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Effects of water deprivation for 72 hours on the pharmacokinetics of a new carbapenem, DA-1131, in rats.

机译:缺水72小时对新碳青霉烯DA-1131在大鼠体内的药代动力学的影响。

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Hormonal, physiological, and biochemical changes occurring in dehydrated patients could alter the pharmacokinetics of the drugs; therefore, the pharmacokinetics of DA-1131, a new carbapenem antibiotic, were investigated after 1-min intravenous administration of the drug at 50 mg/kg to control and 72-hr water-deprived rats. The impaired kidney and liver functions were observed in water-deprived rats on the basis of tissue microscopic examination. After intravenous infusion of the drug to water-deprived rats, the plasma concentrations of DA-1131 were higher and this resulted in a significantly greater total area under the plasma concentration-time curve from time zero to time infinity than those in control rats (4520 versus 3760 &mgr;g min/ml). This could be due to significantly slower total body clearance (CL) of DA-1131 in water-deprived rats (9.81 versus 14.1 ml/min/kg). The significantly slower CL of DA-1131 in water-deprived rats was due to significant decrease in both renal clearance (2.87 versus 5.13 ml/min/kg because of a significant decrease in 8-hr urinary excretion of unchanged DA-1131 [28.4 versus 39.9% of the intravenous dose] due to impaired kidney function) and nonrenal clearance (6.82 versus 8.66 ml/min/kg because of a significant decrease in the metabolism of DA-1131 in the kidney, as proved by the significant decrease in total renal DHP-I enzyme activity [1900 versus 2130 mU/each kidney]) in water-deprived rats. Water-deprivation did not alter the affinity of rat tissues to DA-1131.
机译:脱水患者发生的激素,生理和生化变化可能会改变药物的药代动力学。因此,在对对照组和缺水72小时的大鼠静脉注射50 mg / kg的药物1分钟后,研究了一种新的碳青霉烯类抗生素DA-1131的药代动力学。根据组织显微镜检查,在缺水的大鼠中观察到肾和肝功能受损。向缺水的大鼠静脉输注药物后,DA-1131的血浆浓度更高,这导致从零时到无限时的血浆浓度-时间曲线下的总面积比对照大鼠大得多(4520)与3760 mg / min相比)。这可能是由于缺水大鼠DA-1131的整体清除率(CL)显着降低(9.81对14.1 ml / min / kg)。在缺水的大鼠中,DA-1131的CL显着降低是由于两个肾脏清除率均显着降低(2.87对5.13 ml / min / kg,因为未改变DA-1131的8小时尿液排泄显着降低[28.4 vs. 39.9%的静脉注射剂量](由于肾功能受损)和非肾脏清除率(6.82比8.66 ml / min / kg,因为DA-1131在肾脏中的代谢显着下降,总肾脏显着下降证明了这一点)缺水大鼠的DHP-1酶活性(1900对2130 mU /每个肾脏)。缺水不会改变大鼠组织对DA-1131的亲和力。

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