Litterst C L, Gram T E, Dedrick R L, Leroy A F, Guarino A M
Cancer Res. 1976 Jul;36(7 PT 1):2340-4.
cis-Diamminedichloroplatinum(II) is an antineoplastic drug that is undergoing a renewed clinical interest as a drug for use in combination regimens. In order to increase the understanding of the pharmacokinetics of this drug, the plasma clearance and organ distribution of platinum were followed in female beagle dogs treated with a single i.v. dose of cis-diamminedichloroplatinum(II). Plasma levels of platinum were determined by flameless atomic absorption spectrometry and showed a distinctly biphasic clearance pattern with a rapid-phase half-time of considerably less than 1 hr and a slow-phase half-time of nearly 5 days. During the first 4 hr after treatment, plasma levels fell by 90% while 60 to 70% of the applied dose was recovered in the urine. Sixteen tissues plus plasma, bile, and urine were routinely analyzed for platinum content. An easily measurable plasma concentration of platinum was still detectable 12 days after treatment, with no significant change in plasma concentration between Days 4 and 12. Initial concentrations of platinum were highest in organs of excretion, gonads, spleen, and adrenals but remained significantly elevated only in kidney, liver, ovary, and uterus, where a tissue: plasma ratio of 3 to 4 was maintained for as long as 6 days posttreatment. The apparent in vitro binding of platinum to dog plasma and to bovine serum albumin was studied by ultrafiltration and increased progressively during 48 hr of incubation at 37 degrees.
顺二氯二氨合铂(II)是一种抗肿瘤药物,作为联合用药方案中的药物正重新引起临床关注。为了加深对该药物药代动力学的了解,对静脉注射单剂量顺二氯二氨合铂(II)的雌性比格犬的血浆清除率和铂的器官分布进行了跟踪研究。通过无火焰原子吸收光谱法测定血浆中的铂水平,结果显示出明显的双相清除模式,快速相半衰期远小于1小时,缓慢相半衰期接近5天。治疗后的前4小时内,血浆水平下降了90%,而60%至70%的给药剂量在尿液中回收。对16种组织以及血浆、胆汁和尿液进行了常规铂含量分析。治疗12天后仍可检测到易于测量的血浆铂浓度,第4天至第12天血浆浓度无显著变化。铂的初始浓度在排泄器官、性腺、脾脏和肾上腺中最高,但仅在肾脏、肝脏、卵巢和子宫中仍显著升高,治疗后长达6天这些组织与血浆的比率维持在3至4。通过超滤研究了铂在体外与犬血浆和牛血清白蛋白的结合情况,在37℃孵育48小时期间结合逐渐增加。