Diffusion and Drug Dispersion
Most biological processes occur in an environment that is predominantly water: a typical cell contains 70-85% water and the extracellular space of most tissues is 99%. Even the brain, with its complex arrangement of cells and myelinated processes, is ≈ 80% water. Drug molecules can be introduced into the body in a variety of ways; the effectiveness of drug therapy depends on the rate and extent to which drug molecules can move through tissue structures to reach their site of action. Since water serves as the primary milieu for life processes, it is essential to understand the factors that determine rates of molecular movement in aqueous environments. As we will see, rates of diffusive transport of molecules vary among biological tissues within an organism, even though the bulk composition of the tissues (i.e., their water content) may be similar. The section begins with the random walk, a useful model from statistical physics that provides insight into the kinetics of molecular diffusion. From this starting point, the fundamental relationship between diffusive flux and solute concentration, Fick’s law, is described and used to develop general mass-conservation equations. These conservation equations are essential for analysis of rates of solute transport in tissues. Molecules that are initially localized within an unstirred vessel will spread throughout the vessel, eventually becoming uniformly dispersed. This process, called diffusion, occurs by the random movement of individual molecules; molecular motion is generated by thermal energy.