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Related Experiment Videos

Olanzapine transfer by human placenta.

S Schenker1, Y Yang, E Mattiuz

  • 1Department of Medicine, University of Texas Health Science Center at San Antonio 78284-7878, USA.

Clinical and Experimental Pharmacology & Physiology
|September 28, 1999
PubMed
Summary
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This study investigated olanzapine transfer across the placenta. Olanzapine and its glucuronide metabolite cross the placenta, influenced by albumin binding, with no oxidative metabolites detected.

Area of Science:

  • Pharmacology
  • Obstetrics
  • Developmental Toxicology

Background:

  • Olanzapine is an effective antipsychotic for schizophrenia treatment.
  • Understanding its transplacental transport is crucial for managing pregnant patients.
  • Human placental transfer data for olanzapine is limited.

Purpose of the Study:

  • To assess the extent and characteristics of human transplacental olanzapine transport.
  • To identify potential metabolites transferred across the placenta.
  • To evaluate the role of albumin binding in olanzapine placental transfer.

Main Methods:

  • Utilized a single-cotyledon, normal-term human placenta perfusion system.
  • Quantified the transfer of radiolabeled olanzapine from maternal to fetal compartments over 4 hours.

Related Experiment Videos

  • Analyzed for the presence of olanzapine metabolites in placental perfusate.
  • Main Results:

    • 5-14% of maternal olanzapine transferred to the fetal compartment within 4 hours.
    • Albumin binding significantly influences olanzapine placental transport.
    • Approximately 17% of olanzapine was converted to its glucuronide metabolite, which transferred slower than the parent drug; no oxidative metabolites were detected.

    Conclusions:

    • Olanzapine crosses the human placenta, with transfer influenced by maternal protein binding.
    • The primary metabolite, olanzapine glucuronide, is also transferred transplacentally.
    • Lack of oxidative metabolites suggests limited placental metabolism of olanzapine.