Martín-Jiménez T, Lindeblad M, Kapetanovic I M, Chen Y, Lyubimov A
Department of Comparative and Experimental Medicine, College of Veterinary Medicine, University of Tennessee, 2407 River Dr., Knoxville, TN 37996-4543, United States.
Chem Biol Interact. 2008 Jan 30;171(2):142-51. doi: 10.1016/j.cbi.2007.07.010. Epub 2007 Jul 28.
The objective of this study was to assess how the dosing method (i.e., gavage versus diet) affects the absorption and disposition of lovastatin, as well as its effect on two biological markers of exposure, such as serum levels of cholesterol and triglycerides. In preclinical safety studies the test agent is normally administered by gavage, but in chemoprevention efficacy studies the test agent is usually administered with the diet. Therefore, extrapolation of safety and efficacy data from laboratory animals to humans should consider the influence of the method of administration on the absorption, disposition and effect of the drug. Lovastatin, a blood cholesterol-lowering drug with a short elimination half-life in humans, was used to assess the influence of two different dosing methods on the drug pharmacokinetics and pharmacodynamics. Plasma and liver concentrations of lovastatin and its active metabolite lovastatin-Na were measured in female rats at sequential times after administration. Serum concentrations of triglycerides and cholesterol were measured at similar times and used as biomarkers of effect. Significant differences in pharmacokinetics and pharmacodynamics were observed after administration of lovastatin by the two oral dosing paradigms. In general, oral gavage resulted in higher peak and lower trough concentrations of lovastatin and lovastatin-Na in plasma and liver, lower area under the concentration-time curve of lovastatin-Na in plasma and liver, and less of an effect on the serum concentrations of triglycerides and cholesterol than the corresponding diet dosing. Although no inverse linear relationship was observed between pharmacokinetic and pharmacodynamic markers, in the case of serum cholesterol a visual trend could be observed which might have proven significant had data from a larger number of dose levels been available. As in our previous study with sulindac, this study illustrates potential limitations in trying to extrapolate from data obtained using different dosing schemes to potential safety and efficacy in humans.
本研究的目的是评估给药方法(即灌胃与饮食给药)如何影响洛伐他汀的吸收和处置,以及其对两种暴露生物标志物的影响,如血清胆固醇和甘油三酯水平。在临床前安全性研究中,受试药物通常通过灌胃给药,但在化学预防疗效研究中,受试药物通常与食物一起给药。因此,从实验动物向人类外推安全性和疗效数据时应考虑给药方法对药物吸收、处置和效应的影响。洛伐他汀是一种在人体内消除半衰期较短的降血脂药物,用于评估两种不同给药方法对药物药代动力学和药效学的影响。在给药后的连续时间点测量雌性大鼠血浆和肝脏中洛伐他汀及其活性代谢物洛伐他汀 - 钠的浓度。在相似时间测量血清甘油三酯和胆固醇浓度,并将其用作效应生物标志物。通过两种口服给药方式给予洛伐他汀后,观察到药代动力学和药效学存在显著差异。一般来说,与相应的饮食给药相比,灌胃给药导致血浆和肝脏中洛伐他汀和洛伐他汀 - 钠的峰浓度更高、谷浓度更低,血浆和肝脏中洛伐他汀 - 钠的浓度 - 时间曲线下面积更小,对血清甘油三酯和胆固醇浓度的影响也更小。虽然在药代动力学和药效学标志物之间未观察到反向线性关系,但就血清胆固醇而言,可以观察到一种直观趋势,若有更多剂量水平的数据,这种趋势可能已被证明具有显著性。正如我们之前对舒林酸的研究一样,本研究说明了试图从使用不同给药方案获得的数据外推至人类潜在安全性和疗效时存在的潜在局限性。