DeVane C L, Simpkins J W, Miller R L, Braun S B
Department of Pharmacy Practice, College of Pharmacy, University of Florida, Gainesville 32610.
Life Sci. 1989;45(14):1271-6. doi: 10.1016/0024-3205(89)90129-x.
Cocaine hydrochloride was administered by single intraperitoneal (IP) doses to pregnant rats at day 18 or 19 of gestation. Plasma and tissue cocaine and norcocaine concentrations were measured by high-pressure liquid chromatography. Pharmacokinetic analysis of concentration versus time data showed rapid distribution of cocaine and its metabolite to maternal and fetal tissues. The area under the cocaine concentration versus time curve (AUC) in fetus compared to maternal plasma was 3.33. The half-life of cocaine in the maternal plasma and fetus was 46 and 55 minutes, respectively, similar to values reported for cocaine elimination half-life in human plasma. The order of cocaine concentrations was placenta greater than fetal liver greater than maternal heart greater than whole fetus greater than fetal brain greater than maternal brain = maternal plasma. Norcocaine concentrations were usually less than 20% of cocaine concentrations in plasma and tissues. These results support extensive fetal exposure to cocaine following administration to pregnant rodents. Pharmacodynamic studies of cocaine in pregnancy should consider the effects of the drug on the developing fetus.
在妊娠第18天或第19天,给怀孕大鼠单次腹腔注射盐酸可卡因。通过高压液相色谱法测量血浆和组织中的可卡因及去甲可卡因浓度。浓度与时间数据的药代动力学分析表明,可卡因及其代谢产物能迅速分布到母体和胎儿组织中。胎儿体内可卡因浓度与时间曲线下面积(AUC)与母体血浆的比值为3.33。可卡因在母体血浆和胎儿体内的半衰期分别为46分钟和55分钟,与报道的人体血浆中可卡因消除半衰期值相似。可卡因浓度顺序为胎盘>胎儿肝脏>母体心脏>整个胎儿>胎儿脑>母体脑 = 母体血浆。血浆和组织中去甲可卡因浓度通常不到可卡因浓度的20%。这些结果表明,给怀孕啮齿动物给药后,胎儿会大量接触可卡因。孕期可卡因的药效学研究应考虑该药物对发育中胎儿的影响。