Lehman P A, Tomlinson R V, Johnson J I, Olerud J E, Akers W A, Franz T J
Division of Dermatology, School of Medicine, University of Washington, Seattle 98115.
Pharm Res. 1992 Sep;9(9):1145-51. doi: 10.1023/a:1015843503746.
The percutaneous absorption and metabolism of lonapalene (6-chloro-2,3-dimethoxynaphthalene-1,4-diol-diacetate; RS-43179), a topically effective 5-lipoxygenase inhibitor, has been measured in six subjects with stable plaque-type psoriasis of the lower extremities. Lonapalene readily penetrates psoriatic skin, is rapidly and completely metabolized, and is almost entirely excreted in the urine. Unexpectedly we observed a trend for thigh (T) plaque skin to be more permeable than lower leg (LL) plaque skin as measured by total absorption (T, 44.8 +/- 13.4%; LL, 24.9 +/- 12.6% applied dose excreted), peak plasma levels (T, 209 +/- 107; LL, 146 +/- 81 ng Eq/ml), and peak rate of urinary excretion (T, 591.7 +/- 112.2; LL, 318.4 +/- 143.9 micrograms Eq/hr). There were also differences in the metabolic profiles between the two sites as measured by the quantity and proportion of dealkylated and conjugated products excreted in the urine.
在6名患有下肢稳定斑块型银屑病的受试者中,测定了局部有效的5-脂氧合酶抑制剂洛那帕林(6-氯-2,3-二甲氧基萘-1,4-二醇二乙酸酯;RS-43179)的经皮吸收和代谢情况。洛那帕林很容易穿透银屑病皮肤,迅速且完全代谢,几乎全部经尿液排出。出乎意料的是,我们观察到,通过总吸收量(大腿,44.8±13.4%;小腿,24.9±12.6%的给药剂量经尿液排出)、血浆峰值水平(大腿,209±107;小腿,146±81 ng Eq/ml)和尿排泄峰值速率(大腿,591.7±112.2;小腿,318.4±143.9微克Eq/小时)来衡量,大腿(T)斑块皮肤比小腿(LL)斑块皮肤的渗透性更高。通过尿液中排出的脱烷基化产物和结合产物的数量和比例来衡量,两个部位的代谢谱也存在差异。