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ABSORPTION OF DRUGS FROM LUNGS
P:3 U:2
Vedanti S. Gharat
T. Y. B. Sc. Biotechnology
Roll No. - 20
Exam seat No. - 005018
INTRODUCTION
• The lung is the only organ
through which the entire
cardiac output passes.
• The lungs serve as a major
site of administration for a
number of agents given for
both local and systemic
effects.
• Drugs can be inhaled as
gases (e.g., volatile
anesthetics) or as aerosols
(suspended liquid droplets
or solid particles).
• Before the inhaled drug can be absorbed into the blood from
the lung periphery, it has several barriers to overcome: lung
surfactant, surface lining fluid, epithelium, interstitium and
basement membrane and the endothelium.
• The number of alveoli ranges from 200 million to 600 million,
resulting in an enormous epithelial surface area.
• Absorption of agents from the lung is facilitated by the large
surface area of the pulmonary alveolar membranes (50–100
m²), the limited thickness of these membranes (approximately
0.2 µ), and the high blood flow to the alveolar region.
• Pulmonary absorption of volatile anesthetics across the
alveolar–capillary barrier is very rapid because of the relatively
high lipid–water partition coefficients an small molecular radii
of such agents.
• The driving force for diffusion is a combination of the blood–
air partition coefficient (which is a measure of the capacity of
blood to dissolve drug) and the difference in partial pressure
between the alveoli and the arterial and venous blood.
• While these properties promote efficient gas exchange through
passive transport, they also provide a mechanism for efficient
drug delivery to the bloodstream.
• Agents with high blood–air partition coefficients require more
drug to be dissolved in the blood for equilibrium to be
reached.
• Although the mechanism of absorption is unknown, it has
been hypothesized that macromolecules either pass through
the cells via absorptive transcytosis (adsorptive or receptor
mediated), paracellular transport between bijunctions or
trijunctions, or through large transitory pores in the epithelium
caused by cell injury or apoptosis.
• Thus, the high bioavailability of macromolecules deposited in
the lung (10–200 times greater than nasal and gastrointestinal
values) may be due to its
1. enormous surface area
2. very thin diffusion layer
3. slow surface clearance and
4. antiprotease defence system.
REFERENCE
• Modern Pharmacology With Clinical Applications 5th edition book.
• https://www.ncbi.nlm.nih.gov - Pulmonary drug delivery. Part I:
Physiological factors affecting therapeutic effectiveness of aerosolized
medications.
• IMAGES were taken from Google.

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ABSORPTION OF DRUGS FROM LUNGS.pptx

  • 1. ABSORPTION OF DRUGS FROM LUNGS P:3 U:2 Vedanti S. Gharat T. Y. B. Sc. Biotechnology Roll No. - 20 Exam seat No. - 005018
  • 2. INTRODUCTION • The lung is the only organ through which the entire cardiac output passes. • The lungs serve as a major site of administration for a number of agents given for both local and systemic effects. • Drugs can be inhaled as gases (e.g., volatile anesthetics) or as aerosols (suspended liquid droplets or solid particles).
  • 3.
  • 4. • Before the inhaled drug can be absorbed into the blood from the lung periphery, it has several barriers to overcome: lung surfactant, surface lining fluid, epithelium, interstitium and basement membrane and the endothelium. • The number of alveoli ranges from 200 million to 600 million, resulting in an enormous epithelial surface area. • Absorption of agents from the lung is facilitated by the large surface area of the pulmonary alveolar membranes (50–100 m²), the limited thickness of these membranes (approximately 0.2 µ), and the high blood flow to the alveolar region. • Pulmonary absorption of volatile anesthetics across the alveolar–capillary barrier is very rapid because of the relatively high lipid–water partition coefficients an small molecular radii of such agents.
  • 5. • The driving force for diffusion is a combination of the blood– air partition coefficient (which is a measure of the capacity of blood to dissolve drug) and the difference in partial pressure between the alveoli and the arterial and venous blood. • While these properties promote efficient gas exchange through passive transport, they also provide a mechanism for efficient drug delivery to the bloodstream. • Agents with high blood–air partition coefficients require more drug to be dissolved in the blood for equilibrium to be reached.
  • 6.
  • 7. • Although the mechanism of absorption is unknown, it has been hypothesized that macromolecules either pass through the cells via absorptive transcytosis (adsorptive or receptor mediated), paracellular transport between bijunctions or trijunctions, or through large transitory pores in the epithelium caused by cell injury or apoptosis. • Thus, the high bioavailability of macromolecules deposited in the lung (10–200 times greater than nasal and gastrointestinal values) may be due to its 1. enormous surface area 2. very thin diffusion layer 3. slow surface clearance and 4. antiprotease defence system.
  • 8.
  • 9. REFERENCE • Modern Pharmacology With Clinical Applications 5th edition book. • https://www.ncbi.nlm.nih.gov - Pulmonary drug delivery. Part I: Physiological factors affecting therapeutic effectiveness of aerosolized medications. • IMAGES were taken from Google.