vxEPA
United States
Environmental Protection
Agency
    Exposure Related Dose
  Estimating Model (ERDEM)
    A Physiologically-Based
     Pharmacokinetic and
  Pharmacodynamic (PBPK/PD)
      Model for Assessing
   Human Exposure and Risk
      RESEARCH AND DEVELOPMENT

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                                        EPA/600/R-06/061
                                           June 2006
                                          vwwv.epa.gov
           Exposure Related
 Dose Estimating Model (ERDEM)
        A Physiologically-Based
          Pharmacokinetic and
Pharmacodynamic (PBPK/PD) Model
   for Assessing Human Exposure
                  and Risk
                   Jerry N. Blancato
                    Fred W. Power
                   Robert N. Brown
                    Curtis C. Dary
Notice: Although this work was reviewed by EPA and approved for publication, it may not necessarily reflect official
   Agency policy. Mention of trade names and commercial products does not constitute endorsement or
   recommendation for use.
               U.S. Environmental Protection Agency
               Office of Research and Development
            Human Exposure and Atmospheric Sciences Division
               Exposure and Dose Research Branch
                  Post Office Box 93478
                 Las Vegas, NV 89193-3478
                                       237EDRB05.RPT * 7/31/06

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                            Table of Contents
Section 1  Introduction 	1

Section 2  ERDEM Front End User Guide (Beta Version 4.1.1)  	7
      2.1    Installation	7

Section 3  Using the ERDEM Front End 	9
      3.1    Introduction	9
            3.1.1  Recommended Screen Settings  	9
            3.1.2  Model Data Sets	9
            3.1.3  Data Entry Pipeline	10
      3.2    Accessing the Data: Overview of the ERDEM Menu System	10
            3.2.1  Main Menu	10
            3.2.2  Additional Menu Features 	11
      3.3    Organizing the Data: The Model Data Set Concept  	11
            3.3.1  Define aNew Model Data Set	11
            3.3.2  Save the Entered Data	13
            3.3.3  Open an Existing Model Data Set 	14
            3.3.4  Copy/Delete Model Data Set	15
                  3.3.4.1To  Copy the Current MDS 	15
                  3.3.4.2To  Delete an MDS	18
            3.3.5  Open User Database	20
            3.3.6  Open SAMPLE Database	21
            3.3.7  Special Processes - Copy Current Database  	23
            3.3.8  Special Processes - Convert Database	24
                  3.3.8.1MethodOne	24
                  3.3.8.2Method Two  	26
      3.4    Maintaining Data Integrity: The ERDEM Data Entry Pipeline	32
            3.4.1  The Pipeline Report  	32
      3.5    Editing the Data:  Adding, Deleting, Saving 	34
            3.5.1  Change An Entry 	34

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            3.5.2 Insert, Add, or Delete a Row 	35
                 3.5.2. ITo Insert a Row	36
                 3.5.2.2To Add a Row	36
                 3.5.2.3To Delete a Row	36
            3.5.3 Saving Changes 	37
      3.6    Required Fields and Unavailable Fields 	37
            3.6.1 Required Fields	37
            3.6.2 Unavailable Fields  	38
      3.7    Maintaining Productivity: ERDEM Window Features and Shortcuts .... 39
            3.7.1 Non-Filtering Dropdowns	39
            3.7.2 Filtering Dropdowns	40
            3.7.3 Filtering Dropdowns and Reference Data Lists	42
            3.7.4 Reference Data Lists	44
      3.8    Switching Between Model Data Sets  	45
            3.8.1 To Switch to Another MDS  	46
      3.9    Using Context Help	48
      3.10   To Turn Off "Context Help"	49

Section 4  Exporting and Running a Model Data Set 	51
      4.1    Preparing the Model Data Set for Export 	51
      4.2    Exporting the Model Data Set from the ERDEM Database 	52

Section 5  Starting the ACSL Viewer and Running the ERDEM Model  	55
      5.1    Starting the ACSL Viewer	55
      5.2    Running the Model  	61
      5.3    Specifying the Scenario	65
      5.4    Exit ACSL	68
      5.5    Exit ACSL/Graphic Modeller	69
      5.6    Exit ERDEM Front End	69

Section 6  Descriptions of Exposure Related Dose Estimating Model
(ERDEM)  	71
      6.1    Experimental Pathways and Routes of Entry 	72
            6.1.1 Intraperitoneal Injection	72
            6.1.2 Intramuscular Injection	72
            6.1.3 Intravascular Administration 	73

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                  6.1.3.1 Infusion into the Venous Blood	73
                  6.1.3.2Bolus Intravenous Injections	74
            6.1.4 Inhalation Administration	75
      6.2   Exposure for Bolus Ingestion, Rate Ingestion, Inhalation, and Skin Surface
            Exposures	76
            6.2.1 Ingestion Into the Stomach and the Stomach Lumen	77
                  6.2.1.1Bolus Dose Ingestion	77
                  6.2.1.2Rate Ingestion	78
            6.2.2 Inhalation Exposure 	79
            6.2.3 Dermal Exposure 	79
                  6.2.3.1 Skin Surface Exposure to a Chemical in an Aqueous Vehicle^
                  6.2.3.2Skin Surface Exposure to Transfer from a Dry Surface ... 79
      6.3   Variable Definitions	81

Section 7 Descriptions of Absorption and Circulation in  Model
Compartments	85
      7.1   The  Closed Chamber for the Static Lung  	85
            7.1.1 Elimination  in the Static Lung 	86
            7.1.2 Binding in the Static Lung 	86
            7.1.3 Calculation of Free Chemical in the Static Lung	86
            7.1.4 Metabolism  in the Static Lung	87
            7.1.5 Arterial Blood and the Static Lung	87
            7.1.6 Venous Blood Input to the Static Lung  	87
      7.2   The  Breathing Lung	88
            7.2.1 Flow of Air  in the Breathing Lung	90
            7.2.2 Factors to Multiply Terms for Inspiration and Expiration	91
            7.2.3 Equation for the Closed Chamber  	92
            7.2.4 Equations for Upper Dead Space	92
            7.2.5 Equations for the Lower Dead Space	93
            7.2.6 The Equation for the Alveoli 	93
            7.2.7 Lung Tissue Equation	94
                  7.2.7.1 Elimination in the Lung Tissue	94
                  7.2.7.2Binding in the Lung Tissue	95
                  7.2.7.3 Calculation of Free Chemical in the Lung Tissue	95
            7.2.8 Metabolism  in the Lung  Tissue  	95
            7.2.9 Equation for the Pulmonary Capillaries	95
            7.2.10 Binding in the Pulmonary Capillaries  	96
                                                                              in

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            7.2.11 Calculation of Free Chemical in the Pulmonary Capillaries  	96
            7.2.12 Blood Flow for the Breathing Lung	96
            7.2.13 Arterial Blood and the Breathing Lung 	97
            7.2.14 Venous Blood Input to the Breathing Lung	97
            7.2.15 Calculation of Uptake and Chemical in Exhaled Breath  	98
            7.2.16 Variable Definitions for Breathing Lung	98
      7.3   Equations for the Four Compartment Gastro-Intestinal (GI) Simulation 100
            7.3.1  Flow Through the Stomach Wall	102
            7.3.2  Flow Through the Stomach Lumen 	103
            7.3.3  Flow Through the Duodenum Wall	104
            7.3.4  Flow Through the Duodenum Lumen 	105
            7.3.5  Flow Through the Lower Small Intestine  Wall 	106
            7.3.6  Flow Through the Lower Small Intestine  Lumen  	107
            7.3.7  Flow Through the Colon	108
            7.3.8  Flow Through the Colon Lumen  	109
            7.3.9  Flow Through the Lymph Pool  	110
            7.3.10 Portal Blood and Bile Flow  	Ill
            7.3.11 Flow in the Liver Compartment and Bile  Flow to the Duodenum
               Lumen	112
            7.3.12 Chylomicron Flow in the Other Compartments	114
      7.4   Dermal Exposure	114
            7.4.1  Skin Surface Exposure to Water or Other Vehicle	115
            7.4.2  Skin Surface Exposure to Transfer from a Dry Surface	117

Section 8 Chemical Disposition in silico	121
      8.1   Distribution of Chemical from Blood to Tissues, Organs and in Fluids . 121
            8.1.1  Binding in the Arterial Blood	121
            8.1.2  Calculation of Free Chemical in the Arterial Blood	122
            8.1.3  The Venous Blood 	122
                  8.1.3.1Binding in the Venous Blood 	122
                  8.1.3.2Calculation of Free Chemical in the Venous Blood	122
            8.1.4  Distribution in Tissues 	122
                  8.1.4.1Distribution in the Residual Carcass	122
                  8.1.4.2Distribution in Fat Tissue  	124
                  8.1.4.3Distribution in Slowly Perfused Tissue	125
IV

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                  8.1.4.4Distribution in Rapidly Perfused Tissue	126
            8.1.5  Distribution of Chemical in Organs	127
                  8.1.5.1 Distribution of Chemical from Blood to the Brain	127
                  8.1.5.2Distribution of Chemical to the Liver	129
                  8.1.5.3Absorption and Distribution in the Stomach	131
                  8.1.5.4The Intestine  	131
                  8.1.5.5The Kidney 	131
                  8.1.5.6The Spleen	132
                  8.1.5.7The Dermal Tissue   	134
      8.2   Metabolism in Selected Tissues and Organs	134
            8.2.1  Implementation Outline 	135
            8.2.2  Variable Names for Metabolism Parameters  	136
            8.2.3  Calculation of Maximum Rate of Change of Metabolism	137
            8.2.4  Calculations When Including Enzyme Destruction and Re-syntheslii8
            8.2.5  The Rate of Formation of Saturable and Linear Metabolite in the
               Liver	138
            8.2.6  Circulating Compounds which are Metabolites	139
            8.2.7  Inhibition in the Metabolism Process	139
            8.2.8  Metabolism in the Other Organs and Tissues	140
                  8.2.8.1 Metabolism in the Brain 	140
                  8.2.8.2Metabolism in the Kidney	140
                  8.2.8.3Metabolism in the Carcass	140
                  8.2.8.4Metabolism in the Fat  	141
                  8.2.8.5Metabolism in the Slowly Perfused Tissue	141
                  8.2.8.6Metabolism in the Rapidly Perfused Tissue 	141
                  8.2.8.7Metabolism in the Spleen  	141

Section 9 Exposure Related Dose Estimating Model (ERDEM) Enzyme
Kinetics Implementation	143
      9.1   The ERDEM Equations for Enzyme Kinetics	143
      9.2   Elimination of Chemical Due to Competition with Enzyme Metabolism 143
      9.3   Enzymatic Reactions in the Liver	144
            9.3.1  Enzymatic Inhibition 	144
            9.3.2  Enzyme Regeneration	145
            9.3.3  Enzyme Re-synthesis	145

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            9.3.4  Enzyme Aging and Degradation	145
      9.4   Nomenclature for the Liver Enzyme Equations  	146
            9.4.1  Amounts in the Liver  	146
            9.4.2  Concentrations in the Liver 	147
            9.4.3  Rates of Change of the Amount of Enzyme in the Liver	147
            9.4.4  Rate Constants for the Reactions  	148

References 	149
VI

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                                  Section 1

                                 Introduction
The U.S. EPA, as part of its mission to protect human health, develops tools (methods,
measures and models) to improve the risk assessments that are used by the Agency to
predict adverse effects from exposure to environmental agents.  As with any predictive
approach, there is often considerable uncertainty associated with these assessments. To
reduce this uncertainty and to increase confidence in our policy decisions, the Agency
must use the best and most-up-to-date science. Current approaches include the use of
state-of-the-science predictive models to describe the physical, chemical, and biological
processes that may be impacted by an exposure to a chemical of concern.  Scientists often
need to predict the dose of chemicals within the body that results from an environmental
exposure. This requires the knowledge of many biological processes and chemical
factors both inside and outside of the body.  Predictive mathematical models, which can
accurately describe the biology and chemistry within the human body, are used to
estimate and predict the dose. With improved dose models, risk assessors can better
predict possible health impacts and insure that the Agency's risk management decisions
are founded on high quality science.

Over recent years, physiologically based pharmacokinetic (PBPK) models have been used
to better describe internal doses resulting from exposures to chemicals in the
environment. PBPK models are mathematical descriptions of how chemicals  are absorbed
into, transported through, eliminated from, and stored in  the body. More recently,
physiologically based pharmacokinetic and pharmacodynamic (PBPK/PD) models are
being used to mathematically describe not only the disposition of a chemical  in the body,
but also how some normal biologic processes are altered as a result of the chemical in the
body. PBPK/PD models should provide the ability to evaluate, estimate, and predict
measures of toxicologically relevant doses.

The Exposure Related Dose Estimating Model (ERDEM) is a PBPK/PD modeling system
that was developed by EPA's National Exposure Research Laboratory (NERL). The
ERDEM framework provides the flexibility either to use existing models and to build
new PBPK and PBPK/PD models to address specific science questions.  Over the past
several years, ERDEM has been enhanced to improve ease of operation and to provide
additional modeling capabilities. With these enhancements, ERDEM has been applied to
a variety of chemicals as part of the regulatory risk assessment process. Applications for
malathion and N- methyl carbamate were presented to and peer-reviewed by the FIFRA
Scientific Advisory Panel.

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This report provides information on the use of ERDEM and related software.  ERDEM
can be found  on the web at:                                    For the user,
ERDEM requires no special software other than the basic Windows environment
commonly used on PCs. The ERDEM system includes three components
   •  the ERDEM Front End,
   •  the ERDEMModel(s) built in Advanced Continuous Simulations Language
      (ACSL),
   •  the ACLS Viewer.
The ERDEM Front End is a Windows-based application that allows the user to enter
exposure, pharmacokinetic, and pharmacodynamic parameters and data and to store them
in a database for later use and export to a command file for input to the ERDEM Model.
The ERDEM modeling engine contains differential equations that use the physiological,
biological, and pharmacodynamic modeling data that are entered via the ERDEM Front
End. The various features (compartments, metabolism, exposure, and enzyme inhibition)
of the modeling engine are accessed by flags that are set by the user. The ACSL viewer is
part of the ACSLTOX modeling engine environment that allows the user to start and view
model run results.

This introduction is dedicated to explaining and exploring the ERDEM system. Section 2
takes the user through the installation process. Section 3 introduces the computer screens
of the ERDEM Front End, where toxicologists and risk assessors may enter exposure,
pharmacokinetic (PK) and pharmacodynamic (PD) parameters and data.. Section 4
presents the export of the entered data into a command file for input to the ERDEM
model engine(s). Section 5 discusses the use of the ACSL Viewer used to run the model.
This is followed by a mathematical description of the exposure pathways (Section 6), the
absorption and of the exposure chemicals through the lung, gastro-intestinal (GI) tract,
and the skin (Section 7), the disposition and metabolism throughout the various
compartments (Section 8), and the pharmacodynamics of enzyme kinetics provided in
Section 9.

ERDEM consists of the following compartments: Arterial Blood, Brain, Carcass,  Closed
Chamber, Derma, Fat, Intestine, Kidney, Liver, Rapidly Perfused Tissue, Slowly Perfused
Tissue, Spleen, Static Lung, Stomach, and Venous Blood. The mathematical equations for
these compartments are presented in Section 7. Each of the compartments (Brain,
Carcass, Fat, Kidney, Liver, Lung Tissue, Rapidly and Slowly Perfused Tissues, Spleen,
and the Static Lung) have two forms of elimination, an equilibrium binding process, and
multiple metabolites. System diagrams for the Static Lung (Figure 1) and Breathing Lung
(Figure 2) are presented. The model diagram of the Breathing Lung shows the movement
of chemical across the three boundaries. The Breathing Lung utilizes the compartments:
Alveoli, Lower Dead Space, Lung Tissue, Pulmonary Capillaries, and Upper Dead Space.
Lastly, there are two diagrams showing the Gastro-intestinal (GI) Model (Figure 3) and
further details (Figure 4) of the GI. ERDEM allows for multiple circulating compounds
with multiple metabolites entering and leaving each compartment. The Gastro-intestinal

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model consists of the Wall and Lumen for the Stomach, Duodenum, Lower Small
Intestine, and Colon with Lymph Pool and Portal Blood compartments included. Bile
flow is treated as an output from the Liver to the Duodenum Lumen. All chemicals
including their metabolites are treated as circulating. Nonspecific ligand binding, e.g.,
plasma protein binding, is represented in Arterial Blood, Pulmonary Capillaries, Portal
Blood, and Venous Blood.
REFERENCES
Okino, M.S., Power, F.W., Tornero-Velez, R., Blancato, J.N., and Dary, C.C.,
Assessment of Carbaryl Exposure Following Turf Application Using a Physiologically
basedPharmacokinetic/Pharmacodynamic Model. FIFRA Science Advisory Panel Open
Meeting, Arlington, VA, February 15-18, Docket Number: OPP-2004-0405, Washington
DC., 2005.

Report, "Use of Exposure-Related Dose Estimating Model (ERDEM) for Assessment of
Aggregate Exposure of Infants and Children to N-Methyl Carbamate Insecticides".
Appendix to "ESTIMATION OF CUMULATIVE RISK FROM N-METHYL
CARBAMATE PESTICIDES: Preliminary Assessment",  to FIFRA Scientific Advisory
Panel (SAP) Open Meeting,  August 23-26, 2005, Docket Number: OPP-2004-0172,
Washington DC.

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Inputs
1 Bolus Dose I.,..,
ingestions
X~~™»~..™~™— ..™™~_ ~~~^ *»-»»*«--- *a.~
r«w L^WSJ
Inqestions
v_f ___J o 00
:intraperitoneat \
Injection J
23 97'
0?7.
2397*
479'
f*~7~ " "N 1343*
Intramuscylar I
injection j
2493'
Skin Surface I ,-
I
V «™™™*«('1'
j Bolus Dose L.,
I Infusions J—
•Percent of Total Blood Flow
"Percent of Body Volume
(Excluding Air
***Perc®nt of the Tsdal Volum©
KST.IN

S*JsP Spleen 000 "K^iVa"^
L ^
OR-n V
j^ ' P"i-fftl Ploof
T
' 	 »j LV I wer 3 14" '
QBtv
	 »»j CR Caicass 043 LlL,
	 QBoH " "
	 *»s KD Kidney 044 ^~~^
QB~M>""T"
	 ^_i FT Fat 23 1 _^.
^-! j^ _,
QBs-V"
I *H SL Slowly Perfused
V">"' 46 77 H""
1 f
QB&.
	 **j RP Rapidly r-».
j 	 Perfused 327 	 ^ y
" "9^"; OR Derma W,29.___^
>>-
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QBBR
H_ _____,^^
VB Venous 5,19 "**"' ' '
KlN.FEC
	 ^, IN Intestine !""•*•, Jntesttnal
KlN" t'6 — '
»-Spieen Metabolites There are N chemicals modeled
Liver Kidney, Fat, Carcass,
Brain, Slowly Perfused Rapidly
Perfused Tissue and Spleen
The Static Lurtg, and Lung Tissue
>Liver Metabolites are modeled with binding
elimination and metabolism
>4->Careaas Metabolites
*u--$Hf at Metabolites
There are op to K metabolites
of each of the N chemicals Each
Slowly metabolite is one of the
•»__-^Perfused N chemicals There is binding in
Tissue the Artersa! Blood and Venous Blood.
Metabolites
'\ is» Rapidly Perfused
Tissue Metabolites
\.V Brain
"^
j Ooen Chamber 1


PU Lung
i
AB 2,5?
., . ' Inhalation J
Open Chamber \ ~ • — — — — —
Exhalation



_ung Metabolites
Figure 1. ERDEM System Flow with Static Lung and Stomach Intestine.

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VB Venoys
i


QWJ
Bionchial W
ftrterv
Pulmonary
GAB.CP
QB ,
AB /
- b
Capillaries
___^_J*--
j
I
i
j
f * *«
arterial
c
Bronchial vein
QCP.VB
a
• PcP.AI.AAt — 	 •>
— RW..CP ACP 	
Diffysion
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— -—pLGiCpA CP — — 	
Diffusion
CC Closed
Chamber Inhalation
A
^/ Open Chamber '*
\ Exhalation J
,...[ Open Chamber 1
QAIR\I/ i 1 Inhalation J
	 i 	 J 	 JL:;
UD
Upper Dead space
}«« J i
4 !
LD
Lower Dead Space .
' i "A 	 :
AL Alveo
k
I PlGAlAAL
MI i
LG | j Diffusion
LG Lung Tissue
i
«— — ••> Lung Metabolites
                 Figure 2. Breathing Lung Compartment Flow.
Inputs
i ingestions 1 __ 	 ^J" CT 0(m_^^k [_ J IN Intestine I™*/" Intestinal
Rate 1 	
Ingestions .
V 	 / Q A0
1
J
23.9?'
KMI>BT
A^JSP Spleen 000 j-4>i-/'<
%,,„ 	 .,j^J Portal Bloc

^ ___
'—^ LV Liver 3 14**
QBiv
i 	 	 I I Elimination
"KlN.PS 	
>»-Spleen Metabolites
^I\
"S'-Liver Metabolites
Venous
i f
              Figure 3. Stomach/Intestine Gastro-lntestinal Model.

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1
AB Arterial f
__^ 	 1

Bolus Dose I
Ingestion [



Arteria
The three Walls, DU,
SI, and CN
chemical in the lipids
to the Lymph Pool(LP).
**








^_ LV LIWBI *

4 PB
1
i
rJ ""if
if '' Blle Non Ltpid
KlfLV Flow Row
Lymph <
( 	 . . _ L ....... .' r. - . .. . . ..
i



Food Flow
\t y
Mood DUL Duodenym Lumen
L^ ^^^
Flow ^ ^
•«* 	 1
DU Duodenum Wall ^

Food Flow
( |^
-* 	 1 SI Lower Small Intestine Wall
*fcj
"
1 	 i
A |
Lipirf ! Non-UpitJ
Flow ! Flow W
1 i t _ .
I SI Lower Small Intestine Lumen
i r*\
~* 	 1 CN Colon Wall
„„„„„„„„„„ 	 ,^j
1
, . , , i i Food Flow
tipid * ^
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r—^JL^^Sffi^^^^
^
CN Colon Lumen

Portal Blood
I
_»»,
Po
Bl(
.,-**



tal The Lymph flow consist
od Chylomicrons that are fa
in the blood, To find the
a chemical in the blood,
amoynt must be added
% Lymph
.. ^^ ^ xx Comp3rtn.
KtP.xx
lymph flow ts t
following comp
Liver, Spleen C
Ktdney. Fat,
Slowly Perfuse
Rapidly Perfus<
Derma. Brain !
and ihe Pylmof
Capillaries.
Lymph
Pool
                       Qpeces
                       Intestinal
                      riimmahon
      Figure 4. Detailed Gastro-lntestinal Tract Model.

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                                 Section 2

                     ERDEM Front End User Guide
                             Beta Version 4.1.1
2.1 Installation

1.  Insert the ERDEM Beta, Version 4.1.1 CD-ROM into your CD-ROM drive.

   If Auto Run is active on your system, the "ERDEM Installer" window will
automatically appear.

2a. Follow the "ERDEM Installer" instructions that are displayed.

-OR-

2b.If AutoRun is not active on your system, do the following:

   bl. Select "Run" from the Windows Start menu.

   b2. Type the drive letter for your CD-ROM and the following path:
      D:\ERDEM_INSTALLER.HLP (In this instance, "D:" is the CD-ROM drive
      path; it may be different on your computer.)

      Note: You can also use Windows Explorer to navigate to your CD-ROM drive and
           double-click on the "ERDEM-INSTALLER.HLP" file.

   b3. Press the "Enter" key.

      The "ERDEM Installer" window will appear.

   b4. Follow the "ERDEM Installer" instructions that are displayed.

Important:
   If you have a previous version of ERDEM installed, the system will inform you that
   the previous version must first be uninstalled. This installation then will guide you
   through the uninstall of your previous version, back up the user's database, if it exists,

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   and return you to the ERDEM Install program. As directed, click the "ERDEM
   Install" icon again to complete the installation.

It is recommended that you do a standard installation, accepting all default settings.
That is, click "Yes," "OK," "Next," or "Finished," as appropriate on the various
windows. The Install program will install ERDEM and all related components.

For your convenience, this user guide is also available from ERDEM Online Help.

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                                  Section 3

                      Using the ERDEM Front End
3.1 Introduction

As a comprehensive modeling system, ERDEM contains a PBPK model engine
component that can create scenario-based simulations and target dose estimates for
exposure of a species to multiple chemicals, metabolites, compartments, enzymes, and
exposures. The input management component uses a Windows-based graphical user
interface and relational database that enables the user to enter, edit, report, and export
data sets of user-assigned physiological information. ERDEM takes away the tedious and
error-prone activities associated with entering, maintaining, and exporting physiological
inputs and assessing outputs for PBPK models.

The ERDEM Graphical User Interface (GUI), also known as the ERDEM Front End,
provides an efficient method for entering pharmacokinetic modeling and exposure
parameters and storing them in a database for later use and export to the ERDEM Model.
This section introduces you to the ERDEM Front End interface. Details on data entry and
window dependencies are provided in the ERDEM Online Help and the Tutorial, using
icons that can be found on your desktop after installation.

3.1.1  Recommended Screen Settings

It is recommended that your screen resolution be set to 1024 x 768 pixels and that your
screen colors be set to Windows Standard or Windows Classic. This will ensure that you
can see complete windows and that marks in selection boxes are visible.

3.1.2  Model Data Sets

The ERDEM Front End uses the concept of the Model Data Set (MDS) to organize, store,
and retrieve entered data. All data entered via the ERDEM Front End must belong to a
model data set. An MDS consists of a full set of simulation data records. That is, it
contains all the data that was entered via the ERDEM windows and that eventually will
be exported to the ERDEM Model for estimating exposure-related dose. The MDS you
have open at a given time is called the current MDS.

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3.1.3  Data Entry Pipeline

Data is entered in a specified sequence, or pipeline, that validates for data integrity as data
entry proceeds. The steps of this sequence are accessed as individual windows that allow
for adding, saving, editing, or deleting data. The menu selections can be thought of as
joints,  or segments, in the pipeline. The sequence proceeds from left to right across the
"Main" menu, and from top to bottom on each submenu.

The ERDEM Front End has built-in safeguards that prevent you from missing steps in the
pipeline. For example:

• Required data entry fields have blue field names. If you attempt to save a window
  before completing all the required fields, you will be prompted to fill in the required
  fields and you will be directed to the appropriate fields.

• If you attempt to enter data at some stage of the pipeline before opening an MDS, you
  will be given an opportunity at that stage to open an MDS. The MDS you open then
  becomes the current MDS.

• If you attempt to enter data at a later stage of the pipeline (i.e., a later menu) before
  completing required data entry at an earlier stage (i.e., on an earlier menu), you will be
  prompted to fill in the missing data and you will be directed to the appropriate
  menu/window.

ERDEM Front End features include window  shortcuts to help you be more productive.
Everything in the system has been designed to relieve your burden in terms of accessing
and organizing data, maintaining data integrity, and editing data.

These and other ERDEM Front End features will be discussed in the following sections.

3.2 Accessing the Data: Overview of the ERDEM Menu System

3.2.1  Main Menu

1. Double-click the ERDEM software icon, located on your desktop.

   The "ERDEM" software will open; the "Main" menu will appear as shown below.
 File Model Activity Chemical  Chemical Compartments Enzymes Exposure  Special Processes Repotting System Export  Help
       a  * 00 '.' £ 11  m : aP to i?  ;; e II BX
10

-------
   The menu items are icons that provide shortcuts to
   frequently used functions. Screen tips describing
   each icon's function appear when you place the
   mouse pointer over the icon. For example, the
   heart icon is a shortcut to the "Compartment Blood
   Flow" entry window, as shown at right.

3.2.2  Additional Menu Features

                 File  Mode! Activity Chemical Chemical Cornpartme

                 •;CH A •-Q ' «P CO '•"•; £> f'f i ?-; aP
                               [Compartment Blood Flow;
When a data entry window is open, another row of icons providing additional functions
appear below the "Main" menu, as shown below.

               File  Edit Model Activity  Chemical Chemical Compartments Enzymes
•ffl
Q • # CO
y i-* Q
ft \
                                                       B-B
Again, screen
tips describing
each icon's
function appear
when you place the mouse pointer over the icon. For example,
as shown at right, the diskette icon is a shortcut to the "Save"
function.
File Edit  Model Activity  Chemical
 H ft  Q  * CO
 &•-• 1* H.i-* Q '
Note: This manual provides an overview of the ERDEM Front End menu and window
      system. Details on menu items, data entry, and window dependencies are provided
      in the ERDEM Online Help and the Tutorial.

3.3  Organizing the Data: The Model Data Set Concept

The first step in the data entry pipeline is to define a Model Data Set (MDS). Complete
the following steps to create a new MDS:

From the "Main" Menu
1. Select "File".

   The File menu will appear, as shown at right.

   The File menu options allow you to (1) create a New Model
   Data Set, (2) open an existing Model Data Set, (3) open a User
   Database, (4) open a SAMPLE Database that is provided by
   default as part of the ERDEM Install program or (5) Exit the
   ERDEM Front End.
                              Model  Activity Chemical
                             New Model Data Set     '• ^
                             Open Model Data Set

                             Open User Database
                             Open SAMPLE Database

                             Exit
3.3.1 Define a New Model Data Set
                                                                                11

-------
2. Select "New Model Data Set," as shown at right.

   The "Definition of Model Data Set" window will appear, with
   the "Definition" tab active, as shown below. This window
   enables you to enter the initial simulation data. (This is the first
   window in the data entry pipeline. The initial data entered on this
   window provides the starting data record framework for
   subsequent windows that are used to build the MDS.)

                                              Open Model Data Set
                                              Open User Database
                                              Open SAMPLE Database

                                              Exit
         r Definition
i Settings
i ©Units
             Name. 1

           Description
            Species:
            Avg Age:
            Vet sion
            Log Path:
  Sub Species: i
  Sex:'n/a »<
            Pjint Final Results

            Active
  Variable History Path:,

   Remember that on all windows in this program, fields with blue field names require
   information entered in them. Data may be entered in the other fields as appropriate for
   your Model Data Set. For fields with down arrows, you can enter data by selecting
   from a drop down, or pick list, as shown below.
                      iff Definition

                           Name '
                          Species:
                         Avg Age: ;
 j laP Settings
                              ©Units
                          Log Path:
       2.02S
        .020
       2.02L
        .02K
     Sub Species: '
     Sex: in/a j^j   '" Print Final Results
         " j*'l   I" Active
            ory Path: j
3. Click on the "Settings" tab. This selection provides for entry of other parameters.
12

-------

                      gf Definition

                       Volume
  3 Settings
j© Units
                                                 Body Volume:;
                      , Cardiac       	     	
                                   n_i —   <--When checked, Activity Cardiac Output
                      ;    iood Flow By Pct l   required on Model Data Set Activfr window.
                       Integration        -        -           	
                      Communication Intervals."        Integration intervals: J1
                      '   Relative Err or Limit: -i .OOE-04      Integration Settings Help j
                       Duration	
                              Start Time:•              Stop Time: ]
4. Select the "Units" tab. This selection provides for the setting of measurement
   units, as shown below.
                         efinition


                          Present Units	
                              Mass Units: M
                                     JlfflS
                             Volume Units: L
                              Time Units: IhT
\ fi Settings
 ©Units
       !j Convert To Units	
     ]  !!     Mass Units: Jmg

     j  ;!    Volume Units: jl_

     1  I!     Time Units: JlT"
3.3.2  Save the Entered Data
5. Click on the "Save" icon (the diskette icon) below the "Main" menu, or select
   "File," "Save" from the "Main" menu, or use key strokes "Ctrl+S."

   When you save data, if any of the required fields do
   not contain data, you will be prompted to enter data in
   those fields. For example, if you did not enter a Model
   Data Set name, you would see a message like the one
   shown at right.
                              Please enter a model data set name.
                                     OK
                                                                                           13

-------

                                    File  Edit  Model  Activity  Chemical Chemical Compartments Enzymes Exposure  5p
                                    ' ffl A >'Q -f 00 ".'  a 11 ?-• a? B • 3? - O II' i.  t*
                                      ^Definition
'; JJ Settings
! 0 Units
  When you have saved your
  MDS definition, its name
  appears at the top of the screen.
  For example, if you named your
  MDS "TESTING123", the
  name "TESTING123" would
  appear at the top of the screen.
  In the example at right, note that
  the "Print Final Results" and
  "Active" fields are checked.

6. Perform one of the following
  three functions to close the
  "Definition of Model Data
  Set" window: (1) click the red
  and white "x" in the top  right
  corner of the window, or (2)
  Select "File," "Close" from
  the "Main" menu, or (3)  if you prefer to use keystrokes, you can close the window
  by pressing "Ctrl+F4".
7. If you have not saved the MDS definition, a box
  will pop-up (as shown at right) giving you three
  options to choose from: (1) Yes: To save changes,
  (2) No: To not save changes, or (3) Cancel: Return
  to the "Definition of Model Data Set" window.
                                           Name |

                                        Description This 15 a test


                                          Species. '

                                          Avg Age.!
                                          Version i2Q2x

                                          Log Path' (
   Sub Species '
   Sex: 'n/a _»',  y Print Final Results
         »'  y Active
   : Variable History Path: <
     f \   Do you want to save changes?
               No
                       Cancel
3.3.3 Open an Existing Model Data Set

If the desired MDS already exists in the system, you do not
need to re-create it; you need only to open it.

From the "File" Menu

1. Select "Open Model Data Set", as shown at right.
          ' ,,fYTC R^mJ-| rt_J.,, ,.(..,  S~l-.J-.ri.:,!- -tl
                  Activity  Chemical
            New Model Data Set
            Open User Database
            Open SAMPLE Database

            Exit
  The "Open Model Data Set" window will appear, as shown
  below. Existing MDSs are listed in the upper part of the window. A description of the
  highlighted MDS appears in the lower part of the window.

2. Choose an MDS and click on the "Select" button.
14

-------
                    Model Data Set
                    HUMAN_BDCM_IMHSRI': SLKW_MCEa
                    I HUMAN_DCA_RIGSSKW_NCEA
                    j HUMAN_MAL_EZ_SKS
                    |HUMAN_MTBE_INH_CORLEY                            v

                    Description
                    Fisher version of the TCE model for a human female - one metabolite TCA, one activity
                    and Inhalation exposure.
                     Include Inactive Data Sets: j~
Close
          Help
   The selected MDS becomes the current MDS,
   and its data will appear in subsequent windows,
   as shown at right.
  File  Model Activity Chemical Chemical Compartments

  ,CH A; -Q  € CD '"  'Oil- »•• s? 10 '. I
  Note that the name of the current MDS appears
  at the top of the screen. This MDS name will remain at the top of the screen until you
  open a different MDS. It will be there as you open and work in the various ERDEM
  windows, so that you will always know which MDS you are working in.

3.3.4  Copy/Delete Model Data Set

3.3.4.1  To Copy the  Current MDS:

From the "Special  Processes"  Menu

1. Select "Copy/Delete Model Data Set," as shown below.
                                                                                     15

-------
         File Model Activity  Chemical Chemical Compartments Enzymes  Exposure             Reporting  System  Export Help
                                                         |Jj   Data Set Process
                                                         —.,»  System Variable Processing
                                                            •  Special Variable Setting
                                                           j   Plot Groups (Chem/Metab)
                                                           •'   Plot Groups (Enzymes)

                                                           I   Experimental Data
                                                              Delete Chemical/Metabolism Reaction/Enzyme

                                                              COPY CURRENT DATABASE
                                                              CONVERT DATABASE
                                                              RESTORE SAMPLE DATABASE

                                                              Run ACSL Viewer
                                                              Radio Label Groups
   The "Copy/Delete Model Data Set" window appears, as shown below.

   Note that the name of the current MDS appears in the upper part of the window.
                                  COPYING/DELETING: FEMALE TCE  INH
                      COPY PROCESS
                     ; Hew
                      '; Copying Pi ocess
                     ' | Loading Selected Model Data Set Records
                    i;; Copying Basic Model Data Set
                    I'! Copying Model Data Set Activities
                    | I Copying Model Data Set Subsystems
                    I I Copying Model Data Set Subsystem Activities
                    I » Copying Scaling Variables
                      j Copying System Variables
                      DELETE PROCESS
                         delete MwM Data Set:lFEMALE_TCE_INH
Complete
2. In the "New Model Data Set Name" field, enter a new MDS name. In the example
   below, the new MDS name is "TESTING987".
16

-------
                                 COPYING/DELETING: FEMALE TCE INH
                      COPY PROCESS
                     Hew Model O.ita Set Nam«:JTESTiNG987|
                     i Copying Process
                      Copying Mode! Data Set Plot Group
                     | Copying Special Variables
                     ? Copying Model Data Set individual Plot
                     j Copying Model Data Set Plot Variable List
                     I Copying Radio Label Group
                     I Copying Radio Label Chemical Group
                      Copy Finaliiation
                      DELETE PROCESS    r,,«,:,:,_;:,„:;;;
                                  Data Set;«FEMALE_fcEJNH
                                              Complete A
                                                p-
                                       NO RECORDS f~
                                       NO RECORDS
                                       NO RECORDS !""
                                                                      Print
                                                 Delete Start
3. Click on the "Copy Start" button.

   As each copy process is running, the word "Processing" appears to the right of the
   process name. When a process is complete, a check mark appears in its "Complete"
   box. When all the processes are complete, a message box, like the one shown below,
   appears on top of the window informing you that the MDS was copied successfully.
                                 COPYING/DELETING: FEMALEJTCEJNH

                     COPY PROCESS
                     lie* Model QafA Set ll.une:{TEsflNG987 '"  "  '"	-.— -..--
! Copyln
I Copyinj
i Copyin<
; Copyini
• Copyinj
', Copyini
' Copyinj
i Copy Fi
                                  The current Model Data Set (MDS) was copied Successfully!
                                  The new MDS is called; 'TESTING987'
                                                                         te
                     DELETE PROCESS
                        Delete Model O.it.i Set: JEMALEJTCEJNH
                                                Delete Start J
4. Click on the "OK" button.
                                                                                                 17

-------
   The message box will disappear, revealing the "Copy/Delete Model Data Set" window,
   as shown below. Boxes will be checked, indicating that copying processes are
   complete.
                                 COPYING/DELETING:  FEMALE TCE INH
                      COPY PROCESS
                     Hew      Data Set Name:: TBTTNG987]"
                     * Copying Process
                     } Copying Model Data Set Plot Group
                     | Copying Special Variables
                     j Copying Model Data Set individual Plot
                     } Copying Model Data Set Plot Variable List
                     j Copying Radio Label Group
                     I Copying Radio Label Chemical Group
                     \ Copy Penalization
                      DELETE PROCESS   --„„„::.:-,__„„_—
                                     S*t]FEMALE_TCE_INH
                                                           Complete
                                                             v
                                                    NO RECORDS
                                                             V
                                                              y
                                                    NO RECORDS
                                                    NO RECORDS
                                                 Delete Start ]
                                                                       Print   !
3.3.4.2  To Delete an MDS:
From the "Special  Processes" Menu
1. Select "Copy/Delete Model Data Set," as shown below.
File Model Activity Chemical  Chemical Compartments Enzymes  Exposure
•H A :Q ! * CD ;1£ : 5 !;1 ! ^ sf W ' f  " B M ! it
                                                                  v,H  Reporting System E-port Help

                                                            Daha 5et Process                    ,
                                                            System Variable Processing
                                                            Special Variable Setting
                                                            Plot Groups (Chem/Metab)
                                                            Plot Groups (Enzymes)
                                                            Experimental Data
                                                            Delete Chemical/Metabolism Reaction/Enzyme

                                                            COPY CURRENT DATABASE
                                                            CONVERT DATABASE
                                                            RESTORE SAMPLE DATABASE
                                                            Run ACSL Viewer
                                                            Radio Label Groups
   The "Copy/Delete Model Data Set" window will appear, as shown below.
18

-------
2. Enter the name of the MDS to be deleted in the "Delete Model Data Set" field. (In
   the example below, the MDS to be deleted is "TESTING987".)

3. Click on the "Delete Start" button.
                                COPYING/DELETING: FEMALE_TCE_INH

                     COPY PROCESS
                    Hew         Set HainejiNTER'NES'TvlODEL'DAtA SETNAME HERB	
                    ! Copying Process
                    1 Loading Selected Model Data Set Records
                    f Copying Basic Model Data Set
                    I Copying Model Data Set Activities
                    j Copying Model Data Set Subsystems
                    j Copying Model Data Set Subsystem Activities
                    j Copying Scaling Variables
                    •i Copying System Variables
                     DELETE PROCESS
                       Belete Model Data Set:
                                            Complete
                                               f"~
                                               r
                                               !
                                               „.,
   A message will appear, asking "Do You Really Want to Delete Model Data Set
   (MDS): 'TESTING987'?" (as shown below).
                                COPYING/DELETING: FEMALE_TCE_INH

                     COPY PROCESS
                    He* Model Data Set Hani*: ENTER NEW MODEL DATA SET NAME HERB	
Co:
Co;
CO;
Co;
Co;
Co,
                        •    /   Do You Really Want to Delete Model Data Set (MDS): 'TESTIHG987'?
                                          Yes
                                               Copy Start
                     DELETE PROCESS
                       Delete Motlel D.n.i Set:;TESTING987
                                               Delete Start ;
4. Click on the "Yes" button.
                                                                                              19

-------
   When the deletion is complete, a message will appear, as shown below, informing you
   that the deletion was successful.
                            COPYING/DELETING: FEMALE_TCE_INH

                  COPY PROCESS
                  i Copying Moc
                  i Copying Moc
                  i Copying Moc
                  5 Copying Sea
                  I Copying Sys
The deletion of the Model Data Set 'TESTING987'
was Successful!
                  DELETE PROCESS
                     Delete Model Data Set:!
5. Click on the "OK" button.

6. Close the "Copy/Delete Model Data Set" window.

3.3.5  Open User Database

When you start the "ERDEM" Front End, the application automatically connects to the
"SAMPLE DB" (Database), which is shown in the active title bar in the following
illustration.

 File Model Activity  Chemical Chemical Compartments  Enzymes  Exposure  Special Processes Reporting System Export  Help
 : a * a  # CD    s 11; ffl' &? io, w :f o n  a   i-*
The SAMPLE Database contains carefully prepared and quality assured MDSs that can
be exported to produce consistent ERDEM Model run results. These MDSs may be used
as examples or templates for developing your own model
simulation. They may also be copied, edited, and renamed for your
own modeling purposes.
From the "File" menu
                                      Model  Activity Chemic
                                     New Model Data Set
                                     Open Model Data Set
                                                                     Open SAMPLE Database
20

-------
1. Select "Open User Database," as shown at right.The "Select A User Database"
   window appears, as shown below.
                     Look in- i,,.' ERDEM Te;l Database>
                      ; Eugenia Silva Model. db          ; J Human PBPK Copy III, db
                     ,,') Eugenia Silva ModeljjP IGINALv 36. db  ~' Human PBPK Model. db
                     _'; Eugenia Silva Model_OP.IGINALv40.db
                      ,(Human PBPt. Copy Il_ORKINALv36,db
                     .; ; Human PBPt Copy II_OPKINALv40,db
                     Filename:   | H urnan PB PK C opy 11 db

                     Files otijipe.  j D atabase File: f db I
Cancel  i
   This window allows you to browse to the folder containing the desired user database.

2. Choose a database and click on the "Open" button.

   The "Open Database Status" window will appear, as shown below.
             Selected Database
             Hum,™ PBPK Copy II
   When the connection is made, the selected database name appears in the active title bar
   at the top of the screen, as shown below.

I File Model Activity Chemical  Chemical Compartments Enzymes  Exposure  Special Processes  Reporting  System  Export  Help



3.3.6  Open  SAMPLE Database

From the "File" Menu

1. Select "Open SAMPLE Database".

   Note: When an MDS is selected and an ERDEM window is open, the "Open User
   Database"  and the "Open SAMPLE Database" menu options are not available.
                                                                                     21

-------
   In the following example, the MDS is "FEMALE_TCE_INH," and the "Definition of
   Model Data Set" window is open. Note that on the "File" menu, the "Open User
   Database" and "Open SAMPLE Database" options are not available. Note also that
   "Exit" is not available.

                IS Edit  Model Activity  Chemical Chemical Compartments  Enzymes Exposure  Special Processes  Reporting  System
                New Model Data Set        j5| K; gjl JQ ! f ^ H] Jfl : §, i §*
                Open Model Data Set        !  "  '       "              "
                Close                 f

                Delete Model Data Set Ctrl+D

                Save           Ctrl+S
                                      f!fp Definition
i SP Settings
1 0 Units
                                         Description: psher version of the TCE model tor a human female - one
                                                metabolite TCA, one activity and Inhalation exposure.
                                                i
                                           Species: JHUMAN~"~   Sub Species: JFEMALE
                                          AvgAge:f     30   Sex: !F  ;»j  P Print Final Results
                                           Version: 12.02S             _jj  jV Active
                                          Log Path: i5riRDM202siR  Variable History Path: EiRDM202s'iR
   Note:To guard against accidental deletion of a model data set, the "Delete Model Data
         Set" option is not available when a window other than the Definition of Model
         Data Set window is open, as shown below.

                  Edit Model  Activity Chemical Chemical Compartments  Enzymes  Exposure Special Processes  Reporting System Expo

                New Model Data Set       jfl ;?,? rf
                Open Model Data Set      'r
                Close               f
                Save          Ctrl+S  f**»-'- • - , •
                                                                        Total Metabolites: II
                    Metabofte  i Metab. j     Metabolism     j        Metabolism       I   Inhibitor  j
                   Short Name _! Ref, He. i  ^ ^  Description     •     ^     Type       .  L. ,    ,   i
22

-------
3.3.7  Special Processes - Copy Current Database

From the "Special Processes" Menu

1. Select "COPY CURRENT DATABASE," as shown below.

           File  Model  Activity  Chemical Chemical Compartments  Enzymes Exposure !
                   [ Reporting System Export Help
                i • a. # CDS  &
 " 6 Bfl-i>  Data Set Process
™;»i™™™™™»™™;»i;™™™;;™™»^  System Variable Processing
          ;  Special Variable Setting

	™ ^   |  Plot Groups (Chem/Metab)
 -*. .    -   i  Plot Groups (Enzymes)

      ,*, „  ™ i  Experimental Data
                                                     Copy/Delete Model Data Set
                                                     Delete Chemical/Metabolsm Reaction/Enzyme


                                                     CONVERT DATABASE
                                                     RESTORE SAMPLE DATABASE
                                                     Run ACSL Viewer
                                                     Radio Label Groups
  Note: The choices "CONVERT DATABASE" and "RESTORE SAMPLE
        DATABASE" are not available if a database other than the "SAMPLE DB" is
        open.

                                               Save in ' .. • ERDEM Test Databa;e:

                                               i' } Eugenia Silva Model,db
                                               y Eugenia Silva Model_OPIGINALv36,db
                                               , _' Eugenia Silva Model_ORIGINALv4Q,db
                                               • . Human PBPI- Copy IIjjP ISINALv 36. db
                                               \ Human PBPK Copy II_OPIGINALv40,db
                                               , '_! Human PBPt Copy III,db
                                         H*
                             "iHumanPBPI Model. db
   The "Select File Name for Copy of
   Current Database" window opens, as
   shown at right.

2. Browse to the desired folder for the
   "Save in" field.

3. Enter the desired File name.

4. To save  a copy of the current
   database, click on the "Save" button.
   The following message will appear, informing you that the copy process has been
   completed.
                                              Filename

                                              Save a: type "Databaie File: I'dbl
                                          Save
                                          Cancel
                                                                                        23

-------
  COPIED: Human PBPK Copy II ->
;  iHuman PBPK Copy IV"
                                               * >/U-: 'i»'f'.Vj-SRJLl VCUPIH
                                               sj.wi i o >viir
-------
                              You are attempting to open a User Database that does not match the current ERDEM system version. If you choose
                              not to convert at this time your User Database request will be cancelled and the connection to the SAMPLE Database
                              will be restored

                              Do you want to go now to the ERDEM Database Conversion Utility?
2. If you click on the "Yes" button, the "ERDEM Database CONVERSION V.4.1
   Utility" window will appear, as shown below.
                 SELECTED DATABASE RECORD STATUS           ,  SELECTED DATABASE STATUS
                  Rows Read ,  Rows Written    Rows in Error   \  Db Name         Dl> Connections
                   Jione
                                                        none
                 CONVERSION STATUS  ---      	-	     	
                                        Table Processing Status

                   "ERDEM Database CONVERSION' V.4.1':  User Database —> none
                   !Date Stamp' 09/29/2005 - 12:28:47
                                      Select a Database for Conversion

                        Click Button Below To 'Select User DB for Conversion"
                                     right 'X' button will      utility)
                                            Select User DB for Conversion i
3. From here, proceed as in Method Two, below, beginning with the "ERDEM
   Database CONVERSION V.4.1 Utility" window.
                                                                                                 25

-------
3.3.8.2  Method Two

The second method for converting a database is in the "Special Processes" menu, which
gives you access to the ERDEM Database Conversion Utility.

From the "Special Processes" Menu

1. Select "CONVERT DATABASE," as shown below.
File Mode! Activity  Chemical  Chemical Compartments Ensymes Exposure j
                                                                 I Reporting System Export Help
                                                         System Variable Processing
                                                         Special Variable Setting

                                                         Plot Groups (Chem/Metab)
                                                         Plot Groups (Enzymes)

                                                         Experimental Data
                                                         Copy/Delete Model Data Set
                                                         Delete Chemical/Metabolism Reaction/Ensyme

                                                         COPY CURRENT DATABASE
                                                         RESTORE SAMPLE DATABASE

                                                         Run ACSL Viewer
                                                         Radio Label Groups
The "ERDEM Database CONVERSION V.4.1 Utility" window will appear, as shown
below.

                  SELECTED DATABASE RECORD STATUS           SELECTED DATABASE STATUS
                   RowfsReael   ftowsWfritten    Rows in Error -    niilliime        Db Connections
                  CONVERSION STATUS
                                       Table Processing Status
                   ; ERDEM Database CONVERSION V.4.1 :  User Database — > none
                   JDate Stamp: 09/29/2005 - 12:28:47
                                     Selec
                                                f@f €
                        Click Button Below To 'Select User DB for Conversion'
                                (top right "X" button will close utility)
2. Click on the "Select User DB for Conversion" button.
26

-------
  The "Select File" window will appear over the "ERDEM Database CONVERSION
  V.4.1 Utility" window.
SulN "" * JL J "• " ti f ' ^ ' *


^&t


,ii£


Loot in ji .1 ERDEM Test Database: »
1 ,'<} Eugenia Silva Model. db
i ' ; t Eugenia Silva Model_OP I>
""*•"" 'iffisii





a a H*
j Human PBPk Copy III, db
;il\IALv36,db
> • ' Euqenia 5ilva Model OPIGINALv4G,db
; ;; Human PBPt Copy II, db
'.1 Human PBPk Copy IV. db
"iHunianPRPl Mnrlpl.rih



_ J-, Human PBP^ Copy II_ORIGINALv36,db
'' i Human PBW Copy I!_ORIGINALv40.db
% )•
File name ,
File: of type ( Database Files \" dbl »;

i
,. 1 . :






Open j
Cancel ,

i*» y"j^ ". *; ..t/.y^''!, .t

Db Conneetions '
none








* .
3. Select a file and click on the "Open" button.

  ERDEM determines the version of the database to be converted and retains a copy of
  the database in that version. The new database will have the same name as the original.
  The backup of the original database will be saved with the naming convention
  "Userdbname_ORIGINALv36.db," where "ORIGINALv36" denotes the version (3.6)
  of the original database. An additional backup with the naming convention
  "Userdbname_ORIGINALv40.db" will also be saved. The previous illustration shows
  such files.

  Note:If any errors are encountered during the conversion process, all database
       conversion changes are returned to their original state, so that no data is lost.

  While ERDEM is performing these and other preparatory actions, a series of messages
  will appear in the "ERDEM Database CONVERSION V.4.1 Utility" window
  informing you as each is processing. When the "READY, Press START
  CONVERSION Button Below!" message appears in the "ERDEM Database
  CONVERSION V.4.1 Utility" window, as shown below, the actual conversion can be
  started.
                                                                            27

-------
                  , SELECTED DATABASE RECORD STATUS           SELECTED DATABASE STATUS
                    Rows Read   Rows Written   Rows in Error     Db Name       .  Db Connections
                     tame'    \    hone' "        jrione""   : .  ^hJman'PBPKCopy   ESTABUSHED!'

                   CONVERSIOH STATUS   -  --           -	
                                         Table Processing Status
                     JERDEM'DatabVse CONVERSION V.4 1:  User'batabase--"-> HumanIPBPK Copy'li	
                  .   Date Stamp: 09/29/2005 -12'40:07
                                        Database Conversion notices

                                  {top right "X" button will close utility)
                                                                       Start Conversion |
4. Click on the "Start Conversion" button (located in the lower right corner of the
   window).

   The processing information will appear in the "Table Processing Status" window, as
   shown below.

                   SELECTED DATABASE RECORD STATUS           SELECTED DATABASE STATUS
                    Rows Read   Rows Written   Rows In Error     Db Name         Db Connections
                     iW  "       Wo""        .»"'*'        fturrian PBPK Com   ESTABLISHED!

                   CONVERSION STATUS
                  ;                       Table Processing Status
                     ;ERDEM~Dal:abaseC DIVERSION V4.T UsaA5alabase ---^Human PBPKConv II  *
                     ' Date Sjamp 09/29/2pp5_- 1243-19
                     '{CHEMICAL ji I AT A j01204--> COMPLETED ....................  tf
                     i)ATA_SETjCHEMICALipS0404^> COMPLETED   '     .....    '   "    "'    W1
                        .SEflMETABOUTE Jl504oV-> COMPLETED*       """" ...................................  V
                        .
                    %ATAlsEf_SUBS¥STEM_cifEMicAllosO«t4--> COMPLETED

                                        Database Conversion Notice
                            Databoce- CONVCR5IOH STARTED: V.3,t~ to V.4,0
   When the conversion is almost done, a "PART 1: Database CONVERSION
   Finalization from V.3.6 to V.4.0" pop-up box will appear (see below). Note that if the
   original database was in version 3.6, the fmalization is in two parts: from V.3.6 to
   V.4.0, and then from V. 4.0 to V.4.1.
28

-------
   Note: If the original database was in version 4.0, the conversion will be completed in a
          single step.
                    SELECTED DATABASE RECORD STATUS             SELECTED DATABASE STATUS
                      Rows Read   Rows Written   , Rows in Error     Dblkune         Db Connections

                      to   *""*      JD	    , .   «""         'HuniaTip'BPKCow' '  (ESTABLISHED!
                    CONVERSION.SIAT1
                      ACTUAI
                      'JCOMMI
                      'PLEAS!
                                   1, Finalise the database CONVERSION Ftorn ¥, 3,6 to V.4,0,
                                   :, Continue to PART 2, database CONVERSION ftom V.4.0 to V.4.1
5. Click on the "OK" button.

   If you started with a V.3.6 database, the "Database Conversion Notices" portion of the
   window (see below) would indicate that the conversion from V.4.0 to V.4.1 has
   started.

                     SELECTED DATABASE RECORD STATUS            SELECTED DATABASE STATUS
                    '  Rows Read  ,  Row® Written   Rows in Error     Ob Name         Ob Connection®
                       Jj " '       !j  "  ' "       »"'     ' ' jlumanPBPKCo|»y"  ESTABLISHED!

                     CONVERSION STATUS
                    '                        Table Processing Status
                    ,   (ERDEMDalabaVe'cOIWERSIONvVl Use'r'batabase -j Human>BPK Copvll'  A
                    .   'Date Sta_mp 09/29/2005-, 12 48 08,
                                                  '      ...............
                       .fcHEMICAL_DATAJ»21805- > COMPLETED
                       .PATA_GRQUPJ>2180S-"> COMPLETED   -  •  •-	
                            ICLASS js«i)5--« COMPLETED	

                                           Database Conwersioit Notices


                             D \TAE'ACE COlJVGRilC-M STATED: -'.4.010 V.4.1
                                                                                                        29

-------
   A "Part 2: Database CONVERSION V.4.0 to V.4.1 Finalization" pop-up window will
   appear, as shown below.
                 SELECTED DATABASE RECORD STATUS          « SELECTED DATABASE STATUS
                  Rows fead   RJOKSIS Written   Rows in Error    -BbNams    -   , Dri Connections >

                   » *        »          « " " "      Human PBPK Copy "' ESTABLISHED!
                 COHWERSIOH STATUS
                  ;AC
                  SCO
                  "*€
                           Please did. 'OK' to finalce PART 2 OF 2, database CONVERSION From V.4,0 to V,4,1
                                   TMHBSseCorWerliofiHllices
6. Click on the "OK" button.
   A "Database CONVERSION COMPLETED!" pop-up window will appear.
SELECTED DATABASE RECORD STATUS SELECTED DATABASE STATUS

COHVEf
• IERC
Bate
HE*
' 1
I i The database CONVERSION COMPLETED SUCCESSFULLY for :
X 1, Database CONVERSION V, 3, 6 to V.4,0
2. Database CONVERSION V.4.0 to V.4.1
Back-up copies of V.3,6 and V.4.0 of yout databases
(ex. UserdbnamejConvertedv,4.Q) have been created in their home location.
After clicking OK, you will have the option to;
1, CLICK the HDS NOTES button for a report of IMPORTANT conversion effects
on your Model Data Sets (MDS)I
2. CLICK the Print button for a report of the current conversion process,
OK |

&sm

A
V,
A
i i * '
7. Click on the "OK" button.
30

-------
   Note that the "MDS NOTES" button and the "Print" button in the lower left corner of
   the window are now active, as shown below.
                    SELECTED DATABASE RECORD STATUS    -        SELECTED DATABASE STATUS

                     Row® Read    Rows bitten -   Row&s in Err@r     Db Name -        Dfo Connections

                   '  JD	   ,  »	      to	      Jkiman PBPK Cony ,  ESTABLISHED!
                    CONVERSION STATUS
                   ;                      Table Processing Status

                     :ERDEM DatabaseVoNVERSION V4 1 ' User Database ---> Human" PBPh CODY if

                     'pate Stamp. Oara/p6:12 54-52	
                   !  ^CTU«L_DATA_V/ii.UESJi!1J«S--:> COMPLETED	  *   '"	 V

                     JCOMilENVREFERENCE jJ21M5--> COMPLETED'  	 IV

                     'PLEASE WAIT... PART Z OF 2: STARTING FIHAL DATABASE UPDATES!	  ;«/

                     VART 2*oF2:VlHAL"cOH VERSION UPDATES COMPLETE!""" "  ~	 V

                                       Seteet a PMaisise fw Coiwersron
                          Click       Below To 'Select User DB for Conversion'
                                  (top right 'X'       will close utility)
                                            Select User DB for Coiwersien
8. To obtain a printout of the items in the "Table Processing Status" list, as shown
   above, click on the "Print" button.


   The "MDS NOTES" are comments regarding the important conversion effects on your
   Model Data Sets.


9. To see the "MDS NOTES," click on the "MDS NOTES" button. The notes
   information will appear in a Notepad window, as shown below.
                File  Edit Format View Help

                [INTRODUCTION:
                The new  EPDEM Database version 4.1 conversion utility allows users to  •:
                a starting EPDEM database v.?,6 or database v.4.u.
                The following describes the new conversion process in that order:

                changes  made to the  database model data sets after conversion from an
                EPDEM 3.6 database to an EROEM 4.0 database.


                1]  in the Model Data Set Definition screen, the ERDEM version field wa
                to reflect the proper new EPDEM version number.  Model Data sets were  a
                to the new version number which most closely matches the  parameters of
                version.  Thus,  versions previously assigned to version 2.01 were conve
                to 2.021' and versions previously assigned to version 2.02 were converte
                2] For model data sets involving  dermal exposures, the user should revi
                the Model Data set exposure route in the converted database.  The new E
                version v. 4.0 provides for three  types of dermal exposure; Dry surface,
                water and vapor.   The previous  version, ERDEM v. 3.6,  provided for only
                dermal exposure type (skin surface water),   on the Data set Exposure sc
                screen, the converted v.4.0 database has no default exposure type.
                The user will have to revise the  screen to indicate the proper exposure
                                                                                                  31

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3.4  Maintaining Data Integrity: The ERDEM Data Entry Pipeline

In the EDREM data entry pipeline, before any data can be added or changed, it must pass
through each pipeline segment's data validation check. This check proceeds from left to
right across the "Main" menu.
Whenever you open a window, the pipeline will
validate that the window being requested is part of
the next segment in the pipeline and that no data
integrity rules have been violated. For example,
look at the "Chemical" menu (shown at right), with
the "Model Data Set Metabolites" option selected.
File Model  Activity       Chemical Compartments
               Model Data Set Chemicals   J
                                                                -St T
                                             You have not entered any Chemical data,

                                             Please enter data via;

                                             1, Data Set Chemical (Chemical menu) window

                                             This will not affect further processing and the requested window will be closed,
If you attempt to enter metabolite
data before entering chemical data,
you will receive a message
reminding you to enter chemical
data before entering metabolite
data. The message also indicates the
menu on which you will find the
appropriate window, as shown at
right.

3.4.1  The Pipeline Report
You can easily check the status of the data entry pipeline for the current MDS:

From the "Main" Menu

1. Select "Reporting".

   The "Reporting" drop-down menu will appear, as shown below.

     File Model  Activity Chemical Chemical Compartments Enzymes Exposure  Special Processes         System Export Help

       I i «Q i 3? CO *? ! <5  1*1 : ?;\ iJ 10 '< & SS Hi B-fl ' Hi- : i-* 1      ':   Structure Report
       '—'-	-;.„-.-—-;.»..	-..„,.»»,»,„„,„.,_„.„„,.,-.^,£,-i::.::^:,,.:£Si..,._..,:£..::.a^a^lls_s^^^.'^^,	,i	,„..,.,;-,„„.,;   Value Report
                        	"	"    ..            • - •    ..    .    	     ^   Citation Report
2. Select "Structure Report".

   The ERDEM "Structure Report" screen for the current MDS (TESTING123) will
   appear.
32

-------
Because this MDS is incomplete, the report will not show information in the parts of
the MDS that require data entry, as shown on the next page.
                                     ERDEM Structure Report
Model Data Set: TESTING123
Run Date:            15:09
                                               ERDEM Version: 2.02X
           General Chemical Comments:
           None

           General Exposure Comments:
           None
         No Compartments Have Binding
         There Is No Binding In The Bleed
         There Are No Radio Labels
A completed MDS (for example "FEMALE_TCE_INH," as shown below), will
contain data in the "ERDEM Structure Report".

         Print
                     Clone
                                     ERDEM Structure Report
          Model Data Set: FEMALE_TCE_INH
          Run Date:      95910515:11
                                      ERDEM Version:  2.02S
         Chemistry For This Simulation
              Cham (Short)  Chemical Hong)
              TCE        trichloroethylene
              TCA        trichloroacetic acid

           General Chemical Comments:
           None
         Metabolites For Each Chemical
              Parent Chemical    Metabolite
              TCE            TCA

         Metabolite Comments By Parent Chemical
              Parent Chemical   Comment
              TCE           None
                               Type Of
                               ietabolism
                               Salurable Michaelis-Menten
                                                                                               33

-------
3.5  Editing the Data: Adding, Deleting, Saving
ERDEM data consists of records stored in ERDEM database tables organized primarily
according to unique model data sets (MDSs). New data is referred to as data lines or data
records. This section covers adding and deleting data lines/records, and saving newly
entered data.

Note:In some ERDEM windows, data lines/records cannot be added, inserted, or deleted.
     This is because these data lines/records are being used for reference purposes only.

From the "Main" Menu
1. Select "Model".

   The "Model" menu will appear, as shown at right.

2. Select "Model Data Set Scaling".
                                Chemical  Cher

                    [g  Model Data Set Definition
                    	 K \ f ;: IB m', t>; i*;
                                   Reference Body Volume:'
                                                      1 L
                           Scaling Type
i Scaling j  User  I   User   j Default j
      I Scaling ftagj Scaling Value j Value ]
     ~

3.5.1  Change An Entry

1. Click on the down arrow under "Scaling type"; a drop-down list will appear, as
   shown on the following page.
34

-------
                                  Reference Body Volume:
                                                           1 L
                         Scaling Type

            {Maximum Velocity of Metabolism
}  Scaling  ;   User       User   j Default <
j Type Flag • Scaling Flag  Scaling Value  Value .'
'•*•'	  !'"' "  " "" f     	    0.70
             Maximum Amount of Binding
             Pate Constant tor Elimination
             Rate Constant for Metabolism
             Breathing Frequency
             Maximum Velocity of Elimination
             Permeation Coefficient for the Skin Surface Water
3.5.2 Insert, Add, or Delete a Row

To insert, add, or delete a row:

1. Right-click anywhere in the gray area of the window.

   A "Model Data Set Scaling" window will appear, providing options to Insert, Add, or
   Delete, as shown below.
                                  Reference Body Volume: j
             1 L
                         Scaling Type
|  Scaling  i   User   ]    User   i Default j
i Type Flag i Scaling Flag j Scaling Value |  Value j
PT"~~""" f"~""	"" j~~	   "      0.70
                                                    Insert
                                                    Add
                                                    Delete
   Note that other functions on the pop-up menu (Cut, Copy, Paste, Select All) are grayed
   out. These functions are not available on the "Model Data Set Scaling" window.
                                                                                             35

-------
3.5.2. •/  To Insert a Row
1. Select the "Insert" option from the pop-up menu.


   The newly inserted row will appear above the previous row, as shown below.
                               Reference Body Volume: i      1 L

                      Scaling Type            ' Scaling  ,  User   :   User    ', Default<
                                          ', Type Flag < Scaling Flag j Scaling Value j Value


                i Velocity of Metabolism              |]V      i. '       !             0 70








3.5.2.2  To Add a Row



1. Select the "Add" option from the pop-up menu.



The added row will appear below the previously existing rows, as shown below





                               Reference Body Volume: i       1 L

                      Scaling Type            • Scaling  |  User   |   User   < Default',
           "                               ! Type Flap Scaling Flag > Scaling Value ' Value
           t/la/imum Velocity of Metabolism              jlv1      j,        i            0.70
3.5.2.3  To Delete a Row


1. Before deleting the row, confirm that the row to be deleted is active and/or
  highlighted.


2. Select "Delete" from the pop-up menu.


The row should now be deleted, as shown below.
36

-------

                        Scaling Type
s Bodjf Volume:;       1 L

     ' Scaling ',   User
                           User   |Default-
        j Type Flag' Scaling Flag ( Scaling Value ! Value t,
          	             	     o.?o
3.5.3  Saving Changes

Changes you have made are not permanent until you save them.

You can save your changes in one of three ways: (1) Click on the Save icon (the diskette
below the "Main" menu), or (2) Select "File," "Save" from the "Main" menu, or (3) Use
keystrokes "Ctrl+S".

The Save action applies only to the active window (the window with the bright colored
title bar). It does not apply to any windows whose title bars are "ghosted."

As an example, in the illustration below, "Lung Activity" is the inactive window and
"Compartment Blood Flow" is the active window.

           lie  Edit  Model  Activity Chemical Chemical Compartments  Ercymes Exposure  Special Processes Reporting System Export F
           H Jl  Q ' 5? CD ??. 6 n's-, sp io : f :: ft Bfl a  f*'
           * a t* ^>,
                     Compartment Name  * Subsystem Model:-Main
                  CARCASS
                  IFAT
                  iKIDNEY
                  'LIVER
                  JOV ARIES
                  IRAPIOLY PERFUSED TISSUE
                  •SLOWLY PERFUSED TISSUE
• Blood Flow Entry - -         	

' Blood Flow Ptt ;|"    "     ';

 Blood Floss Percentage Total = 109.0(1%

 Blood Flow Pet. (Max = «(Bi). Totals are CaMated for
     As^l¥® Sub^retem® mil Csw
                                                                          ..  ,c
3.6  Required Fields and Unavailable Fields

3.6.1  Required Fields
                                                                                         37

-------
            ! Jp Settings
                                                  'ABC
Species )

Avg Age: ;

Vetiion '202S

Log Path: if 1EFDM

                                                              Please enter a model data set description,
Required fields are fields that must
contain data in order for a record to
be saved. Required data entry fields
have blue field names. If you attempt
to save a window before completing
all the required fields, you will be
prompted to fill in the required
field(s),  and you  will be directed to
the appropriate field(s). For example,
if you are trying to save a "Definition
of Model Data Set" window without
entering a description, you will be
prompted to fill in the model data set "Description" field, as shown at right.

3.6.2  Unavailable Fields
                                                                       I ©Units
                                                                     OK
Some data line/record fields are not available, depending on the type of data being
entered on the window. When a field is unavailable, the field background color will be
gray and the field will not be active for data entry.

For example, the "Model Data Set Metabolites" window (available from the "Chemical"
submenu) may, upon opening, show the "Inhibitor" field unavailable, as shown below.
          f^f^^^^HHHS^^^^^^^^S^^^^f^^^^^^^^^^P
                                Parent Chemical:
                    i Metab. J
                flame ! Ref. No. !
                    '
                                                               Total Metabolites; 8
                                                                i   Inhibitor   }
                               Metabolism     I       Metabolism
                               Description     -i         Type         J          \
                                           j Linear-Rate Prop. To Parent Chem. ,fj].':- :".'.•'/..•.,'-' .J.j
However, if the "Metabolism Type" is changed, the "Inhibitor" field becomes active and
data may be entered in it, as shown below.
38

-------
                               Parent Chemical; TCA
            WtetatwJfte  ! Metali. j
            Short Name  ' Ref.Ho. j
Metabolism
Description
Metabolism
  Type
fetal Metabolites; J
 1   Inhibitor  (
           TCA
3.7  Maintaining Productivity: ERDEM Window Features and Shortcuts
The ERDEM Front End has features that can increase your productivity. It allows you to:
•  Use non-filtering and filtering dropdowns to view and edit complex chemical data
•  Use reference data lists to display and sometimes filter data lines/records
•  Track and switch between multiple MDSs
•  Get context help for data line/record field definitions
This section will discuss non-filtering and filtering dropdowns. It will also discuss
reference data lists. Subsequent sections will discuss switching between MDSs and
getting context help.
3.7.1  Non-Filtering Dropdowns
ERDEM uses dropdowns to provide lists of selectable data or to filter data lines/records
in a window. The following is an idea of how these work:
From the "Main" menu:
1. Select "Chemical", then "Model Data Set Chemicals."
   The "Model Data Set Chemicals" window will appear, as
   shown at right.

                                 Chemical  '  Exposure j
                                 Short Name  ' Chemical flag]
                                                                      Total Chemicals: 2
                                                                                 39

-------
2. Right-click in the gray area of the window to reveal the pop-up editing menu, as
  shown below in "Illustration 1."
3. Click on the "Add" option.
  A new row appears, as shown below in "Illustration 2."
4. Click on the down arrow in the new row (or click anywhere in the new row).
  A dropdown list showing available chemicals will appear, as shown below in
  "Illustrations."
5. Select a chemical to enter into the field.
               Totii
                    Add
                    Delete
                                             ESJJOSUI «
                                   Short Hame

                                  iTCA  "    i
                                          Totnl Chemicala: 2
 Shuit Hanie  \ Ch«nlcal Flap;
           Illustration 1
                                      Illustration 2
                                                              AP1
                                                              AP2
                                                              BDCM
                                                              CARS
                                                              CB4OH
                                                              :B40H'?
                                                              CB4OHS
CBSijHC-
CB5OHS
                                                                       4l Chemicals: 2
                                                                 Illustration 3
3.7.2 Filtering Dropdowns
Certain ERDEM dropdowns serve to filter the data lines/records. As more and more data
is entered along the data entry pipeline, it becomes more and more difficult to view the
increasing amounts of data. To alleviate this problem, filtering dropdowns are used to
limit the amount of data on the screen at any one time so that you can edit it more easily.
The following steps show how filtering dropdowns work:
From the "Main" menu:
1. Select "Chemical," and then"Model Data Set Metabolites."
  The "Model Data Set Metabolites" window will appear, as shown below.
40

-------
                                   Parent Chemical:'43
                            ' j
 Metabolite , Metab. 1      Metabolism
 Short flame ' Ref, No, j      Description
API      y_.''  342  Satutable
f;fp      ;• >~'  343"'' stable	
                                                     fatal MetiboBes; 2
                                                         Inhibitor   I
                                              , Saturable Michaeta-Menten
                                              1 Satutable Michaelre-Menten
In the example above, the "Parent Chemical" at the top of the window is set to CPFO.
The data lines/records displayed are for the metabolites "AP2" and "TCP."  These
metabolites were entered previously when the filtering dropdown was set to "CPFO".

If you reset the filtering dropdown to "PAR," the related metabolites entered
previously for "PAR" will appear, as shown below.

                                              •JwjJS.
                                   Parent Chemieal: i jLi
              Metabolite  ! Metab. i      Metabolism
             Stwrt feme  i Ref. Ho. '      Description
                                                      Total Metaboiites: 3
                                                          Inhibitor  j
                                                        Type
            ipOKON
            TOP
            'API	
       j"!i  333  isaturable
       •r]'  334  "saturable
       V||" 335™" SaluraEie™'
I Saturable Michaelis-Menten
I Saturable Michaelis-Menten
1 Saturable Michaelts-Menten
                                                                                             41

-------
  If you reset the filtering dropdown to "API", no related metabolites will appear
  because none have been entered previously, as shown below.
;         { Mei,ih. I     Metabolism
; Stwrt flame ] Ref. Mo. |     Description
P^^^P^^P^^^.^-^
                                                Metabolism
                  Total Metabolites: 0
                   \  Inhibitor
                                                    SSSH8 S       |  IIIIHIJIlUi
                                                             \
                                                    j«'«»f.5*;*.ii»»M«^^
                                                           VI if '."""''. '••  ..' ', T 1
To view the metabolites that have been entered for any parent chemical:

1. Click on the "Parent Chemical" field down arrow (or click in the field) to display
  the dropdown list, as shown below.

2. With the dropdown list displayed, use the up and down arrow keys to highlight a
  selection.
   The window display will change to show the related metabolite rows.
              Metabolite  ! Metab. ;     Metabolism
              Short Haran  \ Ref, Ho.      Description
AP2
CPF
CPFO
PAR
PNP
PNPO
POXCiN
TCP
TCPG
                                                  altoltein
                                                               Inhibitor
3.7.3  Filtering Dropdowns and Reference Data Lists

Filtering dropdowns can be used in conjunction with reference data lists to filter
extremely complex sets of data lines/records.

To see how this feature works, do the following steps ~ starting from the "Main" menu:
42

-------
1. Select "Chemical Compartments."

2. Select "Data Set Chemicals in Compartment."
   The "Data Set Chemicals in Compartment" window will appear, as shown below.

        ; Chernic.il:;

            Active Compartments
    Subsystem Model: Main          -     Group Name: BIND

                Compartment Chemical Data Entry
       ARTERIAL BLOOD
       BRAIN
       CARCASS
       FAT
                        m
       LIVER
       OVARIES
       RAPIDLY PERFUSED TISSUE
       SLOWLY PERFUSED TISSUE
       SPLEEN
       VENOUS BLOOD
(CURRENT CHEMICAL:|rCA~
JCHYLGM_FLW_R_CON: p
:JBILE_DUO_PART_COEF: I":
JNON_LIP_FLW_R_CON: f?
]|NIT_AMT:       I?
JCOMP_ACT_CH_FLG: |X
i            ,—
MAX_HND_CAP:    |
BIND CHEM FLAG:  L
                                              J
 1JH   PART_COEF_BLD:

'.     PART_COEF_AIR: f

' 1/H   LIP_FLW_R_CON: !>

 mg   INIT.CONC:   !
 mgfl.
      DIS EQ BD CON: i
*: 1/H
 mg/L


 mgil
   The portion of the window called "Active Compartments" contain an example of a
   Data List. Data lists, which are used only for reference information or for filtering
   purposes, cannot be edited. Data lists will be considered in more detail presently.

   In the example above, "TCA" is the chemical selected in the "Chemical" field, and
   "KIDNEY" is selected in the "Active Compartments" section. For these selections, the
   tissue to venous blood kidney partition coefficient ("PART_COEF_BLD") field value
   is 0.66000003.

   If a different chemical (e.g., "TCE") is selected in the "Chemical field" and
   "KIDNEY" is selected in the "Active Compartments" section, the value in the
   "PART_COEF_BLD" field will change accordingly, as shown below.
                                                                                    43

-------
                  Compartments
                                    Subsystem Model:JMain           -r^     Group Name:

                                                  Compartment Chemical Data Entry
                                                                            iBIND
        ARTERIAL BLOOD
        BRAIN
        CARCASS
        FAT

        LIVER
        OVARIES
        RAPIDLY PERFUSED TISSUE
        SLOWLY PERFUSED TISSUE
        SPLEEN
        VENOUS BLOOD
 iCURRENT CHEMICAL: [TCE
 |CHYLOM_FLW_R_CON: F
 I BILE_DUO_P ART_COEF: f"'
 JNON LIP_FLW R_CON: f"
I |
I |INIT_AMT:        j.
 !COMP_ACT_CH_FLG: {x
 tMAX_BIND_CAP:
 BIND CHEM FLAG:
                                                   J
' 1/H
PART_COEF_BLD: ff "S"
PART_CQEF_AIR: f^T'"
LIP_FLW_R_CON: f"	™
INIT_CONC:    I"""""


US EQ BD CON: f""~
                         mg/L
                         mg^L
   If you select a different "Subsystem Model," the information in the "Active
   Compartments" and "Compartment Chemical Data Entry" portions of the window
   changes, as shown below.
          Chemical:| TCE      _T,j

              Active Compartments
     Subsystem Model:;
                                 CURRENT CHEMICALffCE
                                 CHYLOM_FLW_R_CON: j '
                                 BILEJXIO _PART_COEF: r
                                 NON_LIP_FLW_R_CON: f;
                                 INIT_AMT:
                                 COMP_ACT_CH_FLO:
                 Skin Permeation
                 Main
                                                Stgftic lung
                                                Stomaehflntestine
                        rng
              Group Name:)

         il Data Entry
                                _COEF_BLD: ft .38
                             PARTjCOEFJkIR:  -
                             LIP_FLW_R_CON: 1
                             INIT CONC:    f
3.7.4  Reference Data Lists

Data lists contain  static, non-editable reference information used to display, and
sometimes filter, data lines/records.

In the "Data Set Chemicals in Compartment" window (accessed from the "Chemical
Compartments" submenu),  click on an item in the "Active Compartments" list. Notice
that the item name appears  in reverse video, with an open area extending to the right of
the area of reverse video, as shown below.
44

-------

           Chemical;; TC A      ^j
              Active Compartment®
     Subsystem Model: Main
                                     Group Name: BIND
                  Compartment Chemical Data Entry
         BRAIN
         CARCASS
         FAT
         KIDNEY
         LIVER
         OVARIES
         RAPIDLY PERFUSED TISSUE
         SLOWLY PERFUSED TISSUE
         SPLEEN
         VENOUS BLOOD
 ; CURRENT CHEMICAL |TCA~
! JCHYLOM_FLW_R_CON: ! * '
 |BILE_DUO_PART_COER j '
 JNQN_LIP_FLW_R_CON. f"
 i|NIT_AIVlT:         j'~
 !cOMP_ACT_CH_FLG:  6
-------
For example, you might have five windows open at one time. The current window is the
one on top - with the brighter colored title bar - as shown below.

       File  Edit  Model Activity Chemical Chemical Compartments Enzymes  Exposure Special Pr ocesses Reporting  System E>

        ffl ^  Q  ^ CO *	  £> It ffl -' iP B  f? -<:: d Ifl  BI, , W-*.
       ' par y JB-* Q ,
                         Total Clieniitdis: 2
                                       Pet,   = 100%). Totals are CaluLitetl to
                                              i and C^

3.8.1  To Switch to Another MDS

From the "Main" Menu

1. Select "File," then "Open Model Data Set".

The "Open Model Data Set" window will appear on top of the other windows, as shown
below.
46

-------
                      CNemic.it
                     Shnrtltome  . Cltennral Flag
                                          1 J . HUMAN_BDCM JNHSRIGaSKW_NCEA
                                             i HUMAN_DCA_RIGSSKW'_NCEA
                                             i HUMAN_MAL_EZ_SKS
                                             1 HUMAN_MTBEJNH_CORLEY
                                              Knaak version of the PAR model for human children - with Inhalation, Rate Ingestion
                                             5 and Skin Surf ace Water exposures.
Select	|    Close   !   Help
                                              Inducfe Inactive Data Sets:  T"
2. Choose the desired MDS, and then click on the
   "Select" button.

   The back window closes and the new MDS
   information opens in the window that was active, as
   shown at right.
  File Edit Model Activity  Chemical  Chemical Compart
  i B A ''Q  sf DD ~-  SIS  ^ s? K •
  •fg B i-* Q .
                                                                               Slwrt Hame  i Ciiemieal
                                                                                        Total Clieroicals: 1
                                                                                                         47

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3.9  Using Context Help

On some windows, because of space limitations, data line/record fields must be
abbreviated. The context-related help feature allows you to quickly see the definition for a
particular field you may not be familiar with.

From the "Main" Menu

1. Select "Help," and then "Context Help."

   A check mark will appear next to "Context Help" on the "Help" menu, as shown
   below.

 File Model Activity Chemical Chemical Compartments Enzymes Exposure Special Processes Reporting System Export
 iiffl A la  2? CD ""'"''" ; £> ti ; f'; y B : I?  ** d 11 • B> i fll* i                      •  He|PT°Pics  F1
                                                                       About
  When "Context Help" has been selected, a "Context Help" window will appear at the
  bottom of the screen, as shown below. The "Context Help" window displays
  information for whatever data entry field you place the mouse pointer over. In this
  example, the mouse pointer has been placed over the data entry field for
  "DIS_EQ_BD_CON," and an explanation of that field appears. If no help is available
  for a particular field, the message will read "Help is not available for this field or no
  field has been selected."
48

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     File Edit Model  Activity  Chemical  Chemical Compartments  Enzymes  Exposure  Special Processes  Reporting System  Export Refresh  Window

     = • jfc 'Q ;  * CD 9 •  c- FI' 5;: sP  B :  W  :s  IB  Bfl i •,,  i i^ i

     M'SLS^L r,,»,,™_.-».l»,'-,_ _..-l_'....




                      ____________

               ChemicahfTCA       t^|            Sutasysteni Rflodel:fMain             ^J      Group NamerjEiiSb

                   Aetiwe Comisartment®                           C0m|sartrnent Chemical Data Entry
                                         fcURRENT CHEMICAL:[TCA  '     |
                                         IcHYLOM_FLVV_RjCON: jT"*"";	-j-^- ^ ^    PART_COEF_BLD: j--'-~~-j7-~7
            ,                             JBILE_DUO_PARTjCOEF: { "     ~ -,-:       PART_COEF_AIR: j'"';* " ~~v!7
            ]FAT                          JNON_LIP_FLW_R_CON: f	*'    """-y 1/H    LIP_FLW_R_CON: p"""~--->-—-i- 1(H
            KIDNEY                        JlMTJMVtT:         \'f~:j*~'?~i~J'f'~ m3     IWIT_CONC:     fTSf,'"'"*'™^ mg/l
            LlvER                         JCOMP_ACT_CH_FLO:  S
            'OVARIES                       I
            JRAPIDLY PERFUSED TISSUE           JMAX_BIND__CAP:    I            mgIL   DIS_EQ__BD_COM: i           mg/
            ISLCWLY PERFUSED TISSUE           |BIND_CHEM_FLAO:   £~)
            SPLEEN                        |
            j VENOUS BLOOD                  S











     The dissociation equilibrium constant for equilibrium saturable binding. It corresponds to the Michaelis-Menten constant in the Michaelis-Menten equation for saturabli


     Ready
As long as it is selected, the "Context Help" window will appear at the bottom of all
windows.

3.10  To Turn Off  "Context Help"

1. Return to the "Main" menu.

2. Select "Help," then  "Context Help."
                                                                                                                 49

-------
50

-------
                                    Section 4
                Exporting and Running a Model Data Set
The ERDEM Front End converts your data into a command file format that can be
exported to and run by the ACSL/Graphic Modeller (sic) software.

4.1  Preparing the Model Data Set for Export
From the "Main" Menu

1. Select "File," then "Open Model
   Data Set."

2. Highlight the MDS called
   "MALE  TCE  METAB&ELIM,"
   then press the "Select" button, as
   shown at right.

From the "Main" Menu
Model Data Set

: MALE_MTBE_BIND
MALE_T':E_C-IBL
 MOUSE_MTBE_BIOSINH
 RAT_CARB_EZ_BIG
 RAT_MTBE_BIGSINH_BORGHOFF

Pe;Cri|3tion
 Fisher version of the TCE model for a human male - with volume and blood flow
 amounts, metabolism and elimination in kidney and liver
 Include Inactive Data Set?
                   Select
                                    Help
3. Select "Model," then "Model Data Set Definition."
  The "Definition of Model Data Set"
  window will appear with
  "MALE_TCE_METAB&ELIM" as
  the current MDS, as shown at right.

  On the "Definition of Model Data Set"
  window, the "Log Path" and "Variable
  History Path" should be automatically
  filled in to match the path where the
  ERDEM Model was installed. No
  further action is required.

  if Definition
       Narre
• J5 Setting ;
'• Q Units
     escriptor* Fisher version of the TCE model tor a human male -with
          Volume and blood flow amounts, metabolism and
          (elimination in hidney and liver

     Species: JHUMAN     Sub Species' tilALE
     AvgAge <     30   Sev ;M ,^!  V Print Final Results
     Vtrsion '202D          ^  «/ Active
     Log Path t \ERDM202D\ER Variable History Path C 'iRDM202D€R
  Note:In the example shown here and on the following pages, the Log Path and
        Variable History Path were C:\ERDM202D\ERDM202D.log and
                                                                                  51

-------
        C:\ERDM202D\ERDM202D.rrr, respectively. They may be different for your
        particular version of the software.

4.2  Exporting the Model Data Set from the ERDEM Database

From the "Main" Menu

1. Select "Export," then "Run Model," as shown below.

 File Model  Activity  Chemical '_hernical Compartments Enzymes  Exposure Special Processes  Reporting  System g^S^ Help
  QiJici  sp CD  .   £> 11  m  rflo  f?  4 -. Hi i B' tk   IB-*
   The "Export Model" window will appear, as shown below.
                                Exporting MALE_TCE_METAB£LIM
                          Proc Filename: ,'^:€RDM202DiERCPM202D.CMb"
                         History filename: jC:iRDM202D€RDM202b rrr""'
                           Log Filename: C.lERD"M202D€RDM2b2D.log'"

                   j EKport Process
Complete
                   j Loading Wipeout Info
                   \ Exporting Model Data Set
                   \ Exporting Model Compartments
                   ) Exporting Exposure Routes
                   ! Exporting Model Data Set Subsystems
                   I Exporting Model Dsta Set Activities
                                     Start
                                               Close
  Notice the warning above the "Start" and "Close" buttons. If your "ACSL/Graphic
  Modeller" is open and "Load ACSL" has been selected, the export will experience a
  file generation conflict until you have closed the Modeller. It is therefore
  recommended that you close your "ACSL/Graphic Modeller" before proceeding.

From the "Export Model" Window

2. Set the "Proc Filename" to "C:\ERDM202D\ERDM202D.CMD".
52

-------
  When the Export is completed, the .cmd file will contain the exported current MDS
  that was entered and saved in the ERDEM Front End database, with the MDS
  parameters specifically formatted to run in the ERDEM Model.

3. Click on the "Start" button.

  As each Export Process is running, the word "processing" appears to the right of the
  process name. When a process is complete, a check mark will appear in its "Complete"
  box. When all processes are complete, an "Export Notice" message box will appear
  informing you that the export was successful, as shown below.
                                Exporting MALE_TCE_METAB£LIM


                           Proe Filename; € eRDM2Q2DeRDM202b CMlf ''	

                    Wariabte History Hleiiame; ttRDM202D€BDM202D'rrr	
                             The Export of the current Model Data Set (MDS) was SUCCESSFULi
                     Exporting Prepare Variables
                     Evporting Plots
                                             Gore
4. Click on the "Export Notice" message box "OK" button.

5. Close the "Export Model" window.
                                                                                   53

-------
54

-------
                                   Section 5
     Starting the ACSL Viewer and Running the ERDEM Model
5.1 Starting the ACSL Viewer

From the "Main" Menu

1. Select "Special Processes," then "Run ACSL Viewer," as shown below.
                 ;   00
                           II ! S3 il* B i f :;
                                                        Reporting System Export Help
                                                 system Variable Processing
                                                 Special Variable Setting

                                                 Plot Groups (Chem/Metab)
                                                 Plot Groups (Enzymes)

                                                 Experimental Data

                                                 Copy/Delete Model Data Set
                                                 Delete Chemical/Metabolism Reaction/Enzyme

                                                 COPY CURRENT DATABASE
                                                 CONVERT DATABASE
                                                 RESTORE SAMPLE DATABASE
                                               >  Radio Label Groups
                                                Please enter the PATH to your ACSL Viewer:
                                      Default Path:
                                                         OK
                                                                     Cancel i
A "Run ACSL Viewer" window will
appear, as shown at right.

2. Set the "Default Path" to match
  the path where the ACSL
  Viewer was installed, as shown
  at right.

3. Click on the "OK" button.
The "ACSL/Graphic Modeller" (sic) vendor window will appear, as shown on the top of
the following page.
                                                                                55

-------
                 ACSL Graphic Modeller will function in viewer-only mode, You can edit and run pre-defined models but you cannot
                 save the models, To license the full functionality; please contact AEgis Research Corp, at 800-647-ACSL or
                 256-922-0802,
                 If you have purchased the product, please run the ACSL Security Key Utility (from the ACSL program group) to
                 request or install a security key.

                                    '	*         i
                                                Cancel   j
4. Click on the "OK" button for this and any other vendor windows that pop-up
   until the "ACSL/Graphic Modeller" window appears, showing an inner window
   called "modell.gm [Viewer Mode]," as shown below.

   Note: If this is the first time the ACSL/Graphic Modeller has been run, the "Viewer
        Mode" window may appear minimized on the task bar.  If so, click on it and it
        will open up (as shown below).
fft'"l,^V;;?i;^^;;u^ffi;-:ft;:i;:^1^li4;;;::C<,r,



iUSs
fe-fS
/ll" • ' ' " ™ "• gg°™ ™"°1""
^ Jm. , T '", ^ iw 	 ,,, ^
gl&?i~ii:--
111 '««iiiL»iH«umwiw«mww««ii«
J|t- ,, , A '
WW^a^wwHW
56

-------
From the "ACSL/Graphic Modeller" Window
1. Select "File," then "Open," as shown below.



     Sxsl
                                                                            j
  The "Open Graphic Model or block
  Rack" window will appear, as
  shown at right.
                                       !' JiDMGM2DZD
                                       1d|Erdm202D,gm
                                       File name:   '

                                       Filesofjype-  i Files I'. gm.' rac J

                                               1  Openastead-onlj)
flpen
Cancel  ^
                                                                                 57

-------
2. Click on the down arrow in the "Look in" field (or click anywhere in the field).
   The directory list will appear, as shown below.

Loo\ in
I DM*
i £3] ErdmS

i


!

File name
Files of ly


* Local Di:MCI ' ' -; - E) O &
k-,i' Desktop
} My Documents
My Computer
i 3't Floppy (A:)
"
ERDM202D
.i CD Drive (D:)
_**, PStephan on 'Iv-ps1 MJsetApps' (F:)
_£ Cjhornpson on V-fsV (G:)
*j LI :erApps on 'Iv-ps1 ' (K:)
_*^ erdenishared on 'Iv-fsl' (M:)
j*. dataanalysis on 'Iv-fsT (Q:)
•• •* PStephan on Vfs1 \uservol' fU:l







Qpen 1
"""~'t cancel j

.-
3. Select the drive where the software has been installed.
                                       DRIVERS
                                      iEPDEM Tutorials
                     Look in ; '* Local Di-k(C 1
. jAcslview
" 1 Cor el
•i jdb_conversion
"^ideemfe           ,;EPDM202L
: jDELL            tEPDM202S
.'^Documents and Settings  ,; EPDM202 <
                           7" 
-------
   Files that are in the "ERDM202D" directory will appear, as shown below.
                      tool- in '  .. ERDM202D
                      3jEtdm;Q2D,gm
                     File name:   ;

                     Files of type: '• Files (".gmf.rac)

                               Open as read-only
Open
Cancel
6. Select "Erdm202D.gm," as shown below, then click on the "Open" button.

                     Loot- in ,  J ERDM202D

                       DMGtCCCD
                     Filename:   !Erdm202D.gm

                     Files of type:  .' Files (*.gm;*.rac)

                             1  Open as read-only
Open
Cancel  i
   The "ACSL/Graphic Modeller - [Erdm202D.gm [Viewer Mode]]" window will appear,
   as shown at the top of the following page.
                                                                                     59

-------
       Q i # 03
n m;
     •v£ File Edit View Browse Blocks Simulate Window Help
              ''
                            c
     Left-dick to select Shift-left-dfagtomove. Right-click for menu,
   ^eadv
7. Maximize the "ACSL/Graphic Modeller - [Erdm202D.gm [Viewer Mode]]"
  window (click on the Maximize icon (the middle button at the top right corner of
  the window)).

  This will give you a full-screen view of the ERDEM Model, as shown at the top of the
  next page.
60

-------

!" Fie Edit View Browse Blocks Simulate Window Help




















ERDE M 2 02 D
MARCH 11, 2005
j 	 1
1 m'
Gas ro Internal
Tract


	 if
L-

— ».
— IP.

Spleen and.. ^
Metaboliirn 	
Liver with
E xposure a
Metabolisn
j 	 ' 	 !
	 ft
	 1










_j


Un : Converron
Absolute Errors

nitial
Segment
	 1 How o Choose
Absolute Error;

i


* 1' 1 1 "*""*
Metabolism
! r— ;==
Metabolsm «*-

Tectei a
Metabol















Metabolite arid
Enzyme
(realization





Structure
of Model
















































— j





E
Te mination
	 k.
Terminal



3od>( Summar
Def nitrons
	 1»

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R
J



n^
ep
i



yrne
ott>
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	 E














B
0
D
V

M
A
eft-did, to se eet, Shift-left-draa to move, Riqht-did fot menu,

NUH
5.2 Running the Model

From the "ACSL/Graphic Modeller"
Menu

1. Select "Simulate," then select "Load
  ACSL," as shown at right.

  Two initialization messages will appear
  and disappear. Then the minimized
  ACSL Run Time icon will appear on the
  right end of the task bar (bottom of the
  screen), as shown below.

^ File
r(«w»
D.G3


Edit View Browse Help
V^Y_^^^ Run Options , , ,



r1r
Generate Code >
fi*sV**J\^,'ww*'R>*w» i»
Start ACSL


| 	
Gastro-lntestir
Tract
E ,it ACSL
  Below is an example of a minimized window from which ERDEM Model runs can be
  viewed.
                                                                         61

-------
To See the Results

1. Click on the icon.

   The results will appear, as shown below.

   This window shows the beginning of the command (.cmd) file, the program that runs
   the model simulation.

    File  Edit Setu[3 Simulation Analysis  Linear Help
    Switching CMD unit to 4 to read Erdm202D.cmd

      MODEL DHTfl SET: MflLE_JCEJ1ETflB&ELIM
      SPECIES:  HUMflN
      SUB-SPECIES: MflLE
      RUG  RGE:  38
      GENDER: M
      DESCRIPTION:
        Fisher  uersion of the TCE  model for a human
        male -  with volume and blood  flow amounts,
        metabolism and elimination in kidney
        and liuer.

    PROC EXPORT FOR DEEM 202D 09302005 0946
    f	 STflRT OF 'WIPEOUT1  SECTION 	
    fPROC  UIPEOUT  tPROC TO INITIflLIZE UHRIflBLES SET IN THE  MODEL TO DIFFERENT UflLUES
                   !SET UflLUES FOR  ftDDITIONflL UflRIflBLES NOT IN CQNSTflNT STflTEMENTS.
    •SET TINTEG=fl.00001,NSTP=12*1,MINT(1)=1.E-20
       SET  ls_big=.F.,ls_biu=.F.,ls_inm=.F.,ls_inp=.F.
       SET  ls_inf=.F.,ls_INH=.T.,ls_rig=.F.,ls_skw=.F.
       SET  MW=10*119.37812
       SET  T0=0.
       SET  BIGD_1t_big_B=1.E20,BIGD_1t_big_E=1.E20
       SET  BLIU__1tJjiu_B=1 .E20,BLIU__1t__biu_E=1 .E20
       SET  BRTHL_1t_brth_st=1.E2fl,BRTHL_1t_exh_st=1.E20,BRTHL_1t_inh_st=1.E20


      Start  ,:
62

-------
You can maximize the window to enhance the view, as shown below.

 File Edit  Setup Simulation Analysis Linear Help
 Hitching CMD  unit to * to read Erdn2B2D.cmd

  MODEL DBTfl SET: MBLE_TCE_METf»B&ELIM
  SPECIES: HUMBN
  SUB-SPECIES: MflLE
  RUG BGE: 30
  GENDER: M
  DESCRIPTION:
    Fisher version of the TCE  model for a human
    male - with uolume and blood flow amounts,
    metabolism and elimination in kidney
    and liuer.

 ROC EXPORT FOR DEEM 2B2D B93020B5 09M6
 ,	 STftBT Of 'WIPEOUT1  SECTION 	
 PROC WIPEOUT   !PROC TO INITIBLIZE UflRIRBLES  SET IN THE MODEL TO DIFFERENT  UHLUES
               !SET URLUES  FOR BDDITIONBL UHRIflBLES NOT IN CONSTRNT STHTEMENTS.
 ISET TINTEG=B.80081,NSTP-12*1,MINT(1)-1.E-20
    SET ls_big=.F.,ls_biu=.F.,ls_inm=.F.,ls_inp=.F.
    SET ls_inf=.F,,ls_INH=.T.,ls_rig=.F.,ls_skw=.F.
    SET MW=10*119.37812
    SET TB=0.
    SET BIGD_1t_big_B=1.E28,BIGD_1t_big_E=1.E20
    SET BLIU_1t_biu_B=1-E28,BLIU_1t_biu_E=1.E20
    SET BRTHL_1t_brth_st=1.E20,BRTHL_1t_exh_st=1.E28,BRTHL_1t_inh_st=1.E2B
    SET INFD_1t_inf_INE=1.E2B
    SET RIGD_1t_rig_INE=1.E2B
    SET SKSW_1t_skw_INE=1.E2B
    SET TSTOP=B.
    SET BCTPD_1ls_ap_B_J=9».FBLSE.
    SET LS_BRTHL= .TRUE . ,LS_PU= .FHLSE.
    SET LS_CC_BC=1B*.FBLSE.
    SET LS_CC=.FBLSE.,INHL_1ls_cc_b_J=9».FBLSE.
    SET LS_TRM_PHT=.T.
    SET LSJJI=.THUE.,LS_STIN=.FBLSE.
    SET N_EXP_CMPDS=0,N_BIG_ESP=B,N_RIG_EXP=B,N_INP_EXP=B,N_SKW_EKP=0
    SET N_INF_EXP=B,N_BIU_EXP=B,N_INHJXP=B
    SET NCINT=1.,NIINT=1.,N_SBJ_CC=B.
    SET LS BPCT INP=.T..LS UPCT INP=.T.
   Start
To Stop the Run

1.  Click on the "Start" button.
                                                                                                                     63

-------
To Run the MDS

1. Type in: "RUN_MDS" in the field next to the "Start" button (bottom of the
   window), as shown below.

2. Press the "Enter" key.


    File  Edit Setujj Simulation Analysis  Linear  Help
    'ROC EXPORT FOR DEEM 282D B93B2B85  091(6
     --------- STftRT OF 'WIPEOUT1  SECTION ---------
     PROC  UIPEOUT  fPROC TO INITIflLIZE  UftRIflBLES SET IN THE MODEL  TO DIFFERENT UfiLUES
                   'SET UflLUES FOR  flDDITIONflL UflRIflBLES NOT IN CONSTflNT STflTEMENTS.
    ISET TINTEG=0. 08801 ,NSTP=12*1 ,MINT(1 )=1 .E-28
       SET  ls_big=.F. ,ls_biu=.F. ,ls_iniii=.F. ,ls_inp=.F.
       SET  ls_inf=.F.,ls_INH=.T.,ls_rig=.F.,ls_skw=.F.
       SET  MU=1 8*119. 37812
       SET  T8=fl.
       SET  BIGD_1t_big_B=1 .E2B,BIGD_1t_big_E=1 .E2B
       SET  BLIU_1t_biu_B=1 .E2B,BLIU_1t_biu_E=1 -E2B
       SET  BRTHL_1t_bi-th_st=1 .E2B,BRTHL_1t_exh_st=1 .E28,BRTHL_1t_inh_st=1 .E2B
       SET  INFD_1t_inf_INE=1.E28
       SET  RIGD 1t rig INE=1.E28
       SET  SKSW_1t_SkW_INE=1.E28
       SET  TSTOP=0.
       SET  flCTPD_1ls_ap_B_J=9*.FflLSE.
       SET  LS_BRTHL=.TRUE. ,LS_PU=.FflLSE.
       SET  LS_CC_flC=1B*.FflLSE.
       SET  LS_CC=.FftLSE.,INHL_1ls_cc_b_J=9*.FflLSE.
       SET  LS_TRM_PRT=.T.
       SET  LS_GI=.TRUE.,LS_STIN=.FflLSE.
       SET  N_EXP_CMPDS=B,N_BIG_EXP=8,N_RIG_EXP=B,N_INP_EXP=B,N_SKW_EXP=B
       SET  N_INF_EXP=B,N_BIU_EXP=B,N_INH_EXP=B
       SET  NCINT=1 . ,NIINT=1 . ,N_SBJ_CC=8.
      Start  rRUN_MDS|
64

-------
  The following window shows the .log file. The beginning of the file shows the
  OUTPUT variables that were previously requested, but not shown in this view. The file
  then shows the chemical analyses output results by default. At the end of the file, the
  PRINT variables you requested are displayed, as shown below. At the very end of the
  file are the words "END OF 'PENALIZATION' SECTION." This indicates that the
  simulation run for this MDS is complete.

File Edit
980
981
982
983
984
985
986
987
988
989
990
991
992
993
994
995
996
997
998
999
1000
1881
1002
£
*
f
t
Start


Setug Simulation
93
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94
95
95
95
95
95
95
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96




! I
.8880000
.9840000
.0800000
.1760000
.2720000
.3680000
.4640000
.5600000
.6560000
.7520000
.8480000
.9440000
.0400000
.1360000
.2320000
.3280000
.4240000
.5200000
.6160000
.7120000
.8080000
.9040000
.0000000
run ncr •
tnu ur





Analysis Linear
33
33
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33
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33
33
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V
*,;
3. Minimize this window.

5.3 Specifying the Scenario

To See Plots

From the "ACSL/Graphic Modeller" menu:

1. Select "Simulate," then "Run Scenario," as
  shown at right.
Start ACSL
Continue ACSL run.,,
Display Variables
Plot Variables,,,
ACSL Command,
                                                               Tract
                                                                             65

-------
  The "Specify Scenario Procedure"
  window will appear, as shown at right.

2. Select the desired scenario procedure
  from the "Name" list.

3. Click on the "Execute" button.

  The plots are available for viewing in
  separate windows.
  To view the plots, minimize the active window
  The plots will be "stacked" on top of each
  other, as shown at right.

To View the Plots Separately

1. Move their windows (click on the
  colored title bar, hold the mouse button
  down, and drag the window to another
  position).

  Separated plot windows are shown below.
  You can also minimize and maximize each
  plot window.
                                            File Edit Help
0» fUEfi UNDER IMF OIRVF
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66

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The plots are also available as minimized window icons on the task bar. In the illustration
below, they are the last three to the far right in the lower row.
If you prefer, you can view the plots separately by clicking on the minimized icons.

Note: The plots do not automatically save. To have a record of a plot, you can do one of
     two things: print it, or save it as a bitmap.
To Print a Plot

1. Select "File," then "Print" from the plot
   window's menu, as shown at right.

To Save a Plot

1. Maximize the plot window (to full screen).

2. Click on "Edit," then "Copy Bitmap" (as
   shown below) and follow the prompts.
HE;
   Edit Help
                                                                              67

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Sge*
Copy Neu
Set Size
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TIME Hours
To View Additional Plots

1. Go back to the beginning of subsection 5.3 and select a different scenario
  procedure.
5.4 ExitACSL

From the "ACSL/Graphic Modeller"
Menu

1. Select "Simulate," then "Exit
  ACSL," as shown at right.

  This will close all ACSL windows.
  It also saves the ".log" file, a record
  of your MDS simulation run, in the
  location specified in the "Export
  Model" window, as previously
lia
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ew Browse Blocks Window Help
" ", r" " . . "' " .'", Run Options,,,
Generate Code *
Start AC5L


1 Display Variables
Plot Variables,,,
AC5L Command...

Tract Run Scenario,,,

68

-------
   shown in subsection 5.2. In addition, it saves the ".CMD" and ".rrr" files identified in
   the "Export Model" window.

   A view of the "Export Model" window, showing the file names, is shown below.
                             Exporting MALE TCE METABELIM

                                 3C:VERDM202D\ERDM2Q2D.irr
                       L«j
              1 Export Process
              I Loading Data
              I Loading Wipeout Info
              I Exporting Model Data Set
              | Exporting Model Compartments
              I Exporting Exposure Routes
              | Exporting Model Data Set Subsystems
              5 Exporting Model Data Set Activities
               Please riS'Stt Ui5»? ACSL
                                              Close
Complete
  Note: The version used for this demonstration was "ERDEM202D." By default,
        subsequent model runs using version "ERDM202D" will be saved to the same
        directory and use the same three file names shown above. If you wish to keep the
        files from the previous model run, it is recommended that you copy the three files
        to a different directory and rename them for identification.

5.5  Exit ACSL/Graphic Modeller

1. Select "File," then "Exit" from the menu, or click on the red and white "x" at the
  top right corner of the window.
5.6  Exit ERDEM Front End

1. Select "File," then "Exit," as shown at right, or click on the
  red and white "x" located at the top right corner of the
  window.
      <'l Model Activity  Chemic
      *. *\
       Mew Model Data Set
       Open Model Data Set

       Open User Database
       Open SAMPLE Database
                                                                                  69

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70

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                                   Section 6

                               Descriptions of
         Exposure Related  Dose Estimating Model (ERDEM)
Exposure occurs at the boundary of the body or test system. It is of considerable interest
to EPA to limit, reduce and, in specific instances, eliminate exposure. Humans become
exposed to chemical and biological substances, physical energy and radiation through the
activities they perform routinely in everyday life or occupationally as part of certain
policies, practices or procedures. Exposure can occur accidentally as a random event, or
during an occupationally related task or as a result of a purposeful action such as a
(terrorist) attack.

Humans may become incidentally and unknowingly exposed. Exposure to particles and
gasses in the air we breathe may be unavoidable. Dermal contact with surface residues
may be unforseen and unrecognizable. Ingestion of particles and residues in food may be
unintended and unsuspected. Under certain conditions, exposure can be limited or
reduced through education, managerial oversight, regulatory responsiveness, and use of
proper personal protection devices (Ness, 1994).

Exposure events in time and space under certain recognizable exposure scenarios may be
accomplished more easily for occupationally related exposures where policies, practices
and procedures have been established than for those that occur randomly or incidentally.
However, regardless of the nature of the exposure, exposure follows along recognized
pathways, e.g., inhalation, ingestion, and dermal, and routes, respiratory, oral, and
percutaneous.

ERDEM was designed to examine three pathways of exposure, inhalation, ingestion and
dermal, and eight routes of entry into the in silico test system. Experimental pathways and
routes of entry were included (subsection 6.1), along with what might be perceived as
naturally occurring unscheduled or not experimentally controlled pathways and routes
(subsection 6.2). This approach greatly enhanced the database to include laboratory
animal and clinical studies in addition to environmental field studies. For example, enteral
administration is represented by intraperitoneal injection (IP) of chemical into the GI tract
via the Portal Blood (Liver for the Stomach/Intestine Gastro-Intestinal model).
                                                                               71

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6.1 Experimental Pathways and Routes of Entry

6.1.1 I ntraperitoneal Injection

Intraperitoneal Injections (IP) into the Portal Blood may be given for multiple chemicals
for up to nine scenarios starting at time TINP , and repeated at the interval TINPiTr .  The
amount  of chemical to be injected is calculated from the concentration of the chemical
times the Body Volume. The amount injected decreases at an exponential rate. All
injections start before the simulation start time (T0). When the scheduled event occurs to
start the injection, the amount is calculated as:
                                 .
                                   B >                                           (1)
where ^-INP.CURJ. is the amount remaining to be absorbed from the previous interval. The
amount of the ith chemical from the jth exposure remaining to be absorbed is:
                                                                               ' '
where, AT = T— Timsru., TmsTLJ, is the start time for the last IP Injection for the jth
exposure, and MIN is the minimum of the two terms. The amount of the ith chemical
remaining to be absorbed for all exposures is:

                Sw'M/1
        •"•INP.CURj   Z_j ''AJ't i;KJ, .
and the rate of change of the amount of chemical injected into the Portal Blood is given
by:

        dAmp,
                                                                               (4)
At the start of the next injection interval, the IP amount remaining to be absorbed is
accumulated for each chemical; the elapsed IP simulation time is reset to zero, and the
next injection occurrence is scheduled.

6.1.2 Intramuscular Injection

Parenteral administration is represented by intramuscular injection (IM) in the muscle
(Slowly Perfused Tissue). Intramuscular Injections may be given for multiple chemicals

72

-------
and up to nine scenarios starting at time TmMft and repeat at the interval Timin,, The amount
of chemical to be injected is calculated from the concentration of the chemical times the
Body Volume. The amount injected decreases at an exponential rate. All injections that
start before the simulation  start time (T0) and before the simulation end time are
scheduled. When the scheduled event occurs, to start the injection the amount is
calculated as:

              = ^INM.CLWJ. . ~^~ ^-INMJ, . VB -                                             (5)
                       
-------
in each infusion, each with its own concentration. The rate of change of the amount of the
ith chemical infused into the venous blood versus time is given by:
The flow rate, Q,NFi , is independent of the chemical. There is one flow rate for each
exposure. However, the concentration of the ith chemical in the jth exposure, CShTj , can be
different for each chemical. The total amount of the ith chemical passed to the venous
blood by Infusion is:

                 U/i ft\/f j £f
6.1.3.2 Bolus Intravenous Injections

Bolus dose Intravenous (IV) Injections start at a given time, TB,y. , and may be repeated at
an input interval, TKIGJT. . Bolus dose Intravenous Injections (IVs) injected before
simulation start time are not modeled. Those that occur at simulation start time (TO) are
modeled as true bolus doses into the venous blood. The equation for the initial values for
the amount of chemical in the Bolus IV Dose and in the venous blood are given by:
               NBIG
                                                                               (11)
                                                                               (12)
for the exposures that start at simulation start time. A bolus dose IV that occurs after the
simulation start time is simulated with a rate input normally having a time duration of
one-quarter of a communication interval or one-quarter of a maximum integration step,
whichever is less. The equation for the jth exposure for the ith chemical then takes the
form:

        dAg,y       dgtt,

          Ml     1 HIV..  * BIVo
                   rs
and for all exposures to the ith chemical at time t:
74

-------
dAi
          m¥
       ft
  ¥n = J Tg
                      ,
                       tit + A
                            m,
6.1.4 Inhalation Administration
There are two types of inhalation, Open or Closed Chamber Inhalation. Open Chamber
Inhalation is assumed.
The subjects in each simulation are in a closed chamber or an open chamber. They cannot
be mixed. If the simulation uses an open chamber then:
   • If no exposure is defined then the simulation starts with an open chamber with no
     concentration of chemical.
   • There is no change in the concentration of chemical in an open chamber due to
     exhaled air.
   • If one or more open chamber exposures are defined and none are designated the
     starting exposure then exposure number one is the exposure starting the simulation.
   • Any number of chemicals can have a concentration in an Open Chamber exposure.
   • The simulation cannot switch in the middle from Open to Closed Chamber
     Inhalation.
If the simulation uses a closed chamber then:
   • There must be a Closed Chamber exposure defined to start the simulation.
   • Only one Closed Chamber exposure can be active at once.
   • Any number of chemicals can be  assigned a concentration for a Closed Chamber
     exposure.
   • The chemicals in the exhaled air change the concentration of each chemical in the
     closed chamber.
   • If Closed Chamber Inhalation is chosen then the whole simulation will be with a
     closed chamber.
   • Open Chamber Inhalation can be  approximated with an extremely large closed
     chamber.
                                                                             75

-------
The input concentration for an Open Chamber is in units of parts per million. The input
for Closed Chamber Inhalation can be the amount (mass units), or the concentration (units
of parts per million). The Open Chamber concentration for the ith chemical in mass per
unit volume is calculated from:
                   !tKJ                                                       '  '
For Closed Chamber Inhalation the volume of the chamber is required. The volume of the
air in the chamber is calculated by subtracting the volume of the number of subjects:

       *CCGtf,= VcCj-NsBjV*                                                  (17)

If the input into the Closed Chamber is a concentration then it is given in parts per million
and converted to mass per unit volume units. But, if the input is an amount, then the
amount is converted to concentration by:
               'CC.GASj
There are two types of lung included in ERDEM, static lung and Breathing Lung. These
compartments are described in subsections 7.1 and 7.2. The inhalation pathway involves
entry through the Open or Closed Chamber static lung or the Breathing Lung.

6.2  Exposure for Bolus Ingestion, Rate Ingestion, Inhalation, and Skin
     Surface Exposures

Exposure time histories have been implemented in ERDEM for rate ingestion, open
chamber Inhalation, and skin surface exposure, but not for bolus dose, or Closed Chamber
Inhalation. There can be up to nine time histories for each exposure type (except for skin
surface exposure which can have up to five exposures), but only one for each chemical.
The time histories may be repeated periodically. Each time history will have a start time
and duration interval. Any exposure can be expressed as an exposure time history.

Each exposure route has most of these variables:

   • Concentration of chemical in a volume of food, water, or air (usually the dependent
     variable in a time history);
76

-------
   • Volume of the food, water or air;

   • Flow rate - volume per unit time;

   • Start time of exposure, duration of exposure, and interval between exposures.

If an exposure starts on or before the simulation start time, then the simulation starts with
the exposure in effect. Otherwise, there is an event to start and one to terminate the
exposure. There can be overlapping exposures of the same type in most cases (not for
Closed Chamber Inhalation exposures). If the exposure is an exposure time history, then
only one chemical can be modeled and there can be only one exposure time history of a
particular type in any one simulation.

6.2.1 Ingestion Into the Stomach and the Stomach  Lumen

If Rate ingestion input is a time history, then time and the amount per unit time
(concentration times flow rate) of the chemical are provided. Linear interpolation is used
to obtain intermediate values.

6.2.1.1 Bolus Dose Ingestion

Bolus dose ingestion occurs when chemical is taken into the Gastro-Intestinal tract very
rapidly; for instance in one big bite or drink (there is no time history input). Bolus dose
inputs that occur at simulation start time (T0) are modeled as true  bolus doses. The initial
value for the integration in the stomach or stomach lumen is the sum of all exposures that
start at simulation start time. The equation is:
for all exposures to the ith chemical at time T0.

Bolus dose inputs with start time TB,Cj that are greater than the simulation start time and
before the simulation stop time are simulated by rate inputs that start at the scheduled
bolus dose start time with a duration of 1A of a communication interval, or 1A of a
maximum integration interval, whichever is less. The bolus dose for the jth exposure can
be repeated at the input interval, TmJT/. The approximation of a bolus dose input via a rate
input of a relatively short duration produces results very similar to those achieved with an
actual bolus dose while allowing a more accurate evaluation of amounts and
concentrations via numerical integration. The equation for the jth exposure for the ith
chemical then takes the form:
                                                                                77

-------
         dt    TK,r,. - T
                cs/C|/«,                                                       (2o)
and for all exposures to the ith chemical at time t:

                    dABIG
                    __J£
                      dt   •
The variable ^a«;rei is the initial value in the numerical integrations for the total amount of
the ith chemical in the bolus dose ingestion, and the amount in the stomach or stomach
lumen:
                                                                              (22)
6.2.1.2 Rate Ingestion
The Rate Ingestion (may be a time history input, see 6.2. 1 above) for each exposure starts
at a given time, TKKi, occurs over a duration of time, fwco/ , and may be repeated at an input
interval, Tuarr , The concentration of the chemical in the food or drink and the flow rate
are required inputs. The product results in the rate of change of chemical in the stomach
or stomach lumen versus time. Overlapping exposures are allowed. The rate of change of
the ith chemical in rate ingestion versus time is given by:
         w.    %G
                                                                              (23)
Thus there is one flow rate for each exposure. But the concentration of each chemical in
the jth exposure may be different. The numerical integration to obtain the total amount of
the ith chemical passed to the stomach by Rate Ingestion is:
~J5
                     dt
78

-------
6.2.2 Inhalation Exposure

If Inhalation exposure input is a time history then time and concentration in Parts Per
Million (PPM) of chemical are input (conversion from other units may occur). Linear
interpolation is used to obtain intermediate values.  The inhalation pathway involves entry
through the Open or Closed Chamber static lung or the Breathing Lung. These
compartments are described in subsections 7.1 and 7.2.

6.2.3 Dermal Exposure

There are two types of dermal exposure modeled in ERDEM, one for chemicals in an
aqueous vehicle, most often a water based diluent,  and chemicals as a dried residue or
adsorbed onto particles as a dry source.

6.2.3.1  Skin Surface Exposure to a Chemical in an Aqueous Vehicle

Skin Surface exposure due to chemical in an aqueous vehicle may be input as a time
history of time, the surface area of the skin (square centimeters) that becomes exposed to
the chemical, and the concentration (mass per unit volume) of the chemical in the vehicle.
This concentration and area of the skin are used to  compute the rate of change of the
amount of chemical absorbed. Linear interpolation is used to obtain intermediate values.
The skin surface is exposed to chemical in an aqueous vehicle (water) at time ?W. for a
period of time, ram), which can be repeated at the interval, TSKWfTj.  Skin surface (water)
exposures progress from a simulation start time and end at a scheduled termination time
point. If a fixed scenario is used then the concentration of the ith chemical at the skin
surface is found from summing the concentrations from each of the up to five exposure
scenarios:
        SKSi        SKW'Ji,i
The rate of change of chemical in the epidermis due to the concentration CSKS_ on the skin
surface is given by:
                                                                             (26)
6.2.3.2 Skin Surface Exposure to Transfer from a Dry Surface
                                                                               79

-------
A chemical exists on a surface represented as a mass per unit area. It is transferred to the
skin of a subject represented by a transfer coefficient. A short exposure period would
represent a bolus.

The rate of change of chemical on the dermis due to a dry exposure is:

        yLri CJL,,,, ,™
          '**•**' = A    K                                                          (27)
          ^T|.     ^•iiurf.^sks.rt,
Integrating this equation gives the total applied dose.

The rate of loss of chemical from the skin surface due to evaporation is given by:


                                                                                 (28)
where 8W({/ = 1 if a wash-off is in progress, and zero otherwise,
      §w! = 1 if the first evaporation rate constant is active, and zero otherwise,
      <5»2 = 1 if the second evaporation rate constant is active and zero otherwise.

The rate that the ith chemical moves from the skin surface into the dermis is given by:


            ^ = K,  ,    A.C,                                                 (29)
                                                          _  Asksi
where                                                 sfov ~   Vsk
If no wash-off is in progress, then the rate of change of the amount of the ith chemical on
the skin is given by the rate of application minus the rate of chemical moving into the
dermis minus the rate of loss due to evaporation:
         ill ......      "dt .......  ~   dt   ~    dt

If a wash-off is in progress, then:
             _
        dt           dt
80

-------
where the wash-off is scheduled at time 4«/ for one time step, At, to remove all chemical
on the dermis:
      "- ^STWjIWf,. ,   v    "MSY -   ,                                                   /*>*>\
      	^^^^JL.....!! f 4-  \ _ .mm,,,,,.,,,.i. /*  \                                                  1331
          ,,   * j  ... 1 -—  .   i/  ,, I                                                  \ww/
         Wif   Vwe//    A # \*w-'q//


6.3 Variable Definitions

Bolus Dose Inqestions

ABIG!      = The amount of the ith chemical in all of the bolus dose Ingestions at time t,

A»icm    = The total amount of the ith chemical in the bolus dose at simulation start
            time,

Cg|G.      = The concentration of the ith chemical in the jth bolus dose,

NBIG      = The number of bolus dose Ingestion exposures,

TUG      = The time that the bolus dose Ingestion starts,

TBIGE      = The time that the bolus dose Ingestion ends, and

FB/C       = The volume of the jth bolus dose.
   ' J


Rate  Inqestions

          = The initial  value for the ith chemical in the Rate Ingestions,
AMG.STJJ    = The total amount of the ith chemical passing from Rate Ingestions to the
            Stomach at time t,

CjyC       = The concentration of the ith chemical in the jth Rate Ingestion exposure,

	:jl(i!     = The rate of change of the ith chemical in the Rate Ingestions at time t,

NRJG      = The number of Rate Ingestion exposures, and

QR!G.      = The flow rate for the jth Rate Ingestion.


Infusions

AIM-.\HJ.    = The total amount of the ith chemical in Infusions to venous blood at time t,
dA
   ']'in>   = The rate of change of the ith chemical in Infusions versus time at time t,
   at
                                                                                81

-------
CINF>.      = The concentration of the ith chemical in the jth Infusion,

Q,NF,      = The Infusion flow rate for the jth exposure.

Bolus Dose Intravenous Injection (Bolus IV)

Amv.      = The amount of the ith chemical in the jth bolus dose IV,

^siyroi     = Thg total amount of the ith chemical in the bolus dose IV at simulation start
            time,

NBIY      = The number of bolus dose IV exposures,

TBltrg      = The time that the bolus dose IV starts,

TB,V      = The time that the bolus dose IV ends.
   '£
Intraperitoneal Injection

          = The amount of the ith chemical remaining to be absorbed from the previous
            interval for the jth IP scenario,

          = The amount of the ith chemical currently in the IP Injection for the jth
            scenario,

AlNPj      = The amount of the ith chemical currently in the IP Injection,

CMPJ.      = The concentration of the ith chemical in the IP Injection for the jth scenario,

 : ^Pi     = The rate of change of the amount of the ith chemical in the IP Injection,

K/NP,ABS,JU  = The first order absorption rate constant for the jth set of IP Injections of the
            ith chemical,

KINP.UMJ   = The factor to limit the minimum amount of the ith chemical from IP
            Injections remaining to be absorbed.

VB        = Volume of the Body of each subject.


Intramuscular Injection
82

-------
AINM,CVRJU  = The amount of the ith chemical remaining to be absorbed from the previous
            interval for the jth IM Injection scenario,

AiNMjf     = The amount of the ith chemical currently in the IM Injection for the jth
            scenario,

A{NM.      = The amount of the ith chemical currently in the IM Injection,

CINMJ,     = The concentration of the ith chemical in the IM Injection for the jth
            scenario,

dA
	:,,,,f!*i     = The rate of change of the amount of the ith chemical in the IM Injection,
  dt
KiNM,ABsjj  = The first order absorption rate constant for the jth set of IM Injections and
            the ith chemical,

KINM.UM,   = The factor to limit the minimum amount of the ith chemical from IM
            Injections remaining to be absorbed.


Skin Surface  Exposure (Water)

ASK       = Area of the skin covered by the solution containing the chemical,

ASKW.DR    = The amount of the ith chemical that has moved from the skin surface to the
            Dermis,

dA
.	fEEJfi  = The rate of change in the amount of the ith chemical moving from the skin
            surface to the Dermis,

CSKS      = The concentration of the ith chemical on the skin surface due to all
            overlapping exposures,

CSKW.J, ,    = The concentration of the ith chemical for the jth exposure on the skin
            surface,

KSKS,DR.PRM. = The permeation coefficient for the ith chemical from Skin Surface to
            Dermis,


Inhalation

ACCJj      = The amount of the ith chemical in the jth Closed Chamber,
                                                                               83

-------
CAIR, i PPM,  = The concentration of ith chemical in air for one part per million at one
            atmosphere and 25 °C. This is used to convert concentration in PPM to mass
            per unit volume.

CAIR.JI     = The concentration of the ith chemical in the jth exposure in parts per
            million.

CINH      = The concentration of the ith chemical in inhaled air, units of mass per unit
            volume.

NSBJ      = The number of subjects in the jth Closed Chamber,

Vcc.       = The volume of the Closed Chamber for the jth inhalation exposure,
   .
            The volume of the gas in the chamber adjusted for the volume of the
            subjects.
84

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                                  Section 7

                               Descriptions of
        Absorption and Circulation in Model Compartments
ERDEM has the capacity to test spatial and temporal exposure scenarios involving
multiple parent compounds, each with multiple metabolites, in a dynamic virtual
biological "in silico" system. Individual or collective exposure may be punctuated over
time with biological contact occurring randomly or episodically as a series of acute events
or multiple chronic events where upon the exposure dose metric enters the "in silico"
biological system through recognized portals of entry (U.S. EPA, 1992). Only the
absorbed dose, as a portion of the exposure  dose, is of interest toxicologically.
Consideration of this relationship between exposure dose and absorbed dose begins at the
physiological boundaries of exposure, the laryngeal-tracheal system (static or breathing
lung), the skin, gastro-intestinal (GI) tract. ERDEM considers these physiological
boundaries of exposure separately.

7.1  The Closed Chamber for the Static Lung

The static lung is modeled by finding the rate that the ith chemical in inhaled air is
transferred to arterial blood and the rate that chemical in the static lung/arterial blood is
transferred to Exhaled Air. The rate of change of the amount of the ith chemical in the
Closed Chamber is simply the rate of change of the amount exhaled into the chamber
minus the rate of change of the amount inhaled from the chamber by the subjects as
represented in equation (34):
where N is the number of subjects in the Closed Chamber. In addition, the ith chemical is
moving from the venous blood to the static lung, from the static lung to arterial blood, and
in the chylomicrons from the Lymph Pool (when the four walled Gastro-intestinal model
is used). Binding of the ith Chemical is modeled in the static lung and is used to reduce
the amount of free chemical. The bound chemical does not metabolize and does not pass
to the arterial  blood. Each of the Nc circulating compounds can metabolize into up to NMri
metabolites. Each metabolite could be the ith chemical. Thus the rates of formation of
                                                                              85

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each of these metabolites must be added. The equation for the rate of change of the
concentration of the ith chemical in the static lung is represented in equation (35):
           dCfu. _
             jt  ~~ Qii (~ i
                                                                               (35)

                      L,-pf !     MjfTUsf/B

where the variable Ilm is the circulating compound that is the mth metabolite of the /th
circulating compound. The equations for metabolism are presented in subsection 8.2.
Binding and elimination equations are presented below.

7.1 .1 Elimination in the Static Lung

There are two types of elimination currently implemented in ERDEM. A linear form in
which the
rate of elimination is  proportional to the rate of change of the amount of the free ith
chemical in the static lung and a saturable Michaelis-Menten form. The linear form is:

            J _ r   ,                                                          (36)
               "-PUE, "-PU.F!                                                        *  '

and the saturable form for elimination is:
         dt      ^£, (A-      + ABS(CPV.Fi))
7.1 .2 Binding in the Static Lung

The binding in the static lung is of the Michaelis-Menten form but the amount of the ith
chemical that is bound is calculated rather than the rate. The equilibrium equation is:
                                                                               (38)
7.1 .3 Calculation of Free Chemical in the Static Lung

The free chemical in the static lung is calculated by subtracting the amount bound from
the total amount as follows:
86

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                                                                              (39)

7.1.4  Metabolism in the Static Lung

The static lung metabolism equations are the same as those for the Liver given in
subsection 8.2.5, except that the equation for the V-Max is given as a function of the
Liver value from the equation

                             Y™.
       *MX,PU, , ~ * MX.LV, , "•M.PU.LV, , v	>                                             '  '
            w        i,.;       ',i v LY

where RM.PV.LV.. is a scaling factor for V-Max in the static lung relative to the Liver for the
jth metabolite of the ith chemical.

7.1.5  Arterial Blood  and the Static Lung

The equation for arterial blood (AB) is slightly different for the static lung (PU) and the
breathing lung. Arterial blood is output from the lung and is input to most of the
compartments. The rate of change of the amount of the ith chemical in the arterial blood
for the static lung is the rate that chemical is moved into the arterial blood from the static
lung minus the rates that the free arterial blood loses chemical to the other compartments
(Brain, Carcass, Derma, Fat, Kidney, Liver, Rapidly Perfused and Slowly Perfused
Tissue, Spleen, and for the new GI - the Walls of the Stomach, Duodenum, Lower Small
Intestine, and the Colon).  The equation is:
                                                                              (41)
                          [XX]   Ut
where
       dA.
                                                                              (42)
and [XX] = {BN , CR, DR, FT, KD, LV, RP, SL, SP, SW, DU, SI, and CN}.

7.1.6 Venous Blood Input to the Static Lung

The rate of change of the amount of chemical in the venous blood is given by the rate due
to Bolus Intravenous injections and Infusions plus the rate of gain from each
compartment minus the rate of loss of free chemical to the static lung. The equation is
given by:
                                                                               87

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                                                                            (43)
        dt   ~   dt       dt   ' (#,   dt   -~^vw«


where [YY] = {BN, CR, DR, FT, KD, LV, RP, SL}.

7.2 The Breathing Lung

The breathing lung is modeled with five compartments: Upper Dead Space, Lower Dead
Space, Alveoli, Pulmonary Capillaries, and Lung Tissue. In addition, flows for the
bronchial artery and the bronchial vein are modeled. Diffusions are modeled for the
Alveoli - Pulmonary Capillaries, Alveoli - Lung Tissue, and Pulmonary Capillaries -
Lung Tissue interfaces. The system chart for the model using the Breathing Lung is given
in Figure 5. Metabolism is modeled in the Lung Tissue. An anatomy chart for the
breathing lung model is displayed in Figure 6. Terminology is defined in subsection
7.2.16.

-------
                                                   CC      Closed
                                                       Chamber Inhalation
i
             VB   Venous
                 Q
                   !B
 Bronchial
  Artery
                                                                    /   Open Chanber  \
                                                                         Exhalation    )
                                                                       Open Chamber
                                                                          Inhalation
                                                           UD
                                                     Upper Dead
                                                  QAIR
                                                            i
  QAB.CP
                  CP
          Pulmonary Capillaries
                     i   i
                        i
Bronchial
vein
  QCP.VB
                                                            LD
                                                     Lower Dead Space
                                                QAIR
                                                      i
            QB
                   AL    Alveoli
                                   Diffusion
                                                             \  PiGAtA AL
                  V •_
               AB Arterial
                                                     LG   Lung Tissue
                                Diffusion
                                                                          Metabolites
                          Figure 5. Breathing Lung Model.
                                                                                             89

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                       Blood Flow and Diffusion in the Alveolar
                                                         ^-—	-~^,
                                                         Bronchraf Artery
                   Pulmonary Artery
                   (Systemic Venous)
                                            Pulmonary
                                            Capillaries
                                          with lung tissue
                                                Pulmonary Vein
                                               (Systemic Artery)
                                           Alveolar Air Space
                                            Lung Tissue
                     Diffusions for Alveolar, Capillaries, and Lung Tissue
                                        Pulmonary
                                        Lung Tissue
                                         A
                                        A 1 ¥ e o I a r
                                       Air  Space
                                                         H
                       Figure 6. Breathing Lung - Anatomical Description.
7.2.1  Flow of Air in the Breathing Lung

Alveoli volume (V^ and volumetric flow rate of the air
breathing frequency, FB, as
                                                                 are calculated from the
        VAL =
                      V,
                                                                                         (44)
and,
        fi
          •AIR
V, SIN (fit)
                                                                                         (45)
90

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where
 VFRC = Functional residual capacity,
  Fr = Tidal volume,
    t = Time;

and,
                                                                                 (46)
where FB is the Breathing Frequency.

The volume of the Alveoli versus time is plotted in Figure 7a and the volumetric flow rate
of the air versus time is plotted in Figure 7b.

The breathing cycle consists of one inspiration (QM > 0) followed by one expiration
     1.70
     1,40
     0,0    0,4    0,8    1,2    1.6    2,0
               TIME *10'2 Hoyrs

Figure 7a. Alveolar Volume Versus Time.
 300
                                                 180
                                             o
                                             &
                                             HJ V.
                                             
-------
equation by using multipliers. Each inspiration term in the enclosed equations has the
multiplier:

       I =[1+SIGN (&,„)}&,                                                   (47)

where

   SIGN(X) = 1 if X > 0, and
   SIGN(X) =-lifX<0.

Thus

   / = 1 for QMR > 0, and
   I=OfarQMR<0.

Every expiration term has the multiplier

                                                                            (48)
where

   E = 1 for QMR <0, and
   E = 0 for QMR > 0.

7.2.3 Equation for the Closed Chamber

The closed chamber compartment is shown in the breathing lung system chart (Figure 5).
If an open chamber is used then the input concentration is fixed and exhaled air is lost.
The rate of change of the amount of the ith chemical in the closed chamber (CC) is:

           dCcr
       I/   __J±L  = _ A/ * /•)  f * C  + JV * O   F * C                           (49)
       ' CC   rff       JV  \£Am*   <-CC, T n   SsJ,ffflC  ^-UD,

where inspiration is from the Closed Chamber to the Upper Dead Space and expiration is
from the Upper Dead Space to the Closed Chamber. The terms I and E are given by
equations (47) and (48) respectively and N is the number of subjects in the  Closed
Chamber (only one subject is modeled).

7.2.4 Equations for Upper Dead Space

The equation for the rate of change of the ith chemical in the Upper Dead Space is given
by:

92

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            f^'
           -	-	_l =  /i   T * f   — f)  f * f  4-/1  J7*/"1  	/I  C* * /"*           (50)
            dt      is/fa1  '-•/AW,  xfAiR*   ^vot~ \£AIR-CI  ^UD,  KMRJ~'  ^u>t

where ClNHi is the concentration of the ith chemical in inhaled air from either an open or
closed chamber, and C,D| is the concentration of the ith chemical in air exhaled into the
closed chamber or lost in an open chamber.  The quantities / and E are the inspiration and
expiration coefficients given in equations (47) and (48) respectively. The concentration of
the ith chemical in exhaled breath C£wa is given in equation (71) (see subsection 7.2.13)
and is different from CVOj above.

During inspiration, chemical moves from the air in the chamber to the Upper Dead Space,
and from the Upper Dead Space to the Lower Dead Space. Exhaled air moves from the
Lower Dead Space to the Upper Dead Space, and from the Upper Dead Space to the
Closed Chamber or is lost to exhaled air.

7.2.5 Equations for the Lower Dead Space

The Lower Dead Space exchanges air with the Upper Dead Space and the Alveoli. The
equation for the rate of change of the ith chemical in the Lower Dead Space is:

                   /)   f*c  — (1 j*C   + O  F * C   — f")  F * C            (51)
                   \fAlK,1  t-(/0,   \£.AIR1  ^LDS  ' ^AIK^   ^LDf   <*£AIR^   H«,Y

where I and E are the inspiration and expiration coefficients from equations  (47) and (48)
respectively.

During inspiration the ith chemical moves from the Upper Dead Space to the Lower Dead
Space, and from the Lower Dead Space to the Alveoli. Exhaled air moves from the
Alveoli to the Lower Dead Space, and from the Lower Dead Space to the Upper Dead
Space.

7.2.6 The Equation for the Alveoli

The Alveoli exchanges the ith chemical in the air with the Lower Dead Space and
exchanges the ith chemical by diffusion with the Pulmonary Capillaries and the Lung
tissue. In addition, the volume of the  Alveoli varies with time (equation (44)).

The equation for the Alveoli (AL) compartment is written as rate of change of amount:

        dA4L
       ——'- =  n  Tf  + n   vr  + p     cr*    ^p     c<"4,
         ^|>   '  \£.AIRl^LD,  \£.AI«*-'^ALj  r LG,ALit3AL^LG,F,  r ALLGf^LG *"AL,                  ,-o\
               P    c r   — P    v c
               1 CKAtAL^CKf   f ALCPCP^AL •
                                                                               93

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The concentration of chemical in the Alveoli is found from the amount as

                Au ft)
        ~
                                                                               IK1\
                                                                               (53)
The first term is the movement of chemical in the air during the breathing cycle with
coefficients / and E given by equations (47) and (48) respectively. The second and third
terms represent diffusion of chemical across the membrane from Lung Tissue to Alveoli
and vice versa, respectively. The diffusion of chemical from the Pulmonary Capillaries to
the Alveoli and back is given by the fourth  and fifth terms respectively.

7.2.7 Lung Tissue Equation

The ith chemical in the Lung Tissue compartment diffuses in exchanges with the Alveoli
and the Pulmonary Capillaries. Elimination is modeled and the rate of elimination of the
ith chemical is subtracted. Chemical may be metabolized and the rate  of metabolism
further reduces the rate of increase of the chemical in the Lung Tissue. Other metabolites
may metabolize to the ith chemical and their rate of formation is added. The equation is:

           dCIG
       is  — _L  — p    c r*  — P    9 '•  c    + P
        LG         rALLG&LG^AL  r LGAL &AL ^'LGF ^ * CPLG'
            _               —
            dt     rAL.LGi&LG^AL,   r LG.AL,
where the first and second terms show the diffusion of chemical from Alveoli to the Lung
Tissue, and vice versa. The third and fourth terms represent the diffusion of chemical
from the Lung tissue to the Pulmonary Capillaries and the variable //,„ is the circulating
compound that is the mth metabolite of the /th circulating compound. The equations for
metabolism are presented in the attached metabolism report. Binding and elimination
equations are presented below.

7.2.7. •/ Elimination in the Lung Tissue

There are two types of elimination currently implemented in ERDEM. A linear form in
which the rate of elimination is proportional to the rate of change of the amount of the
free ith chemical in the  static lung and a saturable Michaelis-Menten form. The linear
form is:
          dt
            '%- = K   A                                                        (55)
                  "~LG.E,'iLG.Ft>
94

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and the saturable form for elimination is:

        "•"!G.£,                 (-'i.G.F,
       ___ = Vm^  Kf                                                    (56)
7.2. 7.2 Binding in the Lung Tissue

The binding in the Lung Tissue is of the Michaelis-Menten form but is an equilibrium
relationship so that the amount of the ith chemical that is bound is calculated rather than
the rate. The equation is:
                  "•/• \h
                             ll:)) VLG                                         (57)

7.2. 7.3 Calculation of Free Chemical in the Lung Tissue

The free chemical in the Lung Tissue is calculated by subtracting the amount bound from
the total amount as follows:
                                                                             (58)

7.2.8 Metabolism in the Lung Tissue

The Lung Tissue metabolism equations are the same as those for the Liver given in
subsection 8.2, except that the equation for the V-Max is given as a function of the Liver
value from equation:

                             V
where RMtLC,,jr is a scaling factor for V-Max in the Lung Tissue for the jth metabolite of
the ith chemical.

7.2.9 Equation for the Pulmonary Capillaries

The ith chemical in the Pulmonary Capillary compartment (CP) is moved by diffusions
with the Alveoli and the Lung Tissue and with the two input and two output blood flows.
The equation is:
                                                                              95

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                                  CCP.F,
         C/J  fit     iJWJ^-TAF, ' C/CRI-tS D    """ * ttl.CP.^CI'^jili ~ * CP.AL.&Al t-'CW".
             «<•            '       HOOT
                                                                                (60)


                   'LG.CPj&CP t-'£G,Fj ~ "cKLC, "LG ^Cl'f, ~ KB ^-CP.fl  K-B.CP ^/III.Fj
The first two terms represent input to the Pulmonary Capillaries from venous blood and
output, via the Bronchial Vein, to the venous blood. The third and fourth terms represent
the diffusion of chemical in the Alveoli to or from the Pulmonary Capillaries. The next
two terms show the diffusion with the Lung tissue. The last two terms are output from the
Pulmonary Capillaries to arterial blood via the Cardiac Output, and the input from arterial
blood to the Pulmonary Capillaries via the Bronchial Artery. Note that the free ith
chemical is used in the venous blood, arterial blood, the Lung Tissue, and the Pulmonary
Capillaries.

7.2.10  Binding in the Pulmonary Capillaries

The binding in the Pulmonary Capillaries is of the Michaelis-Menten form but is an
equilibrium relationship so that the amount of the ith chemical that is bound is calculated
rather than the rate. The equation is:
                                                                                (61)
7. 2. 11  Calculation of Free Chemical in the Pulmonary Capillaries
The free chemical in the Pulmonary Capillaries is calculated by subtracting the amount
bound from the total amount as follows:

        •"•CP.FJ = ^-CPJ ~Acp.st                                                       (62)

7.2.12  Blood Flow for the Breathing Lung

The Cardiac Output QB, the sum of all the flows through the Liver, Fat, Kidney, Slowly
Perfused Tissue, Rapidly Perfused tissue, Derma, Brain, Pulmonary Capillaries, and
Walls of the Full GI is:

        CiS ~ KB,SP   CtB.iF """ $£B,CR   KB.KD "^ CiA/'T "^ (dB,SL   KB.KP                   ,-,,
                  """ \la,BN ~*~ KB.CP "*" tips
where the flow in the Portal Blood of the Full GI is:

       GPB ~ QB.SW ~*~ QB.DV "*" QB.SI ^ QB.CN •                                       (64)
96

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The blood flow out of the Pulmonary Capillaries (for the Breathing Lung) is equal to the
input, thus:

       QB = QVB "*" QB.CP ~ QCP.VB                                               (65)

The venous blood flow into the Pulmonary Capillaries, Qt?B, is:

       QVB ~ QB.SP "*" QBJJ-' "^ I/B.CK "*" QB.KD ~^~ QB.FT ~^~ Qn.si ~^~ QB.RP ~^~                 .RR.
                  "               ""
7.2.13 Arterial Blood and the Breathing Lung

The ith chemical in the arterial blood (AB) flows from the Pulmonary Capillaries (CP)
and the free chemical flows into the Brain, Carcass, Derma, Fat, Kidney, Liver, Rapidly
and Slowly Perfused Tissue, and Spleen. It also flows into the GI Walls - Stomach,
Duodenum, Lower Small Intestine, and the Colon, arterial blood flows into the
Pulmonary Capillaries via the bronchial artery.

The equation for the arterial blood is expressed in terms of rate of change of amount as
(the rates of change for the blood flow through each compartment is calculated as above
for the static lung)

       ft A                /"/ js
       €4/1 JB,            __ UAtnvy,
7.2.14 Venous Blood Input to the Breathing Lung

The ith chemical in the venous blood flows into the Breathing Lung from each of the
compartments into the Pulmonary Capillaries (except the new GI Walls, see above).
There is also flow of the ith chemical from the Pulmonary Capillaries into the venous
blood via the bronchial vein.

The equation for venous blood (VB) must take into account the gain in chemical from the
Pulmonary Capillaries via the bronchial vein (the first term). The gain in chemical from
the body organs is followed by the term representing the loss of free chemical to the
Pulmonary Capillaries. The equation in terms of rate of change of amount is:

        dAvn,         CCP,F, ,  dABI¥t    dA,NFj   — dAnvBi
                         ^ ^    + ^    +   ^' ~ QS€                   (68)
         where [YY] = {BN, CR, DR, FT, KD, LV, RP, SL, SP}.
                                                                               97

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7.2.15  Calculation of Uptake and Chemical in Exhaled Breath

The equations for the breathing lung are discontinuous when the breathing switches from
inspiration to expiration. The amount of the ith chemical is recorded at the start and end
of inspiration and the difference is taken to get the amount of chemical inhaled during a
breath (AlmB). The amount of the ith chemical exhaled during a breath (AfsmB) is found by
recording the amount at the start and end of exhalation and taking the difference. Then the
uptake is obtained from:

       AVPBI ~ A,NHiBj —AEXHiBf                                                     (69)

The Percent Uptake is:
                       A
                       a upg.
       PCT(Aun) = m-r!-.                                                   (70)
               '        Alt\'H,

The uptake values for the ith chemical only make sense when breathing contaminated air
is the only exposure. The average concentration of chemical in exhaled breath is found,
using the volume of air flow during exhalation (F,m/2), to be:

        r    =                                                               (71)
        '-'EOT,*,    V                                                            v  '
             '    r TDL

7.2.16  Variable Definitions for Breathing Lung

The variables used in the Breathing Lung equations are defined as:

Area Variables
SAL    = Area of the Alveoli;
SLG    = Area of the Lung Tissue.
SCP    = Area of the Pulmonary Arteries;

Variables for the Amount of Chemical
AAL    = Amount of ith chemical in the Alveoli,
AEXH.B, = Amount of ith chemical exhaled during a breath;
AW,J?, = Amount of ith chemical inspired during a breath;
A/»,  = Amount of ith chemical in uptake in one breath.

Variables for the Concentration of Chemical
C,fl    = Concentration of ith chemical in the Alveoli;
CCCf    = Concentration of ith chemical in the Closed Chamber;

98

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Qp    = Concentration of ith chemical in the Pulmonary Capillaries;
CCP.B,   = Concentration of bound ith chemical in the Pulmonary Capillaries;
CCPiF   = Concentration of free ith chemical in the Pulmonary Capillaries;
CEXH.B,  = Concentration of ith chemical in exhaled breath;
Ciw   = Concentration of ith chemical in the inhaled air;
C£D    = Concentration of ith chemical in the Lower Dead Space;
CLG.    = Concentration of ith chemical in the Lung Tissue;
CLG.B,   = Concentration of bound ith chemical in the Lung Tissue;
CLc,Fi   = Concentration of free ith chemical in the Lung Tissue;
CUD    = Concentration of ith chemical in the Upper Dead Space;

Variables for the Coefficients for Inspiration  and Expiration
/      = Coefficient for inspiration terms, see equation 47;
E      = Coefficient for expiration terms, see equation 48.

Variables for the Binding in the Pulmonary Capillaries
KCRDB,  = Equilibrium binding constant for the ith chemical in the Pulmonary Capillaries
         corresponding to the Michaelis-Menten constant.
KCP.MXB, = Maximum amount of binding for the ith chemical in the Pulmonary Capillaries
         corresponding to V-Max in the Michaelis-Menten equation.

Variable for the Number of Subjects
TV     = Number of subjects in the closed chamber.

Variables for the Permeation Coefficients
PAL.CP,  = Alveoli to Pulmonary Capillaries permeation coefficient for the ith chemical;
PALLG,  = Alveoli to Lung Tissue permeation coefficient for the ith chemical;
PCP,AL,  = Pulmonary Capillaries to Alveoli permeation coefficient for the ith chemical;
PCKLG,  = Pulmonary Capillaries to Lung Tissue  permeation coefficient for the ith
         chemical;
PLG.AL,  = Lung Tissue to Alveoli permeation coefficient for the ith chemical;
PLG.CP,  = Lung Tissue to Pulmonary Capillaries  permeation coefficient for the ith
         chemical.

Variables for Volumetric Flow rates
QAIK    = Volumetric flow rate of air during the breathing process;
QB     = Cardiac Output (L/H) from current model;
                                                                               99

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QBCP  = Volumetric flow rate of chemical from arterial blood to the Pulmonary
         Capillaries;
QCP.VB  = Volumetric flow rate of the chemical from Pulmonary Capillaries to venous
         blood.
QyB   = Venous blood flow rate.

Variable for the Partition  Coefficients
RCKIV,  = Pulmonary Capillaries to venous blood partition coefficient for the ith chemical.
7.3 Equations for the Four Compartment Gastro-lntestinal (Gl) Simulation

The basic abridged Gastro-lntestinal (GI) Model has a Stomach and Intestine (Figure 8)
with Rate and Bolus Ingestion into the Stomach, flow from the Stomach to the Intestine
and from the Intestine to Intestinal Elimination. In addition, there is flow from the Spleen,
the Stomach and the Intestine to the Liver via Portal Blood. There is no Bile flow from
the Liver to the Intestine and no Lymph flow or pool. Arterial blood is an input only to
the Liver, not the Stomach or the Intestine.
Inputs
________ KST.IN
| Bolus Dose L....
Rate """"),„„,
Ingestions I

Infraperitoneal |
Injection |
23,8?'
Arterial Blood
,, , , _________ Ksirnj-Kt
,j»~jSP Spleen 000 l-/h.^>j^-
	 ' " _ f \i
nR-n ' "
>. 	 ^, I portal Rlnnfj
""•• ""T^iT ^
	 *• LV Liver 3 14" __/ '
QBw r^^
U
KlN.FEC
.»' IN Intestine —-• -W^ Intestinal
. 	 	 	 l^ Elimination
M pp — '
Spleen Metabolites
i
_iver Metabolites
Venous
                   Figure 8. Stomach/Intestine Gastro-lntestinal Model.
100

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In the Full unabridged GI model (Figure 9), the terminology and the compartments are
changed from the basic abridged Gastro-Intestinal (GI) Model. The variable names used
in ERDEM and the variables used in these equations are given in tables by compartment.
The equations are written for a more general case where there are a number of circulating
compounds.
AB Arterial Blood 1

B'Oius Dose t
Ingestion (


Metis
The three Walts, DU,
S!, and CN
shemieal in the lip-ids
o the Lymph Pt»l{lP)
	 ^ LV Liver

A
I/ * Blle Non-Lipid
; " How Ho*
""- 	 -- Flow 	 '" '' 	 ->• STl Starr
! 1
t




r**- , • ~* ' *..w^™ ™.WWW|
^" [ 	 1

PB
ach Wall h"
ath Lumen
I Food Flow
j I Y
Blood j nui Duodenum t umer
i Lip'd • NotAipid
! Flow t |
! OU Duoctenun Woll L

! Fooc
!•* 	 ' SI Lower Small Intestine Wall
i L'P'd j Non-Lipid
i f"'0* ! Flow 1
j 1 -i
| SI Lower Small Intestin
i
i
i f
j-«e- 	 1 CM Colon Wall
j
j Lipid A A
j How j Non-Liprd
i i Flow
! CN Colon Luiien
,
%
Flow
\
Lumen
I
%
Food Flow
L
Portal Blood
t
-*»
Po
Blc
,-j



tal The lymph ftew consists of
od ChytomlCirons that are fat
in ttie blood, To ted the aFtioii
a chemical in the blood, ft» Ly
amount must be adde^f,
\ Lymph
™«™.,™»™,.«. i^ -i^. xx Compartments
Lymph is t© the
fallowing cosrtpartrae
Lwer, Spleen, Caress
Kktney, Fai
Rapidly Perfy&^d Its
D^fma, Brainr Slalic
and the Pulmonary
Capillaries,
                   Lymph
                   Pool
                                /•-
 Qr'cces,
^jL
 intestinal
Elimsnali-on
                       Figure 9. Full Gastro-Intestinal Tract Model.
                                                                                101

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There are eight compartments and four sections. Each section consists of a Wall and a
Lumen. The wall of the Stomach is designated SW and the lumen is STL. In a similar
manner the designations for the Duodenum are DU and DUL for the Duodenum Luman,
for the Lower Small Intestine, SI and SIL, and for the Colon, CN and CNL.

Arterial blood flows into the Liver and the wall of each section. Bile flows from the Liver
to the Duodenum. Food flows from the Stomach through the other three sections to the
Feces. Portal Blood (PB) flows from the Stomach, Duodenum, Lower Small Intestine,
and the Colon Walls to the Liver. There is a Non-Lipid (NL) flow from the Lumens to the
Walls of these four compartments.

There is chylomicron flow from the Lymph Pool to the Brain, Carcass, Derma, Kidney,
Liver, Fat, Rapidly Perfused Tissue, Slowly Perfused Tissue (Muscle), and the Spleen. In
addition there is chylomicron flow to the static lung and to the Pulmonary Capillaries of
the Breathing Lung. Lipid absorption occurs from the Lumen to the Wall for each of the
Duodenum, Lower Small Intestine and the Colon as well as from the respective Walls to
the Lymph Pool. And of course there is flow from the Liver to the venous blood.
Metabolism is modeled in the walls  of the Stomach, Duodenum, Lower Small Intestine
and the Colon.

7.3.1   Flow Through the  Stomach Wall

The mass balance input equation for the ith circulating chemical in the Stomach Wall
(SW)  enters from the arterial blood, non-lipid flow from the Stomach Lumen, and
metabolites of other chemicals which represent the ith chemical. The outputs go to the
Portal Blood as parent compound and metabolites. The terminology in ERDEM indicates
flow as subscripts from the left to the right entering a compartment. The equation is:
            _ ............

                                                                           (72)
                         dt   >

where

NMj  = the number of metabolites of the ith chemical,
Ilm  = the circulating compound that is the mth metabolite of the /th circulating
       compound, and
C   = the concentration of the ith chemical in the arterial blood.
  ABi
The variables for the Stomach Wall are given in Table 1.
102

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    Table 1. Variables for the Stomach Wall
Variable in
Documents
"A-SWMij
dt
swt
dC<,w
bWt
ls- dt
&B,SW
r>
/\W,PB,.
vsw
Variable in ERDEM
(for the Stomach Wall)
STME_1DA_SW_M(I,J)
STWL_1C_SW(I)
STWL_1DA_SW(I)
QB_SW
STWL_1R_SW_PB(I)
STWL_1V_SW
Description
The rate of formation of thejth Stomach Wall
metabolite of the ith chemical.
The concentration of the ith chemical in the
Stomach Wall.
The rate of change of the amount of the ith
chemical in the Stomach Wall.
The volume rate of Arterial Blood flow through the
Stomach Wall.
The partition coefficient for the ith chemical
moving from the Stomach Wall to Portal blood.
The volume of the Stomach Wall.
7.3.2 Flow Through the Stomach Lumen

The flow of the ith chemical through the Stomach Lumen (with no delay currently
implemented) is due to input from Rate Ingestion or bolus dose, and output food flow into
the Duodenum and Non-Lipid absorption into the Stomach Wall,
Vv
 STLL
7T~
                     _
                                                                           (73)
where
       dA
and
        -r— = the rate of change of the amount of the ith chemical in the bolus dose,
      —-rp1 = the rate of change of the amount of the ith chemical in the Rate
Ingestion.
The data for the Stomach Lumen is given in Table 2.
                                                                           103

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 Table 2. Stomach Lumen Variables
Variable in
Documents
AsTLt
^STit
Ct\_- ci'T'T
Tr ^1L'
fm dt
dp, STL
v~
^NL,SWi
VSTL
Variable in ERDEM
(for the Stomach Lumen)
STLM_1A_STL(I)
STLM_1C_STL(I)
STLM_1DA_STL(I)
STLM_1QF_STL_DUL
STLMJ K_STL_SW_NL(I)
STLM_1V_STL
Description
The amount of the ith chemical in the Stomach Lumen.
The concentration of the ith chemical in the Stomach Lumen.
The rate of change of the amount of the ith chemical in the
Stomach Lumen.
The volume rate of food flowing through the Stomach Lumen to
the Duodenum.
The rate constant for the amount of the ith chemical in Non-
Lipid flow from the Stomach Lumen to the Stomach Wall,
The volume of the Stomach Lumen.
7.3.3 Flow Through the Duodenum Wall

The rate of change of the ith chemical in the Duodenum Wall is due to input from arterial
blood, Lipids from the Lumen, Non-lipids absorbed from the Lumen, and metabolites
from chemicals which are the ith chemical. The ith chemical is output by flow from the
Duodenum Wall to the Lymph Pool and the Portal Blood, as well as metabolized
chemical. The equation for the Duodenum Wall is given by:
       v
       V
        DV
            dt

where Table 3 presents the variables for the Duodenum Wall.
                                                                           (74)
104

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 Table 3. Variables for the Duodenum Wall
Variable in
Documents
DUt
dADUMij
dt
CDUi
dCDUi
DU dt
v~
^DU,LPt
&B,DU
r>
I^DU,PBi
VDU
Variable in ERDEM
(for the Duodenum Wall)
DUWL_1A_DU(I)
DUME_1A_DU_M(I,J)
DUWL_1C_DU(I)
DUWL_1DA_DU(I)
DUWL_1K_DU_LP(I)
QB_DU
DUWL_1R_DU_PB(I)
DUWL_1V_DU
Description
The amount of the ith chemical in the Duodenum Wall.
The rate of change of the amount of the jth Duodenum metabolite
of the ith chemical.
The concentration of the ith chemical in the Duodenum Wall.
The rate of change of the amount of the ith chemical in the
Duodenum Wall.
The rate constant for the ith chemical in Lipids moving from the
Duodenum Lumen to the Wall, and from the Wall to the Lymph
Pool.
The volume rate of Arterial Blood flow through the Duodenum
Wall.
The partition coefficient for the ith chemical moving from the
Duodenum Wall to Portal blood.
The volume of the Duodenum Wall.
7.3.4 Flow Through the Duodenum Lumen

The rate of change of the ith chemical in the Duodenum Lumen is determined by the rate
that food enters from the Stomach Lumen and exits to the Lower Small Intestine Lumen
as well as output by absorption to the Stomach Wall. In addition the Bile from the Liver
flows in and Lipid flows out to the Wall. The equation for the rate of change of the ith
chemical in the Duodenum Lumen is:
             Ul
                           STL
                                        *-BL,DUL
                                                                           (75)
where
       CLV. = the concentration of the ith chemical in the Liver,

       GBL.DUL, = the volumetric flow rate of Bile from the Liver to the Duodenum
                Lumen for the ith chemical,  and
                                                                            105

-------
       RBL.DUL. = the partition coefficient for the ith chemical Bile flow from the Liver to
                the Duodenum Lumen.

The other variables for the Duodenum Lumen are given in Table 4:

 Table 4. Duodenum Lumen Variables
Variable in
Documents
A
DULt
DULt
dCDULi
DUL dt
&F,DUL
v~
1^NL,DUi
VDUL
Variable in ERDEM
(for the Duodenum Lumen)
DULM_1A_DUL(I)
DULM_1C_DUL(I)
DULM_1DA_DUL(I)
DULM_1QF_DUL
DULM_1 K_DUL_DU_NL(I)
DULM_1V_DUL
Description
The amount of the ith chemical in the Duodenum Lumen.
The concentration of the ith chemical in the Duodenum
Lumen.
The rate of change of the amount of the ith chemical in the
Duodenum Lumen.
The volume rate of food flowing through the Duodenum
Lumen to the Small intestine.
The rate constant for the amount of the ith chemical in Non-
Lipids moving from the Duodenum Lumen to the Duodenum
Wall.
The volume of the Duodenum Lumen.
7.3.5 Flow Through the Lower Small Intestine Wall

The ith chemical is input to the Lower Small Intestine Wall (SI) from the arterial blood,
in Lipids from the Lumen, and Non-Lipid absorption from the Lumen. The output of the
ith chemical is to Portal blood, and Lipids to the Lymph Pool. The equation for the Lower
Small Intestine Wall is:
         si
            dt
                   a
                     B.SI
                                                                            (76)
                                         dt    T^   dt
where Table 5 contains the variables for the Lower Small Intestine Wall.
106

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 Table 5. Variables for the Lower Small Intestine Wall
Variable in
Documents
ASI,
CSI,
y K*.
IS' dt
&si,LPt
&B,SI
r>
^SI.PB,
vsl
Variable in ERDEM2.01
(for the Lower Small Intestine Wall)
SIWL_1A_SI(I)
SIWL_1C_SI(I)
SIWL_1DA_SI(I)
SIWL_1K_SI_LP(I)
QB_SI
SIWL_1R_SI_PB(I)
SIWL_1V_SI
Description
The amount of the ith chemical in the Lower Small
Intestine Wall.
The concentration of the ith chemical in the Lower
Small Intestine Wall.
The rate of change of the amount of the ith chemical in
the Lower Small intestine Wall.
The rate constant for the ith chemical in Lipids moving
from the Lower Small Intestine Lumen to the Wall, and
from the Wall to the Lymph Pool.
The volume rate of Arterial Blood flow through the
Lower Small Intestine Wall.
The partition coefficient for the ith chemical moving
from the Lower Small Intestine Wall to Portal blood.
The volume of the Lower Small Intestine Wall.
7.3.6 Flow Through the Lower Small Intestine Lumen

   For the Lower Small Intestine Lumen, the ith chemical is input in the food from the
Duodenum Lumen and output via the food to the Colon. The ith chemical is also output in
the Lipids to the Wall and absorption of Non-Lipids to the Wall. The equation for the
Lower Small Intestine Lumen is given by
        SIL
C/RPl/I, ^IMJL,
                                               lf  KF.
                                                   F.Sll
(77)
where the variables for the Lower Small Intestine Lumen are given in Table 6.
                                                                             107

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 Table 6. Lower Small Intestine Lumen Variables
Variable in
Documents
SILt
SILi
dCs,L:
ISIL dt
&F,SIL
v~
^NL^I,
VS1L
Variable in ERDEM
(for the Lower Small Intestine Lumen)
SILM_1A_SIL(I)
SILM_1C_SIL(I)
SILM_1DA_SIL(I)
SILM_1QF_SIL
SILM_1K_SIL_SI_NL(I)
SILM_1V_SIL
Description
The amount of the ith chemical in the Lower Small
Intestine Lumen.
The concentration of the ith chemical in the Lower
Small Intestine Lumen.
The rate of change of the amount of the ith chemical
in the Lower Small Intestine Lumen.
The volume rate of food flowing through the Lower
Small Intestine Lumen to the Colon.
The rate constant for the amount of the ith chemical
in Non-Lipids moving from the Lower Small Intestine
Lumen to the Lower Small Intestine Wall.
The volume of the Lower Small Intestine Lumen.
7.3.7 Flow Through the Colon


The input to the Colon Wall (SI) is the ith chemical from the arterial blood, the Lipids
from the Lumen, and the Non-Lipid absorption from the Lumen. The output is to Portal
Blood and Lipids to the Lymph Pool. The equation for the Colon Wall is:
(7
                      B,CN
                        ____
                        D
                        J\r
                                 CN'.PB,
                                   £_ \ i
                                     / ~
                                                   i
                                                                               (78)
                                    dt
                                                        (It
where the variables for the Colon Wall are presented in Table 7.
108

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 Table 7. Variables for the Colon Wall
Variable in
Documents
CW,
QA,
dCCNi
ICN dt
^CN,LPi
Q^B,CN
*^CN,PBt
VCN
Variable in ERDEM
(for the Colon Wall)
CNWL_1A_CN(I)
CNWL_1C_CN(I)
CNWL_1DA_CN(I)
CNWL_1K_CN_LP(I)
QB_CN
CNWL_1R_CN_PB(I)
CNWL_1V_CN
Description
The amount of the ith chemical in the Colon Wall.
The concentration of the ith chemical in the Colon Wall.
The rate of change of the amount of the ith chemical in the Colon Wall.
The rate constant for the ith chemical in Lipids moving from the
Lumen to the Wall, and from the Wall to the Lymph Pool,
Colon
The volume rate of Arterial Blood flow through the Colon Wall.
The partition coefficient for the ith chemical moving from the Colon
Wall to Portal blood.
The volume of the Colon Wall.
7.3.8 Flow Through the Colon Lumen

For the Colon Lumen, the input is the ith chemical in the food from the Lower Small
Intestine Lumen, and the output is the ith chemical in the lipids to the Wall, the
absorption of chemical in the Non-Lipids to the Wall, and Feces elimination.

The equation for the Colon Lumen is given by:
                                     V ~ "V  N ~
* CNL   (j'f
                               /V.iPi OVi,
(79)
where Table 8 contains variable definitions for the Colon Lumen.
                                                                              109

-------
 Table 8. Colon Lumen Variables
Variable in
Documents
CM,
CM,,.
dCCNLi
CNL dt
&CNL,FEC
v~
1^NL,CNi
VCNL
Variable in ERDEM
(for the Colon Lumen)
CNLM_1A_CNL(I)
CNLM_1C_CNL(I)
CNLM_1DA_CNL(I)
CNLM_1QF_CNL_FEC
CNLM_1 K_CNL_CN_NL(I)
CNLM_1V_CNL
Description
The amount of the ith chemical in the Colon Lumen.
The concentration of the ith chemical in the Colon Lumen.
The rate of change of the amount of the ith chemical in the
Colon Lumen.
The volumetric rate of excretion from the Colon to the feces
for the ith chemical
The rate constant for the amount of the ith chemical in Non-
Lipids moving from the Colon Lumen to the Colon Wall.
The volume of the Colon Lumen.
7.3.9 Flow Through the Lymph Pool

The ith chemical is input to the Lymph Pool from the Wall of the Duodenum, Lower
Small Intestine and Colon. The ith chemical is output to the Brain, Carcass, Derma,
Kidney, Liver, Fat, Rapidly Perfused Tissue, Slowly Perfused Tissue and the Spleen from
the chylomicrons in the Lymph Pool. The ith chemical in the chylomicrons is also passed
to the static lung and the Pulmonary Capillaries (Breathing Lung). The chemical in the
Lipids is passed from the Lumen to the Wall of these compartments and from the Wall to
the Lymph Pool. The equation is:
        dA
          IP,
         dt


                          "•'LKPr^Lf1,
                                               "./PHW."/P.  "/pr*e."ip.
                                                                            (80)
where the variables for the Lymph Pool are defined in Table 9.
no

-------
 Table 9. Variables for the Lymph Pool
Variable in
Documents
LPi
dALPi
dt
V
^LP.BN,
^LP,CR,
V
JVLP,£«,.
V
^LPfTt
V
r^LP,KDi
V
r^LP,LVi
V
^LP,RPt
^LP,SLt
^LP,SPi
V
JviP,C^.
V
^LP,PUt
Variable in ERDEM
(for the Lymph Pool)
LPYL_1A_LP(I)
LPYL_1DA_LP(I)
LPYL_1K_LP_BN(I)
LPYL_1K_LP_CR(I)
LPYL_1K_LP_DR(I)
LPYL_1K_LP_FT(I)
LPYL_1K_LP_KD(I)
LPYL_1K_LP_LV(I)
LPYL_1K_LP_RP(I)
LPYL_1K_LP_SL(I)
LPYL_1K_LP_SP(I)
LPYL_1K_LP_CP(I)
LPYL_1K_LP_PU(I)
Description
The amount of the ith chemical in the Lymph Pool.
The rate of change of the amount of the ith chemical in the Lymph
Pool.
The rate constant for flow in the Lipids from the Lymph Pool to the
Brain.
The rate constant for flow in the Lipids from the Lymph Pool to the
Carcass.
The rate constant for flow in the Lipids from the Lymph Pool to the
Derma.
The rate constant for flow in the Lipids from the Lymph Pool to the Fat.
The rate constant for flow in the Lipids from the Lymph Pool to the
Kidney.
The rate constant for flow in the Lipids from the Lymph Pool to the
Liver.
The rate constant for flow in the Lipids from the Lymph Pool to the
Rapidly Perfused Tissue.
The rate constant for flow in the Lipids from the Lymph Pool to the
Slowly Perfused Tissue.
The rate constant for flow in the Lipids from the Lymph Pool to the
Spleen.
The rate constant for flow in the Lipids from the Lymph Pool to the
Pulmonary Capillaries.
The rate constant for flow in the Lipids from the Lymph Pool to the
Static Lung.
The amount of the ith chemical in the venous blood is given by:

       ^4 ra. = A ra. + ALPj,                                                     (81)

where AVBj = the amount of the ith chemical in the venous blood.

7.3.10 Portal Blood and Bile Flow

The volumetric flow rate of the Portal Blood is determined by the flows from each of the
compartment Walls (Stomach, Duodenum, Lower Small Intestine, and the Colon) and
from the Spleen. This flow is a constant in this implementation. The value is given by:
                                                                            ill

-------
                     "•" V?S;DI/ "  tfs,s/~"~ ijs.ov ~"~ Ha.s/*
and the rate of change of the amount of the ith chemical in Portal Blood is given by the
contributions from the Walls of the GI, the rate that chemical passes from the Spleen (SP)
and the rate of injection of chemical from Intraperitoneal Injection (INP). The ith
chemical is passed from the Portal Blood to the Liver:
                                                                             (83)
where the Portal Blood variables are presented in Table 10.

 Table 10. Variables for the Portal Blood
Variable in
Documents
PBi
PBi
dAPBi
dt
&PB,LV
Variable in ERDEM
(for the Portal Blood)
PRBL_1A_PB(I)
PRBL_1C_PB(I)
PRBL_1DA_PB(I)
Q_PB
Description
The amount of the ith
chemical in the Portal Blood.
The concentration of the ith chemical in the Portal Blood.
The rate of change of the amount of the ith chemical in the Portal
Blood.
The volumetric Portal
Blood flow rate.
7.3.11  Flow in the Liver Compartment and Bile Flow to the Duodenum Lumen

In the Liver the ith chemical is (1) output from the Liver to venous blood, (2) contained in
the Bile flow to the Duodenum Lumen, (3) eliminated by some process to be defined, and
(4) metabolized to other compounds (metabolites). Input of the ith chemical is from (1)
Intraperitoneal Injection, (2) the arterial blood, (3) the Walls of the Stomach, Duodenum,
Lower Small Intestine and Colon via Portal blood, and (4) metabolites which are the same
chemical (resulting from metabolism of any of the circulating compounds). The rate of
change of the ith chemical in the Bile flowing to the Duodenum from the Liver is given
by:
        dA
          BL
         dt
Q,
R
                                                                             (84)
                     BI..DVI.
112

-------
and the rate of change of the ith chemical in the Liver is:
jQi.-L _
"HP ~  SRir<


         __
                                 C
                                  LKF,
, -  0
    "
                                                     B>
                                                     "
                              •LKLy^LP, ~~ Qei,
                                             ^BL.OUL,
                                2£ .  V

                                    i    -  fit
                                    *Clw^
                                                                                      (85)
where the variables for the Liver and Bile flow are presented in Table 11.
 Table 11. Variables for the Liver and Bile
Variable in
Documents
ABL,
Q,
LV,F,
dABLi
dt
^LV,Ei
dt
dAM LV
1 ->j
dt
R
BL,DUL
i
v dc^
l»- dt
*C,l,m
NM,
QB,LV
n
^LVyBt
Variable in ERDEM
(for the Liver and Bile)
LIVR_1A_BL(I)
LIVR_1C_LV(I)
LIVR_1C_LV_F(I)
LIVR_1DA_BL(I)
LIVR_1DA_LV_E(I)
LIVR_1DA_LV_M(I,J)
LIVR_1R_BL_DUL(I)
LIVR_1DA_LV(I)
I_CMPD(I,M)
N_M(I)
QB_LV
LIVR_1R_LV_VB(I)
Description
The amount of the ith chemical in the Bile.
The concentration of the ith chemical in the Liver.
The concentration of Free ith chemical in the Liver.
The rate of change of the amount of the ith chemical in the
Bile.
The rate of elimination of the ith chemical from the Liver.
The rate of formation of the jth Liver metabolite of the ith chemical.
Bile to Duodenum lumen partition coefficient for the ith chemical.
The rate of change of the amount of the ith chemical in the
The index of the chemical that is the mth metabolite of the
chemical.
Liver.
Ith
The number of metabolites for the ith chemical.
The volumetric flow rate of blood through the Liver.
The partition coefficient for flow of the ith chemical from the Liver to
the Venous Blood.
                                                                                      113

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7.3.12  Chylomicron Flow in the Other Compartments

An additional term representing Chylomicron flow is added to the equations previously
specified for the compartments, Brain, Carcass, Derma, Fat, Kidney, Liver, Pulmonary
Capillaries, Rapidly Perfused Tissue, Spleen, Slowly Perfused Tissue, and the static lung.
Using the Fat compartment as an example, Chylomicrons enter the Fat via the arterial
blood (Lipids from the Lymph Pool). The Chylomicrons are mostly removed from the
blood by the Liver and the Fat. Table 12 contains the description of the variables used in
the equation for the Fat.
 Table 12. Variables for the Fat
Variable in
Documents
L-FTi
^FT,Ft
^FT,Et
dt
A
^M,FTtJ
dC^
l" dt
&B,FT
r>
I^FT,VBi
Variable in ERDEM
FAT_1C_FT(I)
FAT_1C_FT_F(I)
FAT_1DA_FT_E(I)
FTME_1DA_FT_M(I,J)
FAT_1DA_FT(I)
QB_FT
FAT_1R_FT_VB(I)
Description
The concentration of the ith chemical in the Fat.
The concentration of Free ith chemical in the Fat.
The rate of elimination of the ith chemical from the Fat.
The rate of formation of thejth Fat metabolite of the ith
The rate of change of the amount of the ith chemical in
chemical.
the Fat.
The volumetric flow rate of blood through the Fat.
The partition coefficient for flow of the ith chemical from
the Venous Blood.
the Fat to
         FT
              FT,
             dt
QB.FT ^-AB, "*" '^LP,FTi ^LP,:  QB.FJ
                                              1 M.FTn
                                                                              (86)
                                              dt
7.4  Dermal Exposure

Dermal exposure involves contact with surfaces that results in transfer of surface
residues. The mass of residue transferred to the skin is dependent on the frequency
(events/unit time), duration (time/event), and magnitude or extent of body surface area
114

-------
(cm2) contacted and the transferability of the surface residue. It therefore follows
intuitively, that dermal exposure is not measurable in the absence of surface contact with
resultant surface-to-skin transfer of residues.

Humans come into contact with surfaces through the actions they perform in space
(micro-environments) over a random or stratified period of time. This time-motion
relationship has been termed the "biomechanics" of dermal exposure. The frequency,
duration and magnitude of surface contact can be discerned for occupational exposure
where activities are assigned and followed according to established practices, policies and
procedures. Incidental dermal exposure is more problematic than occupational exposure
given the random and generally unpredictable nature of contact events. Clearly, the
measurement, estimation or prediction of a dermal exposure dose metric based on the
biomechanics of dermal exposure is research intensive and fraught with uncertainty. We
are confronted not only with the uncertainties surrounding the biomechanics of exposure
but with dermal transfer factors that are residue and surface media dependent (U.S. EPA,
1998b).

One solution to this problem is to acknowledge the complexities and uncertainties of
occupational and incidental dermal exposure and deal with dermal absorption at the
boundary of exposure. The dermal dose metric would involve the delivered mass of
chemical in a vehicle as represented by a transfer relationship from a surface medium. We
are therefore interested in the absorption of the delivered dose into the test system as a
means to test metabolism, distribution, elimination and untoward effects of any assigned
dermal dose metric, from the perceivable low dose minimum to the most unlikely dose
maximum. Dermal exposure is modeled in ERDEM according to presumed outdoor or
indoor exposure  as chemical residue in a vehicle on the surface of the skin. The default
vehicle is aqueous (water) as used to derive the permeation coefficient (Kp) through in
vitro testing of dermal flux (U.S. EPA, 1992). Dermal absorption from an aqueous
vehicle may be compared with absorption from dry residues transferred to the skin from
contact with foliage, turf,  and  solid indoor surfaces, e.g. carpet, vinyl flooring, and
painted sheetrock (U.S. EPA,  1998b).

7.4.1  Skin Surface Exposure to Water or Other Vehicle

The skin surface is exposed to chemical in a vehicle (specified as water here) at time Tsmf/
for a period of time, TSKWJ)I , which can be repeated at the interval, Tsm,;7I/. Skin surface
water exposures  in progress at simulation start time are started and their termination is
scheduled.

The concentration of the ith chemical at the skin surface is found from summing the
concentrations from each  of up to five exposure scenarios:
                                                                               115

-------
            =  T c                                                            (87)
                Af ^SKWJjj                                                       V   '
The rate of change of chemical in the dermis due to the concentration CSKSt on the skin


surface is given by:





                                                                                 (88)
116

-------
Variable Definitions for Skin Surface Water Exposure

ASK       = Area of the skin covered by the solution containing the chemical,

^SKW.DK    = The amount of the ith chemical that has moved from the skin surface to the
            Dermis in a water exposure,

^:^*5ggL   = The rate of change in the amount of the ith chemical moving from the skin
            surface to the Dermis in a water exposure,

CSKS       = The concentration of the ith chemical on the skin surface due to all
            overlapping exposures,

CSKWJ,      = The concentration of the ith chemical for the jth exposure on the skin
            surface,

KSKS.DK.PRM-  = The permeation coefficient for the ith chemical from Skin Surface to
            Dermis.

7.4.2  Skin  Surface Exposure to Transfer from a Dry Surface

A chemical exists on a surface represented as a mass per unit area. It is transferred to the
skin of a subject represented by a transfer coefficient. A short exposure period would
represent a bolus.

The rate of change of chemical on the dermis due to  a dry exposure is:

                = A   r                                                         (89)
Integrating this equation gives the total applied dose.

The rate of loss of chemical from the skin surface due to evaporation is given by:

        dA.
            r-1-  = (1.0 - dwt!/)/fsfa,(6CT, Ksf,s>ev1i + 8CT2JLsfeer2()

where   6,,a/ = 1 if a wash-off is in progress, and zero otherwise,
        dei,i = 1 if the first evaporation rate constant is active and zero otherwise,
        6ev2 = 1 if the second evaporation rate constant is active and zero otherwise.
(90)
                                                                                117

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The rate that the ith chemical moves from the skin surface into the dermis is given by:


       -^-^ =K     4  C
          (ft      -<\ffo-Ap™/J.rt *-.tfa,


where
                                                                              (92)
If no wash-off is in progress, then the rate of change of the amount of the ith chemical on
the skin is given by the rate of application minus the rate of chemical moving into the
dermis minus the rate of loss due to evaporation:
             _
         dl   ~    dt        dt    ~   dt
                                                                              ,93)
If a wash-off is in progress, then:

        dAsiaij  _    dAsbiWgf.
         dt   = ^    dt
where the wash-off is scheduled at time twoffor one time step, At, to remove all chemical
on the dermis:
                                                                              (95)
          dt   v™*>-  At   wof-

Variable Definitions for Dry Skin Surface Exposure

   The variables used to model the exposure to a chemical on a dry surface are:

•Ask,.       = The amount of the ith chemical on the skin,

A3ks
-------
Asurfj      = The amount of the ith chemical per unit area on the surface object for the jth
             scenario - in mass/cm2;

Dsk       = The depth of the skin (in some cases it is taken as one centimeter)

KskS:,.,t      = The residue transfer coefficient for the ith chemical moving from the
             surface object to the skin of the subject - in cm2/time;

KsKs,EY\i    = The rate of loss  of chemical from the skin just after application due to
             processes such as evaporation for the ith chemical - in I/time (used only if it
             is a bolus dermal exposure);

Ksics,En.    = The rate of loss  of the ith chemical from the skin due to processes such as
             evaporation, from the end of the initial evaporation until wash-off, the end
             of the simulation, or the next exposure, - in I/time;

Vsk        = Volume of the treated skin,

Afev,      = The time interval between the use of the first and second evaporation rate
             constant.
                                                                                119

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120

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                                   Section 8

                      Chemical Disposition in silico
Absorption involves entry of a drug or chemical into the body. We have observed that a
chemical may enter directly into the GI tract from intraperitoneal injection (subsection
6.1.1) or more naturally from ingestion of food or from purposeful or accidental "non-
dietary" ingestion of filth and extraneous matter (pica or geophagia). Mathematical
expressions used to describe absorption into the GI tract were presented in subsection 7.3
for the enteral route of exposure.

The parenteral route involving inhalation exposure was explored in subsection 7.1 for the
static lung and subsection 7.2 for the breathing lung. The parenteral route bypasses the GI
tract as an organ system of entry. Subsection 7.4 examined the dermal route of parenteral
exposure.

Intravascular parenteral administration directly into the blood stream, intravenously or
intra-arterially, was considered as an exposure route although this route of administration
is important for laboratory or clinical testing (subsection 6.1.3). This approach was also
developed for intramuscular injection (subsection 6.1.2) as an avenue of comparison with
other parenteral routes of exposure, especially dermal.

Once the drug or chemical enters the blood stream, its disposition in blood and other
fluids,  e.g. cerebrospinal fluid (CSF), organs and tissues determines its access to the site
or sites of action. Drug and chemical disposition involves distribution from blood and
fluids to tissues and organs, metabolism in liver and other organs of metabolism, and
elimination in exhaled breath, fluids, e.g. milk, and excreta.

8.1  Distribution of Chemical from Blood to Tissues, Organs and in Fluids

8.1.1  Binding  in the Arterial Blood

The binding in the arterial blood is of the Michaelis-Menten form but is an equilibrium
relationship so that the amount of the ith chemical that is bound is calculated rather than
the rate. The equation is
                                                                               121

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                         ,t    ,t
         AB,Bt = ~7~j~^      ,  ATtvfr1   v\"   AB
                (KAB,DBi + Alj^(LAB,Fi))

8.1 .2 Calculation of Free Chemical in the Arterial Blood

The free chemical in the arterial blood is calculated by subtracting the amount bound
from the total amount as follows:

       •"•AB,Ff ~ -n-ABi ~ -AjtBj.                                                     (97)
8.1.3 The Venous Blood

The venous blood contains chemical output from the compartments and input to the static
lung or the breathing lung. The chemical output to blood from the new GI walls is passed
to the portal blood.

8.1.3.1  Binding in the Venous Blood

The binding in the venous blood is of the Michaelis-Menten form but an equilibrium
relationship  so that the amount of the ith chemical that is bound is calculated rather than
the rate. The equation is:

                   ^m,MxBi  VB,FI
            = ~
8.1.3.2 Calculation of Free Chemical in the Venous Blood

The free chemical in the venous blood is calculated by subtracting the amount bound
from the total amount as follows:

       ^ FRF,. = A. m, — A ygiB(                                                     (99)

8.1.4 Distribution in Tissues

8.1.4.1 Distribution in the Residual Carcass

The rate of change of the ith chemical in the carcass is given by the rate that chemical
enters from the arterial blood, and in the chylomicrons from the lymph pool (when the
four walled GI model is used), and exits via the venous blood. Elimination is modeled
and the rate of elimination of the ith chemical is subtracted. Chemical may be
metabolized and the rate of metabolism further reduces the rate of increase of the
122

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chemical in the carcass. Other metabolites may metabolize to the ith chemical and their
rate of formation is added. The equation is:
•?.[-*
                                                                            (100)
                                          AW
where MW is molecular weight (not needed if mass units are in moles), and the variable
/c/m is the circulating compound that is the mth metabolite of the /th circulating
compound. The equations for metabolism are presented in subsection 8.2. Binding and
elimination equations are presented below.

Binding in the Carcass

The binding in the carcass is of the Michaelis-Menten form but is an equilibrium
relationship so that the amount of the ith chemical that is bound is calculated rather than
the rate. The equation is
                              CR,F,
                         .            ^VCR                                  (101)
                   CR,DBi +        CR,Fi))

Calculation of Free Chemical in the Carcass

The free chemical in the carcass is calculated by subtracting the amount bound from the
total amount as follows:

       ACIF^ACR-ACR*                                                   (102)

Elimination in the Carcass

There are two types of elimination currently implemented in ERDEM. A linear form in
which the rate of elimination is proportional to the rate of change of the amount of the
free ith chemical in the static lung and a saturable Michaelis-Menten form. The linear
form is

                                                                            (103)
and the saturable form for elimination is:
                                                                              123

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                               C
                               *-'Q?HP
                                                                              (104)
8.1.4.2 Distribution in Fat Tissue

The rate of change of the ith chemical in the fat tissue is given by the rate that chemical
enters from the arterial blood and the chylomicrons from the lymph pool and exits via the
venous blood.  Elimination is modeled and the rate of elimination of the ith chemical is
subtracted. Chemical may be metabolized and the rate of metabolism further reduces the
rate of increase of the chemical in the fat tissue. Other metabolites may metabolize to the
ith chemical and their rate of formation is added. The equation is:
           dC,r                            C,r,
        it  ~  ........    QHII^~UI
                                                                              (105)
The equations for metabolism are presented in the beginning of this section. Binding and
elimination equations are presented below.

Binding in Fat Tissue

The binding in the fat is of the Michaelis-Menten form but is an equilibrium relationship
so that the amount of the ith chemical that is bound is calculated rather than the rate. The
equation is:

                   if    c<
                   r^FT,MxBl ^FT,Ft
        AFT,B, = 7^	.	PT                                        (106>
               (KFT,DBl
Calculation of Free Chemical in Fat Tissue

The free chemical in the fat tissue is calculated by subtracting the amount bound from the
total amount as follows:

       AFTiFj — AW. ~ ^FiBj                                                      (107)

Elimination in Fat Tissue

There are two types of elimination currently implemented in ERDEM. A linear form in
which the rate of elimination is proportional to the rate of change of the amount of the

124

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free ith chemical in the static lung and a saturable Michaelis-Menten form. The linear
form is


        *' H:S'         i                                                     (108)
          (ff


and the saturable form for elimination is
          PT,E,                  ^TF,f",
                                                                             (1U9)
          dt      r *ro> (KmM,FlEt + ABS(CF1:F))
8.1.4.3 Distribution in Slowly Perfused Tissue

The rate of change of the ith chemical in the slowly perfused tissue is given by the rate
that the chemical is input from intramuscular injections, from the lymph pool as
chylomicrons and as input from the arterial blood that exits via the venous blood.
Elimination is modeled and the rate of elimination of the ith chemical is subtracted.
Chemical may be metabolized and the rate of metabolism further reduces the rate of
increase of the chemical in the slowly perfused tissue. Other metabolites may metabolize
to the ith chemical and their rate of formation is added. The equation is:

                           .(«;
                                                                             (110)
The equations for metabolism are presented in subsection 8.2. Binding and elimination
equations are presented below.

Binding  in the Slowly Perfused Tissue

The binding in the slowly perfused tissue is of the Michaelis-Menten form but is an
equilibrium relationship so that the amount of the ith chemical that is bound is calculated
rather than the rate. The equation is:
              ,    ,t
=
     SL,DBi
         SL,Bi =          ,  /fOCY/^   \\  SL
                (KS
Calculation of Free Chemical in the Slowly Perfused Tissue
                                                                               125

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The free chemical in the slowly perfused tissue is calculated by subtracting the amount
bound from the total amount as follows:

       ASLF,=^SLI-^SL,BI                                                      (112)

Elimination in the Slowly Perfused Tissue

There are two types of elimination currently implemented in ERDEM. A linear form in
which the rate of elimination is proportional to the rate of change of the amount of the
free ith chemical in the static lung and a saturable Michaelis-Menten form. The linear
form is:

       j?^b««     y   A                                                       MIS)
           i~=  A _. „ /4_. _                                                     »   '
and the saturable form for elimination is:



          JV      ¥ m of jr / E/"      s  A D'CY/"""*   \\                                   '   '
          at       "-«•*» (f£,,lM,Sl,E, + ^•O^l^SI.Fj)
8.1.4.4 Distribution in Rapidly Perfused Tissue

The rate of change of the ith chemical in the rapidly perfused tissue is given by the rate
that chemical enters from the lymph pool as chylomicrons and from the arterial blood and
exits via the venous blood. Elimination is modeled and the rate of elimination of the ith
chemical is subtracted. Chemical may be metabolized and the rate of metabolism further
reduces the rate of increase of the chemical in the rapidly perfused tissue. Other
metabolites may metabolize to the ith chemical and their rate of formation is added. The
equation is:
                                                                              (115)
The equations for metabolism are presented in subsection 8.2. Binding and elimination
equations are presented below.

Binding  in the Rapidly Perfused Tissue

The binding in the rapidly perfused tissue is of the Michaelis-Menten form but is an
equilibrium relationship so that the amount of the ith chemical that is bound is calculated
rather than the rate. The equation is:

126

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       A
         RP,BI            .
                  RP,DBi+
Calculation of Free Chemical in the Rapidly Perfused Tissue

The free chemical in the Rapidly Perfused Tissue is calculated by subtracting the amount
bound from the total amount as follows:
Elimination in the Rapidly Perfused Tissue

There are two types of elimination currently implemented in ERDEM. A linear form in
which the rate of elimination is proportional to the rate of change of the amount of the
free ith chemical in the static lung and a saturable Michaelis-Menten form. The linear
form is:
                                                                             (118)
and the saturable form for elimination is:
          «/>£,                    KP.f'f
                                          \\                                  '   '
          dt      ¥'^< (

8.1.5 Distribution of Chemical in Organs

8.1.5.1  Distribution of Chemical from Blood to the Brain

The rate of change of the ith chemical in the brain is given by the rate that chemical enters
from the arterial blood and in the chylomicrons from the lymph pool (when the four
walled gastro-intestinal model is used), and exits via the venous blood. The blood/brain
barrier is modeled by properly choosing the partition coefficients. Elimination of
chemical from the brain is modeled and the rate of elimination of the ith chemical is
subtracted. Chemical may be metabolized and the rate of metabolism further reduces the
rate of increase of the chemical in the brain. Other metabolites may metabolize to the ith
chemical and their rate of formation is added. The equation is:
                                                                              127

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       17        -  n   r   4- A    i    n
        »*  /ft   ~  X,B.BN**-AB.F. ~ *V/' fl\ *"*',"  1/R/n 0
            Ml        •      '                *VI\ I ,'(,
                                                                              (120)
                       _
The equations for metabolism are presented at the beginning of this section. Binding and
elimination equations are presented below.

Binding in the Brain

The binding in the Brain is of the Michaelis-Menten form but is an equilibrium
relationship  so that the amount of the ith chemical that is bound is calculated rather than
the rate. The equation is:
                           ,ii
         BN,B  = ~         i                  BN
Calculation of Free Chemical in the Brain

The free chemical in the Brain is calculated by subtracting the amount bound from the
total amount as follows:
                                                                              (122)
Elimination from the Brain

There are two types of elimination currently implemented in ERDEM. A linear form in
which the rate of elimination is proportional to the rate of change of the amount of the
free ith chemical in the Static Lung and a saturable Michaelis-Menten form. The linear
form is:
                                                                              (123)
128

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and the saturable form for elimination is

        "-^/«,/•;,                     £-«\./,
          dt    ~ 'm,BN.E,  (K       4- Af!<\lC    \\
          Ut            i  lAmMW,£, ^ /iQiJ^Lg^lJ


8.1.5.2 Distribution of Chemical to the Liver

Stomach/Intestine Model of Distribution to the Liver

The liver compartment has the ith chemical input from the stomach and intestine
following intraperitoneal  injections. Input from the arterial blood is also included. The ith
chemical is moved from the liver to venous blood where it may be lost due to elimination.
Additional chemical is bound in the liver using an equilibrium process.  Chemical may be
metabolized and the rate of metabolism further reduces the rate of increase of the
chemical in the Liver. Other metabolites may metabolize to the ith chemical and their rate
of formation is added. The equation is:
       17  .	— = 	*"" ''  -f 	——"- +  	— 4-
         "'   dt        dt         dt       dt    '  ~-	"--;   —"-'  A/,Kra
                     \w_ JA           IM      	   \                '        (125)

                     ?t    dt	'' +/,.?-/!"	"	eft"
where the equations for the input to portal blood from the stomach and the intestine are
respectively:
               = ^      A                                                   *126)
and
        Ct/li t\< i>w
            '
                =K       A                                                  (127>
                '  "^''     >
where the variable /c/m is the circulating compound that is the mth metabolite of the /th
circulating compound. The equations for metabolism are presented at the beginning of
this section. Binding and elimination equations are presented below.
                                                                                129

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Gastro-lntestinal Model of Distribution to the Liver

The liver compartment for the complete GI tract (subsection 7.3) has the ith chemical
input from the portal blood (from intraperitoneal injections) and lymph pool as
chylomicrons in addition to the input from the Arterial Blood. The ith chemical is moved
from the liver to the venous blood to the bile which is passed to the Duodenum Lumen,
and may be lost due to elimination. Additional chemical is bound in the Liver using an
equilibrium process. Chemical may be metabolized and the rate of metabolism further
reduces the rate of increase of the chemical in the Liver. Other metabolites may
metabolize to the ith chemical and their rate of formation is added. The equation is:
       f/  wmmflJaJL — /"If  //"'"''     ™~™wm™,-™i- \ J,
            ^f   T  iVmK^-ysi  P     -*-   £//      ^i  {//
(^
                                                                             (128)
The intraperitoneal injection in this case is passed to the portal blood.

Binding in the Liver

The binding in the liver is of the Michaelis-Menten form but is an equilibrium
relationship  so that the amount of the ith chemical that is bound is calculated rather than
the rate. The equation is

                    V      (~<
                    ^Bi  LV,F,
                  LV,DBi


Calculation of Free Chemical in the Liver

The free chemical in the liver is calculated by subtracting the amount bound from the
total amount as follows:

       A-LVft ~ A.IV( — AU/BI                                                     (1 30)

Elimination in the Liver

There are two types of elimination currently implemented in ERDEM. A linear form in
which the rate of elimination is proportional to the rate of change of the amount of the
free ith chemical in the  liver and a saturable Michaelis-Menten form.  The linear form is:
130

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                      A
                      /t/
and the saturable form for elimination is:

        tt.ilu                 C,,,
         dt
                                                                              (132)
8.1.5.3 Absorption and Distribution in the Stomach

The stomach has the ith chemical input by bolus ingestion (a plug of food or drink) and
rate ingestion (food or drink input over time), with chemical output to portal blood via the
liver to the intestine. The equation for the rate of change of ith chemical in the stomach is:
                                                                              (133)
                  dt           ~            ~     '
where the bolus ingestion and the rate ingestion exposures are discussed in subsection
6.2.1.

8.1.5.4  The Intestine

The rate of change of the ith chemical in the intestine is given by the rate of input from
the stomach and the rate of output to the portal blood via the liver to feces. The equation
is:
                                   4   — jr     4                              034)
                            •ABS,/N,PBi-ftlNi   •*vyl.
8.1.5.5 The Kidney

The rate of change of the ith chemical in the kidney is given by the rate that chemical
enters from the arterial blood and in the chylomicrons from the lymph pool (when the
four walled GI model is used), and exits via the venous blood and the urine. Chemical
may be metabolized and the rate of metabolism further reduces the rate of increase of the
chemical in the kidney. Other metabolites may metabolize to the ith chemical and their
rate of formation is added. The equation is:

          <-" *.c,         ,     .               '•'*',   "-'*Am*\

                                                                              (135)
                         ..?'   ,  v rMv".- 'V».';-,i
                       jt
                                                                                131

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The equations for metabolism are presented at the beginning of this section. Binding and
elimination equations are presented below.

Binding in the Kidney

The binding in the kidney is of the Michaelis-Menten form but is an equilibrium
relationship  so that the amount of the ith chemical that is bound is calculated rather than
the rate. The equation is:
                         ,,    ,,
       AKD,BI = ~7~                       *°                                  (136)
                   KD,DBi

Calculation of Free Chemical in the Kidney

The free chemical in the kidney is calculated by subtracting the amount bound from the
total amount as follows:
              A KD, ~  KD.B,                                                     (1 37)

Elimination in the Kidney

There are two types of urine elimination currently implemented in ERDEM. A linear
form in which the rate of elimination is proportional to the rate of change of the amount
of the free ith chemical in the Static Lung and a saturable Michaelis-Menten form. The
linear form is
                                                                              u<>a\
                                                                              (138)
and the saturable form for elimination is:

       A A                       C
       «•" If D, URN,                   *- KD. f",
       '   ~   "~ ~ '
                  ia.KO.URN,  (If
                       '  (AmM.KD.WW,

8.1.5.6 The Spleen

The rate of change of the ith chemical in the spleen is given by the rate that chemical
enters from the arterial blood, and in the chylomicrons from the lymph pool (when the
four walled GI model is used), and exits via the portal blood (or into the liver if the
stomach/intestine GI is used). Elimination is modeled and the rate of elimination of the
ith chemical is subtracted. Chemical may be metabolized and the rate of metabolism
132

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further reduces the rate of increase of the chemical in the spleen. Other metabolites may
metabolize to the ith chemical and their rate of formation is added. The equation is:

                                              ^Sl'1'    "" ,»!£"
                                              #«.,.„,
                                                                              (140)
                                        fit
The equations for metabolism are presented at the beginning of this section. Binding and
elimination equations are presented below.

Binding in the Spleen

The binding in the spleen is of the Michaelis-Menten form but is an equilibrium
relationship  so that the amount of the ith chemical that is bound is calculated rather than
the rate. The equation is:
                                       •VSP
                  ^SP,DB,

Calculation of Free Chemical in the Spleen

The free chemical in the spleen is calculated by subtracting the amount bound from the
total amount as follows:

       Asp,Fi~ ASP. —ASPJ.                                                      (142)

Elimination in the Spleen

There are two types of elimination currently implemented in ERDEM. A linear form in
which the rate  of elimination is proportional to the rate of change of the amount of the
free ith chemical in the static lung and a saturable Michaelis-Menten form. The linear
form is:

         tiLo. op &
           *p'"'     	                                                      (143)
and the saturable form for elimination is:
                                                                               133

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        ///I                   f
        «yl %p F                 I*** ^l
                17
                "n.SKE,
                 '   '
8.1.5.7 The Dermal Tissue

The dermal tissue receives the ith chemical by permeation through the skin and from the
arterial blood and is released to the venous blood according to the equation:

           Mvxjrjjt    WL/I ^/(^ i)f^                               ^D./?
                                                                            (145)
where
        "•"•SK5.DR,                                                             HAC\
       	 = r1  ft'       JJfFA                                        (146)
                  ^            ^^
8.2 Metabolism in Selected Tissues and Organs

The term metabolism refers to any reaction that produces a new compound. ERDEM has
been designed to handle multiple circulating compounds. It is assumed that all
metabolites are circulating and the metabolism structure is the same in all compartments.
The metabolism parameters, however, can be different in each compartment. The
equations implemented in ERDEM are presented for the following areas:

   •  Enzyme  Destruction and Re-synthesis:
     Maximum rate of change of metabolite formation, taking enzyme destruction and
     re-synthesis into consideration, is calculated.

   •  Maximum Rate of Metabolite Formation:
     The maximum rate of formation of the metabolite is found for the liver by scaling
     for species and body volume. The maximum rate for other compartments is scaled
     from the  Liver value.

   •  Saturable and Linear Metabolites:
     Equations and parameters for calculating the rate of metabolite formation.

   •  Inhibition:
     A metabolite or circulating compound may work in such a manner as to inhibit the
     formation of another metabolite. There are four types of inhibition modeled here,
134

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     competitive inhibition, mixed inhibition, strictly non-competitive Inhibition, and
     uncompetitive Inhibition.

Equations are presented for the liver metabolism with circulating metabolites. The other
compartments use similar equations. This is a general form which can be applied to the
test case for trichloroethylene (TCE). Chart 1 shows one rendering of TCE which has five
(six if DCA is included) circulating compounds including the parent chemical. The
chloral and DCA may be treated as if they are circulating compounds in the metabolism
structure, but metabolism parameters would be set so that they do not circulate (the DCA
is excreted completely in feces and urine so there must be some circulation). The
chemical CH is a metabolite of chloral and of TCOH. There is no inhibition depicted in
this chart. All seven compounds are handled as circulating compounds in all
compartments. The equation for each metabolism process would be the same in each
compartment.

The metabolism parameters, maximum velocity (V-Max) and the Michaelis-Menten
constant (Km) could be different in each compartment. Each circulating compound may
or may not be metabolized in any compartment. Chart 2 shows the separate metabolism
for each compound from Chart 1 with the numbering that would be applied. Each
circulating compound is shown with its metabolites. The separate numbering of the
metabolites of a circulating compound is required since separate metabolism parameters
are required for each metabolite.

We are only  concerned with the V-Max for metabolism in the Liver. The V-Max for
metabolism in other compartments is calculated from that used in the Liver. If the units of
volume are changed, the units of the input V-Max cannot be changed. Also the units of
the volume of the body used for the scaling conversion cannot be changed. In other
words, there  can be no volume units conversion before the calculation of the scaled
version of the V-Max.

An input reference body volume is assumed (currently one unit) and the V-Max input is
assumed to be in units of amount per unit time. The calculation of V-Max then always
works. A volume units change is applied both to the reference body volume as well as the
current body volume. This then would be consistent for the scaling of the V-Max for
elimination as will the maximum binding value in the calculation of the amount bound.
This ratio of body volumes will be used throughout the scaling processes in ERDEM.

8.2.1  Implementation Outline

If a circulating compound is metabolized, then one or more metabolites are defined.
These may be linear, saturable, or  be effected by one of four types on inhibition. Each of
these metabolites are themselves considered to be circulating.
                                                                             135

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The user will input the circulating compound number for each metabolite. The number of
metabolites for each circulating compound is used as the input. These metabolites are also
assumed to be circulating. The user will input metabolism parameters using ij with "i"
being the index to the circulating compound and "j" being the metabolite counter for the
metabolites of circulating compound i. The user will need to input set, print, display and
plot statements using the index i.

The individual metabolite amounts are calculated in the compartmental calculations for
the individual chemical. The metabolism section for each compartment calculates two
sums. The first is the sum of all rates of metabolite formation of the ith circulating
compound. The second is the sum of the rate of formation of all metabolites that are the
same as the ith circulating compound. These rate sums are integrated in the circulating
compound section for each compartment.

8.2.2 Variable Names for Metabolism Parameters

Table 13 presents variable names, with a short description, that are used globally in all
compartments. The variables used in the metabolism calculations are shown in Table  14
(the liver compartment for example). Those variables that now have one or two  indices
but have unchanged names are not listed.
 Table 13. Metabolism Variables Used in All Compartments
Variable Name
CH_NM_SH(I)
CH_NM_LG(I)
N_M(I)
I_CMPD(I,J)
TYPE_M(I,J)
Variable Description
Chemical Short Name for ith circulating compound. In SET
statements use CH_NM_SH(1,I)
Chemical Long Name for ith circulating compound.
Number of metabolites of the ith circulating compound.
Number of the circulating compound that is the jth metabolite
of the ith circulating compound.
Type of the jth metabolite (equation(s) to use) of the ith
circulating compound. In SET statements use TYPE_M(1,I,J).
Notes
Eight characters, used in
error statements.
Thirty characters for use in
descriptive text.
A two digit integer. Maximum
value is six. A/M,
Forj=1 toN_M(i)
In eqns: lcij
Up to three characters to
specify equation(s) to use.
136

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 Table 14. Variables Used in Metabolism Calculations (Liver Example)
Variable Name
(Used in Program)
A_LV_F(I)
C_LV_F(I)
A_LV_M_SUM(I)
A_LV_MC_SUM(I)
DA_LV_M(I,J)
DA_LV_M_SUM(I)
DA_LV_MC_SUM(I)
DCM_M_LV(I,J)
DRM_LV_MEDR(I,J)
K_LV_ML(I,J)
K_MD1_LV(I,J)
K_MD2_LV(I,J)
K_MM_LV(I,J)
K1_MER(I,J)
K2_MED(I,J)
VM_M_LV(I,J)
VM_MEDR_LV(I,J)
Variable Description
Amount of the ith chemical that is free.
Concentration of the ith circulating compound that is free.
Sum of the amounts of Liver metabolite of the ith chemical, (mg)
Sum of amounts of Liver metabolite that are the same as the ith
chemical, (mg)
Rate of formation for the kth Liver metabolite for the ith chemical.
(mg/H)
Sum of rates of formation for all Liver metabolites of the ith
chemical. (mg/H).
Sum of rates of formation of all metabolites that are the same
chemical as the ith circulating compound. (mg/H)
Maximum rate of change of kth Liver metabolite concentration
for the ith chemical. (mg/L/H).
Rate of change of the maximum jth Liver metabolite metabolic
rate including enzyme destruction and resynthesis for the ith
chemical.
The rate constant for the Linear form of the metabolism
calculation.
First dissociation constant for the inhibitor to formation of the jth
Liver metabolite of the ith chemical.
Second dissociation constant for the inhibitor to formation of the
jth Liver metabolite of the ith chemical.
Michaelis-Menten constant for jth Liver metabolite of ith
chemical. (mg/L)
First order rate of jth Liver metabolite enzyme resynthesis for ith
chemical, (for CHCL3, zero for human and rat). (1/H)
Second order rate of jth Liver metabolite enzyme destruction for
the ith chemical, (for CHCL3, zero for human and rat). (L/MG)
Maximum rate of jth Liver metabolite metabolism for the ith
chemical. (MG/H)
Maximum rate of jth Liver metabolite metabolism after taking
enzyme change into account for the ith chemical. (MG/H)
Variable Name
(In documents)
"•Uffi
r
^LV.Fi
"•Kt.LKSUM,
"-MC.LV.SVMi
dAUM,ti
dt
dA
uft M.IV.SUM,
dt
.-1 4
"",«(::,«;,««,.
dt
^«»t,i»'*y
<*' \f\,U'ntl, (
dt
V
""•MiJJ'y
•"•MOl.U'u
'™*MDiU'tij
•*«an,LVlj
•™-IM,fi-tf
f^2M,edtJ
VMx,LViJ
' hh,LV,tflrt f
8.2.3 Calculation of Maximum Rate of Change of Metabolism

The equation for the maximum rate of change of metabolism in the Liver for the jth
metabolite of the ith chemical is given by
       V     =V
       ^       V
                 ^.ll'lj. V .
                                                                               137

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where

Va  =  volume of the body,
VKf =  reference volume for VM^LV{.
rm  =  power of the volume of the body for interspecies scaling.

8.2.4 Calculations When Including Enzyme Destruction and Re-synthesis

The equation for the rate of change of maximum metabolic rate in the liver including
enzyme destruction and re-synthesis for the jth metabolite of the ith circulating compound
is given by:

       dV
       u * Mx.LV.edr. •
       	_JJ_ 	 'v~    /1/-       V     \
                                                                              (148)
where the variable definitions are given in Table 14, and VLV = the volume of the Liver.
The value of the maximum metabolic rate taking enzyme destruction and re-synthesis into
consideration is obtained by integration as:
                 f "  Mx,LV.eilrn                                                   ,AAQ\
       y      =1— — — — ^ At + V                                             (149)
       r Mx,LV.edr(J   J     Jt   ul ^ r M»-,/J"'y •

8.2.5 The Rate of Formation of Saturable and Linear Metabolite in the Liver

The rate of formation of the jth metabolite, when saturable, in the liver from the ith
circulating compound is given by:
         W^ = y*J**X '(r     +ir   i\                                       <150>
where the indices /, andy are defined above and parameters are defined in Table 14. For
those metabolites which the user wants to be strictly linear, then the linear form of the
equation would apply. The rate of formation of a linear metabolite in the liver is:

                       A                                                      (151)
                       A   •
          Jit

The sum of the rates of formation of the metabolites for the ith circulating compound can
be calculated according to where the rate of formation of metabolites determines the loss
in the rate of increase of amount in the liver for the ith circulating compound:

138

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           s
                                                                             (152)
8.2.6 Circulating Compounds which are Metabolites

The rates of formation of metabolites, in this case in the liver, which are the same as one
of the circulating compounds are summed and then added to the rate of increase of the
amount of the circulating compound. This is accomplished by assuming that every
metabolite could be any of the circulating compounds. An index ICjiJ is saved for each
metabolite. If theyth metabolite of the ith circulating compound is the same compound as
the Mi circulating compound, then the index k for the circulating compound is saved in
/cu otherwise the index/cy is set to zero. If the index is non-zero, then the rate of
formation of that metabolite is added to a sum for that circulating compound. The rate of
formation of a circulating metabolite may be linear or saturated (with inhibition if
applicable) where equations (150) and (151) apply. Then
        dA,
           dt
=,?,
(dA
\  t
MW(k\
MWa)>
                                                                             (153)
          ifl
where ~~^~~*"= the contribution to the rate of change of the Mi chemical in the Liver
from the rate of formation of the jth metabolite of the ith chemical.

8.2.7 Inhibition in the Metabolism Process

Compounds elsewhere in the metabolism chains for any of the circulating compounds
may inhibit the formation of a given metabolite. There are four kinds of inhibition
addressed here. They are defined by the formulas for an apparent Vmax, and an apparent
Michaelis-Menten constant Kmm (See Table 15).
        dA
       Q,,,
          dt

               A
           -/.W, \)
                                                                             (154)
where VmaxApp and KmmApp are taken from Table 15 for the inhibition case that applies.

 Table 15. Parameter Formulas for Four Types of Inhibition of Metabolism
Type of Inhibition
Competitive Inhibition
Mixed Inhibition
r max,Apf
^w.«,,
V\ftlVtdr
{l+CWFiijIKMDlMrij)
KmmA
KmmJ^(l + CUVttj/KMDU¥ij)
K" " ' ' '
mm'L¥» (I \ CIUiijl
KmilJflJ)
^ MD2,Lt',j )
                                                                              139

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 Table 15. Parameter Formulas for Four Types of Inhibition of Metabolism
Type of Inhibition
Pure non-competitive
Inhibition
Uncompetitive Inhibition
VmaXiA,
* Mx.U'.eilr, f
/ '] -1" /™* l K°* ^
V.kMij
(l+CLKFiJKMiyu^)
Kmmi
KmatiVii
"-miiiM'i i j
(l. + Cufiij/Kum,LVij)
where ItJ  = zero or the index to the chemical that is the inhibitor to the jth metabolite of
            the ith circulating compound

8.2.8 Metabolism in the Other Organs and Tissues

8.2.8. 1 Metabolism in the Brain

The brain metabolism equations are the same as those for the liver except that the
equation for the V-Max is given as a function of the Liver value from the equation:
              ~ '
                               '
                                BN
                           .LV, ,  y
                           •  >J  V
                                                                              '   '
where RM.BN.LVU is a scaling factor for V-Max in the Brain for the jth metabolite of the ith
chemical.

8.2.8.2  Metabolism in the Kidney

The kidney metabolism equations are the same as those for the liver except that the
equation for the V-Max is given as  a function of the liver value from the equation:
v      = v     f?
' Mx,KD, ,   r M$,LV, , IVM,KD,L¥, ,
     '•I        *;f        *•/
 VK
—
 17
 f I
                                                                              (156)
                                                                              v   '
                                LV
where AWJHW is a scaling factor for V-Max in the Kidney for the jth metabolite of the ith
chemical.

8.2.8.3  Metabolism in the Carcass

The carcass metabolism equations are the same as those for the liver except that the
equation for the V-Max is given as a function of the Liver value from the equation:

                                                                              (157)
140

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where RM.CR.LV,, is a scaling factor for V-Max in the Carcass for the jth metabolite of the ith
chemical.

8.2.8.4  Metabolism in the Fat

The fat metabolism equations are the same as those for the liver except that the equation
for the V-Max is given as a function of the liver value from the equation:

                              ¥ pj-
       'Mx,FTu = ?'MxJJ'li^M,FTM\j~j7~                                            (158)

where RM.FT.U^ is a scaling factor for V-Max in the Fat for the jth metabolite of the ith
chemical.

8.2.8.5  Metabolism in the Slowly Perfused Tissue

The slowly perfused tissue metabolism equations are the same as those for the Liver
except that the equation for the V-Max is given as a function of the Liver value from the
equation:


       ' Mx,SLtJ = ^Mx,Uru'^M,SL,Llfij |7.                                              (159)

where RM,SLM',J is a scaling factor for V-Max in the slowly perfused tissue for the jth
metabolite of the ith chemical.

8.2.8.6  Metabolism in the Rapidly Perfused Tissue

The rapidly perfused tissue metabolism equations are the same as those for the liver
except that the equation for the V-Max is given as a function of the Liver value from the
equation:

                              ZSL
       'Mx.RPy ~ rMx.UfiijRM.RP.l*flij J7 f                                             (160)

where RM,RP,LVU is a scaling factor for V-Max in the rapidly perfused tissue for the jth
metabolite of the ith chemical.

8.2.8.7  Metabolism in the Spleen

The spleen metabolism equations are the same as those for the liver except that the
equation for the V-Max is given as a function of the liver value from the equation:

                                                                                141

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                             Ik
                              y
where "RM,SP,L¥U is a scaling factor for V-Max in the spleen for the jth metabolite of the ith

chemical.
142

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                                   Section 9

                 Exposure Related Dose Estimating Model
                                   (ERDEM)
                      Enzyme Kinetics Implementation
  9.1  The ERDEM Equations for Enzyme Kinetics

  A set of enzymes is defined for each compartment. This section of the report only
  presents equations for the liver but these equations are the same for all other
  compartments: brain, arterial blood, venous blood, kidney, slowly perfused tissue, lung
  tissue or static lung, portal blood, and, pulmonary capillaries. There is currently no
  enzyme kinetics in the spleen, stratum corneum, testicles, ovaries, carcass, fat, or, rapidly
  perfused tissue. Variable definitions are provided at the end of this section.

  The user is expected to input the set of chemicals which must include the substrate and
  metabolites. In addition, the user inputs a set of enzymes for a given simulation. The user
  sets flags for the enzymes used in each compartment and the chemicals that serve as
  substrates for the designated enzymes. A given compartment may have only one enzyme
  and another may have more. The rate, amount, and concentration variables are referenced
  by the ith chemical and 1th enzyme, where the inputs from the ERDEM front end are by
  chemical and enzyme name where N_Z is the number of enzymes for the simulation.
  Flags are used in ERDEM that indicate which enzymes are active for the simulation, and
  which chemicals are competing with the substrate being acted on by an enzyme:

               L_LV_Z is a logical flag  set to true if there is any enzyme reaction in the
                       Liver.

    L_LV_Z_L(l) (LLV_Z:LI ) is a logical flag  set to true if there is an enzyme reaction in the
                       Liver for the 1th enzyme.

L_LV_Z_I_L(i,l) (v.z.i.i,, ) is a logical flag  set to true if the 1th enzyme is inhibited by the ith
                       chemical. When using the front end, the  enzymes and chemicals
                       are input by name, not by index.

  9.2  Elimination of Chemical Due to Competition with Enzyme Metabolism

                                                                             143

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The loss of ith chemical due to competition with the substrate during the metabolism by
the 1th enzyme is given by
           dt          dt
This equation is an additional elimination term that is included in the body mass balance
for the liver.

9.3  Enzymatic Reactions in the Liver

The enzyme reaction in the Liver is a function of each enzyme and the current chemical.
Equation 162 expresses the rate of loss of the current chemical due to interaction with
each enzyme in the liver. This involves formation of a substrate-enzyme complex which
reduces the expected steady state level of free enzyme. A regeneration function replaces
some of the enzyme  that was lost due to formation of the substrate-enzyme complex. A
enzyme re-synthesis function also replaces some enzyme that was degraded. This is
expressed in the equation below where the first term is the regeneration, the second is the
re-synthesis term and the third represents substrate-enzyme complex formation. The
degradation term was removed because it operates on enzyme that has been inhibited and
then aged. The mass balance equation for the rate  of change of activity (mass) of kth free
enzyme in the liver due to one or more chemicals is given by
                         (	+	~	)               (163)
                   "ly.zji.k

where the kth enzyme may bind with more than one chemical. The set of chemicals that
may bind the kth enzyme is in NLV z L  .


9.3.1  Enzymatic Inhibition

The rate of change of the kth enzyme due to the ith inhibiting chemical is determined by
the concentration of kth free enzyme and the concentration of the ith chemical causing the
inhibition.
                                     ,V                                     (164)
where the concentration of free kth enzyme in the liver is found by integrating equation
163 and dividing by the volume of the liver to get the concentration.
144

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9.3.2 Enzyme Regeneration
Enzyme regeneration occurs when enzyme titer is reduced due to binding activity. The
regeneration process acts only when enzyme-substrate or inhibitor complexes are formed
(reduced by the amount that is aged, regenerated and re-synthesized) and is dependent on
the affinity of the substrate chemical or competing inhibiting chemical for the enzyme.
Thus regeneration occurs for the current titer of kth enzyme caused by binding of the ith
chemical. Each chemical may influence a different rate of regeneration.
       Cfc/T. T
          dt
= KTV
A
-"-
                                            A
                                            ^
                                                      A
                                                      -"-
(165)
where the amount of inhibited kth enzyme is obtained by integrating equation 164. Or in a
saturable form where V  and
                   "
          dt
                               are not defined at this time.
                  KmmZA* +
                            C      - C      - C      - C
                            ^LV,ZJit   ^LV,Z,Rik   ^LV,Z,Si:k   ^LV,Z,At_
                                                                            (166)
9.3.3 Enzyme Re-synthesis
       dA
         LVZ,Sitk
          dt
                                                                            (167)
Enzyme re-synthesis acts to replace degraded enzyme (lost). Aging involves tightly
bound enzyme-substrate or more likely, enzyme-inhibitor complexes. The degradation is
modeled to act on the aged enzyme and the bound enzyme. The enzyme re-synthesis is a
function of the enzyme only and is given by (linear form)

where the concentration of the degraded kth enzyme is found by summing the amounts
found from integrating equations 170 and 171. The saturable form might be given by
(where Vmx and K^ are not defined at this time)
                    '
          dt
                                                                            (168)
9.3.4 Enzyme Aging and Degradation
                                                                             145

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Enzyme degradation is modeled to act on bound enzymes and aged enzyme. The
degraded enzyme no longer exists (replaced by re-synthesis). The amount of bound and
aged enzyme is then reduced by the degradation. The rate of formation of aged enzyme is
a function of the amount of bound enzyme (reduced by the amount aged, regenerated, and
re-synthesized), and is given by (in a linear form)


         1 V 7 A
            ' ' a                        A         A          A       ^   (169>
                                       ^        ^          ^
The equation for the rate of formation of degraded bound enzyme consists of the amount
bound, reduced by the amount aged, regenerated, and re-synthesized.
       dA
          LV^IiJC    -        ' *       -A       -A        -A        \    d70)
           dt         Ly,z,DiL


The equation for the rate of formation of aged bound enzyme is the amount of aged
enzyme reduced by the amount of bound enzyme already aged:
                                                                          ,..-,..,
                                                                          (171)
The total amount degraded enzyme is then

      ^LV,Z,Dik = ^LV,Z,DAik + ^LV,Z,DJjk                                       (172)


9.4 Nomenclature for the Liver Enzyme Equations

9.4.1  Amounts in the Liver

 ^LV,Z,A! j = Amount of kth enzyme resulting from aging of the enzyme bound to the ith
            chemical,

 ALV,Z,D. k = Amount of the kth enzyme that is degraded, due to the action of the ith
            chemical,

 ALV z DA. = Amount of the aged kth enzyme that is degraded, due to the action of the ith
            chemical,

 ALV z E. = Amount of the kth enzyme that is eliminated due to binding of the ith
            chemical,
146

-------
 ^Lv,z,i.k = Amount of the kth enzyme that is bound by the ith chemical,
 ALV z R  = Amount of the bound kth enzyme that is regenerated, due to the action of
            the ith chemical,
 ^       _ Amount of the degraded kth enzyme that is re-synthesized, due to the action
  LV-z-si,k    Of me jm chemical.

9.4.2 Concentrations in the Liver

         =  Concentration of the kth enzyme resulting from aging of the enzyme bound
 Q,K,Z,£>, k =  Concentration of the kth enzyme that is degraded, due to the action of the
            ith chemical,
 CLV z L  = Concentration of the kth enzyme that is bound by the ith chemical,
 £•       _  Concentration of the bound kth enzyme that is regenerated, due to the action
  Lv,z,RtJ    of me im chemical,

 ^       _ Concentration of the degraded kth enzyme that is re-synthesized, due to the
  LV,z>si,k    action of the ith chemical.

9.4.3 Rates of Change of the Amount of Enzyme in the  Liver

 dA
   LV>z>A>,k  =   Rate of change of the amount of kth enzyme resulting from aging of the
    dt         enzyme bound to the ith chemical,

 dA
    LV'z'Di,k  _   Rate of change of the amount of the kth enzyme that is degraded, due to
     dt        the action of the ith chemical,
 dALV,ZJr k
 	——'— =  Rate of change of the amount of the kth enzyme that is bound to the ith
     ^        chemical,


 dA
    LV'Z'R,,k  _  Rate of change of the amount of the bound kth enzyme that is
     dt        regenerated, due to the action of the ith chemical,
 dA
    LV'z-si,t   _  Rate of change of the amount of the degraded kth enzyme that is re-
     dt        synthesized, due to the action of the ith chemical.

                                                                             147

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9.4.4 Rate Constants for the Reactions




K    A   =   Rate constant for the aging of the kth enzyme that was bound by the ith
  LV>t-,Aik           .

              chemical,




^         _  Rate constant for the degradation of the aged kth enzyme that occurs due

  Lv,z,DAiik    to ^g actjon Of me jm chemical,
 v-        _   Rate constant for the degradation of the bound kth enzyme that occurs due
_/V r T/ 7 r\j  —

    '  '  a     to the action of the ith chemical,




K       =    Rate constant for the bound of the kth enzyme by the ith chemical,
  LV,Z,liik



g       _    Rate constant for the regeneration of the bound kth enzyme that is due to

  Lv,z,Ritk      ^ actjon Of the ith chemical,
 is-       _    Rate constant for the re-synthesis of the degraded kth enzyme, due to the

  Lv,z,sitk      action of the ith chemical.
148

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                                 References
Abbas, R., Fisher, W.F. (1997). A Physiologically Based Pharmacokinetic Model for
   Trichloroethylene and Its Metabolites, Chloral Hydrate, Trichloroacetate,
   Dichloroacetate, Trichloroethanol, and Trichloroethanol Glucuronide in B6c3f 1 Mice.
   Toxicology and Applied Pharmacology 147', 15-30 (Page 18).

Fisher, J.W., Mahle, D., Abbas, R. (1998). A Human Physiologically Based
   Pharmacokinetic Model for Trichloroethylene and Its Metabolites, Trichloroacetic
   Acid and Free Trichloroethanol. Toxicology and Applied Pharmacology 152, 339-359.

Ness, Shirley A., 1994. Surface and Dermal Monitoring for Toxic Exposure, Van
   Nostrand Reinhold, New York, NY.

U.S. EPA, 1992. Dermal Exposure Assessment:  Principles and Applications, January
   1992. EPA/600/8-01/01 IB, Interim Report.

U.S. EPA, 1998b. Assessment of Time-Motion Videoanalysis for the Acquisition of
   Biomechanics Data in the Calculation of Exposure to Children, February 1998.
   EPA/600/X-98/002A-D.
                                                                             149

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150

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151

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