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口服治疗剂量哌甲酯在血浆和脑中的浓度及其对小鼠脑单胺含量的影响。

Plasma and brain concentrations of oral therapeutic doses of methylphenidate and their impact on brain monoamine content in mice.

机构信息

Neurology, Massachusetts General Hospital and Harvard Medical School, Boston, MA 02114, USA.

出版信息

Neuropharmacology. 2009 Dec;57(7-8):687-93. doi: 10.1016/j.neuropharm.2009.07.025. Epub 2009 Jul 22.

Abstract

Methylphenidate is a frequently prescribed stimulant for the treatment of attention deficit hyperactivity disorder (ADHD). An important assumption in the animal models that have been employed to study methylphenidate's effects on the brain and behavior is that bioavailability of methylphenidate in the animal models reflects that in human subjects. From this perspective, the dose and route of administration of methylphenidate assume critical importance because both these factors likely influence rate of uptake, plasma and brain concentrations of the drug. In the present study, plasma and brain concentrations of d- and l-methylphenidate and d- and l-ritalinic acid were measured in 2-month old mice (equivalent to young adulthood in humans) following a single oral administration of a racemic mixture. Our data show that oral administration of 0.75 mg/kg dose produced within 15 min, plasma levels of d-methylphenidate that correspond to the clinically effective plasma levels in human subjects (estimated to be 6-10 ng/ml). Brain concentrations of d- and l-methylphenidate tended to exceed their plasma concentrations, while the plasma concentrations of d- and l-ritalinic acid exceeded their brain concentrations. A single oral administration at 0.75 mg/kg dose increased dopamine content of the frontal cortex within 1 h, without producing statistically significant changes in serotonin or noradrenaline contents. Striatal monoamine levels remained unaltered. These data highlight disparities between plasma and brain concentrations of methylphenidate and its metabolites following oral administration and illustrate brain region- and monoamine-specific changes produced by the low oral dose of methylphenidate.

摘要

哌醋甲酯是一种常用于治疗注意力缺陷多动障碍(ADHD)的处方兴奋剂。在用于研究哌醋甲酯对大脑和行为影响的动物模型中,一个重要的假设是动物模型中哌醋甲酯的生物利用度反映了人类受试者中的情况。从这个角度来看,哌醋甲酯的剂量和给药途径非常重要,因为这两个因素都可能影响药物的摄取速度、血浆和大脑中的药物浓度。在本研究中,在 2 个月大的小鼠(相当于人类的成年早期)中,单次口服给予外消旋混合物后,测量了 d-和 l-哌醋甲酯以及 d-和 l-利他林酸的血浆和脑浓度。我们的数据表明,口服 0.75mg/kg 剂量在 15 分钟内产生的 d-哌醋甲酯血浆水平相当于人类受试者的临床有效血浆水平(估计为 6-10ng/ml)。d-和 l-哌醋甲酯的脑浓度往往超过其血浆浓度,而 d-和 l-利他林酸的血浆浓度则超过其脑浓度。单次口服 0.75mg/kg 剂量在 1 小时内增加了额皮质中的多巴胺含量,而没有导致 5-羟色胺或去甲肾上腺素含量的统计学显著变化。纹状体单胺水平保持不变。这些数据突出了口服给予后哌醋甲酯及其代谢物在血浆和大脑中的浓度差异,并说明了低口服剂量的哌醋甲酯产生的脑区和单胺特异性变化。

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