Hepatic Metabolism Bypass

Hepatic metabolism bypass is a pharmacological strategy that limits a drug’s initial exposure to liver enzymes, helping preserve the active dose that reaches systemic circulation. Normally, orally administered drugs enter the portal vein and undergo first-pass metabolism, in which enzymes such as cytochrome P450 proteins transform part of the dose before it reaches the bloodstream. Administration by intravenous, sublingual, transdermal, inhaled, or selected rectal routes can reduce this presystemic loss, although the extent of bypass varies by route and drug. This approach can increase bioavailability, support faster or more predictable effects, and guide dose selection and formulation in clinical pharmacology.

Hepatic Metabolism Bypass - Related Videos

Research

JoVE Journal - Immunology and Infection

Assessing Hepatic Metabolic Changes During Progressive Colonization of Germ-free Mouse by 1H NMR Spectroscopy

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Cited by 6 •

2011

A progressive colonization procedure is described to further assess its impact on the host hepatic metabolism. Colonization is monitored non invasively by evaluating the urinary excretion of microbial co-metabolites by NMR-based metabolic profiling while hepatic metabolism is assessed by High Resolution Magic Angle Spinning (HR MAS) NMR profiling of intact biopsy.

Roux-en-Y Gastric Bypass Operation in Rats

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Cited by 45 •

2012

Numerous studies using gastric bypass rat models have been recently conducted to uncover the underlying physiological mechanisms of Roux-en-Y gastric bypass operations. This article aims to demonstrate and discuss the technical and experimental details of our published gastric bypass rat model to understand advantages and limitations of this experimental tool.

Cardiopulmonary Bypass in a Mouse Model: A Novel Approach

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Cited by 9 •

2017

This paper describes how to perform cardiopulmonary bypass in mice. This novel model will facilitate the investigation of the molecular mechanisms involved in organ damage.

Optimized Analysis of In Vivo and In Vitro Hepatic Steatosis

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Cited by 28 •

2017

Here, optimized methods to generate in vivo and in vitro models of hepatic steatosis and to analyze the steatotic phenotypes and related physiological parameters are described.

Education

JoVE Core - Pharmacokinetics and Pharmacodynamics

Effect of Hepatic Disease on Pharmacokinetics: Active Drug, Metabolite and Fraction of Metabolized Drug

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2025

In pharmacotherapy, monitoring drug concentrations is paramount, especially for drugs whose therapeutic effects hinge on both the active compound and its metabolite. Hepatic impairment profoundly influences drug potency by altering liver function. If the drug is more potent than its metabolite, impaired liver function amplifies drug activity due to elevated drug concentration levels. Conversely, if the metabolite holds greater potency, diminished liver function diminishes drug activity by...

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