Abstract
Purpose. The effect of uridine (UR) coadministration on the intestinal metabolism from 5′-deoxy-5-fluorouridine (5′-DFUR) to 5-fluorouracil (5-FU) was evaluated by a method of concentration difference between portal and systemic bloods in conscious rats (PS method).
Methods. 5′-DFUR (100 mg/kg) alone (Group A), or 5′-DFUR + UR (100 mg/kg each) (Group B) was orally administered to conscious rats. The portal and arterial bloods were simultaneously withdrawn from two canulas at appropriate time intervals, and blood concentrations of 5′-DFUR, 5-FU, UR and uracil (U) were assayed by HPLC. The concentration-time profiles of these drugs and its metabolites were analyzed by local moment analysis.
Results. UR coadministration made the local absorption ratio (Fa) of 5′-DFUR decrease significantly from 60.1 ± 10.5% to 38.0 ± 18.6% of dose. Though the local absorption ratios (Fa m) of the metabolite (5-FU) were the same between Group A and Group B (8.3 ± 1.9 and 8.7 ± 4.0% of 5′-DFUR, respectively), AUC of arterial 5-FU in Group B was 5 times greater than that in Group A. UR was not detected in the portal blood, and Fa m of U was estimated to be 41.9 ± 26.8% of UR in Group B.
Conclusions. It is predicted that a large portion of 5-FU generated from 5′-DFUR is further degraded in the intestine in Group A, and U generated from UR blocks 5-FU degradation in the intestine and the systemic circulation in Group B.
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REFERENCES
A. F. Cook, M. J. Hloman, M. J. Kramer, and P. W. Trown. Fluorinated pyrimidine nucleosides 3. Synthesis and antitumor activity of a series of 5′-deoxy-5-fluoropyrimidine nucleosides. J. Med. Chem. 22:1330–1335 (1979).
H. Fujita, K. Ogawa, H. Hakagawa, K. Kawaguchi, Y. Nakagawa, and Y. Doi. Pharmacokinetics of 5′-deoxy-5-fluorouridine (5′-DFUR) by oral administration. J. Jpn. Soc. Cancer Ther. 18:916–926 (1983).
H. Ishitsuka, M. Miwa, K. Takemoto, K. Fukuoka, A. Itoga, and H. B. Maruyama. Role of uridine phosphorylase for antitumor activity of 5′-deoxy-5-fluorouridine. Gann 71:112–123 (1980).
R. D. Armstrong and R. B. Diasio. Metabolism and biological activity of 5′-deoxy-5-fluorouridine, a novel fluoropyrimidine. Cancer Res. 40:3333–3338 (1980).
M. Miwa, J. Nishimura, T. Kamiyama, and H. Ishitsuka. Conversion of 5′-deoxyfluorouridine to 5-FU by pyrimidine nucleoside phosphorylase in normal and tumor tissues from rodents bearing tumors and cancer patients. Jpn. J. Cancer Chemother. 14:2924–2929 (1987).
B. Suzuki, Y. Hongo, H. Fukazawa, S. Ichihara, and H. Shimizu. Tissue distribution of 5′-deoxy-5-fluorouridine and derived 5-fluorouracil in tumor-bearing mice and rats. Gann 71:238–245 (1980).
T. Taguchi, K. Kimura, and T. Saito. Oral administration of 5′-deoxy-5-fluorouridine (5′-DFUR) in breast cancer. Proc. 3rd Eur. Conf. Clin. Oncol. Nurs. (Stockholm) p12 (1985).
A. Hamada, S. Fukushima, M. Saneyoshi, S. Shimizu, T. Kawaguchi, and M. Nakano. Modulation of the pharmacokinetics of 5′-deoxy-5-fluorouridine and 5-fluorouracil in rats by oral coadministration of acyclothymidine. Biol. Pharm. Bull. 19:729–732 (1996).
M. G. Wienjes and J. L. S. Au. Inhibition of intestinal pyrimidine nucleoside phosphorylase. Pharm. Res. 4:425–428 (1987).
M. ligo, Y. Nakajima, E. Araki, and A. Hoshi. Enhanced antitumor effect of 5′-deoxy-5-fluorouridine by oral administration with L-cysteine. Jpn. J. Cancer Res. 80:182–187 (1989).
A. Hamada, S. Fukushima, M. Saneyoshi, T. Kawaguchi and M. Nakano. Inhibition of 5′-deoxy-5-fluorouridine phosphorolysis by acyclopyrimidine nucleosides in intestinal tissue homogenates. Biol. Pharm. Bull. 18:172–175 (1995).
T. R. Hartmann and W. Bollag. Modulation of the effects of fluoropyrimidines on toxicity and tumor inhibition in rodents by uridine and thymidine. Med. Oncol. Tumor Pharmacother. 3:111–118 (1986).
J. L.-S. Au, M. G. Wientjes, and S. L. Bramer. Effect of uridine coadministration on 5′-deoxy-5-fluorouridine disposition in rats. Cancer Chemothr. Pharmacol. 22:5–10 (1988).
Y. Sawai, K. Yamaoka, A. Takemura, and T. Nakagawa. Moment analysis of intestinal first-pass metabolism by portal-systemic concentration difference in single conscious rat using 5′-deoxy-5-fliorouridine and 5-fluorouracil as model drug system. J. Pharm. Sci. 86:1269–1272 (1997).
K. Tabata, K. Yamaoka, T. Fukuyama, and T. Nakagawa. Evaluation of Intestinal Absorption into the Portal System in Enterohepatic Circulation by Measuring the Difference in Portal-Venous Blood Concentrations of Diclofenac. Pharm. Res. 12:880–883 (1995).
K. Tabata, K. Yamaoka, T. Fukuyama, and T. Nakagawa. Local Absorption Kinetics into the Portal System Using the Portal-Venous Concentration Difference After an Oral Dose of Diclofenac in the Awakening Rat — Accelerative Effect of Bile on Intestinal Absorption of Diclofenac. Drug Metab. Dispos. 24:216–220 (1996).
Y. Fujieda, K. Yamaoka, T. Ito, and T. Nakagawa. Local Absorption Kinetics of Levofloxacin from Intestinal Tract into Portal Vein in Conscious Rat Using Portal-Venous Concentration Difference. Pharm. Res. 13:1201–1204 (1996).
J. L.-S. Au, J. S. Walker, and Y. Rustum. Pharmacokinetic Studies of 5-Fluorouracil and 5′-Deoxy-5-fluorouridine in Rats. J. Pharmacol. Exp. Therapeut. 227:174–180 (1983).
M. Iigo, K. Nishikata, Y. Nakajima, A. Hoshi, N. Okudaira, H. Odagiri and E. De Clercq. Enhancing Effect of Bromovinyldeoxy-uridine on Antitumor Activity of 5′-Deoxy-5-fluorouridine Against Adenocarcinoma 755 in Mice — Correlation with Pharmacokinetics of Plasma 5-Fluorouracil Levels. Biochem. Pharmacol. 38:1885–1889 (1989).
A. M. McLean, D. A. Ruggirello, C. Banfield, M. A. Gonzalez, and M. Bialer. Application of a Variance-Stabilizing Transformation Approach to Linear Regression of Calibration Lines. J. Pharm. Sci. 79:1005–1008 (1990).
M. Tateishi, S. Suzuki, Y. Hongu, H. Fukazawa, S. Ichihara, K. Kobayashi, and C. Koitabashi. Absorption, Distribution and Excretion of an Anticancer Drug, 5′-Deoxy-5-fluorouridine in Rats and Mice. Pharmacometrics 19:965–972 (1980).
J. L.-S. Au. Disposition and Availability of 5-Fluorouracil Prodrug 5′-Deoxy-5-fluorouridine after Oral Administration in Rats. J. Pharm. Sci. 76:699–702 (1987).
K. Ikenaka, T. Shirasaka, S. Kiitano, and S. Fujii. Effect of uracil on metabolism of 5-fliorouracil in vitro. Gann 70:353–359 (1979).
H. Stopper, A. Kuhnel, and B. Podschun. Combination of the chemotherapeutic agent 5-fluorourcil with an inhibitor of its catabolism results in increases micronucleus induction. Biochem. Biophys. Res. Comm. 203:1124–1130 (1994).
J.-P. Sommadossi, D. A. Gewirtz, D. S. Cross, I. D. Goldman, J.-P. Cano, and R. B. Diasio. Modulation of 5-fluorouracil catabolism in isolated rat hepatocytes with enhancement of 5-fluorouracil glucuronide formation. Cancer Res. 45:116–121 (1985).
J. L.-S. Au. Effect of age on the disposition and tissue clearances of fluorinated pyrimidines in rats. Pharm. Res. 2:279–284 (1985).
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Sawai, Y., Yamaoka, K. & Nakagawa, T. Effect of Coadministered Uridine on Intestinal First-Pass Metabolism of 5′-Deoxy-5-Fluorouridine in Conscious Rats—An Evaluation by Method of Portal-Systemic Concentration Difference. Pharm Res 15, 1007–1011 (1998). https://doi.org/10.1023/A:1011917824836
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DOI: https://doi.org/10.1023/A:1011917824836