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Blood-brain barrier penetration of zolmitriptan--modelling of positron emission tomography data
Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Farmaceutiska fakulteten, Institutionen för farmaceutisk biovetenskap.
Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för onkologi, radiologi och klinisk immunologi.
Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Farmaceutiska fakulteten, Institutionen för farmaceutisk biovetenskap, Avdelningen för farmakokinetik och läkemedelsterapi. (Karlsson)
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2006 (Engelska)Ingår i: Journal of Pharmacokinetics and Pharmacodynamics, ISSN 1567-567X, E-ISSN 1573-8744, Vol. 33, nr 1, s. 75-91Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Positron emission tomography (PET) with the drug radiolabelled allows a direct measurement of brain or other organ kinetics, information which can be essential in drug development. Usually, however, a PET-tracer is administered intravenously (i.v.), whereas the therapeutic drug is mostly given orally or by a different route to the PET-tracer. In such cases, a recalculation is needed to make the PET data representative for the alternative administration route. To investigate the blood-brain barrier penetration of a drug (zolmitriptan) using dynamic PET and by PK modelling quantify the brain concentration of the drug after the nasal administration of a therapeutic dose. [11C]Zolmitriptan at tracer dose was administered as a short i.v. infusion and the brain tissue and venous blood kinetics of [11C]zolmitriptan was measured by PET in 7 healthy volunteers. One PET study was performed before and one 30 min after the administration of 5 mg zolmitriptan as nasal spray. At each of the instances, the brain radioactivity concentration after subtraction of the vascular component was determined up to 90 min after administration and compared to venous plasma radioactivity concentration after correction for radiolabelled metabolites. Convolution methods were used to describe the relationship between arterial and venous tracer concentrations, respectively between brain and arterial tracer concentration. Finally, the impulse response functions derived from the PET studies were applied on plasma PK data to estimate the brain zolmitriptan concentration after a nasal administration of a therapeutic dose. The studies shows that the PET data on brain kinetics could well be described as the convolution of venous tracer kinetics with an impulse response including terms for arterial-to-venous plasma and arterial-to-brain impulse responses. Application of the PET derived impulse responses on the plasma PK from nasal administration demonstrated that brain PK of zolmitriptan increased with time, achieving about 0.5 mg/ml at 30 min and close to a maximum of 1.5 mg/ml after 2 hr. A significant brain concentration was observed already after 5 min. The data support the notation of a rapid brain availability of zolmitriptan after nasal administration.

Ort, förlag, år, upplaga, sidor
2006. Vol. 33, nr 1, s. 75-91
Nyckelord [en]
Blood-Brain Barrier/*metabolism/*radionuclide imaging, Carbon Radioisotopes, Female, Humans, Male, Models; Biological, Oxazolidinones/blood/*pharmacokinetics, Positron-Emission Tomography, Serotonin Agonists/blood/*pharmacokinetics, Tissue Distribution, Tryptamines/blood/*pharmacokinetics
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Farmaceutiska vetenskaper
Identifikatorer
URN: urn:nbn:se:uu:diva-103241DOI: 10.1007/s10928-005-9001-1PubMedID: 16402287OAI: oai:DiVA.org:uu-103241DiVA, id: diva2:217801
Tillgänglig från: 2009-05-15 Skapad: 2009-05-15 Senast uppdaterad: 2018-01-13Bibliografiskt granskad

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Kågedal, MattsSyvänen, StinaLångström, Bengt
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Institutionen för farmaceutisk biovetenskapInstitutionen för onkologi, radiologi och klinisk immunologiAvdelningen för farmakokinetik och läkemedelsterapiInstitutionen för biokemi och organisk kemi
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