomes get only into the tumor environment, not in normal tissue
- limitation 1: poor lymphatic system functioning in tumors --> more fluid present --> more pressure --> liposomes enter tumor tissue less easily
- limitation 2: unspecific targeting to the liver also occurs (RES system).

What are the pros and cons of PLGA

Pros: variety of different formats, adjustable degradation kinetics, degradation into non-toxic metabolizable compounds
Cons: concern of denaturation for protein drugs, burst release, loading is drug depending.

In which way have oligonucleotides an enormous therapeutic potential?

Antisense oligonucleotides = downregulation of gene expression, change of splice patterns
siRNA = selective downregulation of gene expression
mRNA = transient expression of therapeutic proteins, vaccination
DNA = gene therapy, vaccination

What is the function of cell-penetrating peptides (CPP)?

The increase of the cellular uptake of molecules
  • 8-30 amino acids in length
  • positive charge (mostly arginine (R) rich)  
  • Receptor-independent endocytosis/translocation
  • Examples: R9, TAT, Penetratin, TP10
  • Used for: drugs, proteins, particles, oligonucleotides, DNA, RNA translocation
  • Pros: biodegradable, well-accessible, less toxicity.

Explain the concept of bystander killing

Drugs are also working on neighbouring cells via premature cleavage:
  • works against heterogeneity of the tumor (cells who do not express the receptors and otherwise would evade the killing)
  • kills other cell types (e.g. Fibroblasts) which would otherwise support the tumor growth. 

What are the steps of endosomal release?

  1. Binding to the cell surface
  2. endocytosis
  3. endosomal release
  4. replication, mRNA synthesis
  5. protein synthesis
  6. virus budding

What is the proton sponge effect?

Activation ATPase --> protons pumped into a cell --> Cl- follows --> osmotic following of water --> cells burst

What are Lipinski's rule of 5?

The oral bioavailability of a drug (minimaal 3 should be present).
--> only predicts passive intestinal absorption (lipophilic compounts are removed by the liver).
  1. HBD <5
  2. HBA <10
  3. Molecular weight <500 Da
  4. LogP <5

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