Department of Internal Medicine, Taichung Veterans General Hospital, Taichung, Taiwan.
J Pharm Biomed Anal. 2011 Mar 25;54(4):759-64. doi: 10.1016/j.jpba.2010.10.008. Epub 2010 Oct 16.
Rosiglitazone is a potent synthetic peroxisome proliferator-activated receptor-gamma (PPAR-γ) agonist which improves glucose control in the plasma and reduces ischemic brain injury. However, the pharmacokinetics of rosiglitazone in the brain is still unclear. In this study, a method using liquid chromatography-mass spectrometry coupled with microdialysis and an auto-blood sampling system was developed to determine rosiglitazone and glucose concentration in the brain and blood of gerbils subjected to treatment with rosiglitazone (3.0 mg kg(-1), i.p.). The results showed the limit of detection was 0.04 μg L(-1) and the correlation coefficient was 0.9997 for the determination of rosiglitazone in the brain. The mean parameters, maximum drug concentration (C(max)) and the area under the concentration-time curve from time zero to time infinity (AUC(inf)), following rosiglitazone administration were 1.06±0.28 μg L(-1) and 296.82±44.67 μg min L(-1), respectively. The time to peak concentration (C(max) or T(max)) of rosiglitazone occurred at 105±17.10 min, and the mean elimination half-life (t(1/2)) from brain was 190.81±85.18 min after administration of rosiglitazone. The brain glucose levels decreased to 71% of the basal levels in the rosiglitazone-treated group when compared with those in the control (p<0.01). Treatment with rosiglitazone decreased blood glucose levels to 80% at 1h after pretreatment of rosiglitazone (p<0.05). In addition, pretreatment with rosiglitazone significantly reduced the cerebral infarct volume compared with that of the control group. These findings suggest that this method may be useful for simultaneous and continuous determination of rosiglitazone and glucose concentrations in brain and plasma. Rosiglitazone was effective at penetrating the blood-brain barrier as evidenced by the rapid appearance of rosiglitazone in the brain, and rosiglitazone may contribute to a reduction in the extent of injuries related to cerebral ischemic stroke via its hypoglycemic effect.
罗格列酮是一种有效的合成过氧化物酶体增殖物激活受体-γ(PPAR-γ)激动剂,可改善血浆中的葡萄糖控制并减少缺血性脑损伤。然而,罗格列酮在大脑中的药代动力学仍不清楚。在这项研究中,开发了一种使用液相色谱-质谱联用和微透析及自动采血系统的方法,以确定给予罗格列酮(3.0 mg kg(-1),腹腔注射)后沙鼠脑和血液中的罗格列酮和葡萄糖浓度。结果表明,检测罗格列酮的检测限为 0.04 μg L(-1),脑内的相关系数为 0.9997。给予罗格列酮后,罗格列酮的平均参数、最大药物浓度(C(max))和从 0 到无穷时间的浓度-时间曲线下面积(AUC(inf))分别为 1.06±0.28 μg L(-1)和 296.82±44.67 μg min L(-1)。罗格列酮的达峰时间(C(max)或 T(max))发生在 105±17.10 min,给予罗格列酮后,罗格列酮从脑内的平均消除半衰期(t(1/2))为 190.81±85.18 min。与对照组相比,罗格列酮治疗组的脑葡萄糖水平降低至基础水平的 71%(p<0.01)。与预处理前相比,罗格列酮预处理 1 h 后可使血糖水平降低至 80%(p<0.05)。此外,与对照组相比,罗格列酮预处理可显著降低脑梗死体积。这些发现表明,该方法可能有助于同时和连续测定脑和血浆中的罗格列酮和葡萄糖浓度。罗格列酮能迅速穿透血脑屏障,这表明罗格列酮在大脑中的快速出现,罗格列酮可能通过其降血糖作用有助于减少与脑缺血性中风相关的损伤程度。