通过肠道进行环素的第一通代谢
J C Kolars1, W M Awni, R M Merion
1Department of Internal Medicine, University of Michigan Medical Center, Ann Arbor.
Lancet (London, England)
|December 14, 1991
概括
环素主要在肝脏中代谢. 然而,这项研究发现小肠中的环素分解显著,这解释了其口服吸收不良和药物相互作用.
科学领域:
- 药理学 药理学是指药理学的学科.
- 胃肠病学 胃肠病学
- 移植医学 移植医学
背景情况:
- 环素 (也称为环素) 是一种免疫抑制药物.
- 人们普遍认为,肝脏是循环胺代谢的唯一地点.
- 了解环素代谢对于优化其治疗用途和管理不良影响至关重要.
研究的目的:
- 为了研究小肠在环素代谢中的作用.
- 为了确定环素在肝脏循环之前在胃肠道中是否经历分解.
主要方法:
- 在两个肝移植患者的小肠中直接注射环素.
- 在无肝期 (切除肝脏时) 采集门静脉血液样本.
- 对门静脉血液进行分析,以检测环素代谢物的存在.
主要成果:
- 在门静脉血液中,可以很容易地检测到环素代谢物.
- 门血液中代谢物的存在表明肠道代谢发生在到达肝脏之前.
结论:
- 小肠是循环氨酸代谢的重要部位.
- 肠道新陈代谢可能会导致西克洛斯波林的可变口服生物可用性.
- 这一发现可以解释观察到的涉及环素的药物相互作用.
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