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Updated: Jul 7, 2025

Establishment of Rat Models Mimicking Gender-affirming Hormone Therapies
Published on: January 10, 2025
Physiologically-based pharmacokinetic model for evaluating gender-specific exposures of N-nitrosodimethylamine (NDMA)
Dong Wook Kang1, Ju Hee Kim1, Go-Wun Choi1
1College of Pharmacy, CHA University, 335 Pangyo-Ro, Bundang-Gu, Seongnam-Si, Gyeonggi-Do, 13488, Republic of Korea.
Abstract:
N-nitrosodimethylamine (NDMA) is classified as a human carcinogen and could be produced by both natural and industrial processes. Although its toxicity and histopathology have been well-studied in animal species, there is insufficient data on the blood and tissue exposures that can be correlated with the toxicity of NDMA. The purpose of this study was to evaluate gender-specific pharmacokinetics/toxicokinetics (PKs/TKs), tissue distribution, and excretion after the oral administration of three different doses of NDMA in rats using a physiologically-based pharmacokinetic (PBPK) model. The major target tissues for developing the PBPK model and evaluating dose metrics of NDMA included blood, gastrointestinal (GI) tract, liver, kidney, lung, heart, and brain. The predictive performance of the model was validated using sensitivity analysis, (average) fold error, and visual inspection of observations versus predictions. Then, a Monte Carlo simulation was performed to describe the magnitudes of inter-individual variability and uncertainty of the single model predictions. The developed PBPK model was applied for the exposure simulation of daily oral NDMA to estimate blood concentration ranges affecting health effects following acute-duration (≤ 14 days), intermediate-duration (15-364 days), and chronic-duration (≥ 365 days) intakes. The results of the study could be used as a scientific basis for interpreting the correlation between in vivo exposures and toxicological effects of NDMA.
Insights
This study developed a physiologically-based pharmacokinetic (PBPK) model to understand N-nitrosodimethylamine (NDMA) exposure in rats. The model links NDMA blood concentrations to toxicity, aiding risk assessment for human carcinogen exposure.
Area of Science:
- Toxicology
- Pharmacokinetics
- Biomedical Engineering
Background:
- N-nitrosodimethylamine (NDMA) is a known human carcinogen with limited data correlating exposure levels with toxicity.
- Understanding the relationship between NDMA exposure and its effects in target tissues is crucial for risk assessment.
Purpose of the Study:
- To develop and validate a physiologically-based pharmacokinetic (PBPK) model for N-nitrosodimethylamine (NDMA) in rats.
- To evaluate gender-specific toxicokinetics, tissue distribution, and excretion of NDMA.
- To establish a basis for correlating in vivo NDMA exposure with toxicological effects.
Main Methods:
- Oral administration of three NDMA doses to rats.
- Development of a PBPK model incorporating major target tissues (blood, GI tract, liver, kidney, lung, heart, brain).
- Model validation via sensitivity analysis, fold error, and visual inspection; Monte Carlo simulation for variability assessment.
Main Results:
- A validated PBPK model was successfully developed for NDMA in rats.
- The model simulates NDMA exposure across acute, intermediate, and chronic durations.
- Gender-specific pharmacokinetic and toxicokinetic parameters were evaluated.
Conclusions:
- The developed PBPK model provides a tool to estimate NDMA blood concentration ranges associated with health effects.
- This research offers a scientific foundation for interpreting the link between NDMA exposure and observed toxicity.
- The findings support improved risk assessment and management strategies for NDMA contamination.
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