Heinrich N, Albrecht E, Sandow J, Kertscher U, Lorenz D, Oehlke J, Berger H
Research Institute of Molecular Pharmacology, Berlin, Germany.
Eur J Drug Metab Pharmacokinet. 1996 Oct-Dec;21(4):345-50. doi: 10.1007/BF03189737.
The disposition of the gonadotropin-releasing hormone (GnRH) agonist buserelin was studied in male rats under conditions of long-term administration. Rats were continuously infused with about 30 pmole [3H]-buserelin/24 h subcutaneously by osmotic minipumps for 4-7 days. After killing the rats, the 3H-activity of the tissues was measured and was found to be highly concentrated (about 10-fold to plasma) only in the pituitary. The daily amounts of 3H-activity excreted in urine and faces were constant over the whole infusion period, suggesting steady state conditions. On a molar basis, of the infused dose of buserelin, 14.8% was found to be excreted into urine as intact peptide, and 16.5, 10.8 and 20.6% as the partial buserelin sequences 1-2, 1-3 and 5-9. It is concluded that the major elimination route of buserelin, constant with time, is glomerular filtration, followed by enzymatic degradation of part of the filtered peptide by kidney tubuli enzymes to the partial sequences 1-2, 1-3 and 5-9, which reflects the proteolytic breakdown of buserelin by kidney membrane peptidases in vitro. Based on the similarities in the pharmacokinetics, in vivo metabolities, and in vitro enzymatic degradabilities among the GnRH agonists that have the native GnRH sequence modified at position 6 with or without additional modification at the C-terminal, the elimination process as shown here for buserelin should also be valid for other GnRH agonists.
在长期给药条件下,对雄性大鼠体内促性腺激素释放激素(GnRH)激动剂布舍瑞林的处置情况进行了研究。通过渗透微型泵以约30皮摩尔[³H] - 布舍瑞林/24小时的剂量连续皮下输注大鼠4 - 7天。处死大鼠后,测量组织中的³H活性,发现仅在垂体中高度浓缩(约为血浆的10倍)。在整个输注期间,尿液和粪便中排出的³H活性每日量保持恒定,表明处于稳态条件。以摩尔为基础,所输注剂量的布舍瑞林中,14.8%以完整肽形式排泄到尿液中,16.5%、10.8%和20.6%分别以布舍瑞林部分序列1 - 2、1 - 3和5 - 9的形式排泄。得出结论,布舍瑞林随时间恒定的主要消除途径是肾小球滤过,随后部分滤过肽被肾小管酶酶解为部分序列1 - 2、1 - 3和5 - 9,这反映了布舍瑞林在体外被肾膜肽酶的蛋白水解降解。基于在第6位具有天然GnRH序列修饰且在C端有或无额外修饰的GnRH激动剂之间的药代动力学、体内代谢物和体外酶可降解性的相似性,此处所示的布舍瑞林消除过程对于其他GnRH激动剂也应有效。