Kizu R, Higashi S, Kidani Y, Miyazaki M
Faculty of Pharmaceutical Sciences, Kanazawa University, Japan.
Cancer Chemother Pharmacol. 1993;31(6):475-80. doi: 10.1007/BF00685038.
The pharmacokinetics of (1R,2R-diaminocyclohexane)oxalatoplatinum(II) (1-OHP, NSC-266046), a second-generation antitumor platinum complex, was studied in rabbits and compared with that of cisplatin. The rabbits were given a single i.v. dose of 1-OHP or cisplatin (10 mumol/kg). A comparison of tissue platinum levels at 24 h postinjection showed that platinum levels were lower in the eight organs examined, which included the kidney and liver, after the injection of 1-OHP than following cisplatin administration. Plasma-decay profiles of three platinum species, that is, the unchanged species, filterable platinum, and total platinum, were examined. Plasma levels of the unchanged species and filterable platinum for 1-OHP declined more rapidly than those for cisplatin. The ratio of plasma filterable-to-total platinum indicated that the protein-binding ability of 1-OHP was greater than that of cisplatin. As for urinary excretion, amounts of the unchanged species and total platinum excreted during the 24 h period postinjection were 28% and 76% of the dose for 1-OHP and 23% and 57% of the dose for cisplatin, respectively. The renal clearance of both the unchanged species and filterable platinum in plasma for 1-OHP was about 2-fold that for cisplatin. 1-OHP is reported to be much less nephrotoxic than cisplatin. This may be due in part to its pharmacokinetic behavior or to pharmacokinetic differences resulting from chemical reactions that make 1-OHP less toxic than cisplatin.
对第二代抗肿瘤铂配合物(1R,2R-二氨基环己烷)草酸铂(II)(1-OHP,NSC-266046)的药代动力学进行了兔体内研究,并与顺铂进行了比较。给兔静脉注射单次剂量的1-OHP或顺铂(10 μmol/kg)。注射后24小时组织铂水平的比较表明,注射1-OHP后,在所检查的八个器官(包括肾脏和肝脏)中的铂水平低于顺铂给药后。检测了三种铂物种的血浆衰减曲线,即未变化的物种、可滤过铂和总铂。1-OHP的未变化物种和可滤过铂的血浆水平下降速度比顺铂更快。血浆可滤过铂与总铂的比率表明,1-OHP的蛋白结合能力大于顺铂。关于尿排泄,注射后24小时内排泄的未变化物种和总铂量分别为1-OHP剂量的28%和76%以及顺铂剂量的23%和57%。1-OHP血浆中未变化物种和可滤过铂的肾清除率约为顺铂的2倍。据报道,1-OHP的肾毒性远低于顺铂。这可能部分归因于其药代动力学行为,或归因于化学反应导致的药代动力学差异,使得1-OHP的毒性低于顺铂。