A physiologically based pharmacokinetic (PBPK) model of vitamin D 3 and metabolites [25(OH)D 3 , 1,25(OH) 2 D 3 , and 24,25(OH) 2 D 3 ] is presented. In this study, patients with 25(OH)D 3 plasma concentrations below 30 ng/ml were studied after a single dose of 5,000 I.U. (125 µg) cholecalciferol, provided with 5,000 I.U. daily cholecalciferol supplementation until vitamin D replete (25(OH)D 3 plasma concentrations above 30 ng/ml), and had serial plasma samples were collected at each phase for 14 days. Total concentrations of vitamin D 3 and metabolites were measured by ultra-high performance liquid chromatography tandem mass spectrometry. A ninecompartment PBPK model was built using MATLAB to represent the triphasic study nature (insufficient, replenishing, sufficient). Stimulatory and inhibitory effect of 1,25(OH) 2 D 3 were incorporated by fold-changes in the primary metabolic enzymes CYP27B1 and CYP24A1, respectively. Incorporation of dynamic adipose partition coefficients for vitamin D 3 and 25(OH)D 3 and variable enzymatic reactions aided in model fitting.Measures of model predictions agreed well with data from metabolites, with 97%, 88%, and 98% of the data for 25(OH)D 3 , 24,25(OH) 2 D 3 , and 1,25(OH) 2 D 3 , respectively, within 2-fold of unity (fold error values between 0.5 and 2.0). Bootstrapping was performed and optimized parameters were reported with 95% confidence intervals.This PBPK model could be a useful tool for understanding the connections between vitamin D and its metabolites under a variety of clinical situations.
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