Fujita H
Gan To Kagaku Ryoho. 1982 Aug;9(8):1362-73.
Pharmacokinetics of MMC was studied by bioassay method in cancer patients and experimental animals, and they were compared with those of a new mitomycin derivative, KW-2083. The blood level of MMC decreased relative by rapidly, t 1/2 beta in iv dose of 30, 20 and 10 mg/body to man was 50, 41 and 33 minutes, respectively. The drug level was able to increase locally by employing perfusion, arterial infusion, hemi-upper body infusion and intra-cavitary injection. The tissue level of MMC was high in the lung, kidney, muscle and skin, and moderate in the tumor of S180 bearing mice. MMC was inactivated strongly in the homogenates of the liver and kidney, and moderately in the heart and intestine of human tissues. The inactivation was enhanced by the addition of NADPH, vitamin B6, glutathione, etc. The blood level of KW-2083 in patients and mice decreased more rapidly than MMC. T 1/2 beta of KW-2083 in patients after iv injection at 70, 40 and 20 mg/body was about 18 minutes. The tissue level of KW-2083 in S 180 bearing mice was the highest in the lung and skin, followed by the kidney and tumor. The elimination rate of the drug from each tissue was more rapid than that of MMC. KW-2083 was highly excreted into the bile and more highly inactivated in the homogenates of the liver, kidney, muscle, etc. as compared with MMC. These pharmacokinetic behaviours of KW-2083 might be related to the lower toxicity and higher therapeutic ratio in experimental animals.
采用生物测定法在癌症患者和实验动物中研究了丝裂霉素(MMC)的药代动力学,并将其与一种新的丝裂霉素衍生物KW-2083的药代动力学进行了比较。MMC的血药浓度迅速下降,人体静脉注射剂量为30、20和10mg/体时,β相半衰期分别为50、41和33分钟。通过灌注、动脉注射、上半身灌注和腔内注射可使药物在局部浓度升高。MMC在肺、肾、肌肉和皮肤中的组织浓度较高,在接种S180肿瘤的小鼠肿瘤组织中的浓度适中。MMC在人体肝脏和肾脏匀浆中强烈失活,在心脏和肠道中中度失活。添加烟酰胺腺嘌呤二核苷酸磷酸(NADPH)、维生素B6、谷胱甘肽等可增强失活作用。KW-2083在患者和小鼠中的血药浓度下降比MMC更快。患者静脉注射剂量为70、40和20mg/体后,KW-2083的β相半衰期约为18分钟。接种S180肿瘤的小鼠中,KW-2083的组织浓度在肺和皮肤中最高,其次是肾脏和肿瘤。该药物从各组织中的消除率比MMC更快。与MMC相比,KW-2083大量排泄到胆汁中,在肝脏、肾脏、肌肉等匀浆中更易失活。KW-2083的这些药代动力学行为可能与其在实验动物中较低的毒性和较高的治疗指数有关。