Fabre J, Rudhart M, Dayer P, Balant L
Schweiz Med Wochenschr. 1980 Feb 16;110(7):264-8.
In order to study the behavior of two cephalosporines in various tissues, 100 mg/kg of cefoperazone (CPZ) or cefalotine (CLT) were administered intraperitoneally to Wistar rats. The animals were sacrificed by groups of 6 at intervals ranging from 30 min to 6 hours after the injection and bioassay of the antibiotic was carried out in 9 organs, the serum, and urine. There are marked differences in tissue affinity for each antibiotic, as well as between the tow antibiotics. With the exception of the renal medulla, CPZ penetrates most tissues better than CLT. This difference is particularly striking in the liver. The decline of concentrations is nearly the same in tissues and serum; it is 2--3 times slower for CPZ. Concentration of CPZ exceed 1 microgram/g for more than 6 hours in the kidney and 4 hours in the liver, whereas CLT cannot be quantified after 2 hours in the kidney and after 1 hour in the liver. As has been noted for other antibiotics, plasma protein binding has only limited influence on cephalosporin penetration into tissues. This study of pharmacokinetics in tissues shows that CPZ permeates well those tissues where it is supposed to be effective and remains there longer than CLT. The study illustrates a method which provides a better understanding of the mechanisms responsible for antibiotic action.
为研究两种头孢菌素在不同组织中的行为,将100mg/kg头孢哌酮(CPZ)或头孢噻吩(CLT)腹腔注射给Wistar大鼠。在注射后30分钟至6小时的不同时间间隔,将动物按每组6只进行处死,并在9个器官、血清和尿液中进行抗生素的生物测定。每种抗生素在组织亲和力方面存在显著差异,两种抗生素之间也有差异。除肾髓质外,CPZ在大多数组织中的渗透能力优于CLT。这种差异在肝脏中尤为明显。组织和血清中浓度的下降情况几乎相同;CPZ的下降速度慢2至3倍。CPZ在肾脏中的浓度超过1μg/g的时间超过6小时,在肝脏中超过4小时,而CLT在肾脏中2小时后、在肝脏中1小时后就无法定量。正如其他抗生素所观察到的,血浆蛋白结合对头孢菌素渗透到组织中的影响有限。这项组织药代动力学研究表明,CPZ能很好地渗透到预期其有效的组织中,并且在那里停留的时间比CLT更长。该研究阐明了一种能更好理解抗生素作用机制的方法。