Griffin Sarah J, Houston J Brian
School of Pharmacy and Pharmaceutical Sciences, University of Manchester, Oxford Road, Manchester M13 9PL, United Kingdom.
Drug Metab Dispos. 2004 May;32(5):552-8. doi: 10.1124/dmd.32.5.552.
Freshly isolated hepatocytes are currently regarded as the most superior in vitro model for use in prediction studies, in particular to provide estimates of in vivo intrinsic clearance (CL(int)). However, due to their loss of viability within 4 h and a decrease in cytochrome P450-dependent metabolism upon culture, newer cellular models are being developed. Cryopreserved hepatocytes have several potential advantages, but to date evaluation of the utility of this model for estimating in vitro CL(int) has been limited to the substrate depletion approach. We have incubated eight compounds with suspensions of freshly isolated and cryopreserved rat hepatocytes and obtained in vitro CL(int) via metabolite formation kinetics (for 14 pathways). A substantial range of in vitro CL(int) values (0.1-98 microl/min/10(6)cells) was obtained in both models, and the freshly isolated suspension data were in good agreement with the literature. Cryopreserved suspensions were able to give a comparable estimation (within 2-fold) of in vitro CL(int) to fresh cells for six pathways, namely tolbutamide, three diazepam metabolites, propranolol, and 7-hydroxylation of warfarin. A higher estimation of in vitro CL(int) was obtained for the three other metabolites of warfarin due to a decrease in the K(M) values. Lower estimations of in vitro CL(int) were observed for four compounds (six pathways), and this was particularly pronounced (4-16%) for pathways showing atypical Michaelis-Menten kinetic profiles (dextromethorphan, nordiazepam) but less so (25-45%) for pathways showing biphasic Michaelis-Menten kinetics (7-ethoxycoumarin and phenytoin).
目前,新鲜分离的肝细胞被认为是预测研究中最优越的体外模型,特别是用于估计体内固有清除率(CL(int))。然而,由于它们在4小时内失去活力,并且培养后细胞色素P450依赖性代谢降低,因此正在开发更新的细胞模型。冷冻保存的肝细胞具有几个潜在优势,但迄今为止,该模型用于估计体外CL(int)的效用评估仅限于底物消耗法。我们将八种化合物与新鲜分离和冷冻保存的大鼠肝细胞悬液孵育,并通过代谢物形成动力学(针对14条途径)获得体外CL(int)。在两种模型中均获得了相当广泛的体外CL(int)值范围(0.1 - 98微升/分钟/10(6)个细胞),并且新鲜分离的悬液数据与文献数据吻合良好。对于六种途径,即甲苯磺丁脲、三种地西泮代谢物、普萘洛尔和华法林的7-羟基化,冷冻保存的悬液能够给出与新鲜细胞相当的体外CL(int)估计值(在2倍以内)。由于K(M)值降低,华法林的其他三种代谢物的体外CL(int)估计值更高。对于四种化合物(六条途径)观察到较低的体外CL(int)估计值,这在显示非典型米氏动力学曲线的途径(右美沙芬、去甲地西泮)中尤为明显(4 - 16%),而在显示双相米氏动力学的途径(7-乙氧基香豆素和苯妥英)中则不太明显(25 - 45%)。