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Vol. 27, Issue 1, 138-146, January 1999
Research Triangle Institute, Research Triangle Park, North Carolina
Gemfibrozil, a human pharmaceutical agent, causes hepatomegaly and
hepatic peroxisome proliferation in rats, which have been associated
with hepatocarcinogenesis. Hamsters are less susceptible than rats to
peroxisome proliferation, and no hepatotoxicity has been reported in
humans using gemfibrozil. The relationship between hepatic peroxisome
proliferation in rodents and human cancer risk is unclear. We
investigated the metabolism and excretion of
[14C]gemfibrozil in male and female Sprague-Dawley rats
and Syrian golden hamsters to better understand species differences in
gemfibrozil-induced toxicity. Bile-duct cannulated rats and hamsters
excreted 99% and 7 to 20% of a single i.v. gemfibrozil dose in bile,
respectively. Cumulative urinary and fecal excretion of
gemfibrozil-derived radioactivity after a single oral dose (30 or 2000 mg/kg) were dependent on species and, in rats, on dose. Hamsters
excreted 90% of the dose in urine. Rats excreted 55 to 60% of the
dose in feces after the low dose and 55 to 70% in urine after the high dose, suggesting possible saturation of biliary excretion. Repeated administration of the low dose to male rats did not alter the routes of
excretion compared to a single dose. Major metabolites present in urine
and bile were the glucuronide conjugates of gemfibrozil, the 4'-ring
hydroxylated metabolite, and the meta-benzoic acid metabolite. The extensive urinary excretion of radioactivity by hamsters and enterohepatic recycling in rats suggests that rats were
exposed to a much higher effective dose of gemfibrozil, which may in
part explain the previously reported species differences in
gemfibrozil-induced toxicity.
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