Methods and tools for multiscale modelling in Systems ... · approach for calculating the unknown...

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i i i art i i P V Q C F dt dQ B E CYP B liver B C C i in liver Complex k B E CYP V k B B F B dt dB outliver art 1 2 2 1 1 2 2 2 1 1 50 ) ( 50 ) ( 1 1 ) ( IC t I IC t I t E 0 * v S dt dx Steady-state of metabolite concentration BACKGROUND. Systems Pharmacology aims to quantitatively study the dynamic interactions between drugs and biological systems by integrating models and data at different scales, to understand how the behaviour of individual constituents (modelled, e.g., via biological networks) and the behaviour of the whole system (modelled, e.g., via PBPK models) mutually interact. The objective of this work is to present and discuss: how models at different scales can be coupled; the types of data that can be used; the tools supporting the implementation; the practical research and drug development studies the models were built for. Methods and tools for multiscale modelling in Systems Pharmacology: a review E. Borella, L. Carrara, S.M. Lavezzi, I. Massaiu, E. Sauta, E.M. Tosca, F. Vitali, S. Zucca, L. Pasotti, G. De Nicolao, P. Magni BMS Lab, Department of Electrical, Computer and Biomedical Engineering, University of Pavia (Italy) METHODOLOGY AND TOOLS. From literature three main methods for coupling PBPK models and biological networks were identified: Integration of genic information as covariate in PBPK models parameters Genic information is included as a covariate for tissue-specific transporter-activity. Here an example relative to SNP in OATP1B1 transporter is presented [J. Lippert, 2010]. Example of application: A PBPK model representing ADME genes involved in simvastatin and pravastatin metabolism to predict the risk of myopathy in individuals with specific genotype was developed [J. Lippert, 2010]. PBPK models for simvastatin and pravastatin were built for the reference homozygous TT genotype using plasma data. PBPK models for the CC genotype were built based on the TT models by adjusting OATP1B1 transporter activity. PBPK model for the CT genotype uses the average of the transporter activities. CC TT Other organs GI tract Kidney Muscle Blood Liver cells Bile TT CC cat V V r E K V max max 0 max / Tools: OATP1B1 Combination of PBPK and networks ODEs As an illustrative example, a simple generic PBPK rat model considering absorption, transport and excretion of benzene is shown [S. Cheng,2011]. Here, only inhalation is modelled. The metabolism of the substance is described by the network below. Example of application: A joint PBPK model, including paracetamol PK combined with a network of GSH homeostasis, was developed to study candidate biomarkers of liver toxicity [S. Geenen, 2010]. PBPK and network models are both represented by ODEs and the connection is provided by network exchange rates affecting the PBPK concentrations [F.Y. Bois, 2009]. The mass-balance equations of the network are coupled with the PBPK model: Ophthalmic acid and 5-oxoproline were evaluated as biomarkers to monitor GSH depletion toxicity. Some parameters are derived from literature, while others are estimated. The PBPK model well describes paracetamol concentration in plasma. Tools: Example of application: A multiscale PK/PD model is developed to study the therapeutic effect of allopurinol in the treatment of hyperuricemia [M. Krauss, 2012]. PBPK models for allopurinol, oxypurinol and uric acid were built using physiological information and plasma concentration data. Feedback coupling was used to study the effect of drug on xanthine oxidase in the hepatic metabolic network. Maximization of uric acid production was considered as objective function. Model evaluation: comparison between simulation of uric acid and venous plasma concentration after a single dose of allopurinol. = xanthine oxidase Allopurinol PB-PK Oxypurinol PB-PK Xanthine Uric Acid Hypoxanthine Uric acid PB-PK Liver cell Tools: Coupling with dynamic Flux Balance Analysis Metabolites, reactions and fluxes in a metabolic network are represented by a stoichiometric matrix and a vector of fluxes [D. Orth, 2010]. Flux Balance Analysis (FBA) is a mathematical approach for calculating the unknown fluxes given a set of constraints and an objective function. The PBPK model, represented by ODEs, can be coupled to the network via dynamic FBA by feed- forward (steps 1-3) or feed-back (steps 1-5) approach [M. Krauss, 2012]. (1) Update PBPK metabolization rate from tissue concentrations (5) Simulate whole-body concentrations for next time step (3) Calculate flux distribution at cellular scale (2) Use PBPK metabolization rate as upper bound for FBA (4) Use FBA uptake as upstream PBPK metabolization rate FBA PBPK Benzene Benzene Oxide Benzene CYP2E1 CYP2E1 Complex k 1B k 2B k 3B Liver cell C inhaled C exhaled Poorly perfused Well perfused Fat Liver Lungs Safety risk was evaluated to forecast the incidence rate in the CC subgroup population given the incidence rate of TT and TC subpopulations. ODEs FBA Covariate Mechanistic approach Traditional solving methods Mechanistic approach Enables genome-scale models Easy estimation of network parameters Easy implementation Inclusion of genetic information Need for parameter values and rescaling Large-scale networks implementation Jointly solving of ODEs and FBA Non-mechanistic at cellular level CONCLUSIONS. The PBPK-network combination with ODEs is the most widely used approach. Computational tools have been proposed to facilitate model coupling for the ODE and covariate approaches; databases, e.g., BioModels Database (EBI), JWS and SABIO-RK, are available to retrieve networks and their parameters. Multiscale modelling is a major challenge in Systems Pharmacology, for which guidelines are still missing. Efficient integration of heterogeneous data, including genetic information, will greatly improve our knowledge of the mechanisms underlying complex diseases and drive new approaches for drug discovery.

Transcript of Methods and tools for multiscale modelling in Systems ... · approach for calculating the unknown...

Page 1: Methods and tools for multiscale modelling in Systems ... · approach for calculating the unknown fluxes given a set of constraints and an objective function. The PBPK model, represented

ii

iarti

i

PV

QCF

dt

dQ

BECYPBliverB

CCiinliver

ComplexkBECYPVk

BBFBdt

dBoutliverart

1221 12

2

2

1

1

50

)(

50

)(1

1)(

IC

tI

IC

tItE

0* vSdt

dx

Steady-state ofmetabolite concentration

BACKGROUND. Systems Pharmacology aims to quantitatively study the dynamic interactions between drugs and biological systems by integrating modelsand data at different scales, to understand how the behaviour of individual constituents (modelled, e.g., via biological networks) and the behaviour of thewhole system (modelled, e.g., via PBPK models) mutually interact. The objective of this work is to present and discuss: how models at different scales canbe coupled; the types of data that can be used; the tools supporting the implementation; the practical research and drug development studies themodels were built for.

Methods and tools for multiscale modelling inSystems Pharmacology: a review

E. Borella, L. Carrara, S.M. Lavezzi, I. Massaiu, E. Sauta, E.M. Tosca, F. Vitali, S. Zucca,

L. Pasotti, G. De Nicolao, P. MagniBMS Lab, Department of Electrical, Computer and Biomedical Engineering, University of Pavia (Italy)

METHODOLOGY AND TOOLS. From literature three main methods for coupling PBPK models and biological networks were identified:Integration of genic information

as covariate in PBPK models parameters

Genic information is included as a covariate for tissue-specific transporter-activity. Here an example relative to SNP in OATP1B1 transporter is presented [J. Lippert, 2010].

Example of application:A PBPK model representing ADME genesinvolved in simvastatin and pravastatinmetabolism to predict the risk of myopathy inindividuals with specific genotype wasdeveloped [J. Lippert, 2010].

• PBPK models for simvastatin and pravastatinwere built for the reference homozygous TTgenotype using plasma data.

• PBPK models for the CC genotype were builtbased on the TT models by adjustingOATP1B1 transporter activity. PBPK modelfor the CT genotype uses the average of thetransporter activities.

CC TT

Other organs

GI tract

Kidney

Muscle

Blood

Liver cells

Bile

TTCC

cat

VVr

EKV

maxmax

0max

/

Tools:

OA

TP1

B1

Combination of PBPK and networks ODEs

As an illustrative example, asimple generic PBPK rat modelconsidering absorption,transport and excretion ofbenzene is shown [S.Cheng,2011]. Here, onlyinhalation is modelled.

The metabolism of the substance is described by thenetwork below.

Example of application:A joint PBPK model, including paracetamol PK combinedwith a network of GSH homeostasis, was developed tostudy candidate biomarkers of liver toxicity [S. Geenen,2010].

PBPK and network models are both represented by ODEs and the connection is provided by network exchange rates affecting the PBPK concentrations [F.Y. Bois, 2009].

The mass-balance equations of the network are coupledwith the PBPK model:

• Ophthalmic acid and 5-oxoproline were evaluated asbiomarkers to monitor GSH depletion toxicity.

• Some parameters are derived from literature, whileothers are estimated. The PBPK model well describesparacetamol concentration in plasma.

Tools:

Example of application:A multiscale PK/PD model is developed to study thetherapeutic effect of allopurinol in the treatment ofhyperuricemia [M. Krauss, 2012].

• PBPK models for allopurinol, oxypurinol and uricacid were built using physiological informationand plasma concentration data.

• Feedback coupling was used to study the effect ofdrug on xanthine oxidase in the hepatic metabolicnetwork. Maximization of uric acid productionwas considered as objective function.

• Model evaluation: comparison betweensimulation of uric acid and venous plasmaconcentration after a single dose of allopurinol.

= xanthine oxidase

AllopurinolPB-PK

OxypurinolPB-PK

Xanthine Uric AcidHypoxanthine

Uric acidPB-PK

Liver cell

Tools:

Coupling with dynamic Flux Balance Analysis

Metabolites, reactions and fluxes in a metabolicnetwork are represented by a stoichiometric matrixand a vector of fluxes [D. Orth, 2010].

Flux Balance Analysis (FBA) is a mathematicalapproach for calculating the unknown fluxes givena set of constraints and an objective function.

The PBPK model, represented by ODEs, can becoupled to the network via dynamic FBA by feed-forward (steps 1-3) or feed-back (steps 1-5)approach [M. Krauss, 2012].

(1) Update PBPK metabolization rate

from tissueconcentrations

(5) Simulate whole-body

concentrationsfor next time step

(3) Calculate flux distributionat cellular scale

(2) Use PBPK metabolizationrate as upper bound for FBA

(4) Use FBA uptakeas upstream PBPK

metabolization rate

FBA

PBPK

Benzene BenzeneOxide

Benzene

CYP2E1

CYP2E1

Complex

k1B

k2B

k3B

Liver cell

C inhaled C exhaled

Poorly perfused

Well perfused

Fat

Liver

Lungs

• Safety risk was evaluated to forecast the incidence rate in the CC subgroup population given the incidence rate of TT and TC subpopulations.

ODEs FBA Covariate

✔ • Mechanistic approach • Traditional solving methods

• Mechanistic approach• Enables genome-scale models• Easy estimation of network

parameters

• Easy implementation• Inclusion of genetic information

✖• Need for parameter values

and rescaling• Large-scale networks

implementation

• Jointly solving of ODEs and FBA • Non-mechanistic at cellular

level

CONCLUSIONS.• The PBPK-network combination with ODEs is

the most widely used approach.

• Computational tools have been proposed tofacilitate model coupling for the ODE andcovariate approaches; databases, e.g.,BioModels Database (EBI), JWS andSABIO-RK, are available to retrieve networksand their parameters.

• Multiscale modelling is a major challengein Systems Pharmacology, for whichguidelines are still missing. Efficientintegration of heterogeneous data, includinggenetic information, will greatly improve ourknowledge of the mechanisms underlyingcomplex diseases and drive new approachesfor drug discovery.