Skip to main content
Log in

In Vitro Plasma Protein Binding of Zileuton and its N-Dehydroxylated Metabolite

  • Published:
Clinical Pharmacokinetics Aims and scope Submit manuscript

Summary

An ultrafiltration technique or equilibrium dialysis has been used to study the in vitro human plasma protein binding of racemic zileuton, its individual enantiomers, and its pharmacologically inactive metabolite N-dehydroxyzileuton.

The plasma protein binding of zileuton and N-dehydroxyzileuton over the concentration range of 0.1 to 100 mg/L averaged 93.1 ± 0.22 and 92.0 ± 0.12%, respectively. However, there appeared to be a stereoselective effect, with the R(+) enantiomer of zileuton demonstrating greater binding to plasma proteins than the S(−) enantiomer (96 vs 88%, respectively). Zileuton was bound to both human serum albumin (40 g/L) and α1-acid glycoprotein (1 g/L), although binding affinity to albumin was approximately 3-fold greater. Displacement interactions of zileuton with warfarin, salicylate, theophylline, naproxen, ibuprofen, prednisone, and terfenadine were minimal.

The blood to plasma concentration ratio for zileuton and N-dehydroxyzileuton ranged from 0.65 to 0.68, indicating that these compounds were mainly distributed in the plasma.

Thus, zileuton is approximately 93% bound to plasma proteins at expected therapeutic concentrations in vitro, and this figure is largely unaffected by several commonly prescribed agents with which the drug may be coadministered.

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

  1. Bell RL, Young PR, Albert D, et al. The discovery and development of zileuton: an orally active 5-lipoxygenase inhibitor. Int J Immunopharmacol 1992; 14: 505–10

    Article  PubMed  CAS  Google Scholar 

  2. Batt DG. 5-lipoxygenase inhibitors and their anti-inflammatory activities. Prog Med Chem 1992; 29: 1–63

    Article  PubMed  CAS  Google Scholar 

  3. Carter GW, Young PR, Albert DH, et al. 5-lipoxygenase inhibitory activity of zileuton. J Pharmacol Exp Ther 1991; 256: 929–37

    PubMed  CAS  Google Scholar 

  4. Noonan TC, Jamieson-Leclercq T, Desai SV. Effect of BI-L-239, A-64077 and MK-886 on leukotriene B4 synthesis by chopped guinea pig lung and on antigen-induced tracheal contraction in vitro. Prostaglandins 1992; 44: 543–54

    PubMed  CAS  Google Scholar 

  5. Riendeau D, Guay J, Foster A, et al. Inhibition of leukotriene B4 biosynthesis by disulfiram and A-64077 during carrageenan-induced pleurisy in the rat. Gen Pharmacol 1991; 22: 371–4

    Article  PubMed  CAS  Google Scholar 

  6. Rubin P, Kesterson J, Swanson L, et al. Safety, pharmacokinetics and leukotriene B4 (LTB4) inhibition of single doses of A-64077 in normal male volunteers [abstract IVC-1]. Clin Pharmacol Ther 1989; 45: 187

    Google Scholar 

  7. Rubin P, Dubé L, Braeckman R, et al. Pharmacokinetics, safety, and ability to diminish leukotriene synthesis by zileuton, an inhibitor of 5-lipoxygenase. Agents Actions 1991; 35: 103–16

    CAS  Google Scholar 

  8. Sirois P, Borgeat P, Lauziere M, et al. Effect of zileuton (A-64077) on the 5-lipoxygenase activity of human whole blood ex vivo. Agents Actions 1991; 34: 117–20

    Article  PubMed  CAS  Google Scholar 

  9. Young PR, Bell RL, Lanni C, et al. Inhibition of leukotriene biosynthesis in the rat peritoneal cavity. Eur J Pharmacol 1991; 205: 259–66

    Article  PubMed  CAS  Google Scholar 

  10. Bukhave K, Laursen LS, Lauritsen K, et al. 5-lipoxygenase inhibition in double-blind trial with zileuton: how much is sufficient in active ulcerative colitis? [abstract]. Gastroenterology 1991; 100: A200

    Google Scholar 

  11. Collawn C, Rubin P, Perez N, et al. Phase II study of the safety and efficacy of a 5-lipoxygenase inhibitor in patients with ulcerative colitis. Am J Gastroenterol 1992; 87: 342–6

    PubMed  CAS  Google Scholar 

  12. Frossard N, LeGall G, Cohn J. Effect of a 5-lipoxygenase inhibitor, zileuton, on the immunologically-induced contraction of human bronchi [abstract]. Am Rev Respir Dis 1992; 145: A289

    Google Scholar 

  13. Hui KP, Taylor IK, Taylor GW, et al. Effect of a 5-lipoxygenase inhibitor on leukotriene generation and airway responses after allergen challenge in asthmatic patients. Thorax 1991; 46: 184–9

    Article  PubMed  CAS  Google Scholar 

  14. Israel E, Dermarkarian R, Rosenberg M, et al. The effects of a 5-lipoxygenase inhibitor on asthma induced by cold, dry air. N Engl J Med 1990; 323: 1740–4

    Article  PubMed  CAS  Google Scholar 

  15. Israel E, Drazen J, Pearlman H, et al. A double-blind multicenter of study of zileuton, a potent 5-lipoxygenase (5-LO) inhibitor versus placebo in the treatment of spontaneous asthma in adults [abstract 368]. J Allergy Clin Immunol 1992; 236: 89

    Google Scholar 

  16. Israel E, Rubin P, Pearlman H, et al. 5-lipoxygenase inhibition by zileuton causes acute bronchodilation in asthma [abstract]. Am Rev Respir Dis 1992; 145: A16

    Google Scholar 

  17. Knapp HR. Reduced allergen-induced nasal congestion and leukotriene synthesis with an orally active 5-lipoxygenase inhibitor. N Engl J Med 1990; 323: 1745–8

    Article  PubMed  CAS  Google Scholar 

  18. Laursen LS, Naesdal J, Bukhave K, et al. Selective 5-lipoxygenase inhibition in ulcerative colitis. Lancet 1990; 335: 683–5

    Article  PubMed  CAS  Google Scholar 

  19. Stenson WF, Lauritsen K, Laursen LS, et al. A clinical trial of zileuton, a specific inhibitor of 5-lipoxygenase, in ulcerative colitis [abstract]. Gastroenterology 1991; 100: A253

    Google Scholar 

  20. Weinblatt ME, Kremer JM, Coblyn JS, et al. Zileuton, a 5-lipoxygenase inhibitor in rheumatoid arthritis. J Rheumatol 1992; 19: 1537–41

    PubMed  CAS  Google Scholar 

  21. MacKichan JJ. Influence of protein binding and use of unbound (free) drug concentrations. In: Evans et al., editors. Applied pharmacokinetics: principles of therapeutic drug monitoring. 3rd ed. Vancouver, Washington: Applied Therapeutics Inc., 1992:5–1–5–48

    Google Scholar 

  22. McElnay JC, D’Arcy PR Protein binding displacement interactions and their clinical importance. Drugs1983; 25: 495–513

    Article  PubMed  CAS  Google Scholar 

  23. Gross AS, Heuer B, Eichelbaum M. Stereoselective protein binding of verapamil enantiomers. Biochem Pharmacol 1988; 37: 4623–7

    Article  PubMed  CAS  Google Scholar 

  24. Takahashi H, Ogata H, Kanno S, et al. Plasma binding of propranolol enantiomers as a major determinant of their stereoselective tissue distribution in rats. J Pharmacol Exp Ther 1990; 252: 272–8

    PubMed  CAS  Google Scholar 

  25. Lapicque F, Muller N, Payan E, et al. Protein binding and stereoselectivity of nonsteroidal anti-inflammatory drugs. Clin Pharmacokinet 1993; 25: 115–25

    Article  PubMed  CAS  Google Scholar 

  26. Thomas ST, Surber BW, Fitzgerald M. Preparative separation and analysis of the enantiomers of 14C-zileuton, a 5-lipoxygenase inhibitor. J Chromatogr 1992; 623: 390–4

    Article  CAS  Google Scholar 

  27. Gibaldi M, Perrier D. Pharmacokinetics. In: Drugs and pharmaceutical sciences. Vol 15. New York: Marcel Dekker, 1982: 327–30

    Google Scholar 

  28. Vozeh S, Schmidlin O, Taeschner W. Pharmacokinetic drug data. Clin Pharmacokinet 1988: 254–82

  29. McTavish D, Goa KL, Ferrill M. Terfenadine. An updated review of its pharmacological properties and therapeutic efficacy. Drugs 1990; 39: 552–74

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Machinist, J.M., Kukulka, M.J. & Bopp, B.A. In Vitro Plasma Protein Binding of Zileuton and its N-Dehydroxylated Metabolite. Clin-Pharmacokinet 29 (Suppl 2), 34–41 (1995). https://doi.org/10.2165/00003088-199500292-00006

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.2165/00003088-199500292-00006

Keywords

Navigation