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Pharmacokinetics of O6-benzylguanine and its active metabolite 8-oxo-O6-benzylguanine in plasma and cerebrospinal fluid after intrathecal administration of O6-benzylguanine in the nonhuman primate
Ist Teil von
Clinical cancer research, 1998-11, Vol.4 (11), p.2891-2894
Ort / Verlag
Philadelphia, PA: American Association for Cancer Research
Erscheinungsjahr
1998
Quelle
MEDLINE
Beschreibungen/Notizen
O6-Benzylguanine (O6BG) irreversibly inactivates the single-turnover DNA repair protein alkylguanine-alkyltransferase. Thus,
O6BG increases tumor-cell sensitivity to alkylating agents such as carmustine, lomustine, procarbazine, and temozolomide.
We investigated the pharmacokinetic behavior of O6BG and O6-benzyl-8-oxoguanine (8-oxo-O6BG) in cerebrospinal fluid (CSF)
and plasma after intraventricular administration of O6BG in a nonhuman primate model. In our study, three animals received
a single 1-mg dose of O6BG into the lateral ventricle. CSF from the 4th ventricle and plasma samples were collected after
administration, and O6BG and 8-oxo-O6BG concentrations were measured by high-performance liquid chromatography. Four additional
animals received 1 mg of O6BG via the intralumbar route weekly for 6 weeks to assess the feasibility and toxicity of this
route of administration. The peak O6BG CSF concentration was 412+/-86 microM, the t1/2 was 0.52+/-0.02 h, the clearance was
0.22+/-0.01 ml/min, and the area under the concentration-time curve was 319+/-15 microM x h in 4th ventricular CSF. The peak
CSF concentration of 8-oxo-O6BG in CSF was 1.9+/-0.4 microM, the t1/2 was 0.76+/-0.03 h, and the area under the concentration-time
curve was 5.0+/-1.1 microM x h. Both O6BG and 8-oxo-O6BG were detected in the plasma 0.5-3 h after intraventricular O6BG administration.
The plasma peak concentration of O6BG was 0.4 microM at 30 min, and the concentration was <0.1 microM by 3 h. The plasma concentration
of 8-oxo-O6BG was 0.2 microM at 30 min and 0.6 microM at 3 h. The animals tolerated the single intraventricular dose and 6
weekly intralumbar doses of O6BG without toxicity. We concluded that intrathecal administration of O6BG is well tolerated
in the nonhuman primate and seems to have a substantial pharmacokinetic advantage over systemic administration for meningeal
tumors.