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人体中甲氨蝶呤的血清、泪液和唾液浓度。

Serum, tear and salivary concentrations of methotrexate in man.

作者信息

Steele W H, Stuart J F, Whiting B, Lawrence J R, Calman K C, McVie J G, Baird G M

出版信息

Br J Clin Pharmacol. 1979 Feb;7(2):207-11. doi: 10.1111/j.1365-2125.1979.tb00923.x.

Abstract
  1. Methotrexate handling has been studied in four patients with psoriasis and eleven patients with neoplastic disease. 2. Methotrexate levels in serum, tears and saliva were measured by radioimmunoassay while protein binding studies were performed by continuous ultrafiltration. 3. There was a close correlation between methotrexate concentrations in tears and serum (P less than 0.001, r = 0.714). Parotid salivary and serum methotrexate levels were similarly correlated (P less than 0.001, r = 0.557) but not mixed salivary and serum levels (P greater than 0.1, r = 0.232). 4. The mean protein binding was 95.11% +/- 2.26 (s.d.) while the ratio of methotrexate levels in tears to the free serum methotrexate level was 1:1.04. The corresponding parotid salivary level: free serum level ratio was 1:18.11. 5. No relationship could be determined between the methotrexate levels in tears and conjunctivitis observed in some of the patients under study.
摘要
  1. 已对4例银屑病患者和11例肿瘤疾病患者的甲氨蝶呤处置情况进行了研究。2. 采用放射免疫分析法测定血清、泪液和唾液中的甲氨蝶呤水平,同时通过连续超滤进行蛋白结合研究。3. 泪液和血清中的甲氨蝶呤浓度之间存在密切相关性(P<0.001,r=0.714)。腮腺唾液和血清中的甲氨蝶呤水平也有类似的相关性(P<0.001,r=0.557),但混合唾液和血清水平之间无相关性(P>0.1,r=0.232)。4. 平均蛋白结合率为95.11%±2.26(标准差),而泪液中甲氨蝶呤水平与游离血清甲氨蝶呤水平之比为1:1.04。腮腺唾液水平与游离血清水平的相应比值为1:18.11。5. 在一些研究对象中观察到的泪液中甲氨蝶呤水平与结膜炎之间未发现相关性。

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本文引用的文献

1
Effect of aminopterin on epithelial tissues.氨甲蝶呤对上皮组织的作用。
AMA Arch Derm Syphilol. 1951 Dec;64(6):688-99. doi: 10.1001/archderm.1951.01570120023004.
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Intermittent high dose oral methotrexate therapy in psoriasis.
Br J Dermatol. 1970 Jan;82(1):65-9. doi: 10.1111/j.1365-2133.1970.tb02194.x.
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Ann N Y Acad Sci. 1971 Nov 30;186:452-66. doi: 10.1111/j.1749-6632.1971.tb47001.x.
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Relationship between theophylline concentration in plasma and saliva of man.
Clin Pharmacol Ther. 1974 May;15(5):454-60. doi: 10.1002/cpt1974155454.
10
Measurement of drug displacement by continuous ultrafiltration.
J Pharm Sci. 1974 Feb;63(2):249-52. doi: 10.1002/jps.2600630215.

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