Dexter E U, Yamashita T S, Donovan C, Gerson S L
Department of Medicine, University Hospitals of Cleveland, Ohio.
Cancer Res. 1989 Jul 1;49(13):3520-4.
The purine analogue O6-methylguanine is an effective biochemical modulator of the DNA repair protein O6-alkylguanine-DNA alkyltransferase. Inactivation of the alkyltransferase by O6-methylguanine sensitizes tumor cells to nitrosoureas in vitro. The pharmacokinetics of O6-methylguanine were evaluated in female Sprague-Dawley rats following administration of a single 40 mg/kg i.v. bolus dose. Two-compartment pharmacokinetic analysis revealed a terminal elimination half-life of 2.3 +/- 0.68 h, a total body clearance of 6.0 +/- 0.53 ml/min/kg, and a volume of distribution at steady state of 948 +/- 186 ml/kg. To inactivate the alkyltransferase, 80 mg/kg O6-methylguanine was given at 0 and 2 h. Alkyltransferase decreased in bone marrow, kidney, lung, spleen, and intestine by 20-90%. Regeneration of alkyltransferase activity was observed 22-70 h after the first bolus dose of O6-methylguanine. A continuous infusion protocol, which achieved a steady state serum concentration of 10.3 +/- 1.5 micrograms O6-methylguanine/ml at 15 h, resulted in a similar degree of inactivation of tissue alkyltransferase to that observed following bolus drug infusion. O6-Methylguanine tissue concentrations, including that determined in brain, were 1.7- to 4-fold higher than that in serum, indicating that O6-methylguanine is concentrated in most if not all tissues. These studies establish pharmacokinetic parameters of O6-methylguanine in rats and suggest that effective biochemical modulation of alkyltransferase can be achieved in vivo. Further studies are indicated to assess the extent to which biochemical modulation of alkyltransferase reduces tumor nitrosourea resistance in vivo.
嘌呤类似物O6-甲基鸟嘌呤是DNA修复蛋白O6-烷基鸟嘌呤-DNA烷基转移酶的一种有效生化调节剂。O6-甲基鸟嘌呤使烷基转移酶失活,可在体外使肿瘤细胞对亚硝基脲敏感。在雌性Sprague-Dawley大鼠静脉注射单次40mg/kg大剂量后,对O6-甲基鸟嘌呤的药代动力学进行了评估。二室药代动力学分析显示,终末消除半衰期为2.3±0.68小时,全身清除率为6.0±0.53ml/分钟/千克,稳态分布容积为948±186ml/千克。为使烷基转移酶失活,在0小时和2小时给予80mg/kg的O6-甲基鸟嘌呤。骨髓、肾脏、肺、脾脏和肠道中的烷基转移酶降低了20%-90%。在首次给予O6-甲基鸟嘌呤大剂量后22-70小时观察到烷基转移酶活性的再生。一种持续输注方案在15小时时达到了10.3±1.5μg O6-甲基鸟嘌呤/毫升的稳态血清浓度,导致组织烷基转移酶失活程度与推注药物输注后观察到的相似。包括在大脑中测定的O6-甲基鸟嘌呤组织浓度比血清中的高1.7至4倍,表明O6-甲基鸟嘌呤在大多数(如果不是全部)组织中都有浓缩。这些研究确定了O6-甲基鸟嘌呤在大鼠中的药代动力学参数,并表明在体内可以实现对烷基转移酶的有效生化调节。需要进一步研究以评估烷基转移酶的生化调节在体内降低肿瘤对亚硝基脲耐药性的程度。