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School of Pharmacy and Pharmaceutical Sciences, University of
Manchester
Microsomal protein recovery and hepatocellularity have been
determined and investigated as scaling factors for interrelating clearance by hepatic microsomes, freshly isolated hepatocytes and whole
liver from untreated (UT) rats and rats treated with either the
cytochrome P450 inducer phenobarbital (PB) or dexamethasone (DEX).
Hepatocellularity in UT rats (1.1 × 108 hepatocytes/g
liver) was not significantly different after either PB or DEX induction
(1.1 and 1.3 × 108 hepatocytes/g liver,
respectively). However the microsomal protein recovery index, which
provides a scaling factor that is inversely related to the efficiency
of the microsomal preparation procedure, was 47 mg/g liver in both PB
and DEX microsomes and differs from UT rats (60 mg/g liver). These
contrasting findings are consistent with the interlaboratory trends in
the literature, indicating that, although hepatocellularity estimates
are in good accord, microsomal recovery can vary 2-fold; this has
implications for scaling.
The oxidation of diazepam to its three primary metabolites was measured
in PB and DEX microsomes and hepatocytes and the scaling factors were
applied to these data and previously reported UT data. Marked changes
in kinetics occur on induction resulting in a shift in the major
pathway. In particular, 3-hydroxylation is induced over 20-fold by DEX.
Diazepam CLint was determined in
vivo after administration of a bolus dose into the hepatic portal
vein of UT, PB, and DEX rats; values of 127, 191, and 323 ml/min/SRW
(where SRW is a standard rat weight of 250 g), respectively, were
obtained. Using these scaling factors, the hepatocyte predictions of
CLint were excellent (99, 144, and 297 ml/min/SRW for UT, PB, and DEX, respectively), whereas only the DEX
prediction (248 ml/min/SRW) was accurate for the microsomal system,
with a substantial underprediction for UT and PB (46 and 68 ml/min/SRW,
respectively). Evidence is presented for product inhibition, resulting
from accumulation of primary metabolites within the microsomal
preparation, as the mechanism responsible for this underprediction.
These results illustrate that the scaling factor approach is applicable
to induced livers in which both cytochrome P450 complement and zonal
distribution are altered. These data, together with our previous
studies, demonstrate that CLint in cells
(2.4-297 ml/min/SRW), microsomes (2.7-248 ml/min/SRW), and in
vivo (1.5-323 ml/min/SRW) are related in a linear fashion and
hence inherently both in vitro systems are of equal value
in predicting in vivo CLint.
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