Bradshaw T D, Wren J E, Bruce M, Barrett D A, Leong C-O, Gaskell M, Wright E K, Farmer P B, Henderson C J, Wolf R, Stevens M F G
School of Pharmacy, University of Nottingham, Nottingham, UK.
Pharmacology. 2009;83(2):99-109. doi: 10.1159/000183846. Epub 2008 Dec 17.
The 2-(4-amino-3-methylphenyl)-5-fluorobenzothiazole prodrug Phortress exerts potent and selective antitumour activity in vitro and in vivo. Preclinical toxicokinetic studies in 2 rodent species were undertaken to determine Phortress' maximum tolerated dose and advise a safe starting dose for clinical evaluation.
Plasma pharmacokinetic parameters were determined by high-performance liquid chromatography and fluorescence detection following Phortress administration to mice (10 mg/kg, intravenously on days 1 and 8). Phortress (20 mg/kg, on days 1 and 8) was administered to CYP1A1/betaGAL reporter mice; tissues were examined macro- and microscopically. Toxicological and pharmacodynamic endpoints were examined in organs of rodents receiving Phortress (10 mg/kg or 20 mg/kg, on days 1 and 8). CYP1A1 expression and Phortress-derived DNA adducts were determined in lungs and livers (on days 11 and 36).
No accumulation of Phortress was detected in murine plasma. beta-Galactosidase activity inferred Phortress-derived induction of cyp1a1 transcription in the livers of transgenic mice; no total body weight loss was encountered in these animals. However, a fall in lung:body weight and kidney:body weight ratios, raised serum alkaline phosphatase levels and hepatic histopathological disturbances in animals receiving 20 mg/kg Phortress indicate organ sites of potential toxicity. CYP1A1 protein was induced transiently in the lungs of both species and in the livers of rats. Elimination of hepatic DNA adducts and rat pulmonary adducts was evident; however, murine pulmonary adducts persisted.
Rodent preclinical toxicology established that mice represent the more sensitive rodent species, resolving a maximum tolerated dose of 10 mg/kg Phortress.
2-(4-氨基-3-甲基苯基)-5-氟苯并噻唑前药福替美坦在体外和体内均具有强大的选择性抗肿瘤活性。对两种啮齿动物进行了临床前毒代动力学研究,以确定福替美坦的最大耐受剂量,并为临床评估提供安全的起始剂量建议。
给小鼠(10mg/kg,第1天和第8天静脉注射)注射福替美坦后,通过高效液相色谱和荧光检测法测定血浆药代动力学参数。给CYP1A1/betaGAL报告基因小鼠注射福替美坦(20mg/kg,第1天和第8天);对组织进行大体和显微镜检查。在接受福替美坦(10mg/kg或20mg/kg,第1天和第8天)的啮齿动物器官中检查毒理学和药效学终点。在第11天和第36天测定肺和肝脏中的CYP1A1表达和福替美坦衍生的DNA加合物。
在小鼠血浆中未检测到福替美坦的蓄积。β-半乳糖苷酶活性表明福替美坦在转基因小鼠肝脏中诱导了cyp1a1转录;这些动物未出现总体重减轻。然而,接受20mg/kg福替美坦的动物肺与体重和肾与体重比值下降、血清碱性磷酸酶水平升高以及肝脏组织病理学紊乱,表明存在潜在毒性的器官部位。两种动物的肺和大鼠的肝脏中CYP1A1蛋白均有短暂诱导。肝脏DNA加合物和大鼠肺加合物明显消除;然而,小鼠肺加合物持续存在。
啮齿动物临床前毒理学研究表明,小鼠是更敏感的啮齿动物物种,确定福替美坦的最大耐受剂量为10mg/kg。