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环孢素在人胃肠道黏膜微粒体中的代谢

Cyclosporin metabolism by human gastrointestinal mucosal microsomes.

作者信息

Webber I R, Peters W H, Back D J

机构信息

Department of Pharmacology and Therapeutics, University of Liverpool.

出版信息

Br J Clin Pharmacol. 1992 Jun;33(6):661-4. doi: 10.1111/j.1365-2125.1992.tb04098.x.

Abstract

The in vitro metabolism of the immunosuppressant cyclosporin (CsA) by human gastrointestinal mucosal microsomes has been studied. Macroscopically normal intestinal (n = 4) and liver (n = 2) tissue was obtained from kidney transplant donors, and microsomes prepared. Intestinal metabolism was most extensive with duodenal protein (15% conversion to metabolites M1/M17 after 2 h incubation at 37 degrees C; metabolite measurement by h.p.l.c). Western blotting confirmed the presence of P-4503A (enzyme subfamily responsible for CsA metabolism) in duodenum and ileum tissue, but not in colon tissue. The results of this study indicate that the gut wall may play a role in the first-pass metabolism of CsA, and could therefore be a contributory factor to the highly variable oral bioavailability of CsA.

摘要

已对人胃肠道黏膜微粒体对免疫抑制剂环孢素(CsA)的体外代谢进行了研究。从肾移植供体获取了宏观正常的肠道(n = 4)和肝脏(n = 2)组织,并制备了微粒体。肠道代谢最为广泛,十二指肠蛋白在37℃孵育2小时后有15%转化为代谢物M1/M17(通过高效液相色谱法测定代谢物)。蛋白质印迹法证实十二指肠和回肠组织中存在P - 4503A(负责CsA代谢的酶亚家族),但结肠组织中不存在。本研究结果表明,肠壁可能在CsA的首过代谢中起作用,因此可能是导致CsA口服生物利用度高度可变的一个因素。

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本文引用的文献

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The effect of oral metoclopramide on the absorption of cyclosporine.口服胃复安对环孢素吸收的影响。
Transplantation. 1987 Feb;43(2):211-3. doi: 10.1097/00007890-198702000-00009.
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Clinical pharmacokinetics of cyclosporin.环孢素的临床药代动力学
Clin Pharmacokinet. 1986 Mar-Apr;11(2):107-32. doi: 10.2165/00003088-198611020-00002.
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