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Drug Targeting Organ-Specific Strategies

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CL uptake (ml/min/g)<br />

centration profiles are monitored (Figure 5.4a) [29]. Figure 5.3b shows the CL uptake for several<br />

sugar-modified AVPs. It shows that the tissue-distribution profile largely depends on the<br />

sugar moiety, and that glucose- (Glc), mannose- (Man) and 2dGlc-O-C8-AVP exhibit kidney-specific<br />

distribution [23].<br />

In the kidney, the CL uptake includes glomerular filtration as well as renal binding and<br />

or uptake from the basal site. Hence, such CL uptake should give the apparent value<br />

(CL uptake,app):<br />

CL uptake,app = f pGFR + CL uptake,kidney<br />

5.2 Renal Delivary Using Pro-<strong>Drug</strong>s 127<br />

Figure 5.3. (a) Structure and (b) tissue uptake clearance of alkylglycoside-derivatized AVP. *Position<br />

of 3 H-label. Adapted from reference [23].<br />

(5.1)<br />

where f p, GFR, and CL uptake,kidney represent respectively, the unbound plasma fraction, the<br />

glomerular filtration rate, and the CL uptake value representing the unidirectional drug associ-

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