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Research Projects
The action of a drug is affected by its distribution and disposition in
the body. Taking anticancer drugs as an example, it is well known that
those which can kill cancer cells in the test-tube do not necessarily exhibit
satisfactory antitumor effects when given to patients. This is because
the anticancer drugs also distribute to normal cells, producing a variety
of adverse effects before the tumor cells are completely destroyed. Consequently,
major advances in drug therapy can be expected if drug delivery systems
(DDS) can be developed to control disposition in the body and selectively
attack target tissues. The development of ideal DDS is the ultimate goal
of our research and, at present, work is in progress to examine the major
factors which govern drug disposition in the body and to clarify the mechanisms
involved inf membrane transport in the liver, brain, kidney, intestine
and the tumor itself. In the life sciences, research normally starts at
the body (in vivo) level and progresses to the organ, cell, protein and
gene level in order to understand the principles involved in the functions
of the human body. Such an approach has met with a great deal of success.
However, "the prediction and control of drug effects and safety"
will never be fully achieved unless we develop methodology to reconstruct
quantitatively in vivo phenomena from in vitro data. Before drugs can exert
their ultimate effects they have to undergo a variety of different processes:
(1) absorption from the site of administration to reach the circulating
blood, (2) detoxification via metabolism and excretion, (3) distribution
to the tissue(s) involved in their pharmacological (or adverse) effects
and (4) binding to pharmacological receptors, followed by signal transduction
etc. It is possible to describe these processes using physiological and
anatomical parameters such as blood flow, tissue volume, pH and the membrane
potential difference between the outside and inside of the cells as well
as biochemical parameters representing drug binding to blood and tissue
macromolecules, membrane permeability, interaction with metabolic enzymes,
transport carriers and pharmacological and toxicological receptors and
acceptors. Indeed, by incorporating such physiological and biochemical
parameters into appropriate mathematical models, we have been attempting
to predict the output "exertion of pharmacological and adverse effects"
from the input "dose of drug, route of administration and pathophysiological
condition of the patients". The research project now underway can
be divided into seven areas as described left.
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