3. Drug
• Thus, absorption is an important
prerequisite step
A drug is injected
intravascularly (iv or im)
directly enters into systemic
circulation.
Majority of drugs are
administered extravascularly
(generally orally).
Such drugs can exert the
pharmacological action only
when they come into systemic
circulation from their site of
administration .
4. Definition ofAbsorption
• The process of movement of unchanged drug from the site of administration
to systemic circulation.
• The effectiveness of a drug can only be assessed by its concentration at the
site of action.
• It is difficult to measure the drug concentration at such site.
• Instead, the concentration can be measured more correctly in plasma.
• As there always a correlation between the plasma concentration of a drug &
therapeutic response.
6. Cell Membrane:
Cell membrane separates living cell from nonliving
surroundings
Thin barrier = 8nm thick
Controls traffic in & out of the cell
• selectively permeable
• allows some substances to cross more easily than others
hydrophobic vs hydrophilic
Made of phospholipids, proteins & other macromolecules
7. Proteins determine membrane’s specific functions
– cell membrane & organelle membranes each have
unique collections of proteins
– Membrane proteins:
- peripheral proteins
• loosely bound to surface of membrane
• cell surface identity marker (antigens)
- integral proteins
• penetrate lipid bilayer, usually across whole
membrane
• transmembrane protein transport proteins
– channels, permeases (pumps)
8. Mechanisms Of DrugAbsorption
A) Transcelluar transport
Passive transport processes
• Passive diffusion
• Pore transport
• Ion-pair transport
• Facilited diffusion
Active transport processes
Primary active transport
Secondary active transport
• Symport
• Antiport
B) Paracelluar transport
Persorption
Permeation through tight junctions of cells
C) Vesicular transport
Pinocytosis
Phagocytosis
9. 1. PassiveDiffusion
Diffusion
Movement from high to low
concentration
• Major process for absorption of
more than 90% of drugs
• Non ionic diffusion
• Driving force – concentration or
electrochemical gradient
• Difference in the drug
concentration on either side of
the membrane
• Drug movement is a result of
kinetic energy of molecules
10. Mathematically (Fick’s First lawof diffusion)
.................I
dQ/dt = rate of drug diffusion (amount/time)
D = diffusion coefficient of the drug
A= surface area of the absorbing membrane for drug diffusion
Km/w = partition coefficient of drug between the lipoidal membrane &
the aqueous GI fluids
(CGIT – C) = difference in the concentration of drug in the GI fluids &
the plasma (Concentration Gradient)
h = thickness of the membrane
11. Characteristics of Passivediffusion
Energy independent & non-saturable
Greater the area & lesser the thickness of the membrane, faster
the diffusion
The process rapid over for short distances
Concentration equal on both the sides of the membrane -
equilibrium is attained
Greater the Partition Coefficient of the drug faster the
absorption
Molecular weight between 100-400 Daltons are effectively
absorbed
12. But this is not the case……
The passively absorbed drug enters blood, rapidly swept away
& distributed into a larger volume of body fluids
Hence,
The concentration of drug at absorption site CGIT is maintained
greater than the concentration in the plasma. Such a condition is
called as sink condition for drug absorption.
13. Under usual absorption conditions,
D, A, Km/w & h are constants, the term DAKm/w /h can be replaced by
a combined constant P called as permeability coefficient
Permeability - ease with which a drugcan permeate or diffuse
through a membrane.
Due to sink conditions, the C is very small in comparison to CGIT.
14. 2. PoreTransport
• It is also called as convective transport, bulk flow or filtration.
• Mechanism – through the protein channel present in the cell
membrane.
• Drug permeation through pore transport – renal excretion, removal
of drug from CSF & entry of drug into the liver
15. The driving force – hydrostatic or osmotic pressure differences across
the membrane. Thus, bulk flow of water along with the small solid
molecules through aqueous channels. Water flux that promotes such a
transport is called as solvent drag
The process is important in the absorption of low molecular weight
(<100D), low molecular size (smaller than the diameter of the pore)
& generally water soluble drugs through narrow, aqueous filled
channels or pores e.g. urea, water & sugars.
Chain like or linear compounds (upto 400D) absorbed by filtration
16. 3. Ion-pairTransport
Responsible for absorption of compounds which ionizes at all
pH values. e.g. quaternary ammonium, sulphonic acids
Ionized moieties forms neutral complexes with endogenous ions
which have both the required lipophilicity & aqueous solubility
for passive diffusion.
E.g. Propranolol, a basic drug that forms an ion pair with oleic
acid & is absorbed by this mechanism
17. 4. Carrier MediatedTransport
• Involves a carrier which
reversibly binds to the
solute molecules and forms
a solute-carrier complex
• This molecule transverse
across the membrane to the
other side and dissociates,
yielding the solute molecule
• The carrier then returns to
the original site to accept a
new molecule.
• There are two type of carrier mediated
transport system
1) Facilitated diffusion
2) Active transport
18. 5. FacilitatedDiffusion
• Facilitated diffusion is a
form of carrier transport
that does not require the
expenditure of cellular
energy.
• Carriers are numerous in
number & are found
dissolved in cell membrane.
• The driving force is
concentration gradient,
particles move from a region
of high conc to low conc.
19. ActiveTransport Processes
• Requires energy, which is
provided by hydrolysis of
ATP for transportation.
• More commonly, metabolic
energy is provided by the
active transport of Na+, or is
dependent on the
electrochemical gradient
produced by the sodium
pump, Na+/K+ ATPase
(secondary active transport).
20. PrimaryActiveTransport
• Direct ATPrequirement
• The process transfers only one ion or molecule & only in
one direction. Hence, called as UNIPORT
• E.g. absorption of glucose
• ABC (ATP binding Cassette) transporters
21. Secondary active transport
• No direct requirement ofATP
• The energy required in transporting an ion aids transport of
another ion or molecule (co-transport or coupled transport)
either in the same direction or opposite direction.
• 2 types:
• Symport (co-transport)
• Antiport (counter transport)
23. Endocytosis
• It is a process in which cell
absorbs molecules by engulfing
them.
• Also termed as vesicular
transport.
• It occurs by 3
mechanisms:
Phagocytosis
Pinocytosis
Transcytosis
25. Transcytosis
• It is the process through which
various macromolecules are
transferred across the cell
membrane.
• They are captured in vesicles,
on one side of the cell and the
endocytic vesicle is transferred
from one extracellular
compartment to another.
• Generally used for the
transfer of IgA and insulin.
26. Pinocytosis
• It is a form of endocytosis in which
small particles are brought to the
cell, forming an invagination.
• These small particles are suspended
in small vesicles.
• It requires energy in the form
ofATP.
• It works as phagocytosis, the only
difference being, it is non specific in
the substances it transports.
• This process is important in the
absorption of oil soluble vitamins
& in the uptake of nutrients