Wójcicki J, Górnik W, Pawlik A, Droździk M, Gawrońska-Szklarz B
Medical Academy, Szczecin, Poland.
Pulm Pharmacol. 1996 Jun;9(3):175-8. doi: 10.1006/pulp.1996.0020.
The study was carried out on male rabbits divided into two groups: a control and an experimental one, fed on a high-fat diet. Humans were also ascribed into two groups: control and those affected with primary, mixed form of hyperlipidemia. The animals and humans were given theophylline intravenously as a single dose. Blood was sampled after 5, 10, 15, 30 and 45 min and 1, 2, 4, 6, 8, 12 and 24 h following theophylline administration. FPIA method was used to determine blood serum concentrations of theophylline. Considerable alterations of theophylline pharmacokinetics in humans suffering from mixed form of hyperlipidemia were observed. Marked decrease in area under the concentration-time curve (AUC), diminished volume of distribution, increased total body clearance, and shortened elimination half-life were observed. On the contrary, in rabbits with alimentary induced lipid metabolism disturbances t1/2 of theophylline was practically unchanged and AUC only slightly increased.
(1) hyperlipidemia affects the pharmacokinetics of theophylline in human beings, (2) rabbit model with dietetary induced lipid metabolic disturbances is not a suitable subject for estimation of pharmacokinetics of xanthine derivatives.
该研究在雄性兔子身上进行,将其分为两组:对照组和实验组,两组均喂食高脂饮食。人类也被分为两组:对照组和患有原发性混合型高脂血症的患者。给动物和人类静脉注射单剂量氨茶碱。在注射氨茶碱后的5、10、15、30和45分钟以及1、2、4、6、8、12和24小时采集血液样本。采用荧光偏振免疫分析法(FPIA)测定血清中氨茶碱的浓度。观察到患有混合型高脂血症的人类氨茶碱药代动力学有显著改变。观察到浓度-时间曲线下面积(AUC)显著降低、分布容积减小、总体清除率增加以及消除半衰期缩短。相反,在饮食诱导脂质代谢紊乱的兔子中,氨茶碱的t1/2实际上未改变,AUC仅略有增加。
(1)高脂血症会影响人类氨茶碱的药代动力学,(2)饮食诱导脂质代谢紊乱的兔子模型不是评估黄嘌呤衍生物药代动力学的合适对象。