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苯胺诱发犬高铁血红蛋白血症:不同给药途径外推法的陷阱

Aniline-induced methemoglobinemia in dogs: pitfalls of route-to-route extrapolations.

作者信息

Pauluhn Jürgen

机构信息

Institute of Toxicology, BAYER AG, Wuppertal, Germany.

出版信息

Inhal Toxicol. 2002 Sep;14(9):959-73. doi: 10.1080/08958370290084719.

Abstract

Two groups of four beagle dogs each were exposed head-only to aniline vapor in concentrations of 155 or 174 mg/m(3) air for a duration of 4 h in order to attain a targeted total exposure dose of approximately 15 mg aniline/kg body weight. One group of dogs received this calculated dose also by gavage. Dose estimates were made either by the determination of aniline-serum albumin adducts or by repeated measurements of the respiratory minute volume during the inhalation exposure period. The magnitude of methemoglobin (MetHb) produced following each route served as the basis for comparison. MetHb levels were maximal at the end of the inhalation exposure period, attaining approximately 5%, whereas administration by gavage produced a maximum MetHb response of 26%. Measurements of respiratory minute volumes in individual dogs appear to suggest that variability in MetHb formation depends solely on the rate of uptake (ventilation). The concentration of aniline-serum albumin adducts and the extent of MetHb formation showed a nonproportional relationship. In summary, this study demonstrates that for aniline, an agent known to be bioactivated by a hepatic first-pass metabolism, the conversion of findings obtained from oral dosing to inhalation exposure concentrations is subject to overestimating dramatically the magnitude of MetHb formation likely to occur following inhalation exposure. As to whether the fivefold lower potency by inhalation is solely related to the hepatic first-pass bioactivation, to the rate of delivery, or to a less than 100% retention of the inhaled vapor within the respiratory tract remains to be elucidated. This study demonstrates some of the pitfalls that can occur in context with route-to-route extrapolations and reinforces many of the concerns related to such extrapolations.

摘要

将两组各四只比格犬的头部仅暴露于浓度为155或174 mg/m³空气的苯胺蒸气中,持续4小时,以达到约15 mg苯胺/千克体重的目标总暴露剂量。一组犬还通过灌胃接受该计算剂量。通过测定苯胺 - 血清白蛋白加合物或在吸入暴露期间重复测量呼吸分钟量来进行剂量估计。每种给药途径后产生的高铁血红蛋白(MetHb)量作为比较的基础。吸入暴露期结束时MetHb水平最高,达到约5%,而灌胃给药产生的最大MetHb反应为26%。对个体犬呼吸分钟量的测量似乎表明,MetHb形成的变异性仅取决于摄取速率(通气)。苯胺 - 血清白蛋白加合物的浓度与MetHb形成的程度呈非比例关系。总之,本研究表明,对于已知通过肝脏首过代谢进行生物活化的苯胺,将口服给药获得的结果转换为吸入暴露浓度会极大地高估吸入暴露后可能发生的MetHb形成量。至于吸入效力低五倍是否仅与肝脏首过生物活化、给药速率或呼吸道内吸入蒸气保留率低于100%有关,仍有待阐明。本研究展示了在不同给药途径外推过程中可能出现的一些陷阱,并强化了许多与此类外推相关的担忧。

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