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采用负离子化学电离气相色谱-质谱联用技术对使用丙戊酸的患者进行代谢谱分析。

Metabolic profiling of valproic acid in patients using negative-ion chemical ionization gas chromatography-mass spectrometry.

作者信息

Kassahun K, Farrell K, Zheng J J, Abbott F

机构信息

Faculty of Pharmaceutical Sciences, University of British Columbia, Vancouver, Canada.

出版信息

J Chromatogr. 1990 May 18;527(2):327-41. doi: 10.1016/s0378-4347(00)82116-7.

DOI:10.1016/s0378-4347(00)82116-7
PMID:2117614
Abstract

A negative-ion chemical ionization gas chromatographic-mass spectrometric method for the determination of valproic acid (VPA) and fourteen of its metabolites in a single chromatographic run is reported. The assay features the use of four internal standards and is applicable to the analysis of small serum and urine volumes. A combination of pentafluorobenzyl and trimethylsilyl derivatization resulted in the [M - 181]- ion as the base peak for all the metabolites measured. When these ions were monitored sensitivities in the low picogram levels were achieved. The VPA metabolite profile was determined in pediatric patients on VPA monotherapy and on combined VPA therapy with either carbamazepine or clobazam. The recently characterized diene metabolite, (E,E)-2,3'-diene-VPA, was found to be a major serum metabolite of VPA. In the patient groups taking VPA in combination with carbamazepine, the induction of omega and omega-1 pathways of VPA metabolism was apparent, while the levels of the beta-oxidation products were significantly decreased.

摘要

报道了一种负离子化学电离气相色谱 - 质谱法,可在一次色谱运行中测定丙戊酸(VPA)及其十四种代谢物。该测定法采用四种内标,适用于少量血清和尿液的分析。五氟苄基和三甲基硅烷基衍生化的组合使得所测的所有代谢物的[M - 181]-离子成为基峰。当监测这些离子时,可实现低皮克水平的灵敏度。在接受VPA单一疗法以及VPA与卡马西平或氯巴占联合疗法的儿科患者中测定了VPA代谢物谱。最近鉴定出的二烯代谢物(E,E)-2,3'-二烯 - VPA被发现是VPA的主要血清代谢物。在接受VPA与卡马西平联合治疗的患者组中,VPA代谢的ω和ω-1途径的诱导明显,而β-氧化产物的水平显著降低。

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引用本文的文献

1
Differentiation between valproate-induced anticonvulsant effect, teratogenicity and hepatotoxicity. Aspects of species variation, pharmacokinetics, metabolism and implications of structural specificity for the development of alternative antiepileptic agents such as delta 2-valproate.丙戊酸盐诱导的抗惊厥作用、致畸性和肝毒性之间的差异。物种差异、药代动力学、代谢方面以及结构特异性对开发替代抗癫痫药物(如δ2-丙戊酸盐)的影响。
Pharm Weekbl Sci. 1992 Jun 19;14(3A):101-7. doi: 10.1007/BF01962697.