INTRODUCTION
Activity of enzymes which catalyse biotrans- formation of xenobiotics can be
evaluated under in vivo and in vitro conditions. Recently an increasing
recognition of in vivo methods which involve implementationof model drugs
is observed (Boothe et al., 1994; De
Graves et al., 1995; Danielson and Golsteyn,
1996; Engelking et al., 1987; Higaki
et al., 2003; Janus and Grochowina, 2006b).
Antipyrine is a model drug which is used for determination of rate of the first
phase of hepaticbio-transformation (mostly oxidation); those reactions are catalysed
by microsomal monooxygenases which form complex with cytochrome P450 (CYP450);
an enzymatic complex which is crucial in oxidative metabolism of xenobiotics
(Monshouwer et al., 1994; Depelchin
et al., 1988; Janus and Suszycka, 1996).
Major metabolites of antypirine are: 4-hydroxyandro-stenedione (4-OHA), 3-Hydroxymethylantipyrine
(HMA) and Norantipyrine (NORA) (Monshouwer et al.,
1994; Depelchin et al., 1988; Welch
et al., 1975).
Caffeine (1, 3, 7-trimethylxanthine) is very common pharmalogical product which
stimulates e.g., central nervous system and circulatory system (Zylber-Katz
et al., 1984; Monshouwer et al., 1995;
Peck et al., 1997). Isoenzymes involved in the
caffeine metabolism belong to cytochrome P450 complex (mainly CYP1A2 isoform).
Major metabolites which are produced as a result of caffeine demethylation in
1, 3 and 7 position are theobromine, paraxanthine and theophylline (Boothe
et al., 1994; Zylber-Katz et al., 1984;
De Graves et al., 1995; Danielson
and Golsteyn, 1996). Caffeine is transformed by N-acetylotransferase (NAT)
and xanthine oxidase (De Graves et al., 1995;
Danielson and Golsteyn, 1996; Aramaki
et al., 1991). This model drug is nearly completely transformed in
the liver. Only 2-5% of caffeine after administration into the organism is excreted
(in unchanged form) in urine (Boothe et al., 1994;
Danielson and Golsteyn, 1996).
Paracetamol is derivative of aniline (Engelking et al.,
1987; Adzu et al., 2001; Bannwarth
and Pehourcq, 2003). Except its therapeutic use, it is also a tool in pharmacokinetic
research as a model substance for examination factors effecting activity of
enzymes involved in processes of second phase of hepatic biotrans-formation
(Higaki et al., 2003; Janus
et al., 2003; Li et al., 2004; Janus
and Grochowina 2006a, b).
Bonding of paracetamol with plasma proteins does not inhibit the rate of its
elimination due to dissociation of the drug-protein complex (Mansor
et al., 1991; Bannwarth and Pehourcq, 2003;
Li et al., 2004). Paracetamol is completely metabolized
in the liver (McNamara et al., 1991; Allegaert
et al., 2004b; Bannwarth and Pehourcq, 2003;
Li et al., 2004). It undergoes coupling reactions
mostly with glucuronic acid by glucuronic transferase (Ali
et al., 1996; Bock et al., 1987;
Higaki et al., 2003; Janus
et al., 2003) and with sulphite ions by phenylsulfotransferase (Wynne
et al., 1990; Higaki et al., 2003;
Janus et al., 2003).
Only 3-4% of paracetamol is oxidised into transitional form of N-acetylobenzochinoimine.
The reaction is catalized by cytochrome P450 (Flouvat
et al., 2004; Li et al., 2004). In humans
adults humans, products of oxidative metabolism of paracetamol are <10% of
all its metabolites however, in newborns reach 10-20% (Allegaert
et al., 2004a, b).
Now a days, saliva is increasingly used as biological material to determine
pharmacokinetics of model drugs in humans (Zylber-Katz
et al., 1984; Posti, 1999; Linday
et al., 1991; Babalola et al., 2004)
and animals Lakin et al., 1997; Meffin
et al., 1977; Janus et al., 2003;
Kennedy et al., 2003). However, until now the
possibility of using saliva for determination of the range of pharmacokinetic
parameters of drugs which would allow for evaluation of both phases of hepatic
biotransformation was not investigated.
The aim of this study was to evaluate usefulness of saliva as a biological material for determination of pharmacokinetics of model drugs in calves at different age.
MATERIALS AND METHODS
The experimental material: For the experiment (approved by the localethic committeefor scientific experiments on animals) 30 Black and White calves (BW) at the age of 10 and 40 days were divided into 3 groups: I-antipyrine group, II-caffeine group and III-paracetamol group. During the whole experiment, all animals were kept in the same standard environmental conditions. Before the experiment, external jugular vein catheterization was conducted on all animals. Any drugs which could interact pharmacokinetically and biochemically with antipyrine, caffeine and paracetamol were not administrated to animals during the experiment.
Experimental procedure
Antipyrine test: Calves of group I received intravenous antipyrine
at dose of 10 mg kg-1 body weight (bw). Blood and saliva samples
were collected before administration of antipyrine (0) and then after 1, 2,
4, 6, 8, 12 and 24 h after the drug was given.
Caffeine test: Calves of group I received intravenous caffeine at dose of 5 mg kg-1 bw. Samples of blood and saliva were collected before (0) administration of caffeine and then after 1, 2, 4, 6, 8, 12 and 24 h after the drug was given.
Paracetamol test: Calves of group III received intravenous paracetamol at dose of 10 mg kg-1 bw. Samples of blood and saliva were collected before (0) administration of paracetamol and then after 0.5, 1, 1.5, 2, 3, 4, 5, 6 and 8 h after administration.
Doses of model drugs and time-points of blood sample collection were established
on the basis of the previous experiments (Janus and Suszycka,
1996; Janus et al., 2003, 2007).
Blood samples were aseptically collected into tubes with heparin as a coagulant and then centrifuged (4000xg for 15 min) in order to obtain plasma. Simultaneously, saliva was centrifuged in order to obtain mucopolysaccharides. All samples were aliquoted and frozen at -20°C until further use.
The concentration of antipyrine and paracetamol was measured spectrophotometrically.
The concentration of caffeine was evaluated by EMIT method (Enzyme Multiplied
Immunoassay Technique) (Boothe et al., 1994;
De Graves et al., 1995).
Pharmacokinetic calculations: The pharmacokinetic of antipyrine was
estimated using open one-compartment model (Engelking et
al., 1987). Calculations were carried out on the basis of elimination
curves for that model substance. The determinations was made at free phase (β)
elimination (Depelchin et al., 1988; Welch
et al., 1975). The levels of pharmacokinetic parameters of caffeine
and paracetamol were estimated using non-compartment model (Aramaki
et al., 1991; Janus et al., 2003).
The following pharmacokinetic parameters were evaluated: volume of distribution
Vd (l), relative volume of distribution Vd (kg-1),
mean residence time T1/2β (h); biological half-life (MRT), Metabolic
clearance Clm (mL min-1), relative metabolic clearance
Clm (mL/min/kg) and level of model drugs-plasma proteins fractions
(FB).
Statistical analysis: All statistical analysis were conducted with Statistica 6.0 software. The statistical significance of the differences between pharmacokinetic parameters of antipyrine, caffeine and paracetamol in plasma versus saliva in calves at age of 10 and 40 days was determined by Students t-test.
RESULTS
Results obtained in the experiment are shown in Table 1 and 2. The statistical significance of the differences between pharmacokinetic parameters of antipyrine, caffeine and paracetamol in plasma versus saliva in calves at age of 10 and 40 days are shown in Table 3.
It was reported that levels of pharmacokinetic parameters of all model drugs in calves were changing significantly in an age dependent manner, irrespectively of the type of material (blood or saliva) used for analyzes.
Volume of distribution of antipyrine, caffeine and paraceta mol between 10th
and 40th day of experiment increased of 35.4, 30.7; 38.6, 34.3, 40.0 and 44.4%,
respectively for plasma and saliva. The different pattern was obtained for distribution
coefficient which was decreasing with age (antipyrine: -9.8 and -12.9%; caffeine:
-8.9 and -10.5%; paracetamol: -20.1 and -14.5%). Mean residence time was shortening
with animals age (12.5 and 12.6% antipyrine; 11.0 and 10.1% caffeine; 25.0 and
22.1% paracetamol, respectively). Similar changes were also observed for half-life
parameter: (T1/2β): -12.8 and -13.0%; -9.5 and -8.5%; -21.0
and -22.5%, respectively. Changes of MRT and T1/2β values effected
in an increased of absolute and relative metabolic clearance of antipyrine,
caffeine and paracetamol in an age-depending pattern (absolute clearance antipyrine
73.3 and 68.3%; caffeine: 61.1 and 58.9%; paracetamol: 100.3 and 95.0% and also
relative clearance 13.0 and 12.4%; 8.2 and 6.8%; 14.6 and 9.9%, respectively).
Percentage differences in values of pharmacokinetic parameters calculated on the basis of antipyrine, caffeine and paracetamol concentration in blood and saliva were: (10th day) antipyrine -Vd (l)+2.8%, Vd (l kg-1)+2.9%, MRT +1.8%, T1/2β+1.7%, Clm (mL min-1) -5.5%, Clm (mL/min/kg) -4.9%; caffeine -Vd (l)+1.5%, Vd (kg-1)+1.5%, MRT+1.6%, T1/2β+2.6%, Clm (mL min-1) -4.5%, Clm (mL/min/kg) -4.6%; paracetamol -Vd (l) -11.2%, Vd (l kg-1) -8.0%, MRT -15.1%, T1/2β -16.9%, Clm (mL min-1) +13.2%, Clm (mL/min/kg) +11.6% and at 40th day: +6.6, +6.5, +1.2, +1.9, -2.8 and -4.4% (antipyrina); +3.3, +3.3, +1.5, +1.5, -3.2 and -3.1% (caffeine); -14.1, -14.2, -18.5, -18.1, +16.3 and +16.1% (paracetamol), respectively.
Coefficient of distribution of the investigated model drugs in plasma and saliva
of calves was between antipyrine 0.973-0.981; caffeine 0.965-0.975; paracetamol
0.821-0878, respectively. The volumes of bound fraction used in the model drug
experiment with plasma proteins were: 1.9-2.7% (antipyrine); 2.5-3.5% (caffeine)
and 12.2-17.9% (paracetamol) of the level of the present concentration of those
drugs in plasma, respectively. The bound fraction values were increasing with
the age of animals.
| Table 1: |
Pharmacokinetics of antipyrine, caffeine, paracetamol in
plasma and saliva of 10 days old calves (x±s) |
 |
|
| Table 2: |
Pharmacokinetics of antipyrine, caffeine, paracetamol in
plasma and saliva of 40 days old calves (x±s) |
 |
|
| Table 3: |
The statistical significance of the differences between pharmacokinetic
parameters of antipyrine, caffeine and paracetamol in plasma versus saliva
in calves at age of 10 and 40 days |
 |
|
DISCUSSION
A decrease of Vd - l kg-1 and an increase of Vd
- l for antipyrine, caffeine and paracetamol were observed in humans and different
species of animals (Hahn et al., 2000; Allegaert
et al., 2004a, b). The results obtained in
this experiment are similar to the previous findings (Janus
and Suszycka, 1996; Janus and Grochowina, 2006a;
Janus et al., 2007) and also are consistent with
other experiments performed in pigs (Monshouwer et al.,
1995), sheep (Danielson and Golsteyn, 1996), rabbits
(McNamara et al., 1991), camels (Ali
et al., 1996, Wasfi et al., 2000),
horses (Engelking et al., 1987; Peck
et al., 1997; Aramaki et al., 1991),
donkeys (Peck et al., 1997) and dogs (Boothe
et al., 1994).
Results of the experiment: Significant shortening of MRT and biological
half-life used in the model drug research had the effect on the values of metabolic
clearance of antipyrine, caffeine and paracetamol in calves (significantly higher
values obtained in older calves 40 days old, compared to calves at neonatal
stage 10 days old). Similarly to absolute and relative (l kg-1) volume
of distribution also changes in MRT, T1/2β and Clm
parameters are agree with previous findings from the experiments carried out
in other animal species (Boothe et al., 1994;
Monshouwer et al., 1995; Ali
et al., 1996; Danielson and Golsteyn, 1996;
Engelking et al., 1987; Peck
et al., 1997; McNamara et al., 1991;
Wasfi et al., 2000; Aramaki
et al., 1991). Many studies proof that humans and animals newborns
have a lower metabolic efficiency of liver (Depelchin
et al., 1988; Janus and Suszycka, 1996; Kearns
and Reed, 1989; Kawalek and El-Said, 1990; Janus
and Grochowina, 2006a). It is a consequence of reduced activity of several
enzymatic complexes (Kearns and Reed, 1989; Kawalek
and El-Said, 1990). However, many factors cause the increase of the ability
of hepatocytes to biotransformation e.g., in the case of CYP450 complex, it
is a change in proportion of cytochrome reductase and phospholipids. With age
that proportion changes in favor of RED CYP450 (Kawalek
and El-Said, 1990). In very young animals and newborns, it is 20/80%, however
full metabolic efficiency of that complex is observed at ratio 50/50% (Kearns
and Reed, 1989). Similar effect was reported also for other enzymatic systems
that catalyze biotransformation of other model drugs: caffeine caused an increased
in molar ratio of N-acetylotransferase to xanthine oxidase (De
Graves et al., 1995; Danielson and Golsteyn,
1996) and paracetamol (Engelking et al., 1987;
McNamara et al., 1991; Janus
et al., 2003). Coupling of paracetamol and sulfate is a major metabolic
pathway for that drug in young organisms which have not fully active glukuronylotransferse
system (De Wildt et al., 1999; Miners
et al., 1990; Janus et al., 2003).
Previous studies have also found that an increase in intensity of glucuronidation
processes follows a decrease in intensity of sulfation and vice versa (Wynne
et al., 1990; Higaki et al., 2003;
Allegaert et al., 2004a; Li
et al., 2004).
Predominance of one of those two main metabolic pathways (glucuronidation and
sulfation) for that drug is species dependent (Monshouwer
et al., 1994; Ali et al., 1996; De
Wildt et al., 1999; Adzu et al., 2001;
Janus et al., 2003; Flouvat
et al., 2004). Higher activity of enzymes involved in glucuronidation
compared to sulfation was reported in ruminates versus monogastric animals (Monshouwer
et al., 1994; Ali et al., 1996). Also
of not is the observation that in young organism processes of sulfation proceed
about two times faster than glucuronidation (Miller
et al., 1976; Janus et al., 2003; Li
et al., 2004). Non-invasiveness of sample collection is a very important
advantage of using saliva as a biological material during the pharmacokinetic
research (Meffin et al., 1977; Posti,
1999).
Concentration of drug in saliva is a resultant of many factors (Zylber-Katz
et al., 1984; Lakin et al., 1997).
One of the major quantitative parameter of substance transportation (including
model drugs) from blood to saliva is the transfer coefficient which represents
the ratio of substance concentration in saliva to its concentration in plasma
(Posti, 1999). The levels of that coefficient are close
to value one, observed when the rate of drug transfer is higher or equal with
rate of saliva secreting (Lakin et al., 1997;
Linday et al., 1991). It was showed that majority
of drugs diffuse to saliva and their ability to penetrate is correlated positively
with lipophilicity and correlated negatively with particles size (Posti,
1999; Kennedy et al., 2003). It was also
observed that ionized form of substance (drug) can infiltrate biological barriers
at lower ratio then neutral form (Zylber-Katz et al.,
1984; Lakin et al., 1997; Meffin
et al., 1977). It should be emphasized that particular attention
is needed when comparing results obtained in experiments carried out in humans
and different animal species an infiltration of pharmacological substances from
blood to saliva is species dependent (Lakin et al.,
1997; Posti, 1999; Linday et
al., 1991; Welch et al., 1975). Comparison
of drug concentration values in saliva and plasma allows for determination of
range of free fraction of the particular pharmacological substance (Posti,
1999; Linday et al., 1991; Kennedy
et al., 2003).
It is known thatonly free fractions of drugs are able to penetrate biological
membranes, bond with receptors and be transformed (Lakin
et al., 1997; Posti, 1999). The range of
free fraction of drugs depends on various different factors like total drug
concentration, affinity to proteins, protein concentration, presence of endo
and exogenic substances (Lakin et al., 1997;
Babalola et al., 2004; Welch
et al., 1975).
Obtained results showed that antipyrine and caffeine were bonded by plasma
proteins at a very low level and paracetamol at a moderate level. Slightly higher
values according to antipyrine (3.3-4.8%) and caffeine (3.5-5.2%) were observed
in humans (Posti, 1999; Linday et
al., 1991; Welch et al., 1975).
CONCLUSION
In this study, the results obtained in the experiment (not statistically significant differences in pharmacokinetic parameter values of antipyrine and caffeine and statistically significant according to paracetamol) determined on the basis of model drugs concentration in blood and saliva showed that saliva has potential to be used as a biological material from calves but only for evaluation of pharmacokinetics of antipyrine and caffeine. However, it cannot be used for assessment of pharmacokinetics of paracetamol.