Kelly D, Weir D, Reed B, Scott J
J Clin Invest. 1979 Oct;64(4):1089-96. doi: 10.1172/JCI109547.
An increase in folate catabolism has been suggested as the cause of the folate deficiency observed in many clinical conditions, including chronic anticonvulsant therapy. Previous studies have shown that the radioactive catabolites, excreted after an equilibration period of 3 d, consisted exclusively of folates that had been cleaved to produce pteridines and p-aminobenzoylglutamate, most of which was excreted as acetamidobenzoylglutamate. We have developed an experimental animal model using mice to determine the rate of catabolism of [3H]pteroylglutamate (folic acid) by the quantitative estimation of [3H]p-aminobenzoylglutamate and [3H]acetamidobenzoylglutamate in urine. Administration of diphenylhydantoin at three different doses (0.5, 20, and 50 mg/kg) significantly increased the rate of catabolism as measured by an increase in both the mean daily excretion and the cumulative excretion of these catabolites. Administration of intramuscular phenobarbitone on the other hand, did not affect the rate of catabolism, when compared with controls.
叶酸分解代谢增加被认为是许多临床病症(包括长期抗惊厥治疗)中所观察到的叶酸缺乏的原因。先前的研究表明,在3天的平衡期后排出的放射性代谢产物仅由已裂解产生蝶啶和对氨基苯甲酰谷氨酸的叶酸组成,其中大部分以乙酰氨基苯甲酰谷氨酸的形式排出。我们使用小鼠建立了一个实验动物模型,通过定量估计尿液中[3H]对氨基苯甲酰谷氨酸和[3H]乙酰氨基苯甲酰谷氨酸来确定[3H]蝶酰谷氨酸(叶酸)的分解代谢速率。以三种不同剂量(0.5、20和50 mg/kg)给予苯妥英钠,通过这些代谢产物的平均每日排泄量和累积排泄量的增加来衡量,显著提高了分解代谢速率。另一方面,与对照组相比,肌肉注射苯巴比妥并不影响分解代谢速率。