Fix J A, Alexander J, Cortese M, Engle K, Leppert P, Repta A J
INTERx Research Corporation, Subsidiary of Merck & Co., Inc., Lawrence, Kansas 66047.
Pharm Res. 1990 Apr;7(4):384-7. doi: 10.1023/a:1015823523388.
Short-chain alkyl esters of L-dopa were administered to rats and mice via oral and rectal routes. Plasma L-dopa esters and L-dopa were determined in the systemic and portal circulation by HPLC. A comparison of isopropyl, butyl, and 4-hydroxybutyl esters of L-dopa demonstrated significantly higher levels of the esters in both systemic and portal blood samples following rectal administration than following oral administration. In most cases, oral administration resulted in nondetectable (less than 0.01 micrograms/ml) levels of the esters in plasma. Correspondingly, the plasma levels of L-dopa itself were consistently higher following rectal administration. At very high oral doses (500 mg L-dopa equivalents/kg body weight), systemic plasma levels of the butyl ester could be detected (1.25 micrograms/ml at 10 min), which might indicate saturation of the esterase activity of the small intestine. These studies indicate that the systemic availability of L-dopa from short-chain alkyl esters of L-dopa may be best optimized by rectal administration, which avoids the relatively high esterase activity characteristic of the small intestine.
将左旋多巴的短链烷基酯经口服和直肠途径给予大鼠和小鼠。通过高效液相色谱法测定全身循环和门静脉循环中的血浆左旋多巴酯和左旋多巴。左旋多巴异丙酯、丁酯和4-羟基丁酯的比较表明,直肠给药后全身和门静脉血样中酯的水平显著高于口服给药后。在大多数情况下,口服给药导致血浆中酯的水平无法检测到(低于0.01微克/毫升)。相应地,直肠给药后左旋多巴本身的血浆水平持续较高。在非常高的口服剂量(500毫克左旋多巴当量/千克体重)下,可以检测到丁酯的全身血浆水平(10分钟时为1.25微克/毫升),这可能表明小肠酯酶活性饱和。这些研究表明,通过直肠给药可以最好地优化左旋多巴短链烷基酯中左旋多巴的全身可用性,这避免了小肠相对较高的酯酶活性。