Renal Elimination Hydrolysis

Renal elimination hydrolysis describes the relationship between hydrolytic drug transformation and kidney-mediated removal of medicines and their metabolites from the body. Hydrolysis uses water to cleave susceptible chemical bonds, such as ester or amide linkages, producing products with altered polarity, activity, or renal handling; filtration, tubular secretion, and reabsorption then determine how efficiently these products are excreted in urine. In pharmacology, understanding this process supports pharmacokinetic analysis, prodrug design, metabolite evaluation, and dose selection, particularly when kidney function changes the exposure or persistence of hydrolysis-sensitive compounds.

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JoVE Core - Pharmacology

Drug Elimination: Non-Renal Routes

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2023

The liver plays a pivotal role in eliminating drugs and their metabolites, primarily through a process known as biliary excretion. This process involves the hepatocytes, the primary cells in the liver that generate bile. A range of transporters actively expels polar drugs or hydrophilic drug metabolites into the bile, which transports the drugs and metabolites into the small intestine. From here, they are eventually expelled from the body through feces. In some instances, the original drug or a...

Drug Elimination by Renal Route: Tubular Reabsorption

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2023

During the process of renal excretion, as the glomerular filtrate progresses to the distal convoluted tubule (DCT), drugs that are highly permeable, lipophilic, and nonionized undergo passive reabsorption from the tubular fluid into the surrounding peritubular capillaries. This reabsorption process restricts their elimination through the kidneys. However, the majority of drugs are either weak acids or weak bases, and their ionization level is dependent on pH. By altering the pH of urine, the...

Hydrolysis of an Ester - Concepts

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2020

Triglycerides Triglycerides are triester molecules composed of a glycerol backbone that is bound to 3 fatty acids. These form the basis of many biological lipids that are found in vegetable oils and fats. Lipids that are isolated from plant material are the basis of vegetable oils, whereas lipids extracted from animals are used as lard or general sources of fats. A fatty acid molecule has a long carbon chain — between 12 and 20 carbons — with a weak organic acid at one end. Some fatty acids...

Drug Elimination by Renal Route: Glomerular Filtration

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2023

The kidney serves as the primary organ responsible for eliminating drugs and their metabolites from the body. This process, known as renal elimination, starts with glomerular filtration and results in urine formation. Each kidney houses millions of functional units called nephrons, where urine production takes place. A nephron has two main components: a renal corpuscle and a renal tubule. Drugs gain access to the kidney via the renal artery, which progressively branches off into afferent...

Drug Elimination by Renal Route: Tubular Secretion

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2023

Once the process of glomerular filtration is completed, blood carrying unfiltered drug molecules traverses through efferent arterioles and makes its way into the peritubular capillaries in the proximal tubule. A variety of carriers play a pivotal role in actively secreting drugs from these peritubular capillaries into the tubular fluid. The organic anion transporter transfers acidic drugs, against an electrochemical gradient, from the peritubular capillaries into the renal tubule cells and...

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