Skip to main content

Absorption, Distribution, and Excretion of Antineoplastic and Immunosuppressive Agents

  • Chapter
Antineoplastic and Immunosuppressive Agents Part I

Abstract

The general principles of pharmacological disposition apply almost universally to compounds which are foreign to the mammalian organism, including antineoplastic and immunosuppressive agents. Thus, the interrelated mechanisms of absorption, binding, distribution, metabolism, and excretion are the chief factors that determine the effective concentration of a drug at a receptor site (Fig. 1). In this chapter, a brief consideration is given to those processes which regulate the response of an organism to several commonly used antineoplastic and immunosuppressive agents. Excluded is the more complex process of metabolism since this aspect of pharmacological disposition is considered in two later chapters, and also in the chapters dealing with individual agents.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Similar content being viewed by others

References

  • Beckett, A.H., Hossie, R.D.: Buccal absorption of drugs. In: Brodie, B.B., Gillette, J.R. (Eds.): Concepts in biochemical pharmacology, Part. 1 pp. 25–46. Berlin: Springer 1971.

    Google Scholar 

  • Bertino, J.R.: The mechanism of action of the folate antagonists in man. Cancer Res. 23, 1286–1306 (1963).

    PubMed  CAS  Google Scholar 

  • Bischoff, K.B., Dedrick, R.L., Zaharko, D.S.: Preliminary model for methotrexate pharmacokinetics. J. pharm. Sci. 59, 149–154 (1970).

    Article  PubMed  CAS  Google Scholar 

  • Devita, V.T., Denham, C., Davidson, J. D., Oliverio, V.T.: The physiological disposition of the carcinostatic l, 3-bis(2-chloroethyl)-l-nitrosourea (BCNTJ) in man and animals. Clin. Pharmacol. Ther. 8, 566–577 (1967).

    PubMed  CAS  Google Scholar 

  • Foreman, H.: Translocation of drugs into bone. In: Brodle, B.B., Gillette, J.R. (Eds.): Concepts in biochemical pharmacology, Part 1. pp. 249–257. Berlin: Springer 1971.

    Google Scholar 

  • Frei, E., III: Personal communication (1972).

    Google Scholar 

  • Goldman, I.D., Lichtenstein, N.S., Oliverio, V.T.: Carrier-mediated transport of the folic acid analogue, methotrexate, in the L1210 leukemia cell. J. biol. Chem. 243, 5007–5017 (1968).

    PubMed  CAS  Google Scholar 

  • Goldstein, A., Aronow, L., Kalman, S.M.: Principles of drug action, pp.106–205. New York: Harper and Row 1969.

    Google Scholar 

  • Henderson, E.S., Adamson, R.H., Denham, C., Oliverio, V.T.: The metabolic fate of tritiated methotrexate. I. Absorption, excretion and distribution in mice, rats, dogs and monkeys. Cancer Res. 25, 1008–1017 (1965a).

    PubMed  CAS  Google Scholar 

  • Henderson, E.S., Adamson, R.H., Oliverio, V.T.: The metabolic fate of tritiated metho-trexate. II. Absorption and excretion in man. Cancer Res. 25, 1018–1024 (1965b).

    PubMed  CAS  Google Scholar 

  • Hill, D.L., Laster, R., Jr., Struck, R.F.: Enzymatic metabolism of cyclophosphamide and nicotine and production of a toxic cyclophosphamide metabolite. Cancer Res. 32, 658–665 (1972).

    PubMed  CAS  Google Scholar 

  • Johns, D.G., Rutherford, L.D., Leighton, P.C., Vogel, C.L.: Secretion of methotrexate into human milk. Amer. J. Obstet. Gynec. 112, 978–980 (1972).

    PubMed  CAS  Google Scholar 

  • Katz, M., Poulsen, B. J.: Absorption of drugs through the skin. In: Brodle, B.B., Gillette, J.R. (Eds.): Concepts in biochemical pharmacology, Part 1, pp. 103–174. Berlin: Springer 1971.

    Google Scholar 

  • Keen, P.: Effect of binding to plasma proteins on the distribution, activity and elimination of drugs. In: Brodie, B.B., Gillette, J.R. (Eds.): Concepts in biochemical pharmacology. Part 1. pp. 213–233. Berlin: Springer 1971.

    Google Scholar 

  • Kessel, D., Hall, T.C.: Amethopterin transport in Ehrlich ascites carcinoma and L1210 cells. Cancer Res. 27, 1539–1543 (1967).

    PubMed  CAS  Google Scholar 

  • Levy, G., Barr, W.H.: The basis for selection of the dosage form and source of drug. Rational Drug Ther. 6, 1–7 (1972).

    CAS  Google Scholar 

  • Liegler, D.G., Henderson, E.S., Hahn, M.A., Oliverio, V.T.: The effect of organic acids on renal clearance of methotrexate in man. Clin. Pharmacol. Ther. 10, 849–857 (1969).

    PubMed  CAS  Google Scholar 

  • Mark, L.C.: Translocation of drugs and other exogeneous chemicals into adipose tissue. In: Brodle, B.B., Gillette, J.R. (Eds.): Concepts in biochemical pharmacology, Part 1. pp. 258–275. Berlin: Springer 1971.

    Google Scholar 

  • Nadkarni, M.V., Trams, E.G., Smith, P.K.: Preliminary studies on the distribution and fate of TEM, TEPA and Myleran in the human. Cancer Res. 19, 713–718 (1959).

    PubMed  CAS  Google Scholar 

  • Ochoa, M., Jr., Herschberg, E.: Alkylating agents. In: Schnitzer, R. J., Hawking, P. (Eds.): Experimental chemotherapy, vol. V, Part II, pp. 1–132. New York: Academic Press 1967.

    Google Scholar 

  • Oliverio, V.T.: Derivatives of triazenes and hydrazines. In: Holland, J.F., Frei, E., III (Eds.): Cancer medicine, pp. 806–817. Philadelphia: Lea and Febiger 1973.

    Google Scholar 

  • Oliverio, V.T., Vietzke, W.M., Williams, M.K., Adamson, R.H.: The absorption, distribution, excretion, and biotransformation of the carcinostatic l-(2-chloroethyl)-3-cyclo-hexyl-1 -nitrosourea in animals. Cancer Res. 30, 1330–1337 (1970).

    PubMed  CAS  Google Scholar 

  • Oliverio, V.T., Zaharko, D.S.: Tissue distribution of folate antagonists. Ann. N. Y. Acad. Sci. 186, 387–399 (1971).

    Article  PubMed  CAS  Google Scholar 

  • Peng, C.T.: Distribution and metabolic fate of S35-labeled myleran (Busulfan) in normal and tumor-bearing rats. J. Pharmacol, exp. Ther. 120, 229–238 (1959).

    Google Scholar 

  • Rall, D.P.: Role of pharmacological disposition in drug action. In: Tedeschi, D.H., Tedeschi, R.E. (Eds.): Importance of fundamental principles in drug evaluation, pp. 173–182. New York: Raven Press 1968.

    Google Scholar 

  • Rasmussen, F.: Excretion of drugs by milk. In: Brodle, B.B., Gillette, J.R. (Eds.): Concepts in biochemical pharmacology, Part 1. pp. 390–402. Berlin: Springer 1971.

    Google Scholar 

  • Schanker, L.S.: Absorption of drugs from the gastrointestinal tract. In: Brodle, B.B., Glllette, J.R. (Eds.): Concepts in biochemical pharmacology, Part 1. pp. 9–24. Berlin: Springer 1971.

    Google Scholar 

  • Schanker, L.S.: Passage of drugs across body membranes. Pharmacol. Rev. 14, 501–530 (1962).

    PubMed  CAS  Google Scholar 

  • Schanker, L.S.: Physiological transport of drugs. In: Harper, N.J., Simmonds, A.B. (Eds.): Advances in drug research, pp. 71–106. London: Academic Press 1964.

    Google Scholar 

  • Schou, J.: Subcutaneous and intramuscular injection of drugs. In: Brodie, B.B., Gillette, J.R. (Eds.): Concepts in biochemical pharmacology, Part 1, pp. 47–66. Berlin: Springer 1971.

    Google Scholar 

  • Settle, W., Hegeman, S., Featherstone, R.M.: The nature of drug-protein interaction. In: Brodle, B.B., Gillette, J.R., (Eds.): Concepts in biochemical pharmacology, Part 1. pp. 175–186. Berlin: Springer 1971.

    Google Scholar 

  • Sharpless, S.K.: Hypnotics and sedatives. In: Goodman, L.S., Gelman, A. (Eds.): The pharmacological basis of therapeutics, pp. 98–120. New York: Macmillan 1970.

    Google Scholar 

  • Shelley, W.B.: Drugs and their use in dermatology. In: Rabinowitz, J.L., Myerson, R.M. (Eds.): Topics in medicinal chemistry, vol. 3, pp. 285–331. New York: John Wiley and Sons 1970.

    Google Scholar 

  • Smith, R.L.: Excretion of drugs in bile. In: Brodle, B.B., Glllette, J.R. (Eds.): Concepts in biochemical pharmacology. Part 1. pp. 354–389. Berlin: Springer 1971.

    Google Scholar 

  • Sponzo, R.W., DeVita, V.T., Oliverio, V.T.: Physiologic disposition of l-(2-chloroethyl)-3-cyclohexyl-1 -nitrosourea (CCNU) and l-(2-chloroethyl)-3-(4-methylcyclohexyl)-l-nitro-sourea (MeCCNU) in man. Cancer 31, 1154–1159 (1973).

    Article  PubMed  CAS  Google Scholar 

  • Strawitz, J.G.: Cancer chemotherapy using isolation perfusion. In: Brodsky, L., Kahn, S.B., Moyer, J. H. (Eds.):Cancer chemotherapy II. The twenty-second Hahnemann symposium, pp. 443–451. New York: Grune and Stratton 1972.

    Google Scholar 

  • Sullivan, R.D., Semel, C.J.: Arterial infusion cancer chemotherapy for solid tumors. In: Brodsky, L., Kahn, S.B., Moyer, J.H. (Eds.): Cancer chemotherapyII. The twenty-second Hahnemann symposium, pp. 453–458. New York: Grune and Stratton 1972.

    Google Scholar 

  • Vodopick, H., Hamilton, H.E., Jackson, H.L., Peng, C.T., Sheets, R.P.: Metabolic fate of tritiated busulfan in man. J. Lab. clin. Med. 73, 266–276 (1969).

    PubMed  CAS  Google Scholar 

  • Weiner, I.M.: Excretion of drugs by the kidney. In: Brodle, B.B., Gillette, J.R. (Eds.): Concepts in biochemical pharmacology, Part 1. pp. 328–353. Berlin: Springer 1971.

    Google Scholar 

  • Zaharko, D.S.: Personal communication (1972).

    Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1974 Springer-Verlag Berlin · Heidelberg

About this chapter

Cite this chapter

Oliverio, V.T. (1974). Absorption, Distribution, and Excretion of Antineoplastic and Immunosuppressive Agents. In: Sartorelli, A.C., Johns, D.G. (eds) Antineoplastic and Immunosuppressive Agents Part I. Handbuch der experimentellen Pharmakologie / Handbook of Experimental Pharmacology, vol 38 / 1. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-65678-1_12

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-65678-1_12

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-65680-4

  • Online ISBN: 978-3-642-65678-1

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics