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年龄对犬类茶碱药代动力学的影响。

Effect of age on theophylline pharmacokinetics in dogs.

作者信息

Alberola J, Pérez Y, Puigdemont A, Arboix M

机构信息

Divisió de Farmacologia, Facultat de Veterinària, Universitat Autònoma de Barcelona, Bellaterra, Spain.

出版信息

Am J Vet Res. 1993 Jul;54(7):1112-5.

PMID:8368607
Abstract

Differences between neonatal and adult animals in their response to drugs can usually be attributed to altered disposition processes. Effect of age on the pharmacokinetics of theophylline was determined after IV administration of the drug to 10 groups of dogs at 1, 2, 3, 4, 8, 12, 16, 24, 52, and 104 weeks of age. Plasma theophylline concentration curves for all groups were adjusted to a biexponential kinetic, with rapid initial distribution phase and slower elimination phase. It also was noticed that young dogs have a slower elimination half-life (1 week old, t 1/2 beta = 987 minutes) than do older animals (8 weeks old, t 1/2 beta = 138 minutes). The values then plateaued until 16 weeks of age, increasing slightly at more advanced age (104 weeks old, t 1/2 beta = 282 minutes). A similar pattern was followed with respect to clearance (1-week-old pups, Cl = 1.17 ml/min/kg of body weight), which increased progressively to reach a value of 7.09 ml/min/kg at 16 weeks of age, then decreased to 3.5 ml/min/kg at 104 weeks of age. Volume of distribution beta, in relation to body weight, was not significantly different between age groups (between 1.2 and 1.6 L/kg; P < or = 0.03). Theophylline biotransformation mechanisms may be mainly responsible for Cl and t 1/2 beta variations. This leads us to suggest that quantitative and qualitative modifications in the P-450 mono-oxygenase system are responsible for the variations observed in pharmacokinetic variables of theophylline between dogs of different ages. These findings may have clinical relevance with regard to therapeutic range of theophylline.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

新生动物与成年动物对药物反应的差异通常可归因于药物处置过程的改变。在给10组分别为1、2、3、4、8、12、16、24、52和104周龄的犬静脉注射茶碱后,测定了年龄对茶碱药代动力学的影响。所有组的血浆茶碱浓度曲线均调整为双指数动力学,具有快速的初始分布相和较慢的消除相。还注意到幼犬的消除半衰期(1周龄,t 1/2β = 987分钟)比成年动物(8周龄,t 1/2β = 138分钟)慢。这些值随后趋于平稳,直到16周龄,在更高龄时(104周龄,t 1/2β = 282分钟)略有增加。清除率方面也呈现类似模式(1周龄幼犬,Cl = 1.17 ml/min/kg体重),在16周龄时逐渐增加至7.09 ml/min/kg,然后在104周龄时降至3.5 ml/min/kg。相对于体重的分布容积β在各年龄组之间无显著差异(在1.2至1.6 L/kg之间;P≤0.03)。茶碱的生物转化机制可能是导致Cl和t 1/2β变化的主要原因。这使我们认为,P - 450单加氧酶系统的定量和定性改变是不同年龄犬之间茶碱药代动力学变量观察到变化的原因。这些发现可能与茶碱的治疗范围具有临床相关性。(摘要截断于250字)

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