2009
DOI: 10.1021/jm900403j
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Physicochemical Determinants of Human Renal Clearance

Abstract: Kidney plays an important role in the elimination of drugs, especially with low or negligible hepatic clearance. An analysis of the interrelation of physicochemical properties and the human renal clearance for a data set of 391 drugs or compounds tested in humans is presented. The data set indicated that lipophilicity shows a negative relationship while polar descriptors show a positive relationship with renal clearance. Analysis of net secreted and net reabsorbed subsets revealed that hydrophilic ionized comp… Show more

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Cited by 175 publications
(191 citation statements)
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“…This is generally consistent with our observations that permeability is inversely related to rat BE, and the compounds with high molecular mass (Ͼ400 Da) and low permeability (Ͻ2.5 ϫ 10 Ϫ6 cm/s) are considerably eliminated in bile. As noted in our previous (Varma et al, 2009) and the current study, low-permeable compounds with low molecular mass are primarily eliminated in urine, whereas larger size compounds are excreted in bile. The apparent molecular mass cutoff noted for BE may indicate that the potential substrate specificity of the transporters involved in hepatobiliary transport is associated with molecular mass.…”
Section: Discussionsupporting
confidence: 81%
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“…This is generally consistent with our observations that permeability is inversely related to rat BE, and the compounds with high molecular mass (Ͼ400 Da) and low permeability (Ͻ2.5 ϫ 10 Ϫ6 cm/s) are considerably eliminated in bile. As noted in our previous (Varma et al, 2009) and the current study, low-permeable compounds with low molecular mass are primarily eliminated in urine, whereas larger size compounds are excreted in bile. The apparent molecular mass cutoff noted for BE may indicate that the potential substrate specificity of the transporters involved in hepatobiliary transport is associated with molecular mass.…”
Section: Discussionsupporting
confidence: 81%
“…4; Table 1). Previously, using a dataset of human renal clearance for 391 compounds, we observed that the bases dominate the list of compounds secreted in urine (46%), with acids accounting for only 31% (Varma et al, 2009). A rather predominant presence of acids in the %BE Ն 10 subset (Fig.…”
Section: Discussionmentioning
confidence: 89%
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“…glomerular filtration, active secretion and tubular reabsorption. Passive renal tubular reabsorption of drugs has been correlated with drug lipophilicity and other physico-chemical properties (23,24). Recently, a quantitative structurepharmacokinetic relationship (QSPKR) model has been developed for prediction of reabsorption clearance, although prior information on the dominant process (reabsorption or secretion) and/or Biopharmaceutical Drug Disposition and Classification System (BDDCS) class is required (25).…”
Section: Measurement Of Renal Passive Tubular Permeability In Vitromentioning
confidence: 99%
“…a Compounds classified as exhibiting net secretory renal CL based on threshold defined by Varma et al (2009) where CLr Ͼ 1.2 ⅐ f up ⅐ glomerular filtration rate.…”
Section: Analysis Of the øIe-tozer Model Of Drug Distributionmentioning
confidence: 99%