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Measurement, model prediction and uncertainty quantification of plasma clearance of cerium citrate in humans

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Abstract

Double tracer studies in healthy human volunteers with stable isotopes of cerium citrate were performed with the aim of investigating the gastro-intestinal absorption of cerium (Ce), its plasma clearance and urinary excretion. In the present work, results of the clearance of Ce in blood plasma are shown after simultaneous intravenous and oral administration of a Ce tracer. Inductively coupled plasma mass spectrometry was used to determine the tracer concentrations in plasma. The results show that about 80% of the injected Ce citrate cleared from the plasma within the 5 mins post-administration. The data obtained are compared to a revised biokinetic model of Ce, which was initially developed by the International Commission on Radiological Protection (ICRP). The measured plasma clearance of Ce citrate was mostly consistent with that predicted by the ICRP biokinetic model. Furthermore, in an effort to quantify the uncertainty of the model prediction, the laboratory animal data on which the ICRP biokinetic Ce model is based, was analyzed. The measured plasma clearance and its uncertainty was also compared to the plasma clearance uncertainty predicted by the model. It was found that the measured plasma clearance during the first 15 min after administration is in a good agreement with the modelled plasma clearance. In general, the measured clearance falls inside the 95% confidence interval predicted by the biokinetic model.

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Acknowledgements

We gratefully thank Mrs. Sabrina Beutner for the ICPMS measurements. This work was supported by the German Federal Ministry of Education and Research (BMBF) with contract number 02NUK030A. We thank the reviewers and journal editor for valuable comments and linguistic revisions.

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Correspondence to Vera Höllriegl.

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Höllriegl, V., Barkleit, A., Spielmann, V. et al. Measurement, model prediction and uncertainty quantification of plasma clearance of cerium citrate in humans. Radiat Environ Biophys 59, 121–130 (2020). https://doi.org/10.1007/s00411-019-00823-z

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