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Drug Monitoring and Toxicology |
1
Montreal Heart Institute, Department of Laboratory Medicine, 5000 Belanger Street East, Montreal, Quebec, H1T 1C8 Canada.
Departments of
2
Medicine and
3
Physiology,
McGill University, Montreal, Quebec, H1T 1C8 Canada.
a Author for correspondence. Fax (514) 593-2577; e-mail jhunte{at}is.RVH.McGill.CA.
| Abstract |
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| Introduction |
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The effects of ETs are mediated by two types of cell-surface receptors, termed ETA and ETB (3)(4). Although ETB is nonselective, exhibiting a similar affinity to all three isoforms, ETA is selective in that it binds only ET1 and ET2, whereas its affinity to ET3 is very low. From the functional point of view, ETA mediates the vasoconstrictive effect of ETs, whereas ETB expressed on the vascular endothelium (5) is a vasodilator. More recently, an ETB receptor subtype present on vascular smooth muscle cells has been shown to mediate vasoconstriction as well (6). In a number of cardiovascular and renal pathologies, such as postischemic renal failure (7), cyclosporine nephrotoxicity (8), certain types of hypertension (9), neointimal proliferation (10), ischemic myocardial damage, congestive heart failure (11)(12)(13), and pulmonary hypertension (14), blockage of ET receptors by the selective (ETA) or nonselective (ETA/ETB) antagonists has been shown or suggested to be beneficial. Thus, ET receptor antagonists appear to have opened new therapeutic avenues.
The first generation of ET receptor antagonists included cyclic pentapeptides isolated from Streptomyces misakiensis (15) and synthetic peptide analogs of ET1, such as BQ788 (16), TAK-044 (17), and FR139317 (18). The second generation has included orally active nonpeptide compounds derived from benzene sulfonamide, such as bosentan (19), from naphthalenesulfonamide (20), such as BMS-182874 (21), from indane-carboxylic acid (SB209670, (22)), or from butenolide (23). Quantitating these drugs in plasma, urine, or in other body fluids is essential to the elaboration of appropriate dosing regimens and the study of their in vivo toxicity, pharmacokinetics, and pharmacodynamics. HPLC methods have been described for measurement of the butenolide-based ETA antagonist (24) and of the nonselective ETA/ETB antagonist bosentan (25). This specific and accurate approach has, however, important disadvantages: complex sample preparation, the need for expensive equipment and highly qualified labor, and, because of the complexity of the procedure, a low sample throughput.
Here we present a simple radioreceptor assay (RRA) to quantitate plasma and urine concentrations of LU135252, a recently discovered orally active selective antagonist of the ETA receptor (26). Using this RRA, we measured LU135252 concentrations reached after oral administration in the rat and after intrarenal infusion in the dog.
| Materials and Methods |
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preparation of porcine aortic membranes
Aortae were taken from anesthetized pigs, immediately frozen in
liquid nitrogen, and stored at -80 °C. Before further processing,
the endothelium was removed by gentle scrubbing of the internal
vascular surface. The tissue (510 g) was placed in an ice-cold buffer
(100 g of tissue per liter of buffer, containing 50 mmol/L Tris,
0.1 mmol/L phenylmethylsulfonyl fluoride, 1 mmol/L EDTA, pH 7.4)
and homogenized in a cold room (4 °C) with a tissue blender, using
three strokes of 1 min with cooling periods of 30 s between each
stroke. The homogenate was centrifuged at 1800g for 20 min
at 4 °C. The supernatant was then centrifuged at 35 000g
for 30 min at 4 °C. The final pellets (crude membranes) were
reconstituted in the binding buffer (see below) at 11.5 g protein/L
and stored at -80 °C. Rat cerebellar membranes were obtained from
guillotined adult male SpragueDawley rats by the same method.
rra
Binding reactions were performed at room temperature in a total
volume of 200 µL; 50 µL of the radioligand
(I-ET1, ~10 000 cpm) was mixed with 50 µL of
the calibrator or sample in the binding buffer (the same as the
homogenization buffer, supplemented with 5 g/L bovine serum albumin, pH
7.4). The reaction was started by addition of 100 µL of the aortic
membranes and 57 µg of protein per tube. It was terminated 3 h
later by addition of 1 mL of cold 5 g/L bovine serum albumin in
phosphate-buffered saline, pH 7.4, immediately followed by a rapid
centrifugation (3 min at 13 000g). The supernatant was
carefully aspirated, and the radioactivity of pellets was counted in an
automated gamma counter (Riastar, Canberra Packard Canada) with 78%
efficiency. Radioactivity data were processed (logit/log
transformation) with the built-in software of the gamma counter.
sample preparation
Aliquots of plasma or urine (0.1 mL) were thawed, 1 mL of methanol
was added, and the mixture was thoroughly vortex-mixed. After
centrifugation to separate the precipitated protein (15 min at
2800g), the supernatant was carefully decanted into 12
x 75-mm plastic tubes and evaporated to dryness under a stream of air.
Before the assay, the dry residue was reconstituted in 150 µL of the
binding buffer.
calibration curve
To construct the calibration curve, 1.87240 pmol of LU135252 was
added to 0.1-mL aliquots of rat, human, or dog plasma, or dog urine.
Each aliquot was then processed in the same fashion as the plasma or
urine samples.
sample stability
Three pools of plasma with added LU135252 (150 or 1500 nmol/L)
were prepared and aliquoted (0.1 mL). The aliquots were then processed
as described above, either immediately or after standing for 24 h
at room temperature or for 24, 48, 72, or 168 h at 4 °C.
recovery
To estimate the recovery of LU135252 during the extraction
procedure, plasma and urine samples with added LU135252 (60, 200, or
1000 nmol/L) were compared with aqueous calibration curves prepared in
the binding buffer.
interassay precision and interferences
Two pools of plasma with added LU135252 (150 or 1500 nmol/L) were
aliquoted at 0.1 mL, kept frozen at -20 °C, and used as internal
quality-control material. NaCl and urea were added to three pools of
urine at concentrations specified below. LU135252 (150 or 1500 nmol/L)
was added to three pools of urine; the pH was adjusted with NaOH or HCl
to 4, 5, 6, 7, or 8; and aliquots were immediately extracted with
methanol as described above. ET1, 280 pmol/L (5200 pg/mL), was
added to four pools of plasma and two pools of urine.
lu135252 concentrations in rat plasma
To estimate the achieved plasma concentrations and their time
course after intragastric administration, a catheter (PE60) was
installed in the left jugular vein of a rat under halothane anesthesia
and tunneled subcutaneously to exit in the interscapular region. When
the rat awakened from anesthesia, LU135252 (50 mg/kg) was administered
by gavage (time 0). Blood was obtained via a heparinized needle at time
0 and at 1, 3, 6, 9, and 24 h after the administration. To assess
the concentrations achieved during chronic oral treatment, rats with
congestive heart failure postmyocardial infarction induced by coronary
ligation as previously described (27), as well as
sham-operated rats, were treated with 100 mg of LU135252/kg of body
weight administered by gavage once daily. After 5 weeks, blood was
obtained from the aorta and from the pulmonary artery under ether
anesthesia, 4246 h after the last gavage. To confirm the presence of
heart failure, left ventricular end-diastolic pressure was measured
using a Millar catheter with a pressure sensor at its tip, introduced
via the left carotid artery and advanced into the left ventricle.
lu135252 concentrations in dog plasma and urine
To explore the plasma LU135252 concentration, its urinary
excretion, and its renal effects during intrarenal infusion, mongrel
dogs of either sex (body weight, 14.0 ± 2.6 kg) were
anesthetized, and a catheter was introduced into the left renal artery,
using the techniques described elsewhere (28). Urine was
collected separately from each ureter. Left and right kidney glomerular
filtration rates were assessed as inulin clearance, and renal plasma
flow was assessed as clearance of p-amino hippuric acid.
Serum and urine sodium was measured by flame photometry. All of these
techniques are well established in our laboratory (28).
After the dog was stabilized and control urine was collected, LU135252
was infused at 0.1, 0.2, or 0.5
mg · kg-1 · min-1 in the left renal
artery for 45 min; the right kidney received the vehicle (9 g/L NaCl).
Thereafter, with the LU135252 infusion still running, ET1 was infused
in the left femoral vein at 15
ng · kg-1 · min-1 during 45 min. In
preliminary experiments, this dose of ET1 elicited a marked pressor
effect as well as a marked decrease in the glomerular filtration rate,
renal plasma flow, diuresis, and natriuresis. All protocols in the dog
and in the rat were approved by the McGill University Animal Care
Committee. All results of LU135252 measurement performed on the samples
obtained in vivo from rats and dogs are reported as LU equivalents (LU,
nmol/L), because the interference of LU135252 metabolites cannot be
excluded with certainty at the present time.
statistical evaluation
The calibration curves were evaluated by linear regression
analysis (logit/log transformation of the data) by the least-squares
method. The recovery of LU135252 and its stability were evaluated by
the paired Student's t-test. The effects of intrarenal
LU135252 infusion in the dog were submitted to ANOVA for repeated
measurements, whereas plasma LU concentrations in the rat were
evaluated by unpaired t-test, or when indicated by a
significant F-test result, by the nonparametric test
(MannWhitney) for independent means. A P value of 0.05 was
taken as the limit of statistical significance.
| Results |
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sample stability
Samples of plasma with two concentrations of added LU135252
exhibited a modest but significant loss of signal after 24 h at
room temperature (-11% at 150 nmol/L and -14.4% at 1500 nmol/L,
n = 3 in both instances; Table 2
). In plasma stored at 4 °C, LU135252 was, however,
completely stable for at least 1 week.
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interferences
The most important potential interferent both in plasma and in
urine is endogenous ET1, because of its high affinity to ET receptors.
We previously found Kd values of 50250 pmol/L
for ET1 binding in various rat and dog tissues
(29)(30). In plasma, ET1 (extracted from 0.1 mL
of the sample), had no effect at the binding of the radioligand at
concentrations up to 15 pmol/L (40 pg/mL; B/Bo x 100% at 15
pmol/L = 91.5% ± 1.4%, n = 4; Fig. 1
). Addition of ET1 to
urine produced no inhibition of binding even at 40 pmol/L (100 pg/mL)
of ET1 (not shown). Hence, ET1 does not interfere in this RRA at
clinically and pathophysiologically relevant concentrations. In urine,
the measured values were independent of sample pH from pH 4 to pH 8
(Table 3
). Neither urea nor NaCl at 200800 mmol/L affected the binding
of the radioligand to the membranes. In urine with added LU135252 (150
or 1500 nmol/L, n = 3), there was no effect of either urea or NaCl
(both at 800 mmol/L) on the measured LU concentrations (not shown).
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lu in rat plasma
After a single dose of 50 mg/kg administered by gavage, plasma LU
peaked after 1 h at 21 ± 5 µmol/L, in good agreement with
the manufacturer's data obtained by HPLC analysis (M. Kirchengast,
personal communication). Twenty-four hours later, there was still a
measurable LU concentration, at 3.2 ± 0.9 µmol/L (Fig. 2
), well compatible with the 12-h half-life of this compound in
the rat. In chronically treated rats (100
mg · kg-1 · day-1 by mouth),
there was no difference in plasma LU in the mixed venous blood of
control rats compared with rats suffering from myocardial
infarction-induced heart failure. In addition, LU concentrations in
aortic and mixed venous blood (pulmonary artery) were equivalent:
controls: aorta, 773 ± 374 nmol/L, and pulmonary artery, 823
± 421 nmol/L; infarcted rats: aorta, 937 ± 496 nmol/L, and
pulmonary artery, 894 ± 456 nmol/L (Fig. 3
).
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lu in dog plasma and urine after intrarenal infusion
Continuous unilateral intrarenal infusion of LU135252 led to much
higher plasma LU concentrations (Fig. 4
) than those anticipated from the available data on the LU135252
dose/concentration relationships obtained previously in the rat and on
the basis of a bolus administration (M. Kirchengast, personal
communication). Measured systemic plasma LU concentrations were between
60 µmol/L at an infusion rate of 0.1
mg · kg-1 · min-1 and 400
µmol/L at 0.5 mg · kg-1 · min-1. At
these concentrations, LU135252 had no effect on renal hemodynamics or
on the excretory variables (Fig. 5
), except for the mild decrease in renal plasma flow at 0.5
mg · kg-1 · min-1. Paradoxically,
this lack of renal effects contrasted with a mild systemic hypotensive
effect, which was significant at 0.2 and 0.5
mg · kg-1 · min-1. Urinary excretion
of LU was modest, corresponding to 13.5% of the infused dose (Fig. 5
).
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| Discussion |
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To establish a RRA of LU135252, we took advantage of the high affinity of this compound to the ETA receptor (Kd = 28 nmol/L in our hands). When porcine aortic membranes obtained after de-endothelialization of the vessels are used, it is possible to obtain a virtually pure preparation (~95%) of the ETA receptor. This preparation can be used as a practical and inexpensive substitute for receptor-transfected cells or for the cloned receptor protein. With 510 g of aortic tissue, we could obtain an amount of membrane protein sufficient to perform the assay in >1500 tubes, i.e., to analyze >600 samples in duplicate. Our previous work with membranes obtained from cultured rat vascular smooth muscle cells indicated that the latter source of the receptor preparation had been much less economical (P. Cernacek and D. Blais, unpublished). In the present study, there was no degradation of the labeled ligand during the assay, and the membranes retained their binding characteristics for at least 6 months when stored at -80 °C. Furthermore, with preparations obtained from three different animals, the slopes, correlation coefficients, and x-intercepts of the calibration curves were similar. The assay is stable and precise, as shown by the analysis of pools of plasma and urine with added LU135252. The analytical recovery assessed at three concentrations varied from 79% to 91%. Because the binding of the radioligand was consistently lower in the RRA buffer than in plasma- or urine-based curves, we decided to use the latter ones for routine assays. This approach also obviates the problem of recovery of LU135252 from the sample. Linearity of the calibration curves constructed with LU135252 added to plasma or urine confirms that there was no substantial difference in the recovery of the compound at lower and higher concentrations. In addition, there was no difference in the slopes, correlation coefficients, and x-intercepts of calibration curves obtained with human, dog, or rat plasma, or human or dog urine.
Another advantage of this RRA lies in its simplicity, which translates to low labor intensity and high sample throughput. We could analyze 50 samples within 6 h, including the incubation time (3 h). In contrast, the HPLC method for a similar ET antagonist requires considerably longer sample preparation, and a 30-min run per sample (24).
We carefully explored the potential interference by ET1, which is known to be present in both plasma and urine, and which has ~100-fold higher affinity to the ETA receptor than the LU compound. Our experiments made clear that, when extracted from 0.1-mL samples, the amount of ET1 is so low that it does not inhibit the binding of I-ET1 in concentrations up to 15 pmol/L (40 pg/mL). Our usual values of plasma ET1 are in the range of <0.4 pmol/L (1 pg/ml) in healthy man (32), and <1.1 pmol/L (3 pg/mL) in the dog (33). Most other laboratories find reference values in this range (34). Even in conditions of an extreme activation of the ET system, such as in sepsis, plasma ET1 does not exceed 7.5 pmol/L (20 pg/mL) (35). Thus, because of its very low circulating concentrations, endogenous ET1 does not interfere in this assay. In urine, the results were not affected by high concentrations of NaCl or urea, nor were they affected by the pH of the sample in a broad range from pH 4 to pH 8.
LU135252 is primarily metabolized in the liver and excreted via the bile, whereas urinary excretion is modest (M. Kirchengast, personal communication). It is metabolized by the hydroxylation of the pyrimidine ring and demethylation of the methoxy group (M. Kirchengast, personal communication). None of the metabolites characterized to date exhibit a measurable binding activity to ETA receptor. Therefore, it can be assumed that our RRA would measure the parent compound, LU 135252, specifically. Yet in principle, our assay has the characteristics of pharmacodynamic drug monitoring, measuring the effect of the drug and of those potential metabolites that may bind to the receptor rather than the characteristics of an analytical method specifically measuring the parent compound.
Plasma concentrations of LU in the orally treated rats, either after a single administration or during chronic treatment, have indicated a high oral bioavailability of the compound. The LU concentrations, both 44 h after the last dose in chronically treated rats and 24 h after a single intragastric administration, are in good agreement with the terminal half-time of 12 h stated by the manufacturer (M. Kirchengast, personal communication). The lack of difference between the arterial and mixed venous LU concentrations can mean either a lack of pulmonary extraction of the drug or, more likely, that the pulmonary receptor-mediated removal has been saturated during chronic treatment.
In the experiments in the dog, we were surprised by very high plasma LU concentrations, in the range of 10-5 to >10-4 mol/L, achieved after a relatively short (45 min) intrarenal administration. Even at the lowest infusion rate (0.1 mg · kg-1 · min-1), the LU concentrations in plasma were in the high micromolar range, compatible with inhibition of not only ETA receptor, but also of ETB receptor. Regardless of the type of the ET receptor blocked, there was a conspicuous absence of any effect on renal hemodynamics or excretory function, except for the mild decrease in renal plasma flow after the highest dose (0.5 mg · kg-1 · min-1). In contrast, the mean arterial blood pressure decreased, giving further support for a role of ET1 in the regulation of blood pressure and vascular tone (36). Of importance is that LU135252 infusion at any dose assured a full protection against the pressor and renal effects of the high-dose (15 ng · kg-1 · min-1) infusion of ET1.
This RRA method has the potential to be used to measure other ET receptor antagonists. In preliminary studies with SB209607, a nonselective ETA/ETB antagonist (22), we have obtained results compatible with a reliable quantification of this compound as well.
In conclusion, we established a simple, reliable, and economical RRA for LU135252, an ETA selective antagonist. In view of the growing importance of this group of drugs in the treatment of cardiovascular disorders, simple and economical means of their quantification are important tools to obtain the necessary insight into their pharmacokinetics and pharmacodynamics.
| Acknowledgments |
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| Footnotes |
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| References |
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