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Vol. 284, Issue 3, 949-957, March 1998
Faculty of Pharmaceutical Sciences, University of Tokyo, Hongo, Bunkyo-ku, Tokyo 113, Japan
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Abstract |
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The pharmacokinetics of the hepatobiliary transport of an anionic drug, 7,8-dihydro-5-[(E)-[[a-(3-pyridyl)-benzylidene]aminooxy]ethyl]-1-naphthyloxy]acetic acid (ONO-1301), a new prostaglandin (PG) I2 receptor agonist, was investigated in rats. During intravenous infusion of this compound, the drug concentrations in arterial blood, hepatic vein and liver and the biliary excretion rate were measured at steady state. At a low infusion rate, 30% of the ONO-1301 was extracted by the liver during a single pass, and the main clearance organ was demonstrated to be the liver. The total clearance, Cltot; hepatic extraction ratio, EH; and liver-to-plasma concentration ratio, Kp values, decreased as the infusion rate increased. Considering the infusion rate-dependent decrease in all three parameters, saturation of hepatic uptake was suggested to be the cause of the nonlinear pharmacokinetics. To confirm this hypothesis, the time profiles of the plasma and liver concentrations of ONO-1301 after intravenous administration of various doses (0.01-25 mg/kg) were analyzed in vivo. The early-phase hepatic uptake clearance at lower doses (0.01-1 mg/kg) was 28 ml/min/kg, which is close to the hepatic plasma flow rate. The uptake clearance also was decreased at the higher doses. The uptake mechanism was investigated with isolated rat hepatocytes. Both Na+-dependent and -independent uptake were observed and these were inhibited by hypothermia and ATP depletors, which suggests that the uptake is via carrier-mediated active transport. The initial uptake velocity exhibited concentration dependence, and the kinetic parameters were as follows: Km, 15.6 µM (Na+-dependent) and 3.8 µM (Na+-independent); Vmax, 5.9 nmol/min/mg (Na+-dependent) and 4.8 nmol/min/mg (Na+-independent). With these in vitro transport parameters, the plasma unbound fraction and the hepatic plasma flow rate, the hepatic uptake clearance was calculated from a mathematical model. The calculation also indicated that the uptake was so rapid that it was limited by the plasma flow rate. It is concluded that the carrier-mediated active transport systems demonstrated in vitro are responsible for the nonlinear pharmacokinetics of ONO-1301.
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Introduction |
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During
research to develop an orally active and long-lasting
PGI2 analog, a novel compound, ONO-1301, was
found. Although this compound possesses a nonprostanoid structure, it
exhibits potent PGI2 activity and inhibits
thromboxane A2 in vitro and in
vivo (Kondo et al., 1995
).
Besides renal excretion, hepatic metabolism and biliary excretion are
the major pathways involved in the removal of xenobiotics. Our
quantitative studies have demonstrated that hepatic uptake is the
rate-limiting step in the hepatic clearance of several drugs (Miyauchi
et al., 1987
, 1993
). In this case, saturation of membrane
transport is one of the factors that causes the nonlinearity of hepatic
clearance (Yamazaki et al., 1996
). In addition, it has been
reported that carrier-mediated transport contributes to hepatic uptake
and/or biliary excretion (Petzinger 1994
; Elferink et al.,
1995
). As far as the hepatic uptake is concerned, it is well
established that hepatic uptake of the conjugated bile acid, taurocholate, is mediated predominantly by a secondary active transport
process driven by an out-to-in Na+ gradient
(Anwer and Hegner, 1978
; Inoue et al., 1982
; Yamazaki et al., 1993b
). The Na+-taurocholate
cotransporting different proteins (Ntcp and epoxide hydrolase) have
been characterized and cloned by two groups (Hagenbuch et
al., 1991
, 1994
; von Dippe et al., 1996
), and it has
been reported that the hepatic uptake of various organic anions such as
DBSP, pravastatin and leukotriene C4 is mediated
by a oatp, which also has been cloned (Jacquemin et al.,
1991
, 1994
; Kullak-Ublick et al., 1995
). In addition, the
cDNA sequence of a specific PGT has been reported, and the presence of
this transporter has been demonstrated in liver as well as other
tissues (lung, kidney, etc.); it exhibits similarities to oatp in terms
of amino acid sequence and substrate specificity (Kanai et
al., 1995
).
Regarding biliary excretion, a primary active transport system for
several compounds which is coupled directly to ATP-hydrolysis has been
reported (Ishikawa et al., 1990
; Kobayashi et
al., 1990
). The existence of transporters for conjugated bile
acids, organic anions (canalicular Multispecific Organic Anion
Transporter) and amphipathic organic cations including anticancer drugs
(P-gp) was demonstrated (Elferink et al., 1995
; Ishikawa
et al., 1990
; Ito et al.,1996
; Meijer et
al.; 1990
; Mayer et al., 1995
).
ONO-1301 is an organic anion with a carboxyl group (fig. 1) and is an agonist specifically bound to the PG receptor; therefore, hepatic uptake and biliary excretion may be mediated by the transporters described above. In this study, we carried out a kinetic investigation of the hepatobiliary transport of ONO-1301 and its mechanism of hepatic uptake.
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Materials and Methods |
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Materials
[14C]ONO-1301 (1.10 GBq/mmol) and unlabeled ONO-1301 were donated by ONO Pharmaceutical Co. Ltd. (Osaka, Japan). Rotenone was purchased from Sigma Chemical Co. (St. Louis, MO). FCCP was purchased from Aldrich Chemical Co. (Milwaukee, WI). All other chemicals were of reagent grade.
Animals
Male Sprague-Dawley rats (250-300 g, Nihon Ikagaku Doubutsu Shizai Kenkyusyo, Tokyo, Japan) were used.
In Vivo Infusion Study
Under ether anesthesia, the femoral vein and artery were
cannulated with PE-50 polyethylene tubing for ONO-1301 administration and blood sampling, respectively. The bile duct was cannulated with
PE-10 polyethylene tubing and the hepatic vein also was cannulated by
the method of Yokota et al. (1976)
. ONO-1301 dissolved in
physiological saline was infused through the femoral vein cannula at a
flow rate of 0.8, 8 or 80 mg/kg/hr for 30 min after the beginning of the infusion and then at a flow rate of 0.2, 2 and 20 mg/kg/hr. The
concentration of ONO-1301 solutions were 0.2, 2 and 20 mg/ml, respectively. After a certain interval, arterial blood and bile samples
were collected in polyethylene tubes. To obtain plasma, blood was
centrifuged at 10,000 × g for 2 min in a tabletop
microcentrifuge (Microfuge E, Beckman Instruments, Inc., Fullerton,
CA). The concentration of ONO-1301 was determined by HPLC. HPLC
analysis was performed on a CAPCELLPAK C18 UG-120
column (S-5 µm, 150 mm × 6 mm inside diameter [i.d.]). The
mobile phase consisted of CH3CN/0.02 M phosphate buffer (pH 9.0) (1:4) (solvent A) and CH3CN/0.02
M phosphate buffer (pH 9.0) (2:3) (solvent B). A linear gradient was
run from 0 to 25 min to increase solvent B from 45% to 100%, followed
by a 15 min elution with 100% solvent B; a reverse gradient reduced
the solvent B content back to 55% at 40 min. The flow rate was 1.0 ml/min, and the column effluent was monitored at 265 nm. AP-501-01 (0.2 µg; the isomer of ONO-1301) was added to plasma or bile
specimens as an internal standard. Plasma and bile specimens (5-100
µl) were mixed with 1 ml ethanol, the mixture was stirred with the vortex mixer and centrifuged at 3,000 rpm for 10 min. The supernatants were evaporated to dryness, and the samples were redissolved in HPLC
mobile phase. The liver (0.1 mg) was homogenized with 1 ml ethanol and
centrifuged at 3,000 rpm for 10 min. A selected volume (30-100 µl)
of supernatant was mixed with internal standard solution and evaporated
to dryness, and the sample was redissolved in HPLC mobile phase.
Quantitation of ONO-1301 in plasma, bile and liver was accomplished
with calibration curves obtained by plotting the ratio of the
appropriate peak area to the internal standard (ONO-AP-501-01).
Linearity was observed for concentrations of 0.1 to 1 µg/tube. The
straight-line equation was y = 1.32x
0.00050 [y = peak area ratio, ONO-1301/IS;
x = amount of ONO-1301 (µg) per tube]. The
correlation coefficient, r, was 0.999. Precision and
accuracy of the assay were determined for three injections per
concentration, and seven concentrations. The precision was less than
14.3%, and the accuracy was less than 6.7%. Typical HPLC
chromatograms of biological samples (plasma, bile and liver) are shown
in figure 2.
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Total body clearance (CLtot) was calculated from the following equation:
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(1) |
Hepatic extraction ratio (EH) was calculated from the following equation:
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(2) |
The liver-to-plasma concentration ratio (Kp value) was calculated from the following equation:
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(3) |
Biliary excretion clearances based on plasma and liver concentrations of ONO-1301 (CLbile,plasma and CLbile,liver) were determined as follows:
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(4) |
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(5) |
Binding of ONO-1301 to Serum or Liver Cytosolic Protein
The equilibrium dialysis method was used to determine the extent of binding of [14C]ONO-1301. Two-chamber dialysis cells divided by a dialysis membrane (Visking sheet, Sanplatec, Osaka, Japan) were used. A volume of 400 µl serum or 33% (w/v) cytosol was put in to one chamber, and the same volume of phosphate buffer (pH 7.4) was put in to the other. ONO-1301 was added to the serum or cytosol side to produce specified concentrations of ONO-1301 (3-1000 µM). The chambers were then incubated at 37°C for 6 hr (serum) or 4°C for 48 hr (cytosol), long enough to reach equilibrium. The concentration of ONO-1301 in both serum or cytosol and buffer sides was then measured. The binding to cytosol was determined at a low temperature to minimize the denaturation of binding protein(s).
The experimental data were fitted to the following equation to determine the binding parameters to serum and liver cytosol, respectively:
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(6) |
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(7) |
are the ligand concentration
bound to protein(s), unbound concentration of ligand, binding capacity,
dissociation constant and proportionality constant for nonspecific
binding, respectively. Assuming that both the binding affinity and the
binding capacity per unit protein are unaffected by the dilution of
cytosol, the binding to physiological undiluted cytosol was calculated
by use of three times the binding capacity [n(P)t] obtained from
binding studies which were carried out with 33% diluted cytosol.
Identification of the binding protein in the cytosol
Gel filtration was used to identify the protein responsible for
binding ONO-1301. The cytosol specimen was prepared as follows: liver
homogenates (33% w/v) in 50 mM potassium phosphate buffer (pH 7.4)
were prepared from three rats and then pooled to give 100,000 × g cytosol fractions (Tsao et al., 1988
; Chung
et al., 1990
; Sathirakul et al., 1993
). ONO-1301
(final concentrations of 10 µM) was added to an aliquot of the
cytosolic specimen (0.5 ml). After 15 min incubation at 37°C, 0.2 ml
of the mixture was analyzed by HPLC with a gel filtration column
(Asahipak GS-510, 50 cm × 7.6 mm i.d., Asahikasei Kogyo Co.,
Ltd., Kawasaki, Japan). The solvent system used was 50 mM potassium
phosphate buffer (pH 7.4) at a flow rate of 0.5 ml/min and fractions
(0.5 ml) were collected.
The protein concentration was measured spectrophotometrically at 280 nm, and the radioactivity of [14C]ONO-1301 was
determined in a liquid scintillation spectrophotometer (LS 6000SE,
Beckman Instruments, Inc., Fullerton, CA). GST activity in the eluted
fractions of liver cytosol obtained by HPLC was measured as reported
elsewhere (Sugiyama et al., 1981
). The GST activity with
respect to 1-chloro-2,4-dinitrobenzene was determined by monitoring
changes in the absorbance at 340 nm. The GST activity is expressed as
the formation of products per min per fraction.
Measurement of Hepatic Blood Flow
Under ether anesthesia, the femoral vein was cannulated with PE-50 polyethylene tubing for ONO-1301 administration. All doses of ONO-1301 (0.2, 2 and 20 mg/kg/hr) were dissolved in saline and infused through the femoral vein. The abdomen was opened by a downward midline incision extending about 8 cm from the diaphragm. The central lobe of the liver was deflected to the upper left with a gauze soaked in saline. The hepatic artery and portal vein were separated gently, and any fat was removed. The probe was placed around the portal vein and hepatic artery, the central lobe was returned to its normal position and then the abdomen was closed. The hepatic blood flow was measured at steady state before and after the beginning of drug infusion (small animal blood-flow meter, T106, Transonic Systems Inc. Ithaca, NY).
Initial Uptake Clearance in Vivo (Integration Plot Analysis)
Under ether anesthesia, the femoral vein and artery were cannulated with PE-50 polyethylene tubing for ONO-1301 administration and blood sampling, respectively. All doses of ONO-1301 (25.7 kBq, 0.01-25 mg/kg) were dissolved in saline and administered through the femoral vein, and blood samples were collected at certain intervals. At 2 to 5 min, rats were sacrificed, the liver excised and a portion of the tissue weighed and counted for radioactivity. When a tracer dose of ONO-1301 is given intravenously and liver uptake measured within a short period during which efflux and biliary excretion of the parent drug and metabolite from the liver is negligible, the liver uptake rate of ONO-1301 can be described by the following differential equation:
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(8) |
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(9) |
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(10) |
The CLuptake,in vivo value can now
be obtained from the initial slope of a plot of
Xt/Cp vs.
AUC(0-t)/Cp, designated as the "integration plot" (Kim et al., 1988
;
Yanai et al., 1990
).
Isolated Rat Hepatocytes
Cell preparation.
Hepatocytes were isolated from male SD
rats (250-300 g) by a two-step collagenase perfusion method modified
from the procedure of Baur et al. (1975)
. The liver was
perfused at 37°C for 20 min with the following medium: 137 mM NaCl,
5.4 mM KCl, 0.5 mM NaH2PO4, 0.42 mM Na2HPO4, 10 mM
HEPES, 4.2 mM NaHCO3, 0.5 mM EGTA, 5 mM glucose,
equilibrated with 95% O2-5%
CO2. Collagenase (from Clostridium histoliticum hepatocyte isolation grade; Wako Pure Chemical
Industries, Ltd., Osaka, Japan), trypsin inhibitor (Type I-S, from
Soybean; Sigma Chemical Co., St. Louis, MO) and calcium ion were added to 100 ml EGTA and glucose-free perfusate to give a final concentration of 0.05%, 0.005% and 5 mM, respectively. The liver was then perfused with the collagenase solution for an additional 15 min. After isolation, hepatocytes were suspended (1 mg protein/ml) at 0°C in
albumin-free Krebs-Henseleit buffer supplemented with 12.5 mM HEPES (pH
7.3). Cell viability was checked routinely by the trypan blue [0.38%
(w/v)] exclusion test. Viability ranged from 85% to 95%.
Uptake study.
Uptake of
[14C]ONO-1301 (0.5 µM) was initiated by
adding ligand to the preincubated (37°C for 3 min) cell suspension (1 mg protein/ml). At designated times, the reaction was terminated by
separating the cells from the medium by centrifugal filtration
(Schwenk, 1980
). Aliquots (200 µl) were placed into 0.4 ml centrifuge
tubes containing 50 µl 2 N NaOH, covered by 100 µl of a mixture of
silicone and mineral oil (density, 1.015). The samples were then
centrifuged for 15 s in a tabletop microfuge (Beckman Instruments,
Fullerton, CA). Centrifugation drove the hepatocytes through the oil
layer into the 2 N NaOH solution. After the cells dissolved in the
alkaline solution, the tube was sliced with a razor blade, and both
compartments [medium and bottom compartments (including the cells)]
were transferred to scintillation vials. The bottom contents were
neutralized with 50 µl 2 N HCl. Then 5 ml of counting solution was
added to the vial, and both cell and medium radioactivity was
determined in a liquid scintillation spectrophotometer (LS 6000SE,
Beckman Instruments, Inc., Fullerton, CA). The time course of ONO-1301
uptake was plotted in terms of the cell-to-medium concentration ratio
(C/M ratio), so that one could monitor the extent to which the ligand
had been concentrated in the cell. Initial uptake velocity was
calculated by linear regression of points taken at 20 and 60 s. To
estimate Na+-independent ONO-1301 uptake, the
uptake study was performed in the absence of external
Na+. Under these experimental conditions, choline
was used in the incubation buffer. The composition of the choline
buffer was the same as the Krebs-Henseleit buffer except that the NaCl
and NaHCO3 were replaced with isotonic choline
chloride and choline bicarbonate, respectively.
Na+-dependent ONO-1301 uptake was calculated by
subtracting the uptake with choline buffer from the total uptake
measured with Krebs-Henseleit buffer containing
Na+ (142 mM).
Determination of Kinetic Parameters
The kinetic parameters for ONO-1301 uptake were estimated from the following equation:
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(11) |
where V0 is the initial uptake rate
of ONO-1301 (pmol/min/mg), S is the ONO-1301 concentration
in the medium (µM), Km is the Michaelis
constant (µM), Vmax is the maximum uptake
rate (pmol/min/mg) and Pdif is the
nonspecific uptake clearance (µl/min/mg). This equation was fitted to
the uptake data sets by an iterative nonlinear least-squares method
with a MULTI program (Yamaoka et al., 1981
) to obtain
estimates of the kinetic parameters. The input data were weighted as
the reciprocal of the square of the observed values, and the algorithm
used for the fitting was the Damping Gauss Newton Method (Yamaoka
et al., 1981
).
Estimation of Hepatic Uptake CL from the in Vitro Data
Based on the kinetic parameters obtained by the fitting procedure described, under linear condition, the permeability-surface area product, PSinflux,in vitro (ml/min/kg rat) was calculated from the following equation:
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(12) |
= 1.25 × 108 (cells/g of
liver, Lin et al., 1980
= 1.0 × 106 (cells/mg protein) and
= 44 (g liver/kg
rat, Sugita et al., 1982The in vivo uptake CL (CLuptake,in
vivo, ml/min/kg rat) was then estimated from the in
vitro PSinflux,in vitro with the
dispersion model (equation 13) (Roberts and Rowland, 1986
):
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(13) |
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(14) |
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(15) |
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Results |
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In vivo infusion study. After intravenous infusion (0.2, 2 and 2 mg/kg/hr), the plasma concentrations in both arterial and hepatic venous blood, the liver concentration and the biliary excretion rate of ONO-1301 were measured at steady-state. CLtot, EH and Kp were calculated from equations 1, 2 and 3, respectively. These results are shown in table 1. All parameters remained constant at 50 and 60 min after the beginning of the intravenous infusion, 0.2 to 20 mg/kg/hr, having reached steady state. The EH value was estimated to be 0.31 for the 0.2 mg/min/kg infusion, which indicates that 30% of ONO-1301 molecules were extracted by the liver during a single pass. CLH was estimated to be 12.2 to 6.7 ml/min/kg at 0.2 to 2 mg/min/kg and was similar to CLtot (6.5-5.7 ml/min/kg), so the main clearance organ was suggested to be the liver. The CLtot, EH and Kp values in the liver decreased as the infusion rate increased (table 1). The biliary excretion rates of ONO-1301 normalized for the infusion rate (Vbile/I) at steady state at 0.2, 2 and 20 mg/kg/hr were 9.15 ± 0.71%, 10.6 ± 1.1% and 4.96 ± 0.89%, respectively. The biliary excretion clearance based on the plasma concentration of ONO-1301 (CLbile,plasma) decreased as the infusion rate increased; on the other hand, the clearance rates based on the liver concentration (CLbile,liver) increased (table 1).
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Binding to serum protein. The binding of ONO-1301 to serum protein was studied by equilibrium dialysis; distribution of ONO-1301 to blood cells also was studied. ONO-1301 distribution in blood cells was negligible. The Scatchard plot for the binding of ONO-1301 to rat serum protein (fig. 3) revealed the presence of a single kind of binding site. The binding capacity [n(P)t] and dissociation constant (Kd) were estimated to be 1860 µM and 38.2 µM, respectively. The n(P)t value was approximately four times the serum albumin concentration (0.4-0.6 mM), which suggests the existence of four binding sites on an albumin molecule. The free fraction remained constant (1.81 ± 0.03%) from 3 to 50 µM, but was increased at concentrations >100 µM. The free fraction was estimated to be 2.62 ± 0.13% at a concentration of 400 µM, corresponding to the plasma concentration of ONO-1301 in the in vivo study with the highest infusion rate (20 mg/kg/hr), and was 4.17 ± 0.19% at 1 mM.
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Binding to cytosolic protein. The distribution of ONO-1301 between cytosol and other organelles was measured. The ratio of the amount in the cytosol to the total amount in homogenate was 23%. The binding of ONO-1301 to 33% cytosol was quantitated by equilibrium dialysis. Figure 4 shows the Scatchard plot for the binding of ONO-1301 to cytosolic protein. The binding data were fitted to equation 7. For the binding of ONO-1301, saturable and nonsaturable components were observed. The Kd value was 5.4 µM. The n(P)t value of ONO-1301 in 100% cytosol was estimated to be 117 µM by extrapolating the binding data obtained in diluted cytosol specimens (33% cytosol). The free fraction remained constant (2.50-2.86%) from 3 to 20 µM, but was increased at concentrations >50 µM. The free fraction was estimated to be 4.95 ± 0.60% at a concentration of 600 µM, corresponding to the liver concentration of ONO-1301 in the in vivo study with the highest infusion rate (20 mg/kg/hr).
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Identification of binding protein in the cytosol.
The binding
of ONO-1301 to cytosolic protein was studied by gel filtration. The
elution pattern for the protein and associated radioactivity is shown
in figure 5. The determination of the GST activity in the eluent fraction suggested that the peak of GST activity
coincided with that of the radioactivity, and the protein responsible
for binding ONO-1301 in liver cytosol may be ligandin (Sugiyama
et al., 1983
; Takenaka et al., 1995
).
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Measurement of hepatic blood flow. The effect of a constant infusion of ONO-1301 (0.2, 2 and 20 mg/kg/hr) on the hepatic blood flow rate was measured. Before beginning the infusion, the hepatic blood flow rate was 59.1 ml/min/kg. The hepatic blood flow rate was not affected by the infusion of saline but was increased by ONO-1301 in a dose-dependent manner. The hepatic blood flow rate increase reached almost constant (by 30%) at the infusion rate of 2 mg/kg/hr (table 2).
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Initial uptake clearance in vivo (integration plot analysis). To investigate directly the saturation of hepatic uptake, the time profiles of plasma and liver concentrations of ONO-1301 after intravenous administration of various doses (0.01-25 mg/kg) were analyzed in vivo (fig. 6). The early-phase hepatic uptake clearance (CLuptake,in vivo) over the linear range (0.01-1 mg/kg) was 27 to 30 ml/min/kg, which is close to the hepatic plasma flow rate. CLuptake,in vivo decreased as the dose increased and fell to 14.3 ml/min/kg at a dose of 25 mg/kg (fig. 7).
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Isolated rat hepatocytes. [14C]ONO-1301 uptake by isolated rat hepatocytes increased in a time-dependent manner and a highly concentrative uptake was observed, e.g., the cell-to-medium (C/M) concentration ratio at 5 min was 8000. ONO-1301 exhibited both Na+-dependent and -independent uptake (fig. 8). The initial uptake velocity exhibited a concentration dependence, and the Eadie-Hofstee plot of the uptake data is shown in figure 9. The kinetic parameters were as follows: Na+-dependent parameters; Km = 15.6 ± 5.4 µM, Vmax = 5.9 ± 1.6 nmol/min/mg, Pdif = 12.9 ± 5.4 µl/min/mg (mean ± computer-calculated S.D.), Na+-independent parameters; Km = 3.8 ± 0.8 µM, Vmax = 4.8 ± 0.6 nmol/min/mg, Pdif = 29.3 ± 4.8 µl/min/mg (mean ± computer-calculated S.D.).
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Estimation of hepatic uptake clearance from the in vitro uptake data. Based on the kinetic parameters obtained from in vitro experiments, the PSinflux,in vitro was calculated from equation 12 as 9400 ml/min/kg. Considering that the free fraction of ONO-1301 was 0.018, fu · PSinflux,in vitro was calculated as 171 ml/min/kg. This value was five times that of the hepatic plasma flow rate (32.5 ml/min/kg), which is the product of the hepatic blood flow rate (59.1 ml/min/kg) and the hematocrit (0.45), which suggests that the hepatic uptake is blood-flow rate-limited. Actually, the CLuptake,in vivo estimated from equations 13 to 15 was 31.5 ml/min/kg, which is close to the hepatic plasma flow rate and agrees with the value (29 ml/min/kg) obtained from the in vivo study at a dose of .01 mg/kg (fig. 7).
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Discussion |
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The hepatobiliary transport of ONO-1301 was analyzed kinetically in rats in vivo. During intravenous infusion of this compound, CLtot at steady state decreased as the infusion rate increased and exhibited nonlinearity (table 1). After a single intravenous administration of [14C]ONO-1301, most of the total radioactivity from the injected dose was recovered in the bile (H. Imawaka, unpublished data). These results suggest that hepatic uptake, hepatic metabolism and biliary excretion may be important factors governing the disposition of this drug.
Both CLtot and EH
decreased as the infusion rate increased. At 2 mg/kg/hr infusion,
CLtot decreased to only approximately 90% of the
CLtot at 0.2 mg/kg/hr, whereas the decrease in
EH was approximately 50%. The decrease was
more marked for EH than
CLtot at 20 mg/kg/hr (8% and 30% of that at 0.2 mg/kg/hr, respectively) (table 1). This phenomenon may be caused by an
increase in hepatic blood flow rate with ONO-1301 administration.
Therefore, to investigate the effect of ONO-1301 on the hepatic blood
flow rate, QB was measured directly with a
blood flow meter under ether anesthesia. Ether anesthesia affects both
blood flow as well as drug metabolism (Watkins and Klaassen, 1983
). It
is doubtful whether the blood flow rate observed in this experiment is
the physiological hepatic blood flow rate. However, all in
vivo experiments (in vivo infusion study and initial
uptake clearance in vivo) were done under the same
conditions of anesthesia. As for hepatic blood flow rate, the
dose-dependent effect of ONO-1301 can be discussed. Before beginning
the ONO-1301 infusion, the hepatic blood flow rate was 59.1 ml/min/kg,
similar to reported values (Nagata et al., 1990
; Yokota
et al., 1976
). After intravenous infusion of ONO-1301, the
hepatic blood flow rates increased. The increase in hepatic blood flow
rate at infusion rates of 0.2, 2 and 20 mg/kg/hr was 21%, 31% and
34%, respectively (table 2). Such an increase in hepatic blood flow
rate may be one reason why CLtot did not decrease as much as EH. However, there may be
another reason, because the decrease in CLtot at
2 mg/kg/hr compared with 0.2 mg/kg/hr was smaller than the
corresponding decrease in hepatic clearance (CLH
Qp · EH).
In general, CLH is expressed as a function of
QB, fB and
CLint,all, where fB
is the blood unbound fraction, and CLint,all represents the overall intrinsic clearance which includes not only
metabolism and biliary excretion but also membrane permeability, as
described by the following equation (Miyauchi et al., 1987
; Pang and Gillette 1978
):
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(16) |
), 2) saturation of
biliary excretion (CLint,bile
) and 3) saturation of
metabolism (CLint,met
). After intravenous
administration of [14C]ONO-1301 at various
doses, the fraction of the metabolites to the total radioactivity in
plasma and bile did not change with dose (H. Imawaka, unpublished
data). Therefore, saturation of metabolism may not have occurred. To
clarify the possibility that saturation of hepatic uptake and biliary
excretion might occur, various pharmacokinetic parameters at steady
state were analyzed. The biliary excretion clearance based on the
plasma concentration of ONO-1301 (CLbile,plasma; 0.86 ml/min/kg) was much smaller than CLH (12.2 ml/min/kg) at 0.2 mg/kg/hr, which suggests that the biliary excretion
did not contribute so much to the decrease in hepatic clearance of
ONO-1301. Although CLbile,plasma decreased as the
infusion rate increased, the clearances based on the liver concentration (CLbile,liver) increased. We, therefore,
suggest that the decrease in CLH was not caused by
saturation of biliary excretion. The increase in
CLbile,liver with increasing infusion rate might be
explained by saturation of the tissue binding of ONO-1301, because the
hepatic concentration of ONO-1301 (150 µM) at 2 mg/kg/hr, was higher
than the concentration of ligandin (50-100 µM) (Sathirakul et
al., 1993In addition to these considerations, the decrease in Kp as well as in EH with increasing infusion rate suggests that the nonlinear pharmacokinetics are caused by saturation of hepatic uptake. The Kp of this compound at the lowest infusion rate is large, 26, despite extensive plasma protein binding (98% binding, fig. 3). Such a high Kp may be explained by two possible mechanisms; one is carrier-mediated active hepatic uptake as mentioned above, and/or more extensive binding to intracellular proteins than to plasma proteins. The binding to cytosolic proteins (ligandin as the major binding protein, fig. 5) was quantitated with 33% cytosol (fig. 4). From the binding parameters (Kd, n(P)t) obtained, the binding of ONO-1301 to undiluted cytosol (100% cytosol) over the linear binding range was estimated from equation 7. The extrapolated percentage binding (97%) was close to the binding to plasma proteins (98%). Consequently, a high Kp value of 26 cannot be accounted for only by tissue binding, but carrier-mediated active uptake must also be considered.
To investigate directly the saturation of hepatic uptake, the time profiles of plasma and liver concentrations of ONO-1301 after intravenous administration at various doses (0.01-25 mg/kg) were analyzed in vivo. The early-phase hepatic uptake clearance (CLuptake,in vivo) over the linear range (0.01-1 mg/kg) was approximately 29 ml/min/kg (fig. 7), which is close to the hepatic plasma flow rate (32.5 ml/min/kg, table 2). CLuptake,in vivo decreased as the dose increased and saturation of the uptake was observed (fig. 7). Such a nonlinearity in CLtot and the Kp value at steady state (table 1) could thus be attributed to saturation of hepatic uptake.
Furthermore, by use of isolated rat hepatocytes, the analysis of the kinetics in the Na+- dependent and -independent uptake provided one saturable component with a Km value of 15.6 µM (Na+-dependent) and 3.8 µM (Na+-independent), a Vmax value of 5.9 nmol/min/mg (Na+-dependent) and 4.8 nmol/min/mg (Na+-independent) and nonspecific diffusion. From the kinetic parameters obtained, the uptake clearance (PSinflux,in vitro) in the presence of an external Na+ (corresponding to physiological conditions) was calculated to be 9400 ml/min/kg from equation 12. Furthermore, based on the in vitro parameters (fu, PSinflux,in vitro), CLuptake,in vivo was estimated from equations 13 to 15 to be 31.5 ml/min/kg, which is close to the hepatic plasma flow rate and agrees with the result of the in vivo study at a dose of 0.01 mg/kg (29 ml/min/kg, fig. 6). Although the results from both in vitro and in vivo studies indicate that the hepatic uptake clearance is close to the hepatic plasma flow rate, the EH value at steady-state was 0.31 (much lower than 1). As understood easily from equation 16, this can be explained by the hypothesis that the PSeff value is much larger than the sum of the CLint,met and CLint,bile values.
We investigated the uptake mechanism of ONO-1301 with isolated
rat hepatocytes. Both Na+-dependent and
-independent uptake was observed. The uptake characteristics of
ONO-1301, i.e., highly concentrative (equilibilium C/M ratio about 8000) (fig. 8), temperature dependent and sensitive to ATP depletors (table 3), demonstrate that the hepatic uptake of ONO-1301 is
mediated by both a Na+-dependent and -independent
carrier mediated active transport system. ONO-1301 is an organic anion
with a carboxyl group and is an agonist specifically bound to PG
receptors, hence, hepatic uptake processes may be mediated by the
transporters (Ntcp, epoxide hydrolase, oatp or PGT) described in the
introduction. To investigate which transporter is responsible for the
hepatic uptake of ONO-1301, the mutual inhibition of hepatic uptake was
examined. The uptake of ONO-1301 both in the presence and absence of
external Na+ was inhibited by TCA and pravastatin
(a typical non-bile acid organic anion) only partly. However, the
half-inhibition concentrations of TCA and pravastatin for the
inhibitable ONO-1301 uptake were 20 and 50 µM, and were comparable
with the Km values for the uptake of TCA
[Km = 15 (Na+-dependent), 57 (Na+-independent) µM, Anwer and Hegner, 1978
]
and pravastatin (Km = 29 µM, Yamazaki
et al., 1993a
) themselves, respectively (table 3). ONO-1301
also inhibited the uptake of TCA and pravastatin almost completely, and
the half-inhibition concentration of ONO-1301 was approximately 10 µM
(table 3), which agreed well with the Km
values (4-7 µM) of ONO-1301 uptake (fig. 9). These mutual inhibition studies suggest that the hepatic uptake of ONO-1301 may be mediated at
least partly by Na+-dependent TCA transporters
and Na+-independent oatp. In addition, we cannot
exclude the possibility of a contribution from PGT.
To clarify the quantitative contribution of Ntcp, epoxide hydrolase, oatp and PGT to ONO-1301 uptake by hepatocytes, detailed kinetic studies involving the analysis of the mutual inhibition pattern in isolated rat hepatocytes and the mammalian cells to which these transporters are transfected are necessary and are currently underway in our laboratory.
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Acknowledgments |
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We would like to thank ONO Pharmaceutical Company Co., LTD., for providing labeled and unlabeled ONO-1301. We also thank Sankyo Co., LTD., for providing labeled and unlabeled pravastatin.
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Footnotes |
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Accepted for publication November 13, 1997.
Received for publication November 1, 1996.
Send reprint requests to: Yuichi Sugiyama, Ph.D., Professor and Chair, Faculty of Pharmaceutical Sciences, University of Tokyo, 7-3-1, Hongo, Bunkyo-ku, Tokyo 113, Japan.
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Abbreviations |
|---|
ONO-1301, 7,8-dihydro-5-[(E)-[[a-(3-pyridyl)benzylidene]aminooxy]ethyl]-1-naphthyloxy]acetic
acid;
PG, prostaglandin;
TCA, taurocholate;
DBSP, dibromosulfophthalein;
FCCP, carbonylcyanide-p-(trifluoromethoxy)-phenylhydrazone;
Ntcp, Na+-taurocholate cotransporting polypeptide;
oatp, Na+-independent organic anion transporting polypeptide;
PGT, prostaglandin transporter;
P-gp, P-glycoprotein;
SD rats, Sprague-Dawley rats;
Km, Michaelis constant;
Vmax, maximum transport velocity;
Pdif, nonspecific diffusion clearance;
CLtot, total body clearance;
EH, hepatic extraction ratio;
CLH, hepatic clearance;
QB, hepatic blood flow rate;
Qp, hepatic plasma flow rate;
Ht, hematocrit;
Kp value, liver-to-plasma concentration ratio;
CLbile,plasma and
CLbile,liver, biliary excretion clearances based on plasma
and liver concentrations;
n(P)t, binding capacity;
Kd, dissociation constant;
CLuptake,in
vivo, hepatic uptake clearance in vivo;
AUC(0-t), the area under the plasma
concentration-time curve from time 0 to t;
PSinflux,in vitro, permeability-surface area product
obtained in vitro;
HPLC, high-performance liquid
chromatography;
GST, glutatione S-transferase;
EGTA, ethylene glycol bis(
-aminoethyl ether)-N,N,N
,N
-tetraacetic acid;
HEPES, N-2-hydroxyethylpiperazine-N
-2-ethanesulfonic acid.
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References |
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