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The 'free drug hypothesis' : fact or fiction?

Steeg, T.J. van

Citation

Steeg, T. J. van. (2008, November 26). The 'free drug hypothesis' : fact or fiction?. Retrieved from https://hdl.handle.net/1887/13283

Version: Corrected Publisher’s Version License:

Licence agreement concerning inclusion of doctoral thesis in the Institutional Repository of the University of Leiden

Downloaded from: https://hdl.handle.net/1887/13283

Note: To cite this publication please use the final published version (if applicable).

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The ‘free drug hypothesis’: Fact or fiction?

Proefschrift

ter verkrijging van

de graad van Doctor aan de Universiteit Leiden, op gezag van Rector Magnificus prof.mr. P.F. van der Heijden,

volgens besluit van het College voor Promoties te verdedigen op woensdag 26 november 2008

klokke 11:15 uur

door

Tamara Jessica van Steeg

geboren te Oud-Beijerland in 1978

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Promotiecommissie

Promotor : Prof. Dr. M. Danhof Co-promotor : Dr. E.C.M. de Lange Referent : Dr. J.H. Proost

(Rijks Universiteit, Groningen) Overige leden :Prof. Dr. A.F. Cohen

Prof. Dr. E.R. de Kloet

Prof. Dr. A.P. Ijzerman

Prof. Dr. H.J. Guchelaar

Prof. Dr. J.A. Bouwstra

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"God, grant me the serenity to accept the things I cannot change, the courage to change the things I can, and the wisdom to know the difference."

(Reinhold Niebuhr)

Aan Jesca, Danique en ?

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The research described in this thesis was performed at the division of pharmacology of the Leiden/Amsterdam Center for Drug Research, Leiden University.

The printing of this thesis was financially supported by:

LAP&P consultants B.V., Leiden, The Netherlands

Pfizer Ltd, Research and Development, Sandwich, United Kingdom

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Section I - General introduction

Chapter 1 Scope and outline of thesis

Chapter 2 The ‘free drug hypothesis’ in pharmacodynamics: theoretical evaluation of the role of plasma protein binding

Section II - Mechanism-based PKPD modelling of β-blockers

Chapter 3 Pharmacokinetic-Pharmacodynamic modelling of S(-)-atenolol in rats:

Reduction of isoprenaline-induced tachycardia as a continuous pharmacodynamic enpoint

Chapter 4 Mechanism-based pharmacodynamic modelling of S(-)-atenolol:

Estimation of in vivo affinity for the β1-adrenoceptor with an agonist- antagonist interaction model

Chapter 5 Mechanism-based PKPD modelling of β-adrenoceptor antagonists:

Role of plasma protein binding Section III - Challenging the ‘free drug hypothesis’

Chapter 6 Reproducible and time-dependent modification of serum protein binding in Wistar Kyoto rats

Chapter 7 Challenging the ‘free drug hypothesis’: Mechanism-based PKPD modelling of altered AGP binding on heart rate effects of S(-)-propranolol in rats

Section IV - Summary, conclusions & perspectives

Chapter 8 Challenging the ‘free drug hypothesis’ - summary, conclusions &

perspectives

Nederlandse samenvatting (Synopsis in Dutch) Nawoord

Curriculum vitae List of publications

9 15

37

55

71

91

103

121

137 145 147 149

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