Innocenti F, Danesi R, Di Paolo A, Agen C, Nardini D, Bocci G, Del Tacca M
Institute of Medical Pharmacology, University of Pisa, Italy.
Drug Metab Dispos. 1995 Jul;23(7):713-7.
The pharmacokinetics of single intraperitoneal doses of paclitaxel (18 and 36 mg/kg) in mice were investigated in the present study. The analysis of drug concentrations by HPLC indicated that the plasma Cmax (13.0 +/- 3.1 and 25.7 +/- 2.8 micrograms/ml, respectively) were reached at the 2nd hr. The values of CL were low (0.06 and 0.1 ml/min, respectively), and t1/2 beta values of 3.0 and 3.7 hr were found, after 18 and 36 mg/kg, respectively. The highest tissue concentrations were observed in the liver (50.2 +/- 3.1 and 92.0 +/- 9.5 micrograms/g respectively), followed by the pancreas (39.3 +/- 9.9 micrograms/g) and the ovary (53.4 +/- 5.6 micrograms/g) after 18 and 36 mg/kg, respectively. In the case of the colic tissue, paclitaxel Cmax were 14.4 +/- 0.8 and 32.8 +/- 3.5 micrograms/g at the 3rd hr, respectively, with sustained drug levels still detectable 24 hr after treatment. Paclitaxel Cmax values of 12.7 +/- 3.0 and 53.4 +/- 5.6 micrograms/g were detected in the ovary after 18 and 36 mg/kg, respectively. The overall results provide evidence that, after intraperitoneal administration, paclitaxel concentrates in peritoneal organs; however, the intraperitoneal route does not prevent systemic drug exposure, allowing high and sustained levels of paclitaxel also in several extraperitoneal tissues.
本研究考察了小鼠单次腹腔注射紫杉醇(18和36mg/kg)后的药代动力学。通过高效液相色谱法分析药物浓度表明,血浆Cmax分别在第2小时达到(分别为13.0±3.1和25.7±2.8μg/ml)。清除率(CL)值较低(分别为0.06和0.1ml/min),18和36mg/kg后,β相半衰期(t1/2β)值分别为3.0和3.7小时。最高组织浓度在肝脏中观察到(分别为50.2±3.1和92.0±9.5μg/g),18和36mg/kg后,其次是胰腺(39.3±9.9μg/g)和卵巢(53.4±5.6μg/g)。对于结肠组织,紫杉醇Cmax在第3小时分别为14.4±0.8和32.8±3.5μg/g,治疗后24小时仍可检测到持续的药物水平。18和36mg/kg后,卵巢中检测到的紫杉醇Cmax值分别为12.7±3.0和53.4±5.6μg/g。总体结果表明,腹腔给药后,紫杉醇在腹膜器官中浓缩;然而,腹腔途径并不能防止全身药物暴露,在几个腹膜外组织中也能达到高且持续的紫杉醇水平。