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Measurement of blood concentrations of FK506 (tacrolimus) and its metabolites in seven liver graft patients after the first dose by h.p.l.c.-MS and microparticle enzyme immunoassay (MEIA).采用高效液相色谱-质谱联用(h.p.l.c.-MS)和微粒酶免疫分析法(MEIA)测定7例肝移植患者首次给药后FK506(他克莫司)及其代谢物的血药浓度。
Br J Clin Pharmacol. 1994 Dec;38(6):567-71. doi: 10.1111/j.1365-2125.1994.tb04398.x.
2
Tacrolimus (FK506) metabolite patterns in blood from liver and kidney transplant patients.
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3
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Simplified high-performance liquid chromatography-mass spectrometry assay for measurement of tacrolimus and its metabolites and cross-validation with microparticle enzyme immunoassay.
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Evaluation of microparticle enzyme immunoassay against HPLC-mass spectrometry for the determination of whole-blood tacrolimus in heart- and lung-transplant recipients.微粒体酶免疫分析法与高效液相色谱-质谱联用技术测定心肺移植受者全血他克莫司的比较评估
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Pitfalls in monitoring tacrolimus (FK 506).
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GRWR Correlates with the Metabolism of Tacrolimus after Pediatric Living Donor Liver Transplantation According to Donor CYP3A5 Polymorphism.根据供体 CYP3A5 多态性,GRWR 与小儿活体肝移植后他克莫司的代谢相关。
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Examination of the Impact of CYP3A4/5 on Drug-Drug Interaction between Schizandrol A/Schizandrol B and Tacrolimus (FK-506): A Physiologically Based Pharmacokinetic Modeling Approach.考察 CYP3A4/5 对五味子甲素/五味子乙素与他克莫司(FK-506)药物相互作用的影响:基于生理的药代动力学建模方法。
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Clinical pharmacokinetics and pharmacodynamics of tacrolimus in solid organ transplantation.他克莫司在实体器官移植中的临床药代动力学与药效学
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Mechanisms of clinically relevant drug interactions associated with tacrolimus.与他克莫司相关的临床显著药物相互作用机制。
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Primary porcine enterocyte and hepatocyte cultures to study drug oxidation reactions.用于研究药物氧化反应的原代猪肠上皮细胞和肝细胞培养物。
Br J Pharmacol. 2000 Jan;129(2):331-42. doi: 10.1038/sj.bjp.0703062.
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Tacrolimus (FK 506) biotransformation in primary rat hepatocytes depends on extracellular matrix geometry.他克莫司(FK 506)在原代大鼠肝细胞中的生物转化取决于细胞外基质的几何形状。
Naunyn Schmiedebergs Arch Pharmacol. 1996 Mar;353(4):461-73. doi: 10.1007/BF00261444.
7
Clinical pharmacokinetics of tacrolimus.他克莫司的临床药代动力学
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8
Metabolism of the macrolide immunosuppressant, tacrolimus, by the pig gut mucosa in the Ussing chamber.大环内酯类免疫抑制剂他克莫司在尤斯灌流小室中经猪肠黏膜的代谢情况
Br J Pharmacol. 1996 Apr;117(8):1730-4. doi: 10.1111/j.1476-5381.1996.tb15346.x.
9
FK506 (tacrolimus) and its immunoreactive metabolites in whole blood of liver transplant patients and subjects with mild hepatic dysfunction.肝移植患者及轻度肝功能不全受试者全血中的FK506(他克莫司)及其免疫反应性代谢产物。
Pharm Res. 1996 Jan;13(1):137-40. doi: 10.1023/a:1016002005912.
10
A risk-benefit assessment of tacrolimus in transplantation.他克莫司在移植中的风险效益评估。
Drug Saf. 1995 May;12(5):348-57. doi: 10.2165/00002018-199512050-00006.

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Cyclosporin metabolism in transplant patients.
Pharmacol Ther. 1993 Feb-Mar;57(2-3):291-345. doi: 10.1016/0163-7258(93)90059-m.
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Pharmacokinetics of FK506 in liver transplant recipients after continuous intravenous infusion.肝移植受者持续静脉输注FK506后的药代动力学
J Clin Pharmacol. 1993 Jul;33(7):606-11. doi: 10.1002/j.1552-4604.1993.tb04712.x.
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Plasma level-guided low-dose FK 506 therapy in patients with early liver dysfunction after liver transplantation.
Transplant Proc. 1993 Aug;25(4):2688-90.
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Use of FK 506 in kidney transplantation.
Transplant Proc. 1993 Jun;25(3):2250-2.
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Adverse effects of FK 506 overdosage after liver transplantation.肝移植后FK 506过量的不良反应。
Transplant Proc. 1993 Feb;25(1 Pt 1):628-34.
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Isolation, identification, and biological activities of oxidative metabolites of FK506, a potent immunosuppressive macrolide lactone.
Drug Metab Dispos. 1993 Nov-Dec;21(6):971-7.
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Tacrolimus. A review of its pharmacology, and therapeutic potential in hepatic and renal transplantation.他克莫司。其药理学及在肝移植和肾移植中的治疗潜力综述。
Drugs. 1993 Oct;46(4):746-94. doi: 10.2165/00003495-199346040-00009.
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Clinical pharmacokinetics of cyclosporin.环孢素的临床药代动力学
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9
FK 506 for liver, kidney, and pancreas transplantation.用于肝脏、肾脏和胰腺移植的FK 506。
Lancet. 1989 Oct 28;2(8670):1000-4. doi: 10.1016/s0140-6736(89)91014-3.
10
A highly sensitive method to assay FK-506 levels in plasma.一种检测血浆中FK-506水平的高灵敏度方法。
Transplant Proc. 1987 Oct;19(5 Suppl 6):23-9.

采用高效液相色谱-质谱联用(h.p.l.c.-MS)和微粒酶免疫分析法(MEIA)测定7例肝移植患者首次给药后FK506(他克莫司)及其代谢物的血药浓度。

Measurement of blood concentrations of FK506 (tacrolimus) and its metabolites in seven liver graft patients after the first dose by h.p.l.c.-MS and microparticle enzyme immunoassay (MEIA).

作者信息

Gonschior A K, Christians U, Braun F, Winkler M, Linck A, Baumann J, Sewing K F

机构信息

Institut für Allgemeine Pharmakologie, Medizinische Hochschule Hannover, Germany.

出版信息

Br J Clin Pharmacol. 1994 Dec;38(6):567-71. doi: 10.1111/j.1365-2125.1994.tb04398.x.

DOI:10.1111/j.1365-2125.1994.tb04398.x
PMID:7534100
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1364920/
Abstract
  1. Blood and urine concentrations of the macrolide immunosuppressant FK506 and its metabolites were measured in seven orthotopic liver transplant patients after the first oral dose of FK506 (0.04 +/- 0.02 mg kg-1) used as primary immunosuppressant. A specific h.p.l.c.-MS assay was used, allowing the measurement of parent drug and eight metabolites. Results were compared with those obtained using a microparticle enzyme immunoassay (MEIA). 2. Blood drug concentrations were described by an open two compartment model with first-order absorption giving the following mean data: tmax: 1.9 (h), Cmax: 17.4 (microgram l-1), AUC: 328.1 (microgram l-1 h), t1/2,1: 0.74 (h). The terminal elimination half-life was estimated at about 26 h using the h.p.l.c.-MS assay. 3. The metabolites found in blood were demethyl-FK506 and demethyl-hydroxy-FK506, while in urine FK506 and eight of its metabolites were detected.
摘要
  1. 对7例原位肝移植患者在首次口服作为主要免疫抑制剂的大环内酯类免疫抑制剂FK506(0.04±0.02mg/kg-1)后,测定其血液和尿液中FK506及其代谢产物的浓度。采用一种特定的高效液相色谱-质谱分析法,可测定母体药物和8种代谢产物。将结果与使用微粒酶免疫测定法(MEIA)获得的结果进行比较。2. 血药浓度用具有一级吸收的开放二室模型描述,得出以下平均数据:达峰时间:1.9(小时),峰浓度:17.4(微克/升),曲线下面积:328.1(微克/升·小时),分布相半衰期:0.74(小时)。使用高效液相色谱-质谱分析法估计终末消除半衰期约为26小时。3. 在血液中发现的代谢产物为去甲基-FK506和去甲基-羟基-FK506,而在尿液中检测到FK506及其8种代谢产物。