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采用加速器质谱法和液相色谱-串联质谱法研究极低浓度下吗啡的脑药代动力学。

Morphine brain pharmacokinetics at very low concentrations studied with accelerator mass spectrometry and liquid chromatography-tandem mass spectrometry.

作者信息

Sadiq Muhammad Waqas, Salehpour Mehran, Forsgard Niklas, Possnert Göran, Hammarlund-Udenaes Margareta

机构信息

Department of Pharmaceutical Biosciences, Uppsala University, Box 591, SE-75124 Uppsala, Sweden.

出版信息

Drug Metab Dispos. 2011 Feb;39(2):174-9. doi: 10.1124/dmd.110.036434. Epub 2010 Nov 8.

Abstract

Morphine has been predicted to show nonlinear blood-brain barrier transport at lower concentrations. In this study, we investigated the possibility of separating active influx of morphine from its efflux by using very low morphine concentrations and compared accelerator mass spectrometry (AMS) with liquid chromatography-tandem mass spectrometry (LC-MS/MS) as a method for analyzing microdialysis samples. A 10-min bolus infusion of morphine, followed by a constant-rate infusion, was given to male rats (n = 6) to achieve high (250 ng/ml), medium (50 ng/ml), and low (10 ng/ml) steady-state plasma concentrations. An additional rat received infusions to achieve low (10 ng/ml), very low (2 ng/ml), and ultralow (0.4 ng/ml) concentrations. Unbound morphine concentrations from brain extracellular fluid and blood were sampled by microdialysis and analyzed by LC-MS/MS and AMS. The average partition coefficient for unbound drug (K(p,uu)) values for the low and medium steady-state levels were 0.22 ± 0.08 and 0.21 ± 0.05, respectively, when measured by AMS [not significant (NS); p = 0.5]. For the medium and high steady-state levels, K(p,uu) values were 0.24 ± 0.05 and 0.26 ± 0.05, respectively, when measured by LC-MS/MS (NS; p = 0.2). For the low, very low, and ultralow steady-state levels, K(p,uu) values were 0.16 ± 0.01, 0.16 ± 0.02, and 0.18 ± 0.03, respectively, when measured by AMS. The medium-concentration K(p,uu) values were, on average, 16% lower when measured by AMS than by LC-MS/MS. There were no significant changes in K(p,uu) over a 625-fold concentration range (0.4-250 ng/ml). It was not possible to separate active uptake transport from active efflux using these low concentrations. The two analytical methods provided indistinguishable results for plasma concentrations but differed by up to 38% for microdialysis samples; however, this difference did not affect our conclusions.

摘要

据预测,吗啡在较低浓度时会表现出非线性的血脑屏障转运。在本研究中,我们通过使用极低浓度的吗啡来研究将吗啡的主动内流与其外流分离的可能性,并比较了加速器质谱法(AMS)和液相色谱-串联质谱法(LC-MS/MS)作为分析微透析样品的方法。给雄性大鼠(n = 6)静脉推注吗啡10分钟,随后进行恒速输注,以达到高(250 ng/ml)、中(50 ng/ml)和低(10 ng/ml)稳态血浆浓度。另外一只大鼠接受输注以达到低(10 ng/ml)、极低(2 ng/ml)和超低(0.4 ng/ml)浓度。通过微透析采集脑细胞外液和血液中的游离吗啡浓度,并通过LC-MS/MS和AMS进行分析。通过AMS测量时,低稳态水平和中稳态水平的游离药物平均分配系数(K(p,uu))值分别为0.22±0.08和0.21±0.05[无显著差异(NS);p = 0.5]。通过LC-MS/MS测量时,中稳态水平和高稳态水平的K(p,uu)值分别为0.24±0.05和0.26±0.05(NS;p = 0.2)。通过AMS测量时,低、极低和超低稳态水平的K(p,uu)值分别为0.16±0.01、0.16±0.02和先0.18±0.03。通过AMS测量时,中浓度的K(p,uu)值平均比通过LC-MS/MS测量时低16%。在625倍的浓度范围内(0.4 - 250 ng/ml),K(p,uu)没有显著变化。使用这些低浓度无法将主动摄取转运与主动外流转运区分开来。两种分析方法对血浆浓度的结果无明显差异,但对微透析样品的结果差异高达38%;然而,这种差异并不影响我们的结论。

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