Johnsson A, Olsson C, Nygren O, Nilsson M, Seiving B, Cavallin-Stahl E
Department of Oncology, University Hospital, Lund, Sweden.
Cancer Chemother Pharmacol. 1995;37(1-2):23-31. doi: 10.1007/BF00685625.
The pharmacokinetics of platinum (Pt) and cisplatin (CDDP)-DNA adducts were studied in nude mice after single-dose CDDP treatments. Whole blood, serum, kidney, lever, testis, brain, and tumor were collected at different intervals after injection of CDP at different dose levels. Pt was measured with flameless atomic absorption spectrometry (FAAS) or adsorptive voltammetry (AdV) and CDDP-DNA adducts with quantitative immunohistochemistry. The drug was immediately absorbed into the blood circulation (peak serum Pt levels were reached within 5 min) after i.p. CDDP administration, and distribution into most tissues also occurred rapidly (tissue Pt levels peaked at 15 min). With a sampling period of 7 days there was a biphasic elimination of Pt from blood, serum, and tissues. In the brain the pharmacokinetics differed with a gradual accumulation of Pt occurring during the 1st week. Formation of CDDP-DNA adducts in tissues was a slower process, with maximal levels being achieved at between 30 min and 4 h after drug administration, followed by a steady state lasting for at least 24 h. Each tissue type had its specific immunohistochemical staining pattern of adducts. With escalating CDDP doses there was a linear, or almost linear, increase in Pt concentrations and CDDP-DNA adduct levels in all sample types examined. These results suggest that a fair estimation of the amount of drug in tumor and normal tissues can be made from analysis of serum Pt at a fixed time point after a single dose of CDDP.
在裸鼠单次顺铂(CDDP)治疗后,研究了铂(Pt)和顺铂 - DNA加合物的药代动力学。在不同剂量水平注射CDP后,于不同时间间隔采集全血、血清、肾脏、肝脏、睾丸、脑和肿瘤组织。采用无火焰原子吸收光谱法(FAAS)或吸附伏安法(AdV)测定Pt,并用定量免疫组织化学法测定顺铂 - DNA加合物。腹腔注射CDDP后,药物立即被吸收进入血液循环(血清Pt水平在5分钟内达到峰值),并且药物也迅速分布到大多数组织中(组织Pt水平在15分钟时达到峰值)。在7天的采样期内,血液、血清和组织中的Pt呈现双相消除。在脑中,药代动力学有所不同,Pt在第1周逐渐蓄积。组织中顺铂 - DNA加合物的形成是一个较慢的过程,在给药后30分钟至4小时达到最高水平,随后是持续至少24小时的稳态。每种组织类型都有其特定的加合物免疫组织化学染色模式。随着CDDP剂量的增加,在所检测的所有样本类型中,Pt浓度和顺铂 - DNA加合物水平呈线性或几乎呈线性增加。这些结果表明,在单次给予CDDP后的固定时间点,通过分析血清Pt可以对肿瘤组织和正常组织中的药物量进行合理估计。