Markowitz Geoffrey J, Kadam Shilpa D, Boothe Dawn M, Irving Natasha D, Comi Anne M
Department of Neurology and Developmental Medicine, Kennedy Krieger Research Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Neuroreport. 2010 Apr 21;21(6):452-6. doi: 10.1097/wnr.0b013e328338ba18.
Rodents eliminate antiepileptic drugs (AEDs) faster than humans, creating challenges for designing clinically relevant protocols. Half-lives of AEDs in immature mice are unknown. The pharmacokinetics of commonly used AEDs were examined in CD1 mice using a single-dose protocol at postnatal day 19. After intraperitoneal therapeutic dosing, blood serum concentrations spanning 1-48 h post-administration and corresponding brain tissue concentrations at 4 h were analyzed. Half-lives of valproate, phenobarbital, diazepam (and metabolites), phenytoin, and levetiracetam were 2.6, 15.8, 22.3, 16.3, and 3.2 h, respectively, compared to 0.8, 7.5, 7.7, 16.0, and 1.5 h reported for adult mice. Brain-to-blood ratios were comparable with adult ratios. AEDs tested had longer half-lives and maintained therapeutic plasma concentrations longer than reported in mature mice, making clinically relevant protocols feasible.
啮齿动物清除抗癫痫药物(AEDs)的速度比人类快,这给设计临床相关方案带来了挑战。AEDs在未成熟小鼠体内的半衰期尚不清楚。在出生后第19天,采用单剂量方案在CD1小鼠中研究了常用AEDs的药代动力学。腹腔注射治疗剂量后,分析给药后1至48小时的血清浓度以及4小时时相应的脑组织浓度。丙戊酸盐、苯巴比妥、地西泮(及其代谢物)、苯妥英和左乙拉西坦的半衰期分别为2.6、15.8、22.3、16.3和3.2小时,而成人小鼠报告的半衰期分别为0.8、7.5、7.7、16.0和1.5小时。脑血比与成年小鼠相当。所测试的AEDs半衰期更长,且维持治疗性血浆浓度的时间比成熟小鼠报告的时间更长,这使得临床相关方案可行。