Kitano A, Tabata A, Obayashi M, Nakagawa M, Yasuda K, Fukushima R, Okabe H, Tomobuchi M, Nakamura S, Kashima K
Department of Internal Medicine, Ashihara Hospital.
Nihon Shokakibyo Gakkai Zasshi. 1993 Feb;90(2):124-33.
In this study SASP metabolite levels were measured in colonic mucosal specimens and plasma samples from 31 patients with ulcerative colitis (UC) under treatment with the drug. Colonic tissue specimens were obtained by endoscopically guided biopsy and plasma was isolated from peripheral blood. Measurements were performed by HPLC according to the procedure of Fischer et al. The levels of 5-ASA and SP in either of colonic tissue or plasma were significantly lower than those of Ac-5-ASA and Ac-SP, respectively. The tissue level of 5-ASA had a significant correlation to the dosage of 5-ASA. The tissue levels of 5-ASA and Ac-5-ASA were low in an active stage of UC than during a remission period and the difference observed with respect to the latter metabolite was significant. These findings suggest that acetylation of 5-ASA is inhibited in the colonic mucosa in an active stage of the disease.
在本研究中,对31例接受该药物治疗的溃疡性结肠炎(UC)患者的结肠黏膜标本和血浆样本中的柳氮磺胺吡啶(SASP)代谢物水平进行了测量。结肠组织标本通过内镜引导活检获取,血浆从外周血中分离。根据Fischer等人的方法,采用高效液相色谱法(HPLC)进行测量。结肠组织或血浆中5-氨基水杨酸(5-ASA)和磺胺吡啶(SP)的水平分别显著低于乙酰化5-氨基水杨酸(Ac-5-ASA)和乙酰化磺胺吡啶(Ac-SP)的水平。5-ASA的组织水平与5-ASA的剂量具有显著相关性。UC活动期的5-ASA和Ac-5-ASA组织水平低于缓解期,且观察到的后一种代谢物的差异具有显著性。这些发现表明,在疾病活动期,结肠黏膜中5-ASA的乙酰化受到抑制。