Kaufman J J, Semo N M, Koski W S
J Med Chem. 1975 Jul;18(7):647-55. doi: 10.1021/jm00241a001.
The pKa's, partition coefficients, and drug distribution coefficients (apparent partition coefficients) have been investigated for a number of narcotics and, where possible, for their congener narcotic antagonists. These studies were carried out by a microelectrometric titration technique as a function of temperature and pH. This method enables one to determine not only the dissociation constants to deconvolute overlapping pKa's, but also to determine the solubilities of oil-water distribution of these various drugs. The drug distribution coefficients displayed marked sensitivity to pH at values which span the range of attainable human physiological pH values. This has significant pharmacological implications for proper choice and scaling of drug dosages under various clinical situations. The partition coefficients and drug distribution coefficients were noticeably different at 20 degrees (where such measurements are customarily made) than at 37 degrees (body temperature). Furthermore, various drugs exhibit very nonequivalent increases in drug distribution coefficients with increasing temperature, ranginf from 21% for morephine to 200% for naltrexone. This nonregularity indicates that it will not be valid to extrapolate by any constant factor the measurements made at lower temperatures. Even the true partition coefficients increase with temperature from 20 degrees to 37 degrees. There is more of a difference in the drug distribution coefficients for naloxone and naltrexone than might have been expected from the similarities in their structures with naltrexone being significantly less lipophilic than naloxone. This would imply that this would lead to naloxone having a more rapid onset for antagonist activity and likewise a shorter duration of action than naltrexone.
已经对多种麻醉药品以及在可能的情况下对其同类麻醉拮抗剂的pKa值、分配系数和药物分布系数(表观分配系数)进行了研究。这些研究是通过微电测滴定技术作为温度和pH的函数进行的。该方法不仅能够确定解离常数以解卷积重叠的pKa值,还能确定这些不同药物的油水分布溶解度。药物分布系数在跨越人类可达到的生理pH值范围的值时对pH表现出显著的敏感性。这对于在各种临床情况下正确选择和调整药物剂量具有重要的药理学意义。在20摄氏度(通常进行此类测量的温度)下的分配系数和药物分布系数与在37摄氏度(体温)下明显不同。此外,随着温度升高,各种药物的药物分布系数呈现出非常不等同的增加,范围从吗啡的21%到纳曲酮的200%。这种不规则性表明,通过任何恒定因子外推在较低温度下进行的测量是无效的。即使是真正的分配系数也会随着温度从20摄氏度升高到37摄氏度而增加。纳洛酮和纳曲酮的药物分布系数差异比根据它们结构上的相似性所预期的更大,纳曲酮的亲脂性明显低于纳洛酮。这意味着这将导致纳洛酮的拮抗剂活性起效更快,同样作用持续时间比纳曲酮更短。