海洋硫酸多糖916对普伐他汀在大鼠体内药代动力学影响
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摘要
普伐他汀是胆固醇合成过程中限速酶HMG-CoA还原酶的抑制剂,临床用于治疗高脂血症,并用于降低心脑血管疾病、肾病综合征、糖尿病性高脂血症的发生率。硫酸多糖药物916具有良好的抗动脉粥样硬化活性,目前,已经国家药品监督管理局批准作为I类新药进入临床研究。为了治疗混合型高血脂症,临床常将他汀类药物与其它类的降血脂药和抗动脉粥样硬化药物联合使用。本实验以大鼠为对象研究916与普伐他汀合用时对普伐他汀药代动力学的影响,为临床安全用药提供依据和参考。
     1.建立了高效液相色谱分析体内普伐他汀含量的方法。生物样品预处理采用乙腈沉淀蛋白与固相萃取联合的方法;流动相为乙腈和磷酸二氢钠缓冲盐(pH 3.0),色谱柱为C-l8反相柱;考察了方法的精密度、重现性和回收率,实验证明该方法灵敏度高,精密度和重现性较好,可用于血浆、肝脏、肌肉中普伐他汀的含量测定。
     2.采用口服灌胃给药,研究了合用药物916后对普伐他汀在雄性和雌性大鼠体内药动学的影响。结果发现合用916后,在雄、雌性大鼠体内普伐他汀的达峰血药浓度CMax显著性降低(P<0.05),但AUC0→∞无显著性变化(P>0.05)。同时雄性大鼠体内普伐他汀t1/2显著增加,ke显著降低(P<0.05),雌性大鼠体内t1/2和ke虽有所降低但无显著性差异(P>0.05)。
     3.采用大鼠在体小肠回流试验法,研究了合用药物916后对普伐他汀吸收情况的影响。结果发现,普伐他汀与药物916合用后Ka值减小(P<0.05),普伐他汀的吸收百分率无显著性差异(P>0.05)。推测药物916影响了普伐他汀在小肠部位的吸收速度,使普伐他汀的吸收延迟,但对总吸收百分率无显著影响。
     4.研究了单剂量灌胃及合用药物916后对普伐他汀在肝脏和肌肉中的分布的影响。结果发现合用916后0.4h肝脏中普伐他汀含量较单用时显著降低(P<0.05),1.5h肝脏中普伐他汀含量无显著性变化(P>0.05),4h时肝脏中普伐他汀浓度显著性升高(P<0.05)。肌肉中普伐他汀含量在不同时间点虽有所降低但无显著性差异(P>0.05)。
Pravastatin (PV) is a cholesterol-lowering inhibitor of hydroxy-methyl-glutaryl coenzyme A (HMG-CoA) reductase, the rate-limiting enzyme in cholesterol biosynthesis, has been indicated for the treatment of hypercholesterolemia and the prevention of cardiovascular disease, diabetes mellitus, and renal disease. Marine Sulfated Polysaccharide 916 has been reported with good anti-atherosclerosis activity and authorized to go into clinical study as I level new drug by National Drug and Foods Administration. In order to treat combined hyperlipidemia, statins species and other cholesterol-lowering drugs are usually used together for treating patients. In order to provide reference about safety medication in clinic, the influences of 916 on the pharmacokinetics of PV in rats were studied.
     1. To detect PV in biological samples, high performance liquid chromatography analysis method was established. In this paper, protein precipitation by acetonitrile combined with SPE method is selected for the pretreatment of biological samples. The analysis was performed using a C-18 reverse-phase column with mobile phase of Na2HPO4 buffer solution (pH=3.0) and acetonitrile. The precision, reproducibility and recovery of PV in biological samples were tested. This method was proved to have high sensitivity, the precision and reproducibility was better. This method can be used to detect the concentration of PV in plasma, liver and muscle.
     2. The influence of 916 on the pharmacokinetics of PV in male and female rats was investigated. When in combination with 916 , the highest plasma concentration(CMax) of PV were decreased than those when PV was administered alone(P<0.05), but AUC0→∞was not significantly effected (P>0.05). Meanwhile in male rats, t1/2 was increased, ke was decreased (P<0.05), but in female rats, t1/2 and ke weren’t changed significantly (P>0.05).
     3. To explore the influence of 916 on the intestinal absorption of PV, the rat intestinal recirculating method in situ was utilized. When in combination with 916, the absorption Constants (Ka) was lower than those when PV was administered alone (P<0.05), but the percent absorption was not significant effected (P>0.05).The results suggested that 916 had effects on the rate of absorption of PV from the intestine, delayed the absorption of PV, but the total percent absorption wasn’t significant effected.
     4. The influence of 916 on the distribution of PV in liver and muscle was investigated. When in combination with 916,the concentration of PV in liver at 0.4h was significant decreased(P<0.05), the concentration of PV in liver at 1.5h was not significantly effected (P>0.05) , but the concentration of PV in liver at 4h was significantly increased. The concentration of PV in muscle was not significantly effected (P>0.05).
引文
[1]伍晓旭.他汀类药物降脂与非降脂作用.数理医药学杂志,2006,19(5):533-534
    [2]刘迎利,李建科.高血脂的病因及治疗.现代医药卫生,2004,20(7):522-523
    [3]向坤,唐义清.降脂药的分类与合理应用.人民军医,2001,44(6):350-351
    [4] Paoletti R, Corsini A, Bellosta S. Pharmacological interactions of statins.Atherosclerosis Supplements,2002,3:35-40
    [5]郭文萃,冯伟捷.他汀类药物单用及与不饱和脂肪酸联用治疗老年混合型高脂血症的临床观察.北京医学,2003 ,25 (1):25-27
    [6]朱铁梁,郝素云.普伐他汀的临床应用现状.天津药学,2000,12(3):23
    [7]杨湘鄂,吴宗贵.新一代血脂调整药物普伐他汀的临床应用现状.心血管病学进展,1998,19(1):27-31
    [8] Koga T, Shimada Y, Kuroda M, Tsujita Y, Hasegawa K,Yamazaki M. Tissue-selective inhibition of cholesterol synthesis in vivo by pravastatin sodium, a 3-hydroxy-3-methylglutaryl coenzyme A reductase inhibitor. Biochim Biophys Acta 1990, 1045:115–20
    [9] Miyazaki A,Koga T.Pravastatin sodium, an inhibitor of 3-hydroxy-3-methylglutaryl coenzyme A reductase, decreases serum total cholesterol in Japanese White rabbits by two different mechanisms.Atherosclerosis, 2002,162 :299–306
    [10] [0]Reihner E, Rudling M, Stahlberg D, Berglund L, Ewerth S, Bjorkhem I, Einarsson K, Angelin B. Influence of pravastatin, a specific inhibitor of HMG-CoA reductase, on hepatic metabolism of cholesterol. New Engl J Med ,1990,323:224–228
    [11] Shiomi M, Ito T. Pravastatin sodium, a competitive inhibitor of hepatic 3-hydroxy-3-methylglutaryl coenzyme A reductase, decreases the cholesterol content of newly secreted very-low-density lipoprotein in Watanabe heritable hyperlipidemic rabbits. Metabolism,1994, 43:559–64
    [12]董亚琳,董卫华.他汀类药物的研究进展.中国新药杂志,2003,12(3):175-178
    [13]王文,陈宗良.普伐他汀国内外研究.中国循环杂志,1995,10(11):696-699
    [14] [0]Everett et al. Biotransformation of pravastatin sodium in humans.Drug Metab Dispos, 1991, 19:740-748
    [15] [0]Hatanaka T.Clinical pharmacokineties of pravastatin:mechanisms of pharmaeokinetie Events.Clin Pharmacokinet,2000,39(6):397
    [16] Shitara Y, Sugiyama Y. Pharmacokinetic and pharmacodynamic alterations of 3-hydroxy-3-methylglutaryl coenzyme A (HMG-CoA) reductase inhibitors: Drug–drug interactions and interindividual differences in transporter and metabolic enzyme functions.Pharmacology & Therapeutics ,2006,112:71-105
    [17]高仲阳,张弋.普伐他汀的药理作用及临床应用.中国医院药学杂志,1998,18(9):415-416
    [18]张敏州,戴闺柱,闫西艳,李培雄.普伐他汀治疗95例原发性高胆固醇血症.新医学,1997,28(1):21-22
    [19] Sack FM. The influence of pravastation on myocardial infarction patients of normal cholesterol level. N Engl JMed, 1996, 335 (14):1001
    [20]扈风勤,吕亚峰,史东平.普伐他汀对糖尿病并发高脂血症或混合型高脂血症患者疗效观察.河南医药信息,2002,10(4):7-8
    [21] Kazumi T, Yoshino G, Ish ida Y, et al. Long-term efficacy and tolerability of pravastatin in hypercho lesterolemia in patients with non-insulin-dependent diabetes mellitus. Hyogo pavastatin study group. Diabetes Res Clin Pract, 1995, 27 (1):61-68
    [22]杨文革译.英国批准普伐他汀的新适应症.药学进展,1996,20(2):124
    [23] Roth H. Comparative effects of pravastatin and lovastatin on night-time sleep and daytime performace .Clin Cardiol, 1992, 15:426
    [24]普伐他汀临床研究协作组.普伐他汀与吉非罗齐治疗原发性高胆固醇血症的临床比较研究.中华心血管病杂志,1995,23(6):429
    [25]邱洪,祁哲,陈纪林,等.普伐他汀导致横纹肌溶解一例.中国循环杂志,1998,13(6):374
    [26]黄松,周嘉,粱杏欢,罗佐杰,陈青云,等.非诺贝特和普伐他汀合用引起横纹肌溶解症1例.临床荟萃,2004,16
    [27]王仁云.HMG-CoA还原酶抑制剂代谢及相关的药物相互作用.中国临床药学杂志,2003,12(2):115-118
    [28]赵传琨.他汀类药物的相互作用.中国现代应用药学杂志,2006, 23, (8):745-747
    [29]张克义,赵乃才.临床药物不良反应大典[M ],第1版.沈阳:辽宁科学技术出版社,2001,185-188
    [30]刘新民,徐韬园,张克义,等.实用临床治疗药典[M ],第1版.沈阳:辽宁科学技术出版社,2003,225-229
    [31]邓岗,耿美玉,陈敏,于笑波,管华诗.“916”对鹌鹑实验性动脉粥样硬化的预防作用.青岛海洋大学学报,1992,12:6-15
    [32]耿美玉,等.类肝素新药“916对高脂血症大鼠血清脂蛋白及过氧化脂质产物含量的影响.青岛海洋大学学报,1992,(海洋药物专辑):1~5
    [33]胡金凤,耿美玉,等.甲壳质衍生物916对家兔实验行动脉粥样硬化的预防作用.中国海洋药物.2000,3:18~21
    [34]吕志华,于广利,粱勇,徐家敏.“916”低聚糖抗卵磷脂氧化活性的研究.青岛海洋大学学报,2001,31:53-56
    [35]王妍婷,吕志华,王远红.海洋硫酸多糖916在2种酶作用下稳定性的研究.中国海洋大学学报,34(6):955-958
    [36]刘治军,傅得兴,孙春华,等.体内药物相互作用研究进展.药物不良反应杂志,2006,8:33-38
    [37]李容.药物相互作用产生不良反应的原因及对策.现代医药卫生,2005,21(17):2380-2381
    [38]药物相互作用研究方法(Methods of Drug Interaction Studies).日本官方发布. 2001,6
    [39]冯晓燕.浅谈药物相互作用.医学理论与实践,2004,17(8):966
    [40]石磊,张远.饮食对药物吸收的影响.新医学,2000,31(4):245
    [41]杨立瑾.药物胃肠吸收的相互作用.安徽医学,7:37-38
    [42]王华,李金珍.影响药物相互作用的几个问题.河北医学,1998,4:17
    [43]魏秋玻.药物相互作用的探讨.医学理论与实践,2004,17:607
    [44]刘正云,袁伯俊.药物在体内相互作用对药代动力学的影响.陕西医学杂志,1992,21:162-164
    [45]王耐勤.药理学讲座-第六讲药物相互作用(二) .中国临床医生,1990,12:3-5
    [46] Lee AJ,Maddix DS. Rhabdomyolysis secondary to a drug interactionbetween simvastatin and clarithromycin[J ] . Ann Pharmacother , 2001 ,35(1):26
    [47]赫梅生.第三讲-药物的配伍禁忌和相互作用.中国临床医生,1984,2:36-39
    [48]化学药物临床药代动力学研究技术指导原则课题研究组. [H]GCL1-2.化学药物临床药代动力学研究技术指导原则. 2005,3
    [49]杨丽莉,袁倚盛,戴晓莉.气相色谱法测定人血浆中非洛地平浓度及药代动力学.药学学报,1998,33(6):461-464
    [50] Karin Otter, Christian Mignat.Determination of pravastatin in human plasma by high-performance liquid chromatography with ultraviolet detection.Journal of Chromatography B, 708 (1998) 235–241
    [51]邓鸣,刘会臣,薛洪源,刘建芳. HPLC—MS法同时测定人血浆中普伐他汀及其主要代谢物3’α-异普伐他汀.药物分析杂志,2005,25(2):160-163
    [52] Mulvana D,Jernal M,Pulver SC.Quantitative determination of pravastatin and its biotransformation products in human serum by turbo ion spray LC/MS/MS.J Pharm Biomed Anal,2000,23(5):851
    [53]吴月萍,王浩,郝玉霞,谢亚芝.荧光分光光度记测定血清中的诺氟沙星浓度.中国医院药学杂志,1994,14(1):21-22
    [54]琚志昌,孙金秀.生物技术药物药代动力学研究的分析方法.卫生研究,2002,31(2):133-135
    [55] Peng B, Andrews J, Nestorov I,et al.Tissue distribution and physiologically based pharmacokinetics of antisense phosphorothioate oligonucleotide ISIS 1082 in rat .Antisense Nucleic Acid Drug Dev, 2001,11(1) :15
    [56]曾衍霖,翟蓉,朱兴族.重组新型人白细胞介素2- (125Ala)在大鼠的药代动力学.中国新药杂志, 1997,6(5):381—384
    [57]陈莲珍,王育琴,胡昌勤,姜红,王淑洁,陈宇梅,邢雁峰.高效毛细管电泳测定犬脑脊液中头孢曲松和药代动力学研究.中国抗生素杂志,2002,27(3):162-165
    [58]孙怀玉,卢霞,孙敏耀,胡志力,王秀丽. HPLC法分析生物样品的前处理技术.化学分析计量,2001,10(3):36-38
    [59]曾苏.生物样品中药物的分离提取方法及理论.药物分析杂志,1989,9(4):249-252
    [60]李章万,徐秀荣.色谱分析中生物样品的前处理方法.药物分析杂志,1996,16(1):55-58
    [61]范国荣,胡晋红,林梅,安登魁.毛细管电泳生物样品预处理技术.中国药科大学学报,1999,30(6):477-480
    [62]乔明曦,郭兴杰,李发美.高效迎头分析法测定药物-人血清白蛋白混合液中游离药物浓度.色谱,2001,19(4):329-331
    [63] Broieh JR,Hofman DB,Goldner SJ,et a1.Liquid—solid extraction of lyophilized biological material for forensic analysis.I.Application to urine samples for detection of drugs of abuse.J Chromatogr,1971,63:309
    [64]王文彬,刘俊亭.固相萃取法命名的由来与发展.色谱,1994,12(5):388-389
    [65]李存法,何金环.固相萃取技术及其应用.天中学刊,2005,20(5):13-16
    [66]程雪梅.色谱分析样品前处理技术——固相萃取法.热带农业工程,2002,(1):14-16
    [67]高立勤,刘文英.固相萃取技术及其在生物样本分析中的应用与进展.药学进展,1997,21(1):8-13
    [68]朱霁红.固相萃取法在毒(药)物分析中的应用.中国药物依赖性杂志,2000,9(4):311-312
    [69]王蕾,郭丽冰.固相萃取形式应用概况.河南中医学院学报,2007,22(131):86-88
    [70]张莘民,杨凯.固相萃取技术在我国环境化学分析中的应用.中国环境监测,2000,16(6):53-57
    [71]张正行,丁黎.药物代谢产物的研究与分析[A].见:安登魁主编.现代药物分析选论[M].北京:中国医药科技出版社,2001:622-626
    [72]梁桂贤,刘谦民.药物肠吸收研究方法近况.国外医药·合成药-生化药制剂分册,1998,19(4):251
    [73]索晴,刘树民.近年来中药在肠内的吸收代谢研究方法与思路概述.中国中医药科技,2007,14(2):141-142
    [74] Grass GM,Sweetans SA. In vitro measurement of gastrointestinal tissue permeability using a new diffusion cell. Pharma Res, 1998, 5(6):372
    [75]沈凯,王景田.药物肠吸收实验研究方法进展.中国新药杂志,2003,12(12):988-991
    [76] Arturrsson S, Palm K,Luthman K. Caco-2 monolayers in experimental and theoretical predictions of drug transport [J ]. Adv Drug Deliv Rev, 2001, 46 (1-3):27-43
    [77]王彦荣,何应.Caco-2细胞模型在天然药物吸收研究中的应用.中国生化药物杂志,2007,28(1):66-69
    [78]邓鸣,刘会臣.普伐他汀在大鼠小肠中的吸收和肝脏中的分布.中国药学杂志,2006,41(22):1733-1737
    [79] Liang WQ.Biopharmaceutics and Pharmacokinetics [M]. Beijing : People’s Sanitation Press, 2004, 15, 181
    [80] Tamai I,Takanaga H,Maeda H,et al. Proton-cotransport of pravastatin across intestinalbrush-border membrane [J]. Pharm Res,1995, 12(11): 1727- 1732
    [81] Kobayashi D, NozawaT, Imai k,et al. Involvement of human organic anion transporting polypeptide OATP-B (SLC21A9) in pH dependent transport across intestinal apical membrane [J]. J Pharmacol Exp Ther, 2003, 306(2):7032708
    [82]李新,徐继红,曾苏.普伐他汀在大鼠血浆中的固相提取和反相高效液相色谱法测定.药物分析杂志,2001,21(6):384-387
    [83] Steffen Bauer, Jessica Mwinyi, Angela Stoeckle,Thomas Gerloff, Ivar Roots.Quantification of pravastatin in human plasma and urine after solid phase extraction using high performance liquid chromatography with ultraviolet detection. Journal of Chromatography B, 2005,818:257–262
    [84] Yesenia Escobar, Caterina R, Venturelli, Carlos Hoyo-Vadillo. Pharmacokinetic Properties of Pravastatin in Mexicans: An Open-Label Study in Healthy Adult Volunteers. Current Therapeutic Research,2005, 66(3):238-246
    [85] Xiu-Sheng Miao, Chris D. Metcalfe.Determination of cholesterol-lowering statin drugs in aqueous samples using liquid chromatography–electrospray ionization tandem mass spectrometry.Journal of Chromatography A, 2003,998:133-141
    [86] Zhimeng Zhu, Len Neirinck. High-performance liquid chromatography coupled with negative ion tandem mass spectrometry for determination of pravastatin in human plasma.Journal of Chromatography B, 2003,783:133-140
    [87] Md. Khalid Pasha, Syed Muzeeb, Shaik Jafar Sadik Basha, Dhanya Shashikumar, Ramesh Mullangi,NuggehallyR.Srinivas.Analysis of five HMG-CoA reductase inhibitors—atorvastatin, lovastatin, pravastatin, rosuvastatin and simvastatin: pharmacological, pharmacokinetic and analytical overview and development of a new method for use in pharmaceutical formulations analysis and in vitro metabolism studies.Biomed. Chromatogr,2006,20: 282–293
    [88] S?d?ka Ertu¨rk, Armag?an O¨nal.A nalytical methods for the quantitative determination of 3-hydroxy-3-methylglutaryl coenzyme A reductase inhibitors in biological Samples.Journal of Chromatography B, 2003,793 :93–205
    [89] Ramakrishna Nirogi, Koteshwara Mudigonda, Vishwottam Kandikere.Chromatography–mass spectrometry methods for the quantitation of statins inbiological samples. Journal of Pharmaceutical and Biomedical Analysis,2007,44(2):379-387
    [90] Tomoyuki Fujioka, Yoshio Tsujita.Effects of single administration of pravastatin sodium on hepatic cholesterol metabolism in rats.European Journal of Pharmacology,1997,323: 223-228
    [91]胡容峰,朱家壁,赵丽华,孙玉亮,李师,程思.辛伐他汀大鼠在体小肠吸收动力学.中国医院药学杂志,2006,26(10):1222-1225
    [92]陈束叶,李铜铃,张洁,张婷婷,贾毅敏.盐酸帕罗西汀大鼠在体肠吸收动力学研究.中国药学杂志,2007,42(8):617-620
    [93]李岩,郭涛,颜鸣.泛昔洛韦大鼠在体肠吸收动力学研究.解放军药学学报,2006,22(5):332-335
    [94]万英,邹梅娟,郝秀华,刘丰,于杰,程刚.卡马西平大鼠在体肠吸收动力学.沈阳药科大学学报,2006,23(3):136-144
    [95]陈大为,郜艳霜,梁玉柱,刘丹华.罗格列酮马来酸盐大鼠在体肠吸收动力学的研究.临床药学,中国药学杂志,2002,37(6):436-438
    [96] Tsuji A. Tissue selective drug delivery utilizing carrier-mediated transport systems [J]. J Control Release, 1999,62 :239 - 244
    [97]李新,Otter K,Ziegler A.大鼠肝组织中普伐他汀的高效液相色谱法测定.药学学报,2001,36(2):123-126

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