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亭扎肝素(速碧林)——一种低分子量肝素——在大鼠单次及重复静脉给药后的药代动力学

Pharmacokinetics of tinzaparin (Logiparin)--a low molecular weight heparin--after single and repeated intravenous administration in rats.

作者信息

Johansen P B, Rasmussen S N, Ostergaard P B

机构信息

Department of Pharmacology, Novo Nordisk, Copenhagen, Denmark.

出版信息

Thromb Res. 1994 Aug 15;75(4):453-64. doi: 10.1016/0049-3848(94)90260-7.

Abstract

After a single and repeated i.v. injections of 1 mg/kg 3H-radiolabelled tinzaparin once daily to rats for 7, 14, and 21 days, drug-related radioactivity in plasma, tissues, urine and faeces was measured by use of liquid scintillation counting. The decay in plasma could be described by a three-compartment model with half-lives of the two distributive phases and the terminal elimination phase of 15 min, 90 min, and 37 hrs, respectively. The peak plasma concentration did not change during repeated dosing, as opposed to the trough concentration which increased 3 fold. The decay in tissues was significantly different from that in plasma, and showed less fluctuations. Drug-related radioactivity accumulated gradually with repeated dosing, reaching accumulation ratios between 5 and 9, when based on trough concentrations. Slow elimination was observed from tissues, and significant amounts were still present 14 days after discontinuation of the repeated dosing. In the liver, the concentrations were almost constant during a dosing interval. After a single injection, 86% and 4% of the administered radioactive dose were excreted in urine and faeces over 7 days, respectively, the majority being recovered during the first 24 hrs, demonstrating that the major route of elimination was by renal excretion. The molecular mass distribution of radioactivity in urine was similar but not identical to the injected test substance. It was shifted slightly towards lower molecular mass and had no anti-factor Xa activity, suggesting that the heparin was either inactivated, presumably by desulphation, or that the antithrombin binding portion of the drug was cleared through a different route.

摘要

给大鼠每日静脉注射一次1毫克/千克的3H放射性标记的亭扎肝素,持续7天、14天和21天,单次及重复注射后,通过液体闪烁计数法测量血浆、组织、尿液和粪便中与药物相关的放射性。血浆中的衰减可用三室模型描述,两个分布相和终末消除相的半衰期分别为15分钟、90分钟和37小时。重复给药期间,血浆峰浓度未发生变化,而谷浓度增加了3倍。组织中的衰减与血浆中的显著不同,且波动较小。重复给药后,与药物相关的放射性逐渐积累,基于谷浓度计算,积累比在5至9之间。观察到组织中消除缓慢,重复给药停止14天后仍有大量药物存在。在肝脏中,给药间隔期间浓度几乎恒定。单次注射后,在7天内分别有86%和4%的给药放射性剂量经尿液和粪便排出,大部分在最初24小时内回收,表明主要消除途径是经肾排泄。尿液中放射性的分子量分布与注射的受试物质相似但不完全相同。它略微向较低分子量偏移且无抗Xa因子活性,这表明肝素要么被灭活(可能是通过脱硫),要么药物的抗凝血酶结合部分通过不同途径清除。

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