Skip to main content
Log in

The protein binding of methotrexate by the serum of normal subjects

  • Originals
  • Published:
European Journal of Clinical Pharmacology Aims and scope Submit manuscript

Summary

The protein binding of methotrexate by serum from eight normal volunteers was assessed by continuous ultrafiltration at pH 7.4 and 37°C. Methotrexate concentrations were measured by radioimmunoassay and the data analysed by the method of Scatchard. The major binding protein was albumin which bound 87.3% of the drug in serum. Analysis of the Scatchard plots indicated two distinct groups of binding sites. Class I was found to have 0.16±0.05 (S D) binding sites with an intrinsic association constant of 71.15±35.98 (S D)×104 M−1: Class II had 2.01±0.93 (S D) binding sites and an affinity of 0.18±0.15×104 M−1. No great change in the percentage of methotrexate bound occurred until the total concentration of the drug exceeded 50 µMol 1−1.

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

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Baker, H.: Intermittent high dose oral methotrexate therapy in psoriasis. Br. J. Dermatol.82, 65–69 (1970)

    Google Scholar 

  • Bender, J.F., Grove, W.R., Fortner, C.L.: High-dose methotrexate with folinic acid rescue. Am. J. Hosp. Pharm.34, 961–965 (1977)

    Google Scholar 

  • Campion, D.S., Olsen, R.: Measurement of drug displacement by continuous ultrafiltration. J. Pharm. Sci.63, 249–252 (1974)

    Google Scholar 

  • Capizzi, R.L., De Conti, R.C., March, J.C., Bertino, J.R.: Methotrexate therapy of head and neck cancer: Improvement in therapeutic index by the use of leucovorin rescue. Cancer Res.30, 1782–1788 (1970)

    Google Scholar 

  • Chabner, B.A., Myers, C.E., Coleman, N., Johns, D.G.: The Clinical Pharmacology of anti-neoplastic agents. N. Engl. J. Med.293, 1159–1168 (1975)

    Google Scholar 

  • Gibaldi, M., McNamara, P.J.: Apparent volume of distribution and drug binding to plasma proteins and tissues. Europ. J. Clin. Pharmacol.13, 373–378 (1978)

    Google Scholar 

  • Gottlieb, J.A., Serpick, A.A.: Prolonged intravenous methotrexate therapy in the treatment of acute leukaemia and solid tumours. Cancer Res.30, 2132–2138 (1970)

    Google Scholar 

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

    Google Scholar 

  • Jaffe, N.: Recent advances in chemotherapy of metastatic oestogenic sarcoma. Cancer30, 1627–1631 (1972)

    Google Scholar 

  • Koch-Weser, J., Sellers, E.M.: Binding of drugs to serum albumin. N. Engl. M. Med.294, 311–316 (1976)

    Google Scholar 

  • Levitt, M., Mosher, M.B., Deconti, R.C., Farber, L.R., Skeel, R.L., Marsh, J.C., Mitchell, M.S., Papac, R.J., Thomas, E.D., Bertino, J.R.: Improved therapeutic index of methotrexate with “leucovorin rescue”. Cancer Res.33, 1729–1734 (1973)

    Google Scholar 

  • Levy, G.: Effect of plasma protein binding of drugs on duration and intensity of pharmacological activity. J. Pharm. Sci.65, 1264–1265 (1976)

    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)

    Google Scholar 

  • Martin, B.K.: Potential effect of the plasma proteins and drug distribution. Nature207, 274–276 (1965)

    Google Scholar 

  • Mitchell, M.S., Wawro, N.W., De Conti, R.C., Kaplan, S.R., Papac, R., Butino, J.R.: Effectiveness of high dose infusions of methotrexate followed by leucovorin in carcinoma of head and neck. Cancer Res.28, 1088–1094 (1968)

    Google Scholar 

  • Paxton, J.W., Rowell, F.J., Cree, G.: Comparison of three radioligands, 75-selenium, 125-Iodine, 3-tritium, in the radioimmunoassay of methotrexate. Clin. Chem.24, 1534–1538 (1978)

    Google Scholar 

  • Pitman, S.W., Parker, L.M., Tattersal, M.H.N., Jaffe, N., Frei III, E.: Clinical trial of high-dose MTX (NSC-740) with citrovorum factor (NSC-3590). Toxicologic and Therapeutic Observations. Cancer Chemother. Rep.6, 43–49 (1975)

    Google Scholar 

  • Pratt, C.B., Roberts, D., Shanks, E., Warmath, E.L.: Response toxicity and pharmacokinetics of high-dose (MTX (NSC-740) with citrovorin factor (NSC-3590) rescue for children with osteosarcoma and other malignant tumours. Cancer Chemother. Rep.6, 13–18 (1975)

    Google Scholar 

  • Salasoo, S., Irving, M.G., Lam-Po-Tang, R., O'Gorman-Hughes, D., Freedman, A.: Methotrexate megadose followed by folate rescue. A study in clearance patterns. Med. J. Australia,1, 777–779 (1976)

    Google Scholar 

  • Stoller, R.G., Jacobs, S.A., Drake, J.C., Lutz, R.J., Chabner, B.A.: Pharmacokinetics of high dose MTX (NSC-740). Cancer Chemother. Rep.6, 19–24 (1975)

    Google Scholar 

  • Taylor, J.R., Halprin, K.M.: Effect of sodium salicylate and indomethacin on methotrexate serum albumin binding. Arch. Dermatol.113, 588–591 (1977)

    Google Scholar 

  • Van Os, G.A.J.: In: Molecular Pharmacology, 1, 20. E.J. Ariëns (ed.). New York: Academic Press 1964

    Google Scholar 

  • Vincent, R.G., Pickren, J.W., Fergen, T.B., Jakita, H.: Evaluation of MTX in the treatment of bronchogenic carcinoma. Cancer36, 873–880 (1975)

    Google Scholar 

  • Wagner, T.G.: Simple model to explain effects of plasma protein binding and tissue binding on calculated volumes of distribution, apparent elimination rate constants and clearances. Europ. J. Clin. Pharmacol.10, 425–432 (1976)

    Google Scholar 

  • Weinstein, G.D., McCullough, J.L.: Cytokinetics and chemotherapy of psoriasis. J. Invest. Dermatol.67, 26–30 (1976)

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Steele, W.H., Lawrence, J.R., Stuart, J.F.B. et al. The protein binding of methotrexate by the serum of normal subjects. Eur J Clin Pharmacol 15, 363–366 (1979). https://doi.org/10.1007/BF00558441

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00558441

Key words

Navigation