Youdim M B, Bakhle Y S, Ben-Harari R R
Ciba Found Symp. 1980;78:105-28. doi: 10.1002/9780470720615.ch6.
Inactivation of monoamines was the first pharmacokinetic property of lung to be identified. For some amines inactivation in perfused lung but not in liver is limited by uptake. Inactivation of beta-phenylethylamine in lung is limited not by uptake but by the activity of intracellular monoamine oxidase. The uptake of this amine is like that of basic drugs such as amphetamine and propranolol. Changes in the external environment of the lung (exposure in vivo to gaseous anaesthetics or to high concentrations of oxygen, greater than 95%) change amine inactivation processes in lung. The oestrous cycle and administration of ovarian steroids also affect the inactivation of 5-hydroxytryptamine and phenylethylamine. Monoamine oxidase activity in lung homogenates is highest at met- and lowest at pro-oestrus for both substrates. However, in perfused lung, inactivation is better correlated with variations in uptake. Therefore the main effect of the oestrous cycle is on uptake rather than on enzymic activity. Uptake processes are thus crucial determinants of monoamine activation in lung and the pharmacokinetic properties of lung are capable of responding to changes in its internal or external environment.
单胺的失活是肺脏被确认的首个药代动力学特性。对于某些胺类而言,灌注肺脏而非肝脏中的失活受摄取限制。肺脏中β-苯乙胺的失活并非受摄取限制,而是受细胞内单胺氧化酶活性的限制。这种胺类的摄取与诸如苯丙胺和普萘洛尔等碱性药物的摄取相似。肺脏外部环境的变化(体内暴露于气态麻醉剂或高浓度氧气,大于95%)会改变肺脏中的胺类失活过程。发情周期和卵巢类固醇的给药也会影响5-羟色胺和苯乙胺的失活。对于这两种底物,肺匀浆中的单胺氧化酶活性在动情期最高,在发情前期最低。然而,在灌注肺脏中,失活与摄取变化的相关性更好。因此,发情周期的主要影响在于摄取而非酶活性。摄取过程因此是肺脏中单胺活化的关键决定因素,并且肺脏的药代动力学特性能够对其内部或外部环境的变化做出反应。