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发育中大鼠体内丙戊酸盐和吗啡葡糖苷酸的肠道水解部位依赖性

Site-dependent intestinal hydrolysis of valproate and morphine glucuronide in the developing rat.

作者信息

Pollack G M, Spencer A P, Horton T L, Brouwer K L

机构信息

Division of Pharmaceutics, School of Pharmacy, University of North Carolina at Chapel Hill 27599-7360.

出版信息

Drug Metab Dispos. 1994 Jan-Feb;22(1):120-3.

PMID:8149870
Abstract

A previous pharmacokinetic study in developing rats suggested that enterohepatic recirculation of valproic acid was absent prior to weaning. One explanation for this observation is that the rate, extent, and/or primary site of glucuronide hydrolysis in the gastrointestinal tract changes during postnatal development. To test this hypothesis, the hydrolysis of two model glucuronide conjugates, valproate glucuronide and morphine-3-beta,D-glucuronide, was examined in vitro in homogenates of small and large intestine obtained from rats at 5-60 days postpartum. Analysis of initial hydrolysis rates indicated that the principal hydrolytic site for both glucuronide conjugates shifted from the upper to lower intestine as the animals developed. The initial hydrolysis rate (nmol/min/g) for valproate glucuronide decreased from 38.1 +/- 10.2 to 8.25 +/- 2.42 in the small intestine, and increased from 14.2 +/- 2.3 to 105 +/- 22 in the large intestine, as rats developed from 5 to 60 days postpartum, respectively. Likewise, the intestinal hydrolysis rate for morphine-3-beta,D-glucuronide decreased from 3.70 +/- 0.46 to 0.646 +/- 0.165 in the small intestine, and increased from 3.50 +/- 0.48 to 115 +/- 30 in the large intestine, as rats developed from 5 to 60 days postpartum, respectively. If hydrolysis occurs immediately after excretion of conjugate into the intestine in neonatal rats, minimal temporal delay between excretion of conjugate and reabsorption of liberated parent may occur, therefore concealing the secondary increase in serum drug concentrations associated with enterohepatic recirculation. In contrast, the time required for conjugates to reach the primary hydrolytic site in adult animals is sufficient for appearance of secondary peaks in the serum drug concentration-time profile.

摘要

先前在发育中的大鼠身上进行的一项药代动力学研究表明,丙戊酸在断奶前不存在肠肝循环。对此观察结果的一种解释是,胃肠道中葡萄糖醛酸苷水解的速率、程度和/或主要部位在出生后发育过程中会发生变化。为了验证这一假设,在体外研究了从产后5至60天的大鼠获得的小肠和大肠匀浆中两种模型葡萄糖醛酸苷结合物(丙戊酸葡萄糖醛酸苷和吗啡-3-β,D-葡萄糖醛酸苷)的水解情况。初始水解速率分析表明,随着动物的发育,两种葡萄糖醛酸苷结合物的主要水解部位从小肠上部转移到了下部。随着大鼠从产后5天发育到60天,丙戊酸葡萄糖醛酸苷在小肠中的初始水解速率(nmol/分钟/克)从38.1±10.2降至8.25±2.42,在大肠中则从14.2±2.3增至105±22。同样,随着大鼠从产后5天发育到60天,吗啡-3-β,D-葡萄糖醛酸苷在小肠中的肠道水解速率从3.70±0.46降至0.646±0.165,在大肠中则从3.50±0.48增至115±30。如果在新生大鼠中结合物排泄到肠道后立即发生水解,那么结合物排泄与游离母体再吸收之间的时间延迟可能最小,因此掩盖了与肠肝循环相关的血清药物浓度的二次升高。相比之下,成年动物中结合物到达主要水解部位所需的时间足以使血清药物浓度-时间曲线中出现二次峰值。

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