Shah H C, McLachlan J A
J Pharmacol Exp Ther. 1976 Jun;197(3):687-96.
There is much current interest in the effect of diethylstilbestrol (DES) on the mammalian fetus; however, little is known concerning the physiologic disposition of DES during pregnancy. Radiolabeled (14C or 3H) DES (30 mug/kg) was given to 16-day pregnant mice and its metabolism, distribution and excretion were studied. After i.v. administration, DES was rapidly cleared from the plasma. The plasma decay rates could be described by the sum of four exponentials having T 1/2 values of 4 seconds, 1.1 minutes, 14 minutes and 13 hours. Moreover, conjugated products of DES accounted for more than one-half of the plasma radioactivity by 5 minutes after dosing. The parent compound was rapidly distributed to blood cells, but the liver was the major site of accumulation of DES and its metabolites. In fact, the total radioactivity in this organ accounted for 50% of the injected dose within 2.5 minutes after treatment. Significant concentrations of radioactivity persisted in liver throughout the 16-hour experiment, with DES conjugates accounting for 80% of the hepatic 14C activity at all time points examined. Approximately 56% of the dose was excreted in the feces within 24 hours, primarily as the parent compound. With DES as substrate, significant levels of UDP-glucuronyltransferase were determined in maternal and fetal liver but not in maternal uterus, placenta of fetal gut. Although the mouse placenta appeared to retard the passage of DES into the fetal compartment, a 3-fold accumulation (relative to fetal plasma) of the compound was found in the fetal reproductive tract.
目前,人们对己烯雌酚(DES)对哺乳动物胎儿的影响极为关注;然而,关于孕期DES的生理处置情况却知之甚少。给怀孕16天的小鼠注射放射性标记(14C或3H)的DES(30微克/千克),并对其代谢、分布和排泄情况进行了研究。静脉注射后,DES迅速从血浆中清除。血浆衰减率可用四个指数之和来描述,其半衰期分别为4秒、1.1分钟、14分钟和13小时。此外,给药后5分钟,DES的结合产物占血浆放射性的一半以上。母体化合物迅速分布到血细胞中,但肝脏是DES及其代谢产物的主要蓄积部位。实际上,治疗后2.5分钟内,该器官中的总放射性占注射剂量的50%。在整个16小时的实验过程中,肝脏中一直存在显著浓度的放射性,在所检测的所有时间点,DES结合物占肝脏14C活性的80%。约56%的剂量在24小时内随粪便排出,主要以母体化合物的形式。以DES为底物,在母体和胎儿肝脏中检测到显著水平的UDP - 葡萄糖醛酸转移酶,但在母体子宫、胎盘或胎儿肠道中未检测到。尽管小鼠胎盘似乎会阻碍DES进入胎儿体内,但在胎儿生殖道中发现该化合物有3倍的蓄积(相对于胎儿血浆)。