Sandberg J A, Murphey L J, Olsen G D
Division of Neurotoxicology, National Center for Toxicological Research/FDA, Jefferson, Arkansas, USA.
Neurotoxicology. 1995 Spring;16(1):169-77.
The pharmacokinetics and metabolism of cocaine (COC) were determined in late gestation maternal and fetal guinea pigs. After a single i.v. dose of 2-12 mg/kg, the average +/- SD total body clearance of COC was 59 +/- 16 ml/min/kg and was not dose dependent. However, volume of distribution was 2.1 and 3.9 l/kg, mean resident time (MRT) was 42 and 57 min, and elimination half-life was 34 and 49 min at the 2 and 4 mg/kg dose of COC, respectively. With the exception of an increased MRT, the pharmacokinetics were similar after s.c. COC administration. Benzoylecgonine (BE) and benzoylnorecgonine (BN) were major and persistent metabolites. Norcocaine (NOR) concentrations were low and transient. After chronic maternal administration of 6 mg/kg COC s.c., there was no difference between maternal and fetal plasma COC concentrations one hour after the last injection, but COC and BN accumulated in amniotic fluid. Examination of in vitro metabolism of COC in fetal and maternal guinea pig hepatic microsomes demonstrated minimal fetal N-demethylation and induction of maternal N-demethylation by chronic COC exposure. The minimal fetal N-demethylation suggest BN seen previously in vivo after chronic maternal COC administration resulted from maternal formation of NOR and subsequent maternal and/or fetal hydrolysis to BN.
在妊娠晚期的母豚鼠和胎豚鼠中测定了可卡因(COC)的药代动力学和代谢情况。静脉注射单次剂量2 - 12 mg/kg后,COC的平均±标准差全身清除率为59±16 ml/min/kg,且不依赖于剂量。然而,在COC剂量为2和4 mg/kg时,分布容积分别为2.1和3.9 l/kg,平均驻留时间(MRT)分别为42和57分钟,消除半衰期分别为34和49分钟。除了MRT增加外,皮下注射COC后的药代动力学情况相似。苯甲酰爱康宁(BE)和苯甲酰去甲爱康宁(BN)是主要且持续存在的代谢产物。去甲可卡因(NOR)浓度较低且短暂。在母体长期皮下注射6 mg/kg COC后,末次注射后1小时母体和胎儿血浆COC浓度无差异,但COC和BN在羊水中蓄积。对胎豚鼠和母豚鼠肝微粒体中COC的体外代谢研究表明,胎儿的N - 去甲基化作用极小,而母体的N - 去甲基化作用在长期接触COC后会被诱导。胎儿极小的N - 去甲基化作用表明,母体长期注射COC后之前在体内观察到的BN是由母体形成NOR,随后母体和/或胎儿将其水解为BN所致。