Inoue A, Deguchi T
Jpn J Antibiot. 1982 Aug;35(8):1998-2004.
Spiramycin (SPM) and acetylspiramycin (ASPM) have been known to be potent macrolide antibiotics in vivo, although spiramycins had rather mild antimicrobial activities in vitro. The physiological disposition of SPM and ASPM could participate in their in vivo activities. 14C-labeled SPM-I or 3H-labeled ASPM was administered intravenously in rats (20 mg/kg), and plasma levels, excretion and distribution have been studied. The plasma levels of SPM-I and ASPM were low both in radioactivity and bioactivity. After intravenous administration, 14C-SPM-I was excreted by 48 hours into urine, bile and faeces at the rates of 39.6, 31.4% and 37.1%, respectively. And 27.8% of the dose was recovered into urine by 48 hours after administration of 3H-ASPM. Higher radioactivities were detected in the spleen, kidney cortex, submaxillary gland, liver and lung by whole body autoradiography 1 hour after intravenous administration, and the levels tended to be retained until 24 hours. After intravenous administration at the dose rate of 50 mg/kg, the biological half-lives (T 1/2) of ASPM,SPM-I, josamycin and midecamycin were 151, 103, 71 minutes and 54 minutes, respectively, and the apparent volumes of distribution (V beta) were 9.2, 8.9, 3.6 L/kg and 7.7 L/kg, respectively. From these results, it was suggested that the highest activity observed for ASPM in experimental mice infections might be correlated with high affinity for the tissues and the long biological half-life of ASPM.
虽然螺旋霉素在体外的抗菌活性相当温和,但已知螺旋霉素(SPM)和乙酰螺旋霉素(ASPM)在体内是强效大环内酯类抗生素。SPM和ASPM的生理处置可能参与其体内活性。将14C标记的SPM-I或3H标记的ASPM以20mg/kg的剂量静脉注射给大鼠,并研究了血浆水平、排泄和分布情况。SPM-I和ASPM的血浆放射性水平和生物活性水平都很低。静脉注射后,14C-SPM-I在48小时内以39.6%、31.4%和37.1%的速率分别排泄到尿液、胆汁和粪便中。在给予3H-ASPM后48小时,27.8%的剂量可在尿液中回收。静脉注射1小时后,通过全身放射自显影在脾脏、肾皮质、颌下腺、肝脏和肺中检测到较高的放射性,且这些水平倾向于维持到24小时。以50mg/kg的剂量速率静脉注射后,ASPM、SPM-I、交沙霉素和麦迪霉素的生物半衰期(T1/2)分别为151分钟、103分钟、71分钟和54分钟,表观分布容积(Vβ)分别为9.2L/kg、8.9L/kg、3.6L/kg和7.7L/kg。从这些结果表明,在实验小鼠感染中观察到的ASPM的最高活性可能与其对组织的高亲和力和ASPM的长生物半衰期有关。