PHYSIOLOGICALLY-BASED PHARMACOKINETIC CORE MODEL

Information

  • Patent Application
  • 20240006031
  • Publication Number
    20240006031
  • Date Filed
    October 25, 2021
    3 years ago
  • Date Published
    January 04, 2024
    10 months ago
  • CPC
    • G16C20/30
  • International Classifications
    • G16C20/30
Abstract
One aspect provides a physiologically based pharmacokinetic core model which may be commonly applied to two or more compounds that share the same core structure, and a method of constructing the physiologically based pharmacokinetic core model. According to the physiologically based pharmacokinetic core model and the method of constructing the physiologically based pharmacokinetic core model, there is the effect of conducting exposure evaluation simply only by deriving a distribution coefficient, without constructing a separate PBPK model for each individual compound.
Description
TECHNICAL FIELD

The present disclosure relates to a method of constructing a physiologically based pharmacokinetic (PBPK) core model and a core model of perfluorinated chemicals (PFCs).


BACKGROUND ART

A compartment model is useful for interpreting blood drug concentration and urine excretion data to explain pharmacokinetics or set a drug administration plan. However, compartments in the model have very limited anatomical representation of real tissues, and connections between the compartments are made by virtual rate constants rather than blood flow, which limits the ability to reflect various variables in real life.


To address these limitations, physiologically-based pharmacokinetic (PBPK) models are being used. A PBPK model is useful for evaluating the risk of hazardous substances from biomonitoring results obtained from the human body by scientifically identifying the correlation between internal and external doses. In exposure evaluation, internal dose or internal equivalent dose refers to the amount of a substance that penetrates the absorption barrier of an organism (for example, skin, lung tissue, gastrointestinal tract) and is absorbed through physical or biological processes, while external dose refers to the amount of a substance exposed to or ingested by a person or animal. Unlike compartment models, PBPK models have the advantage of taking into account the anatomy, physiology, and chemistry of the actual body tissues and organs in order to interpret drug pharmacokinetics. The PBPK model may be used to evaluate exposure levels of hazardous substances, which is difficult to perform directly on humans, or the distribution to target organs through the residual concentration in the human body.


However, existing PBPK models require building a model for each individual compound to be analyzed, and so far, individual PBPK models have been built for each substance, but the development of PBPK models requires a lot of time and various types of experiments, and the development of individual PBPK models for multiple hazardous substances is extremely time-consuming and expensive. Therefore, the development of individual models for all hazardous substances had cumbersome limitations.


In particular, the perfluorinated chemical (PFC) family of hazardous substances has about 20 types of known hazardous substances and is used in the manufacture of fabrics, carpets, paper coatings, cosmetics, various other products, etc., which has increased the risk of widespread exposure to the human body in modern society.


Therefore, the inventors of the present application have solved the above-described problems by developing a method of classifying hazardous substances according to their structure and establishing and utilizing a core model of a PBPK model for each family, in order to more quickly and efficiently evaluate human body exposure for each of these substances.


DISCLOSURE
Technical Problem

One aspect provides a physiologically based pharmacokinetic (PBPK) core model that may be commonly applied to two or more compounds, wherein the core structure of the compounds includes the Formula 1 below.


Another aspect provides a method of providing information on external dose to a compound of a subject using the PBPK core model.


Another aspect provides a method of constructing a PBPK core model including constructing individual PBPK models of two or more compounds that has a common core structure; selecting compartments of the core model from the individual model structures; and constructing a PBPK core model using the compartments.


Technical Solution

One aspect provides a physiologically based pharmacokinetic (PBPK) core model that may be commonly applied to two or more compounds, wherein a core structure of the compounds includes the Formula 1 below.


The compound may be a perfluorinated chemical (PFC). In addition, the core structure of the compound may include one or more selected from the group consisting of Formula 1 to Formula 3 below.




embedded image


As used herein, the term “perfluoro/perfluorinated” refers to a compound in which all of the hydrogen atoms in the chain of the molecule have been replaced by fluorine atoms.


As used herein, the term “perfluorinated chemicals (PFCs)”, also referred to as per- and polyfluoroalkyl substances (PFAS), refers to compounds in which all C—H in the chain have been replaced by C—F, and may include perfluorinated precursors that have the potential to be converted to perfluorinated compounds.


In an embodiment, the PFC may be one or more selected from the group consisting of compounds of the perfluorocarboxylic acids (PFCAs) family and compounds of the perfluoroalkane sulfonates (PFSAs) family.


In an embodiment, the PFSA family compounds may include perfluorooctanesulfonic acid (PFOS) family compounds.


In an embodiment, the PFCA family compounds may include perfluorooctanoic acid (PFOA) family compounds or perfluoropentanoic acid (PFPeA) family compounds.


As used herein, the term “PFSAs, or a compound of the PFCAs family” refers to PFSAs, PFCAs, salts thereof, derivatives thereof, and substances that may be PFSAs, or PFCAs.


The PFOS may be represented by the Formula 4 below. Wherein X below refers to an OH group or a salt form.


In an embodiment, the PFC may include a precursor or derivative of the PFC. Specifically, the PFC may include PFSAs, or substances that have the potential to degrade to PFCAs, or derivatives of PFSAs, or derivatives of PFCAs.




embedded image


The PFOA may be represented by the Formula 5 below. X below refers to an OH group or a salt form.




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The “PFCA” may be those represented by the Formula 6 below. X below refers to an OH group or a salt form.




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The “PFSA” may be those represented by the Formula 7. X below refers to an OH group or a salt form.




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As used herein, the term “PBPK model (physiologically based pharmacokinetic model: PBPK model)” refers to a model in which each tissue and organ of a living organism is modeled in connection with the bloodstream in consideration of physiological characteristics in order to accurately predict the pharmacokinetics of a drug. Unlike conventional compartment models or pharmacokinetic models, the PBPK model may be applied to model physiological features, drug features, biological response features, metabolism, distribution characteristics, etc. Therefore, the PBPK model may predict the concentration of a drug or toxic substance in the blood and target organs under various conditions, and may be used to predict the concentration of a drug in the blood and target organs by developing a human PBPK model using PBPK models developed through various animal experiments and human physiological characteristics.


In the PBPK model, each tissue is represented by a compartment with intrinsic physiological (for example, blood flow, tissue or organ volume) and physicochemical (partition coefficient, etc.) parameter values. Organs and organ systems may be represented by boxes, and blood flow or material removal processes may be represented by arrows.


As used herein, the term “PBPK core model”, also referred to as physiologically based pharmacokinetic (PBPK) core model, refers to a pharmacokinetic model that may be commonly applied to two or more compounds.


As used herein, the term “compartment” refers to the organization of the body into one or more compartments by grouping organs with similar distribution properties. The compartments may be used to calculate the time to concentration profile of drug. In addition, the compartment may be one that is generally assumed to be a reaction vessel that is homogeneously and completely mixed according to a well-stirred model. That is, the concentration of a substance within a tissue may be assumed to be the same and to have a specific distributional relationship to the venous blood concentration.


The compartments of the physiologically based pharmacokinetic model may include one or more selected from the group consisting of rich perfused tissue, slow perfused tissue, kidney, storage compartment, blood pool, gastrointestinal tract (G.I tract), and liver.


In an embodiment, the compartment may include a rich perfused tissue, a slow perfused tissue, a kidney, a storage compartment, a blood pool, a G.I tract, and a liver.


The PBPK core model may include one or more mass balance differential equations selected from the group consisting of Equation 1 to Equation 11 below.














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Equation


1

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dA
oral

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A
oral






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Equation


2

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A
oral

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t
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)

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1
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Equation


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ki




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Equation


6

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fil




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m



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t

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st



C
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Equation


7

]














dA
st

dt

=



K
st



C
fil


-


K
u



A
st







[

Equation


8

]














dA
urine

dt

=


K
u



A
st






[

Equation


9

]














dA
u

dt

=


K
u



A
st






[

Equation


10

]














dA
f

dt

=



K
f

·

Q
gi





C
gi


K
gi







[

Equation


11

]







Equation 1 represents the blood pool, Equation 2 and Equation 3 represent oral administration, Equation 4 represents rich perfused tissue, Equation 5 represents slow perfused tissue, Equation 6 represents the liver, Equation 7 represents the kidneys, Equation 8 represents the storage compartment, Equation 9 represents the G.I tract, Equation 10 represents the urine, and Equation 11 represents the feces, as differential equations.


As shown in FIG. 16 and Table 5 below, the K refers to a rate constant (1/hr), Q refers to a flow rate (L/hr), C refers to a concentration (mg/L or mmol/L), A refers to an amount (mg), Ku refers to a urine excretion rate constant (1/hr), and Kabs refers to an oral absorption rate constant (1/hr).


Of the subscripts, the he refers to heart, the rb refers to rest of body, the br refers to brain, the li refers to liver, the lu refers to lungs, the ki refers to kidneys, the gi refers to G.I tract, the fil refers to filtrate compartment, the oral refers to oral administration, the st refers to storage compartment, and the urine refers to urinary.


The parameter may be a physiological parameter, a partition coefficient, or a biochemical parameter. The physiological parameter may include an absorption rate, a metabolic parameter, a tissue diffusion constant, a protein binding, or a metabolism. In addition, the metabolic parameter may include a first order or second order rate constant, a maximum metabolic rate, or a Michaelis-Menten constant.


Another aspect provides a method of providing information on external dose to a compound of a subject using the PBPK core model.


The compound may be a PFC. In addition, the core structure of the compound may include one or more selected from the group consisting of Formula 1 to Formula 3 below.




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The PFC, exposure amount, core structure, and PBPK model are as described above.


The method of providing information on the exposure amount of the compound may include calculating a partition coefficient of the compound subject to exposure analysis;

    • calculating an internal dose of the compound subject to exposure analysis using the distribution coefficient and the PBPK model to calculate; and
    • comparing the internal dose to a blood concentration of the compound in the subject.


The partition coefficient may vary depending on the species, sex, body weight, etc. of the subject.


In addition, the method may include: 1) constructing a human PBPK model by replacing the animal physiological parameters (V or Q of Equation 1 to Equation 11) in the developed animal PBPK model with general human physiological parameter from Table 3 or Table 4, or by extrapolating the animal parameters from Table 6 to human parameters across species, etc.; 2) calculating an internal dose of the compound that is the subject of the exposure analysis using the human PBPK model; 3) comparing the internal dose to the blood concentration of the compound in the subject; and 4) calculating an external dose from human biomonitoring data (internal dose).


In exposure evaluation, the internal dose or the internal equivalent dose refers to the amount of a substance that penetrates an absorption barrier of an organism (for example, skin, lung tissue, gastrointestinal tract) and is absorbed through physical or biological processes, while external dose refers to the amount of a substance exposed to or ingested by a person or animal.


Another aspect provides a method of constructing a PBPK core mod& comprises constructing individual PBPK models of two or more compounds with a common core structure;

    • selecting a compartment of a core model through the individual mod& structure; and
    • Constructing a PBPK core model using the compartments.


The compound may be a PFC. In addition, the core structure of the compound may include one or more selected from the group consisting of Formula 1 to Formula 3 below.




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The PFC, exposure amount, core structure, and PBPK model are as described above.


The individual PBPK model may refer to a PBPK model of an individual compound included in the compound above and sharing a core structure. The individual compounds may be two or more, such as three or four.


In an embodiment, it has been confirmed that when two or more individual PBPK models are constructed, a core physiological model may be built that is generic to the compounds that share a core structure.


In the method, the process of building the individual PBPK models may be preceded by analyzing the characteristics of the compound. The compound may be predicted as a hazardous substance.


Analyzing the properties of the compound may refer to known literature or data of intravenous injection or oral administration of the compound to laboratory animals.


In the method, the process of building an individual PBPK model may include selecting a compound that is the subject of the model building; selecting two or more individual compounds that have a common core structure among the selected compounds; and building an individual PBPK model of the selected individual compound.


In the method, the process of selecting compartments of the core model may include the process of selecting tissues and organs with similar pharmacokinetic behavior as compartments of the core model by comparing the structure, pharmacokinetic profile, and absorption, distribution, metabolism, and excretion (ADME) characteristics of the two or more individual PBPK models.


The selection may be by using curve fitting.


The compartment may include one or more selected from the group consisting of a rich perfused tissue, a slow perfused tissue, a kidney, a storage compartment, a blood pool, a G.I tract, and a liver.


In an embodiment, the compartment may include a rich perfused tissue, a slow perfused tissue, a kidney, a storage compartment, a blood pool, a G.I tract, and a liver.


The method may additionally include, calculating a physicochemical parameter, physiological parameter, or biochemical parameter of the compound to be measured for exposure; and establishing a mass balance differential equation of the selected compartment.


The physicochemical parameter may include a partition coefficient.


The physiological parameter may include a blood flow or a tissue volume. The blood flow of the tissue or the volume of the tissue may be values from known literature.


The biochemical parameter may include protein binding rate and Km value.


The calculations may be based on parameters from known literature, or may be based on values obtained by injecting the hazardous substance into the animal, or may be based on values obtained by curve fitting.


The method may additionally include, curve fitting the predicted time-blood concentration of the hazardous substance from the constructed PBPK core model and the experimental value of time-blood concentration of the hazardous substance obtained from animal experiments; and evaluating the constructed PBPK core model.


The process of evaluating may include the process of verification and validation of the model.


The verification and validation may include evaluating the parameters and the differential equations. Specifically, it may be to evaluate whether the shape of the curve matches the experimental value and, for example, whether the residuals plot for the difference between the measured value and the predicted value is evenly distributed and not skewed in either direction around the zero value.


In an embodiment, the method may evaluate that the derived model is valid if the shape of the derived curve tends to match the experimental value or is evenly distributed.


The method may additionally include the process of deriving a mass balance differential equation of the compartment. The mass balance differential equation may include one or more selected from the group consisting of Equation 1 to Equation 11.


The mass balance differential equation may include parameter values, such as blood flow, organ volume, or partition coefficient. The parameters may be derived using values known in the art or through additional experiments.


The method may include the process of performing curve fitting of the parameters of the derived PBPK core model. For example, the method may include the process of curve-fitting the PBPK core model with the pharmacokinetic profile of the target compound to derive final parameters. The derived final parameters may additionally include altering the axis scaling, etc.


In the method, the process of budding a PBPK core model using the compartments may include the process of deriving a structure of the PBPK core model using the mass balance differential equation or final parameters of the compartments.


The deriving method may include a method of coding a mass balance differential equation and parameter.


The method may additionally include the process of subsequently performing a risk evaluation of the compound with the derived PBPK core model.


In another aspect, the method may include providing a PBPK core model derived by the method, wherein the model is used for risk evaluation of a compound.


Advantageous Effects

One aspect provides, a physiologically based pharmacokinetic (PBPK) core model which may be commonly applied to two or more compounds that share the same core structure, and a method of constructing the PBPK core model. According to the PBPK core model and the method of constructing the PBPK core model, it is possible to establish a PBPK model simply by deriving a partition coefficient without constructing a separate PBPK model for each individual compound, and there is an effect that the exposure test of the hazardous substance to be evaluated can be efficiently performed.





DESCRIPTION OF DRAWINGS


FIG. 1 is an image classifying a perfluorinated chemicals (PFCs) into the perfluorooctanesulfonic acid (PFOS) family, perfluorooctanoic acid (PFOA) family, polyfluoroalkyl substances (PFAS) family, and perfluorocarboxylic acid (PFCA) family.



FIG. 2 is an image illustrating the structure of a physiologically based pharmacokinetic (PBPK) model of PFHxS in rats.



FIG. 3 is an image of coding of differential equations of an individual PBPK model of PFHxS.



FIG. 4 is an image illustrating a parameter input screen of an individual PBPK model of PFHxS.



FIG. 5 is an image illustrating a time-blood concentration graph for each compartment of an individual PBPK model of PFHxS.



FIG. 6 is an image illustrating a graph upon completion of curve fitting of an individual PBPK model of PFHxS.



FIG. 7 is an image illustrating differential equation coding and a parameter input screen of an individual PBPK model of PFOA.



FIG. 8 is an image illustrating the structure of an individual PBPK model for PFOA.



FIG. 9 is an image illustrating differential equation coding and a parameter input screen of an individual PBPK model of PFOS.



FIG. 10 is an image illustrating the structure of an individual PBPK model for PFOS.



FIG. 11 is an image illustrating a process of selecting a compartment to derive a PBPK core model from individual PBPK models.



FIG. 12 is a graph illustrating the structure of a PBPK core model of PFC.



FIG. 13 is an image of establishing an analysis method for a biological sample after single-dose administration and oral administration of PFHxS in rats.



FIG. 14 is a graph illustrating a calibration curve, accuracy and precision of the analysis method after single-dose administration and oral administration of PFHxS in rats.



FIG. 15 is a graph illustrating the pharmacokinetics of PFHxS after oral administration in rats.



FIG. 16 is an image illustrating the final parameters from interspecies extrapolation of a PBPK core model.



FIG. 17 is a graph illustrating the correlation between average blood concentration and external dose according to repeated PFHxS exposure.



FIG. 18 is a schematic diagram illustrating a process of calculating a PFHxS standard exposure amount.



FIG. 19 is a schematic diagram illustrating a process of calculating a margin of safety (MoS) for PFHxS.



FIG. 20 is a graph comparing the internal dose of PFHxS and the blood concentration of PFHxS in the human body.



FIG. 21 is a schematic diagram illustrating a method of one aspect of calculating a core physiological model.





MODE FOR INVENTION

Preferred embodiments of the present disclosure are described below to facilitate an understanding of the present disclosure. However, the following embodiments are provided only to facilitate understanding of the present disclosure and are not intended to limit the scope of the present disclosure.


PREPARATION EXAMPLE
Preparation Example 1. Selection of Hazardous Substance to be Analyzed and Investigation of Pharmacokinetics

To derive the physiologically-based pharmacokinetics (PBPK) core model, the hazardous substances to be analyzed were selected. First, it was confirmed whether the biomonitoring results of candidate hazardous substances were currently available.


Specifically, as shown in Table 1 below, a list of substances for which biomonitoring results are currently available was provided by the Ministry of Food and Drug Safety (hereinafter referred to as MFDS), and each substance was classified according to similarity and family of molecular structures. As a result of the classification, a total of 118 hazardous substances were classified into 11 families.









TABLE 1







Reported biomonitoring data from 2006-2013 by MFDS










Family
Number













Metals
4
types


Paraben
4
types


Phenols
3
types


Zearalenone
2
types


Af-lysine
1
type


Acrlyamide
3
types


Heterocyclinc amines
1
type


Dioxins
3
types


PFCs
19
types


Phthalates
18
types












POPs
PBEDEs
12 types
52 types




PCBs
15 types




OCPs
25 types









11 families (8 others)
118
types









Based on the molecular structure, various hazardous substances may be classified into families, and in particular, if they have a common core structure, they may be classified into the same family.



FIG. 1 is an image classifying a perfluorinated chemical (PFC) into perfluorooctanesulfonic acid (PFOS) family, perfluorooctanoic acid (PFOA) family, polyfluoroalkyl substances (PFAS) family, and perfluorocarboxylic acid (PFCA) family.


Table 2 summarizes the core structure of PFCA and the hazardous substance that has the core structure.









TABLE 2







Core structure










embedded image


Perfluorocarboxylic acids (PFCAs)










List of hazardous substances










embedded image


Perfluoropentanoic acid (PFPeA)







embedded image


Perfluorooctanoic acid (PFOA)







embedded image


Perfluoroundecanoic acid (PFUnDA)





PFCs family, 3 of 19 total hazardous substances






Next, a pharmacokinetics of hazardous substance were investigated using previously reported literature, etc. In particular, data on blood concentrations, tissue distributions, and excretions were obtained. Animal experiments were conducted on rats for the unobtainable data.


Preparation Example 2. Evaluating Pharmacokinetics of Hazardous Substance in Laboratory Animal

2.1 Evaluation after the Single-Dose Intravenous Injection of a Hazardous Substance in Laboratory Animal


To determine plasma concentration-time curves, pharmacokinetics parameters, and urinary and fecal excretion after the intravenous injection in laboratory animals, small rodents such as mice and rats at 8 weeks of age (240 g to 260 g) were anesthetized by appropriate methods and a PE-50 tube was inserted into the femoral vein. Specifically, the intravenous injection of hazardous substances was performed through the femoral vein or tail vein. Injection needles of 27 G or less for mice and 19 G or less for rats were used.


Sample collection was carried out in the case of rats after administration of hazardous substances and transferred to a metabolic cage, and blood was drawn through the jugular vein at given times based on the time of administration according to the pre-designed animal experiment design. At each sampling time, 0.3 mL of blood was drawn and filled into a polyethylene tube with heparin sodium (100 I.U/mL) to prevent blood clotting. Finally, the collected blood was centrifuged at 10,000 g for 10 minutes and the plasma was collected and stored at −70° C. until analysis. After the last blood collection time point, the rats were bled to death, and each organ was harvested and washed with phosphate-buffered saline to remove blood from the organ surface. Next, the organs were stored at −70° C. until analysis. In addition, urine and feces were collected at regular intervals from the time of administration and stored at −70° C. until analysis.


2.2 Evaluation after the Single-Dose Oral Administration of a Hazardous Substance in Laboratory Animal


To determine plasma concentration-time curves, pharmacokinetics parameters, and urinary and fecal excretion during oral administration in experimental animals, rodents such as mice and rats at 8 weeks of age (240 g to 260 g) were fasted for 10 hours or more before the experiment. The fasting period was limited to 18 hours, as too long a fasting period may affect the physiological functions of the animals, and water was allowed to be consumed freely during the fasting period.


For the preparation of the test substance, the dosage for rats was about 1.0 mL for 200 g rats, and for mice, the dosage was about 0.2 mL for 20 g mice. In addition, the test substance was


Samples were collected, by venipuncture and centrifuged at 10000 g to separate plasma, urine and feces were collected. After collection, samples were stored at −70° C. until analysis.


2.3 Evaluation after Intravenous Infusion of a Hazardous Substance in Laboratory Animal


In order to measure steady-state plasma and tissue concentration and blood-tissue partition coefficient (K r) in a laboratory animal, small rodents such as mice and rats were anesthetized by appropriate methods at 8 weeks of age (240 g to 260 g), and administered the hazardous substance intravenously.


Samples were collected by venipuncture and centrifuged at 10000 g to separate plasma, and tissues were homogenized in phosphate-buffered saline. The collected plasma and tissues were stored at −70° C. until analysis.


2.4 Data Processing


The calculation of non-compartmental pharmacokinetics parameters from the data obtained in Example 2.1 to Example 2.3 was performed using WinNonlin software (Certara, NJ, USA). Verification of Statistical analysis was performed using SPSS (SPSS Inc. USA).


Preparation Example 3. Preparation of Parameters and Partition Coefficients

3.1 General Parameter Values


In the PBPK model, values for ventilation rate, cardiac output, tissue blood flow, and tissue weight are specified for the individual animal or human being simulated, and the values of these parameters are body weight-dependent.


Table 3 and Table 4 below show general parameter values used in the PBPK model of the present disclosure.














TABLE 3







Physiological Parameters
mouse
Rat
Human





















Body weight (BW) (kg)
0.025
0.25
70



Tissue volume (fraction of BW)



Liver
0.055
0.04
0.026



Fat
0.1
0.07
0.19



Organ
0.05
0.05
0.05



Muscle and skin
0.7
0.75
0.62



Cardiac output (Qc) (L/min)
0.017
0.083
6.2



Tissue perfusion (fraction of Qc)



Liver
0.25
0.25
0.26



Fat
0.09
0.09
0.05



Organs
0.51
0.51
0.44



Muscle and skin
0.15
0.15
0.25



Minute volume (L/min)
0.037
0.174
7.5



Alveolar ventilation (L/min)
0.025
0.117
5




















TABLE 4









Rat
Human












Tissue
Blood flow
Tissue
Blood flow


Tissue
volume (mL)
(mL/h)
volume (mL)
(mL/h)














Blood
20.4
2580
5400
379800


Heart
0.8
234
300
14400


Brain
0.7
18
1500
42000


Lung
1.0
2580
1200
379800


Adipose tissue
10.0
24
12200
15600


Muscle
122.0
450
30000
45000


Kidney
1.8
520
300
74400


G.I tract
10.0
450
2400
66000


Liver
8.0
828
1500
87000


Spleen
1.3
36
192
4620









3.2 Calculating Biochemical Parameters


The types of physiological parameters used in the physiologically based pharmacokinetic core model include absorption rates, metabolic parameters, tissue distribution constants, serum protein binding, and metabolic constants, etc. Metabolic parameters refer to 1st order or 2nd order rate constants, maximum metabolic rate, Michaelis-Menten constant, etc.


In the case of absorption rate, metabolic parameters, and tissue distribution constants, a PBPK model was derived and then calculated by fitting to data obtained in vivo. In this case, the pharmacokinetic data were obtained after intravenous infusion of the drug into the animal.


3.3 Calculation of Partition Coefficient


To derive the PBPK model, the partition coefficient was calculated by obtaining steady-state in vivo data by performing an actual animal experiment as shown in Example 2 above.


EXAMPLE
Example 1. Method of Building Physiologically Based Pharmacokinetic (PBPK) Core Model of Perfluorinated Chemical (PFC)

1.1 Construction of PFOS Physiological Pharmacokinetic Model


In order to derive a PBPK core model that may be commonly applied to a PFC, individual PBPK models of PFHxS, PFOA, and PFOS, a type of PFC, were constructed in rats.


1.1.1. PBPK model compartment selection and structure derivation of PFHxS


First, a compartment of a PBPK model were selected by considering the toxicity, pharmacokinetic profile, absorption, distribution, metabolism, and excretion (ADME) characteristics, and excretion mechanism of PFOS through literature review and previous pharmacokinetic studies.


As a result, brain, heart, lung, rest of body (spleen, muscle, adipose tissue), kidney, liver, and gastrointestinal tract (G.I tract) were selected as compartments, and filtrate compartment and storage compartment were added to consider the mechanism of excretion from the kidneys.



FIG. 2 is an image illustrating the structure of the PBPK model of PFHxS in rats. As a result, as shown in FIG. 2, the PBPK model structure of PFOS could be derived.


1.1.2. Derivation and Coding of PBPK Model Differential Equation of PFHxS


Appropriate differential equations were established for the compartments and structures derived in Example 1.1.1 above. As a result, the differential equations of Equation A to Equation M below were derived.











V
bl




dC
bl

dt


=


Free
·

(



Q
he




C
he


K
he



+


Q
rb




C
rb


K
rb



+


Q
br




C
br


K
br



+


Q
li




C
li


K
li



+


Q
lu




C
lu


K
lu



+


Q
ki




C
ki


K
ki




)



-



Free

·


(


Q
he

+

Q
rb

+

Q
br

+

Q
li

+

Q
lu

+

Q
ki

+

Q
gi

+

Q
fil


)




C
bl







[

Equation


A

]














dA
oral

dt

=


-

K
abs




A
oral






[

Equation


B

]














A
oral

(

t
=
0

)

=

dose
·

(

1
-

F
u


)






[

Equation


C

]














V
gi




dC
gi

dt


=


Free
·

(



Q
gi



C
bl


-


Q
gi




C
gi


K
gi



+


Q
li




C
li


K
li



-


K
f




C
gi


K
gi




)


+


K
abs

·

A
oral







[

Equation


D

]














li




V
li




dC
li

dt


=

Free
·

(



Q
li



C
bl


+


Q
gi




C
gi


K
gi



-


Q
li




C
li


K
li



-


Q
li




C
li


K
li




)






[

Equation


E

]














V
ki




dC
ki

dt


=



Free
·

Q
ki




C
bl


+



T
m



C
fil




K
t

+

C
fil



-


Q
ki



C
ki







[

Equation


F

]














V
fil




dC
fil

dt


=



Free
·

Q
fil




C
bl


-



T
m



C
fil




K
t

+

C
fil



-


K
st



C
fil







[

Equation


G

]














dA
st

dt

=



K
st



C
fil


-


K
u



A
st







[

Equation


H

]














dA
urine

dt

=


K
u



A
st






[

Equation


I

]














V
lu




dC
lu

dt


=

Free
·

(



Q
lu



C
bl


-


Q
bu




C
ht


K
ht




)






[

Equation


J

]














V
he




dC
he

dt


=

Free
·

(



Q
he



C
bl


-


Q
he




C
he


K
he




)






[

Equation


K

]














V
br




d


C
br


dt


=

Free
·

(



Q
br



C
bl


-


Q
br




C
br


K
br




)






[

Equation


L

]














V
rb




dC
rb

dt


=

Free
·

(



Q
rb



C
rb


-


Q
rb




C
rb


K
rb




)






[

Equation


M

]







Equation A corresponds to a differential equation for the blood pool (b1), Equation B and Equation C for oral administration, Equation D for the G.I tract, Equation E for the liver, Equation F for the kidneys, Equation G for the filtrate compartment, Equation H and Equation I for the storage compartment, Equation J for the lung, Equation K for the kidneys, Equation L for the brain, and Equation M for the rest of the body.


As shown in FIG. 16 and Table 5 below, K refers to a rate constant (1/hr), Q refers to a flow rate (L/hr), C refers to a concentration (mg/L or mmol/L), A refers to an amount (mg), Ku refers to a urine excretion rate constant (1/hr), and Kabs refers to an oral absorption rate constant (1/hr).


Of the subscripts, the he refers to heart, the rb refers to rest of body, the br refers to brain, the li refers to liver, the lu refers to lungs, the ki refers to kidneys, the gi refers to G.I tract, the fil refers to filtrate compartment, the oral refers to oral administration, the st refers to storage compartment, and the urine refers to urinary.


Table 5 is a table showing the definition of each variable of the above Equation A to Equation M.










TABLE 5







A = amount (mg)
Q = flow rate (L/hr−1)


a = arterial blood
r = richly perfused tissues


Calv = alveolar air
s = slowly perfused tissues


b = blood:air
t = tissue:blood


C = concentration (mg/L or mmol/L)
V = volume (L)


c = cardiac output
v = mixed venous blood


f = fat
Vf = venous blood leaving fat


∈h = inhaled air
Vl = venous blood leaving liver


Km = Michaelis-Menten affinity
Vmax = maximal velocity of


constant (mg/L)
enzymatic reaction (mg/hr−1)


l = liver
Vr = venous blood leaving richly


P = partition coefficient
perfused tissue


p = pulmonary ventilation
Vs = venous blood leaving poorly



perfused tissue









Next, the above differential equations were coded using the Berkeley Madonna program.



FIG. 3 is an image of coding the differential equations of the individual PBPK model of PFHxS.



FIG. 4 is an image illustrating the parameter input screen of the individual PBPK model of PFHxS.


As shown in FIG. 3 and FIG. 4, the initial values were input, and the differential equations represented by Equation 1 to Equation 11 were coded. In particular, the parameters used for coding include blood flow, organ volume, and partition coefficient, etc. and the values of the above parameters were obtained through literature review and previous experiments. In the case of the predicted parameters, the initial values were arbitrarily assigned and later calculated by curve fitting.



FIG. 5 is an image illustrating a time-blood concentration graph for each compartment of an individual PBPK model of PFHxS.


As a result of executing the coding as described above, as shown in FIG. 5, a time-blood concentration graph for each compartment could be confirmed.


1.1.1. Execution of Curve Fitting


Curve fitting was performed with a PBPK model derived in the above example using data from the pharmacokinetic study in rats for PFOS. The curve fitting was performed using the Berkeley Madonna program. Specifically, clicking the curve fit button in the parameters section of the menu window, then clicking the parameter to predict by fitting all parameters included in the differential equation, and then clicking “Add”. In addition, specify the compartment of the selected dataset to perform curve fitting and set a data corresponding to the same compartment in “To Dataset”. After the above settings were completed, curve fitting was performed by pressing OK.



FIG. 6 is an image illustrating the curve fitting graph of individual PBPK models of PFHxS.


As a result, as shown in FIG. 6, it was possible to confirm a fitted prediction curve after curve fitting was completed.


1.2 PBPK Model Construction of PFOA


In the same manner as in Example 1.1, a PBPK model of PFOA was derived.



FIG. 7 is an image illustrating of the differential equation coding and parameter input screen of the individual PBPK model of PFOA.



FIG. 8 is an image illustrating the structure of the individual PBPK model for PFOA.


Specifically, physiological parameters and partition coefficients, etc., as shown in FIG. 7 were used, and as a result, the PBPK model structure of PFOA was derived as shown in FIG. 8.


1.3 PBPK Model Construction of PFOS


In the same manner as in Example 1.1, a PBPK model of PFOS was derived.



FIG. 9 is an image illustrating of the differential equation coding and parameter input screen of the individual PBPK model of PFOS.



FIG. 10 is an image illustrating the structure of the individual PBPK model for PFOS.


Specifically, physiological parameters and partition coefficients, etc., as shown in FIG. 9 were used, and as a result, the PBPK model structure of PFOS was derived as shown in FIG. 10.


1.4 Construction of PBPK Core Model from Individual PBPK Model


1.4.1. Construction of PBPK Core Model


Similarities in ADME characteristics were identified through literature review and previous pharmacokinetic studies of at least three compounds among the selected compounds in the same family.



FIG. 21 is a schematic illustration of one aspect of a method of generating a core physiologic model.


Specifically, the comparison of the ADME characteristics of PFOA, PFOS, and PFHxS shown in Example 1.1 to Example 1.3 above and a comparison of individual PBPK models, a PBPK core model for the entire PFC was derived, as shown in FIG. 21.


1.4.2. Calculation of Physiological Parameter and Intrinsic Parameter of PBPK Core Model


The physiological parameters (organ volume and blood flow velocity) required for a PBPK core model were taken from numerical values reported in the literature. In addition, parameters to describe the pharmacokinetic characteristics of each hazardous substance family were calculated by curve fitting.


1.4.3. Deriving the Structure of PBPK Core Model



FIG. 11 is an image illustrating the process of selecting a compartment to derive a PBPK core model from the individual PBPK models.


As shown in FIG. 11, tissues and organs with similar pharmacokinetic behavior were selected as compartments for the core model by comparing the individual model structures, pharmacokinetic profiles, and ADME characteristics of PFOA, PFOS, and PFHxS.


As a result, the final compartments of the PBPK core model were selected as rich perfused tissue, slow perfused tissue, kidney, storage compartment, blood pool, G.I tract, and liver.


Specifically, the GI tract was chosen because it is the primary absorption site for PFCs from external exposure, and the liver is the organ where PFCs accumulate the most. Kidney was selected to illustrate the behavior of PFCs in excretion, while other tissues and organs were grouped into rich/slow-perfused tissues based on blood flow.



FIG. 12 is a graph illustrating the PBPK core model structure of PFCs.


As a result, as shown in FIG. 12, the structure of the PBPK core model of PFC was derived.


1.4.4. Derivation and Coding of PBPK Core Model Differential Equation


The appropriate differential equation for the above derived compartments and structures were established. As a result, the differential equations of Equation 1 to Equation 11 below were derived.












V

bl

·


dC
bl

dt


=


Free
·

(



Q
ri




C
ri


K
ri



+


Q
sl




C
sl


K
sl



+


Q
li




C
li


K
li



+



T
m



C
ki




K
t

+

C
ki




)


-


Free
·

(


Q
ri

+

Q
sl

+

Q
ki

+

Q
gi

+

Q
li


)




C
bl







[

Equation


1

]














dA
oral

dt

=


-

K
abs




A
oral






[

Equation


2

]














A
oral

(

t
=
0

)

=

dose
·

(

1
-

F
u


)






[

Equation


3

]














V
gi




dC
gi

dt


=


Free
·

(



Q
gi



C
bl


-


Q
gi




C
gi


K
gi



+


Q
li




C
li


K
li



-


K
f




C
gi


K
gi




)


+


K
abs

·

A
oral







[

Equation


4

]














V
li




dC
li

dt


=

Free
·

(



Q
li



C
bl


+


Q
gi




C
gi


K
gi



-


Q
li




C
li


K
li



-


Q
li




C
li


K
li




)






[

Equation


5

]














V
ki




dC
ki

dt


=



Free
·

Q
ki




C
bl


+



T
m



C
fil




K
t

+

C
fil



-


Q
ki



C
ki







[

Equation


6

]














V
fil




dC
fil

dt


=



Free
·

Q
fil




C
bl


-



T
m



C
fil




K
t

+

C
fil



-


K
st



C
fil







[

Equation


7

]














dA
st

dt

=



K
st



C
fil


-


K
u



A
st







[

Equation


8

]














dA
urine

dt

=


K
u



A
st






[

Equation


9

]














dA
u

dt

=


K
u



A
st






[

Equation


10

]














dA
f

dt

=



K
f

·

Q
gi





C
gi


K
gi







[

Equation


11

]







Equation 1 represents the blood pool, Equation 2 and Equation 3 represent oral administration, Equation 4 represents rich perfused tissue, Equation 5 represents slow perfused tissue, Equation 6 represents the liver, Equation 7 represents the kidneys, Equation 8 represents the storage compartment, Equation 9 represents the G.I tract, Equation 10 represents the urine, and Equation 11 represents the feces, as differential equations.


As shown in FIG. 16 and Table 5, K refers to a rate constant (1/hr), Q refers to a flow rate (L/hr), C refers to a concentration (mg/L or mmol/L), A refers to an amount (mg), Ku refers to a urine excretion rate constant (1/hr), and Kabs refers to an oral absorption rate constant (1/hr).


Of the subscripts, the he refers to heart, the rb refers to rest of body, the br refers to brain, the li refers to liver, the lu refers to lungs, the ki refers to kidneys, the gi refers to G.I tract, the fil refers to filtrate compartment, the oral refers to oral administration, the st refers to storage compartment, and the urine refers to urinary.


As described above, the mass balance differential equations for the compartments were established and coded using the Berkeley Madonna program. The coding method is the same as described above.


In addition, although the structure and formula of the PBPK core model of the same family of hazardous substances are the same, the partition coefficients have different values due to the unique physicochemical properties of the substances. Therefore, in order to apply the PBPK core model, minimal experiments were required, such as calculating the partition coefficient.


Example 2. Validation of Perfluorinated Chemical (PFC) Physiologically Based Pharmacokinetic (PBPK) Core Model

2.1 Investigation of Toxicity and Pharmacokinetics of PFHxS



FIG. 13 is an image of established an analysis method in biological samples after a single dose oral administration of PFHxS in rats.


As shown in FIG. 13, an animal experiment plan was conducted to evaluate the pharmacokinetics of PFHxS. As shown in FIG. 14, the pharmacokinetics and tissue distribution of PFHxS were evaluated in blood, tissue, urine, and fecal samples obtained after single dose Intravenous or oral administration to SD rats.


2.2 Extrapolation Process Using PBPK Core Model


Since the PBPK core model based on rats has limitations in human body application and the collection of human body data has limitations, extrapolation was performed using in vitro and in vivo data.


2.2.1. Performing Interspecies Extrapolation


In order to extrapolate the PBPK core model based on rats from animals to humans, quantitative values of parameters such as partition coefficients, metabolic rate constants, etc. were required. Therefore, the parameters were converted.


For the conversion, some parameters were taken from literatures whereas others were derived by allometric scaling. Gender was considered when there were difference in physiological parameters or partition coefficients. Table 6 below shows the scaling equations for the parameters.











TABLE 6





Parameter [Unit]
B
Equation

















Volume [L or kg]
1
VF = VFc × BW


Flows [L/hr]
0.75
QC = QCcXBW0.75QP = QPc × BW0.75


Clearance [L/hr]
0.75
Vmax = VmaxcXBW0.75


Rate constants [/hr]
−0.25
KF = KFc/BW−0.25









Y=a*Xb (Y: PBPK parameters, X: body weight), where a is the allometric coefficient and bis the allometric exponent.


In Table 6 above, the meaning of each variable is as follows: BW=body weight (kg), VF=volume of organ/tissue (L or kg), VFc=volume of organ/tissue per kg body weight (L/kg), QC=cardiac output (1/hr), QCc=cardiac output per kg body weight (1/hr/kg), Qp=blood flow in organ/tissue as percentage of cardiac output (%), QPc=blood flow in organ/tissue as percentage of cardiac output per kg body weight (%/kg), Vmax=maximum rate for metabolism (μmol/hr), Vmaxc=maximum rate for metabolism per kg body weight (μmol/hr/kg), KF=1st order elimination constant (1/hr), KFc=1st order elimination constant per body weight (1/hr/kg).


2.2.2. Performing a Duration Adjustment and Dose Adjustment


Duration adjustments were made to have the same dose metric. Specifically, if the appropriate dose metric for the target substance is the blood concentration area under the curve (AUC), the exposure duration was first determined in the PBPK model, and the continuous exposure concentration corresponding to the same AUC was determined through repeated simulations of the model.


2.3 Risk Assessment Using PBPK Core Model


2.3.1. Collection of PFHxS Pharmacokinetic Data


In order to evaluate the risk of PFHxS among PFCs, PFHxS pharmacokinetic data were collected as described above.



FIG. 13 is an image of established analysis method in a biological sample after a single dose and oral administration of PFHxS in rats.



FIG. 14 is a graph illustrating the calibration curve, accuracy and precision of the analysis method after a single dose and oral administration of PFHxS in rats.


Next, as shown in FIG. 13, the bioanalysis method for PFHxS was established. In addition, as shown in FIG. 14, the bioanalysis method was validated using calibration curves and accuracy/precision results.


After establishing the analysis method as described above, a plan was established for animal experiments. Specifically, rats were administered a single intravenous or oral dose of PFHxS, and then blood, tissue, urine, and fecal samples were collected to evaluate the pharmacokinetics and tissue distribution of PFHxS.



FIG. 15 is a graph illustrating the animal study results after oral administration of PFHxS in rats.


As a result, as shown in FIG. 15, a blood concentration-time curve and a graph of the cumulative amount in feces and urine were obtained after oral administration of PFHxS in rats.


2.3.2. Derivation of Final Parameter


Next, the results of the evaluation of PFHxS pharmacokinetics and tissue distribution in rats as described above were extended and applied to the PBPK core model shown in FIG. 12. Specifically, the parameters obtained from the pharmacokinetics and tissue distribution of PFHxS were applied to the model and curve fitting was performed to confirm that the results were well applied to the PBPK core model. At the same time, other physiological parameters were optimized to ensure that the blood concentration predictions obtained by curve fitting were in good agreement with the experimental values.



FIG. 16 is an image illustrating the final parameter according to interspecies extrapolation of the PBPK core model.


As a result, as shown in FIG. 16, the final parameter were derived interspecies extrapolation and estimation.


2.2.3. Calculation of Correlation Between Mean Blood Concentration and External Dose


The final parameters were used to calculate the correlation between the mean blood concentration at steady state and the external dose during repeated exposure to PFHxS. Specifically, using a human PBPK model constructed using human physiological parameters and substance-intrinsic parameters, a dose range was simulated and set, and the correlations described above were derived using regression analysis.



FIG. 17 is a graph illustrating the correlation between the mean blood concentration following repeated exposure to PFHxS and external dose.


As a result, as shown in FIG. 17, a graph of the correlation between the mean blood concentration and the external dose according to repeated exposure to PFHxS was derived.


2.2.4. PFHxS Exposure Calculation and Risk Assessment


Next, the interspecies uncertainty factor (UFA) was applied to calculate the steady-state Caverage,human in humans. Specifically, the PFHxS PODhuman in the human body was calculated by using the correlation equation between the average blood concentration (Caverage) and the external dose during repeated exposure to PFHxS from which Caverage,human was derived. Next, the intraspecies uncertainty factor (UFH) was applied to the PODhuman to finalize the PFHxS standard exposure in the human body.



FIG. 18 is a schematic diagram illustrating a process of calculating a PFHxS standard exposure amount.


As a result, as shown in FIG. 18, the standard exposure amount of PFHxS in the human body was 9.70 μg/kg/day.


2.2.5. PFHxS Exposure Calculation and Risk Assessment


The PFHxS reference standard dose for external dose to PFHxS was used to derive the margin of safety (MoS) of PFHxS for men and women. Specifically, the blood PFHxS concentrations of men in Siheung (2.29 ng/mL) and women in Daegu (1.75 ng/mL), which are highly exposed to PFHxS, were substituted into the above correlation equation between the average blood concentration (Caverage) and the external dose to calculate the external dose.



FIG. 19 is a schematic diagram illustrating the process of calculating the MoS for PFHxS.


As a result, as shown in FIG. 19, the MoS of PFHxS using the PFHxS standard exposure (9.7 μg/kg/day) was derived as 180.3 and 235.9 for men and women, respectively.


2.2.6 Comparison of PFHxS Internal Concentrations with Internal Dose of PFHxS


First, to obtain the internal dose of PFHxS, the UFA was applied to the rat model by finding the Caverage,rat resulting from repeated exposure to NOAEL.


As a result, BEPOD was calculated as 4127.4 ng/mL. As a result of applying this to the UFH, as shown in FIG. 20, the internal dose in humans was derived as 412.7 ng/mL.



FIG. 20 is a graph comparing the internal dose of PFHxS and the blood concentration of PFHxS in the human body.


The internal concentrations of PFHxS in individual subjects were reported to be 2.29 ng/mL and 1.35 ng/mL for men and women, respectively, in Siheung, and 2.19 ng/mL and 1.75 ng/mL for men and women, respectively, in Daegu. Comparing this to the previously calculated internal dose of PFHxS (412.7 ng/mL), it may be seen that the actual blood levels of PFHxS in Koreans are low and consequently in the safe zone, as shown in FIG. 20.

Claims
  • 1-14. (canceled)
  • 15. A method of determining an amount of a fluorinated compound in a tissue of a subject, the method comprising: determining a structure family of the fluorinated compound;selecting an exposure parameter of the fluorinated compound comprising an exposure amount and an exposure route;modeling, based on the structure family and exposure parameter, a distribution of the fluorinated compound in the subject using a physiologically based pharmacokinetic core model; anddetermining, based on the distribution, an amount of the fluorinated compound in the tissue of the subject, whereinthe structure family is at least one selected from the group consisting of Formula 1, Formula 2, and Formula 3
  • 16. The method of claim 15, wherein the fluorinated compound is a perfluorinated compound.
  • 17. The method of claim 15, wherein the perfluorinated compound has a structure family that is at least one selected from the group consisting of perfluorocarboxylic acids and perfluoroalkane sulfonates.
  • 18. The method of claim 15, wherein the tissue is at least one selected from the group consisting of rich perfused tissue, slow perfused tissue, kidney, storage compartment, blood, gastrointestinal tract, and liver.
  • 19. The method of claim 15, wherein the modeling comprises solving at least two mass balance differential equations selected from the group consisting Equation 1, Equation 2, Equation 3, Equation 4, Equation 5, Equation 6, Equation 7, Equation 8, Equation 9, Equation 10, and Equation 11
  • 20. The method of claim 15, wherein the modeling comprises calculating at least one selected from the group consisting of a physicochemical parameter of the fluorinated compound and a biochemical parameter of the fluorinated compound.
  • 21. A method of determining a dosage of a fluorinated compound for a subject, the method comprising: selecting a target tissue of the subject and a target amount of fluorinated compound for the target tissue;determining a structure family of the fluorinated compound;selecting an administration route;modeling, based on the structure family and administration route, a distribution of the fluorinated compound in the subject using a physiologically based pharmacokinetic core model; anddetermining, based on the distribution, a dosage of the fluorinated compound in the necessary to reach the target amount of the fluorinated compound in the target tissue of the subject, whereinthe structure family is at least one selected from the group consisting of Formula 1, Formula 2, and Formula 3
  • 22. The method of claim 21, wherein the fluorinated compound is a perfluorinated compound.
  • 23. The method of claim 21, wherein the perfluorinated compound has a structure family that is at least one selected from the group consisting of perfluorocarboxylic acids and perfluoroalkane sulfonates.
  • 24. The method of claim 21, wherein the tissue is at least one selected from the group consisting of rich perfused tissue, slow perfused tissue, kidney, storage compartment, blood, gastrointestinal tract, and liver.
  • 25. The method of claim 21, wherein the modeling comprises solving at least two mass balance differential equations selected from the group consisting Equation 1, Equation 2, Equation 3, Equation 4, Equation 5, Equation 6, Equation 7, Equation 8, Equation 9, Equation 10, and Equation 11
  • 26. The method of claim 21, wherein the modeling comprises calculating at least one selected from the group consisting of a physicochemical parameter of the fluorinated compound and a biochemical parameter of the fluorinated compound.
Priority Claims (1)
Number Date Country Kind
10-2020-0157751 Nov 2020 KR national
PCT Information
Filing Document Filing Date Country Kind
PCT/KR2021/014995 10/25/2021 WO