Acharya Milin R, Sparreboom Alex, Sausville Edward A, Conley Barbara A, Doroshow James H, Venitz Jurgen, Figg William D
Clinical Pharmacology Research Core, National Cancer Institute, Bethesda, MD 20892, USA.
Cancer Chemother Pharmacol. 2006 Feb;57(3):275-81. doi: 10.1007/s00280-005-0058-8. Epub 2005 Jul 19.
MS-275 (MS-27-275; 3-pyridylmethyl-N-[4-[(2-aminophenyl)-carbamoyl]-benzyl-carbamate) is a histone deacetylase inhibitor under clinical development as an anticancer agent. Here, we examined the role of protein binding as a possible determinant of the pharmacokinetic behavior of MS-275. The distribution of MS-275 in plasma was studied in vitro using equilibrium dialysis and ex vivo in five cancer patients receiving the drug orally at a dose of 10 mg/m(2). The dialysis method uses a tracer amount of [G-(3)H]MS-275 on a 96-well microdialysis plate with a 5-kDa cut-off membrane, and requires 250 microl sample. The time to equilibrium was established to be within 5 h, and the mean unbound fraction of MS-275 (f (u)) over a presumed therapeutic concentration range in healthy volunteer human plasma was 0.188 +/- 0.0075 as compared to 0.168 +/- 0.0144 in cancer patients. The binding was concentration-independent, indicating a low affinity, possibly non-specific and non-saturable process. MS-275 was found to bind in decreasing order to plasma > alpha(1)-acid glycoprotein > albumin. Among 19 tested drugs, a slightly increased f (u) was observed in the presence of only ibuprofen (f (u), 0.236 +/- 0.001) and metoclopramide (f (u), 0.270 +/- 0.042), suggesting weakly competitive displacement from protein-binding sites (P < 0.01). Compared to humans, f (u) was significantly higher in plasma from mouse (0.376), rat (0.393), rabbit (0.355), dog (0.436), and pig (0.439) (P < 0.01), which may explain, in part, the species-dependent pharmacokinetic profile of MS-275 observed previously.
MS-275(MS-27-275;3-吡啶甲基-N-[4-[(2-氨基苯基)-氨基甲酰基]-苄基-氨基甲酸酯)是一种正在临床开发中的抗癌组蛋白脱乙酰酶抑制剂。在此,我们研究了蛋白质结合作为MS-275药代动力学行为可能决定因素的作用。在体外使用平衡透析法,并在5名口服剂量为10 mg/m²该药物的癌症患者体内进行了MS-275在血浆中的分布研究。透析方法是在具有5 kDa截留膜的96孔微透析板上使用微量示踪剂[G-(3)H]MS-275,且需要250微升样品。确定达到平衡的时间在5小时内,在健康志愿者人血浆中,MS-275在假定治疗浓度范围内的平均游离分数(f(u))为0.188±0.0075,而癌症患者中的为0.168±0.0144。这种结合与浓度无关,表明是一种低亲和力、可能非特异性且不饱和的过程。发现MS-275与血浆>α1-酸性糖蛋白>白蛋白的结合依次减少。在19种受试药物中,仅在布洛芬(f(u),0.236±0.001)和甲氧氯普胺(f(u),0.270±0.042)存在时观察到f(u)略有增加,提示从蛋白质结合位点存在弱竞争性置换(P<0.01)。与人类相比,MS-275在小鼠(0.376)、大鼠(0.393)、兔子(0.355)、狗(0.436)和猪(0.439)血浆中的f(u)显著更高(P<0.01),这可能部分解释了先前观察到的MS-275种属依赖性药代动力学特征。