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Vol. 26, Issue 11, 1113-1119, November 1998
Research and Development Division, Hokuriku Seiyaku Co., Ltd.
(M.M., O.N., H.K.),
Faculty of Pharmaceutical Sciences, Kanazawa
University (M.M., I.T., Y.Sa., A.T.),
Faculty of Pharmaceutical
Sciences, University of Tokyo (Y.Su.), and
CREST, Japan Science and
Technology Corporation (A.T.)
HSR-903 is a newly synthesized quinolone antibacterial agent with
low toxicity. The biliary and urinary excretion of unchanged HSR-903,
its R-isomer, and their glucuronides was determined after iv bolus administration (5 mg/kg) to normal Sprague-Dawley rats (SDR)
and Eisai hyperbilirubinemic mutant rats (EHBR). The values for the
biliary excretion clearance of HSR-903 and its glucuronide in EHBR were
decreased to approximately 40 and 2% of those in SDR, respectively,
whereas the values for the urinary excretion clearance of HSR-903 and
its glucuronide were comparable in SDR and EHBR. The biliary excretion
clearance values for the R-isomer and its glucuronide were
approximately 3 times greater than those for HSR-903. These results
demonstrated that the enantiomers of HSR-903 and their conjugates were
excreted into bile in a stereospecific manner. The hepatic uptake of
[14C]HSR-903 in vivo was
evaluated by means of integration plot analysis. The results indicated
that the hepatic uptake of [14C]HSR-903 was
very fast and was blood flow-limited. To clarify the mechanism of
excretion of HSR-903 into bile, the uptake and efflux of
[14C]HSR-903 were studied using isolated
hepatocytes from SDR and EHBR. The initial uptake of HSR-903 by
hepatocytes was temperature-dependent, saturable, and stereospecific.
Unlabeled HSR-903 (S-isomer), the R-isomer,
grepafloxacin, and sparfloxacin significantly inhibited the uptake of
[14C]HSR-903. The efflux of
[14C]HSR-903 from hepatocytes from EHBR was
significantly slower than that from hepatocytes from SDR. The addition
of sodium azide or bromosulfophthalein reduced the efflux of
[14C]HSR-903. These results demonstrate that
HSR-903 is actively excreted into bile via the canalicular
multispecific organic anion transporter, which is deficient in EHBR.
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