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药物与大鼠血浆蛋白结合程度的发育变化。

Developmental changes in the extent of drug binding to rat plasma proteins.

机构信息

Department of Neuroscience, Central Clinical School, Monash University, Melbourne, VIC, Australia.

出版信息

Sci Rep. 2023 Jan 23;13(1):1266. doi: 10.1038/s41598-023-28434-1.


DOI:10.1038/s41598-023-28434-1
PMID:36690711
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9870879/
Abstract

Binding of therapeutics to proteins in blood plasma is important in influencing their distribution as it is their free (unbound) form that is able to cross cellular membranes to enter tissues and exert their actions. The concentration and composition of plasma proteins vary during pregnancy and development, resulting in potential changes to drug protein binding. Here, we describe an ultrafiltration method to investigate the extent of protein binding of six drugs (digoxin, paracetamol, olanzapine, ivacaftor, valproate and lamotrigine) and two water soluble inert markers (sucrose and glycerol) to plasma proteins from pregnant and developing rats. Results showed that the free fraction of most drugs was lower in the non-pregnant adult plasma where protein concentration is the highest. However, plasma of equivalent protein concentration to younger pups obtained by diluting adult plasma did not always exhibit the same extent of drug binding, reinforcing the likelihood that both concentration and composition of proteins in plasma influence drug binding. Comparison between protein binding and brain drug accumulation in vivo revealed a correlation for some drugs, but not others. Results suggests that plasma protein concentration should be considered when using medications in pregnant and paediatric patients to minimise potential for fetal and neonatal drug exposure.

摘要

药物与血浆蛋白的结合在影响其分布中起着重要作用,因为只有游离(未结合)形式的药物才能穿过细胞膜进入组织并发挥作用。血浆蛋白的浓度和组成在怀孕期间和发育过程中会发生变化,从而导致药物与蛋白的结合可能发生变化。在这里,我们描述了一种超滤方法,用于研究 6 种药物(地高辛、对乙酰氨基酚、奥氮平、依伐卡托、丙戊酸和拉莫三嗪)和 2 种水溶性惰性标志物(蔗糖和甘油)与来自怀孕和发育中的大鼠的血浆蛋白结合的程度。结果表明,大多数药物的游离分数在非妊娠成年期血浆中较低,因为此时蛋白浓度最高。然而,通过稀释成年期血浆获得的与幼崽具有相同蛋白浓度的血浆并不总是表现出相同的药物结合程度,这进一步证实了血浆中蛋白的浓度和组成都可能影响药物的结合。体内药物结合与脑内药物蓄积的比较显示,一些药物存在相关性,但其他药物则没有。结果表明,在孕妇和儿科患者中使用药物时应考虑血浆蛋白浓度,以尽量减少胎儿和新生儿暴露于药物的潜在风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d227/9870879/0e2c815ff65c/41598_2023_28434_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d227/9870879/74f3effcddfe/41598_2023_28434_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d227/9870879/ad6308b87824/41598_2023_28434_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d227/9870879/f0dd16ef5cc5/41598_2023_28434_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d227/9870879/82b1c7c3b326/41598_2023_28434_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d227/9870879/428ed3ced48c/41598_2023_28434_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d227/9870879/0e2c815ff65c/41598_2023_28434_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d227/9870879/74f3effcddfe/41598_2023_28434_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d227/9870879/ad6308b87824/41598_2023_28434_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d227/9870879/f0dd16ef5cc5/41598_2023_28434_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d227/9870879/82b1c7c3b326/41598_2023_28434_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d227/9870879/428ed3ced48c/41598_2023_28434_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d227/9870879/0e2c815ff65c/41598_2023_28434_Fig6_HTML.jpg

相似文献

[1]
Developmental changes in the extent of drug binding to rat plasma proteins.

Sci Rep. 2023-1-23

[2]
Entry of the antipsychotic drug, olanzapine, into the developing rat brain in mono- and combination therapies.

F1000Res. 2022

[3]
Plasma protein binding of drugs in pregnancy and in neonates.

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[4]
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[5]
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[6]
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[7]
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[8]
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[9]
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[10]
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引用本文的文献

[1]
Paracetamol, its metabolites, and their transfer between maternal circulation and fetal brain in mono- and combination therapies.

Pharmacol Rep. 2025-4

[2]
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Molecules. 2024-5-10

[3]
Entry of cannabidiol into the fetal, postnatal and adult rat brain.

Cell Tissue Res. 2024-5

本文引用的文献

[1]
Regulation of Drug Transport Proteins-From Mechanisms to Clinical Impact: A White Paper on Behalf of the International Transporter Consortium.

Clin Pharmacol Ther. 2022-9

[2]
Free Drug Theory - No Longer Just a Hypothesis?

Pharm Res. 2022-2

[3]
Entry of antiepileptic drugs (valproate and lamotrigine) into the developing rat brain.

F1000Res. 2021

[4]
Entry of cystic fibrosis transmembrane conductance potentiator ivacaftor into the developing brain and lung.

J Cyst Fibros. 2021-9

[5]
Biological barriers, and the influence of protein binding on the passage of drugs across them.

Mol Biol Rep. 2020-4

[6]
An overview of albumin and alpha-1-acid glycoprotein main characteristics: highlighting the roles of amino acids in binding kinetics and molecular interactions.

Heliyon. 2019-11-21

[7]
Determinants of drug entry into the developing brain.

F1000Res. 2019-8-7

[8]
Use of Prescribed Psychotropics during Pregnancy: A Systematic Review of Pregnancy, Neonatal, and Childhood Outcomes.

Brain Sci. 2019-9-14

[9]
Recent Developments in Understanding Barrier Mechanisms in the Developing Brain: Drugs and Drug Transporters in Pregnancy, Susceptibility or Protection in the Fetal Brain?

Annu Rev Pharmacol Toxicol. 2018-9-5

[10]
Physiology and molecular biology of barrier mechanisms in the fetal and neonatal brain.

J Physiol. 2018-7-15

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