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大鼠急性肾衰竭引起的药物动力学变化的临床前模型

Preclinical modeling of changes in drug kinetics caused by acute renal failure in rats.

作者信息

Morávek J, Schück O, Hatala M, Príborský J

出版信息

J Pharmacokinet Biopharm. 1987 Feb;15(1):15-23. doi: 10.1007/BF01062936.

DOI:10.1007/BF01062936
PMID:3625477
Abstract

The rates of total and extrarenal elimination of amikacin, cefoperazone, ceftriaxone, gentamicin, mesocain, theophylline, tobramycin, and polyfructosane-S were determined in rats with intact kidneys and in those after bilateral nephrectomy. While the values of the elimination constants of the tested drugs were markedly higher in the rats than in man, the ratio of nonrenal and total elimination constants, expressing the fraction of drugs eliminated extrarenally, is close to the value found in man. These findings suggest that the model might be useful in preclinical drug testing and can help in the prediction of changes in the kinetics of drugs caused by renal failure.

摘要

在肾脏完好的大鼠以及双侧肾切除后的大鼠中,测定了阿米卡星、头孢哌酮、头孢曲松、庆大霉素、美索卡因、茶碱、妥布霉素和聚果糖酐 -S的总消除率和肾外消除率。虽然受试药物在大鼠中的消除常数数值明显高于人类,但非肾消除常数与总消除常数的比值(表示肾外消除的药物分数)与在人类中发现的值接近。这些发现表明,该模型可能在临床前药物测试中有用,并且有助于预测肾衰竭引起的药物动力学变化。

相似文献

1
Preclinical modeling of changes in drug kinetics caused by acute renal failure in rats.大鼠急性肾衰竭引起的药物动力学变化的临床前模型
J Pharmacokinet Biopharm. 1987 Feb;15(1):15-23. doi: 10.1007/BF01062936.
2
Changes of pharmacokinetic in rats after bilateral nephrectomy--a model for prediction of pharmacokinetic changes in patients with chronic renal insufficiency.双侧肾切除术后大鼠药代动力学的变化——一种预测慢性肾功能不全患者药代动力学变化的模型
Czech Med. 1986;9(3):153-6.
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Intestinal absorption of drugs in rats with glycerol-induced acute renal failure.甘油诱导的急性肾衰竭大鼠的药物肠道吸收
Chem Pharm Bull (Tokyo). 1988 May;36(5):1847-56. doi: 10.1248/cpb.36.1847.
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Altered disposition of drugs in acute renal failure rat models: drug development strategies and perspectives.急性肾衰竭大鼠模型中药物处置的改变:药物研发策略与展望
Arzneimittelforschung. 2010;60(12):731-48. doi: 10.1055/s-0031-1296349.
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Effect of experimental acute renal failure on intestinal barriers to drug absorption.实验性急性肾衰竭对肠道药物吸收屏障的影响。
Chem Pharm Bull (Tokyo). 1984 Jun;32(6):2471-3. doi: 10.1248/cpb.32.2471.
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Clinical review: Drug metabolism and nonrenal clearance in acute kidney injury.临床综述:急性肾损伤中的药物代谢与非肾清除率
Crit Care. 2008;12(6):235. doi: 10.1186/cc7093. Epub 2008 Nov 12.
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Effect of acute renal failure on the disposition of cefoperazone.急性肾衰竭对头孢哌酮处置的影响。
J Pharm Pharmacol. 1999 Mar;51(3):361-6. doi: 10.1211/0022357991772376.
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Plasma elimination kinetics and renal handling of copper/zinc superoxide dismutase in the rat.大鼠体内铜/锌超氧化物歧化酶的血浆消除动力学及肾脏处理情况
Acta Physiol Scand. 1988 Sep;134(1):65-74. doi: 10.1111/j.1748-1716.1988.tb08460.x.
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Consequences of renal insufficiency on the hepatic clearance of some drugs.肾功能不全对某些药物肝脏清除率的影响。
Int J Clin Pharmacol Res. 1983;3(6):459-74.
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Effect of anesthesia on drug disposition in the rat.
J Pharmacobiodyn. 1982 Feb;5(2):112-9. doi: 10.1248/bpb1978.5.112.

引用本文的文献

1
An experimental model for pharmacokinetic analysis in renal failure.
J Pharmacokinet Biopharm. 1990 Feb;18(1):71-86. doi: 10.1007/BF01063622.
2
The pharmacokinetics of gamma-glutamyl-L-dopa in normal and anephric rats and rats with glycerol-induced acute renal failure.γ-谷氨酰-L-多巴在正常大鼠、无肾大鼠及甘油诱导的急性肾衰竭大鼠中的药代动力学。
Br J Pharmacol. 1990 Oct;101(2):301-6. doi: 10.1111/j.1476-5381.1990.tb12705.x.

本文引用的文献

1
[Analytical study of the metabolites of trimecaine].[三甲卡因代谢物的分析研究]
Cesk Farm. 1984 Jun;33(5):192-5.
2
Calculation of drug dosage regimens in patients with renal disease: a new nomographic method.肾病患者给药方案的计算:一种新的列线图法。
Int J Clin Pharmacol Biopharm. 1975 Jan;11(1):76-80.
3
A modified ultraviolet spectrophotometric method for the determination of theophylline in serum in the presence of barbiturates.一种在存在巴比妥类药物的情况下测定血清中茶碱的改良紫外分光光度法。
Clin Chim Acta. 1976 Jun 15;69(3):491-5. doi: 10.1016/0009-8981(76)90123-6.