Metabolism excretion, carboxylic acids

Ward et al. [125] investigated the disposition of 14C-radiolabeled primaquine in the isolated perfused rat liver preparation, after the administration of 0.5, 1.5, and 5 mg doses of the drug. The pharmacokinetics of primaquine in the experimental model was dependent on dose size. Increasing the dose from 0.5 to 5 mg produced a significant reduction in clearance from 11.6 to 2.9 mL/min. This decrease was accompanied by a disproportionate increase in the value of the area under the curve from 25.4 to 1128.6 pg/mL, elimination half-life from 33.2 to 413 min, and volume of distribution from 547.7 to 1489 mL. Primaquine exhibited dose dependency in its pattern of metabolism. While the carboxylic acid derivative of primaquine was not detected perfusate after the 0.5 mg dose, it was the principal perfusate metabolite after 5 mg dose. Primaquine was subject to extensive biliary excretion at all doses, the total amount of 14C-radioactivity excreted in the bile decreased from 60 to 30%i as the dose of primaquine was increased from 0.5 to 5 mg. 

Mihaly et al. [128] identified the carboxylic acid derivative of primaquine as a major plasma metabolite. After oral administration of 45 mg of primaquine to healthy volunteers, absorption of the drug was rapid, with peak primaquine levels of 153.3 ng/mL at 3 h, followed by an elimination half-life of 7.1 h, systemic clearance of 21.1 L/h, volume of distribution of 205 L and cumulative urinary excretion of 1.3% of the dose. Primaquine was converted rapidly to the carboxylic acid metabolic, which achieved peak levels of 1427 ng/mL at 7 h. 

Metabolism/Excretion - Clopidogrel is extensively metabolized by the liver. It undergoes rapid hydrolysis into its carboxylic acid derivative glucuronidation also occurs. 

In swine, carbadox is metabolized rapidly to quinoxaline-2-carboxylic acid, with the intermediary formation of the aldehyde and the desoxy metabolite of the parent compound. Metabolism studies with radiolabeled carbadox showed that the parent compound and its three metabolites are present in plasma within hours after drug administration, but all four compounds can disappear within 24 h postdosing. The major urinary metabolite was shown to be the quinoxaline-2 -carboxylic acid, which was also excreted in the conjugated form. A -oxides were not found in urine. Feces also contained some quinoxaline-2-carboxylic acid but no unchanged carbadox (14). 

Acetaldehyde is oxidized to acetic acid by NAD+-dependent aldehyde dehydrogenases (ALDH) in liver and nasal mucosal preparations. Its administration to rats causes an increase in urinary excretion of sulfur metabolites and it is known to react with cysteine to produce a thiazolidine 4-carboxylic acid derivative that can be A -nitro-sated in vivo upon co-administration of nitrite (lARC, 1985). Many studies have been published subsequently, but these have been mainly in the context of ethanol metabolism. 

The oxidation of aciy lic acid can be rationalized in terms of the endogenous catabolism of propionic acid, in which acrylyl coenzyme A is an intermediate. This pathway is analogous with fatty acid 3-oxidation, common to all species and, unlike the corresponding pathway in plants, does not involve vitamin 8,2. 3-Hydroxypropionic acid has been found as an intennediate in the metabolism of acrylic acid in vitro in rat liver and mitochondria (Finch Frederick, 1992). The CO2 excreted derives from the carboxyl carbon, while carbon atoms 2 and 3 are converted to acetyl coenzyme A, which participates in a variety of reactions. The oxidation of acrylic acid is catalysed by enzymes in a variety of tissues (Black Finch, 1995). In mice, the greatest activity was found in kidney, which was five times more active than liver and 50 times more active than skin (Black et al., 1993). 

The carboxylic acids can be subdivided into nonvolatile fatty acids, volatile fatty acids, hydroxy acids, dicarboxylic acids, and aromatic acids (Fig. 3). The nonvolatile fatty acids are molecules with more than five carbon atoms, such as stearic and palmitic acids, which are the degradation products of fats and triglycerides. Three different 18-C fatty acids that are important constituents of plants include oleic and linoleic acids that are abundant in plant seeds, and linolenic acid, which is abundant in plant leaves. Volatile fatty acids are short-chain molecules with one to five carbon atoms, such as acetic and valeric acid, associated with anaerobic metabolism. The hydroxy-acids are common intermediates in biochemical pathways, including the tricarboxylic acid cycle. The excretion of hydroxyacids by algae, such as the... 

The likelihood that a xenobiotic species will undergo enzymatic metabolism in the body depends on the chemical nature of the species. Compounds with a high degree of polarity, such as relatively ionizable carboxylic acids, are less likely to enter the body system and, when they do, tend to be quickly excreted. Therefore, such compounds are unavailable, or available for only a short time, for enzymatic metabolism. Volatile compounds, such as dichloromethane or diethylether, are... 

During the development of rivaroxaban 1, Pleiss et al. at Bayer Health Care prepared [14C]-radiolabeled rivaroxaban,22 which was required for clinical studies of drug absorption, distribution, metabolism, and excretion (ADME studies). The approach taken for the synthesis of l4C labeled rivaroxaban 38 relies on the previously reported synthesis. In the presence of EDC HCl and HOBT, 4- 4-[5S)-5-(aminomethyl)-2-oxo-l,3-oxazolidin-3-yl]phenyl -morpholin-3-one 22 was coupled with 5-chloro-2-thiophene [14C]-carboxylic acid 37 and was purified using chiral HPLC to afford the [l4C]-radiolabelled rivaroxaban 38 in 85% yield with high chemical and radiochemical purity and with an enantiomeric excess of > 99% ee (Scheme 5). Meanwhile, the metabolite M-4 of rivaroxaban (compound 39) was prepared from 5-chlorothiophenecarboxylic acid chloride 23 and [14C]glycine in 77% yield (Scheme 6). 

Aspects of phosgene metabolism have been periodically reported, particularly as an active metabolite of chloroform. It will react with two molecules of glutathione to form a bis conjugate (63) and with cysteine to form 2-oxothiazolidine-4-carboxylic acid (64), but it does not appear to have been established if significant amounts of these or related compounds are excreted in urine. As an active metabolite of chloroform, phosgene reacts with the polar heads of phospholipids (65). Its reactions with blood proteins are described in Part B. 

Dose-proportional C ux values arc achieved within I hour of oral administration of cetirizine. Food slows the rate of cetirizine absorption but docs not affect the overall extent. Consistent with the polar nature of this carboxylic acid drag less than 10% of peak plasma levels have been measured in the brain. Cetirizine is not extensively metabolized, aiul more than 70% of a lO-mg oral dose is excreted in the urine (>80% as unchanged drug) and 10% is recovered in the feces. The drug is highly protein bound (93%) and has a terminal half-life of 8.3 hours. The clearance of cetirizine i< reduced in elderly subjc cts and in renally and hcpalicnlh impaired patients. "... 

Oxidation of substituents attached to C5 is the most important pathway of metabolism for the barbiturates. The oxidative processes may yield alcohols, ketones, and carboxylic acids. For example, pentobarbital is oxidized to a hydroxy compound and a carboxylic acid (8) as shown in Fig. 5.2. The oxidative process may also yield phenols. If the barbiturate has a phenyl group attached to C5, by far the most important metabolic product is the p-hydroxyphenyl derivative, which has been shown to be formed through the intermediate epoxide (9). For example, phenobarbital is metabolized top-hydroxyphenobarbital (Fig. 5.3). The oxygenated metabolites (alcohols, phenols, ketones, and carboxylic acids) may be excreted in the urine in the free form or conjugated with glucuronic or sulfuric acid. 

The barbiturates undergo extensive hepatic metabolism in which the C5 substituents are transformed to alcohols, phenols, ketones, or carboxylic acids these metabolites may be excreted in urine in part as glucuronide conjugates. For some barbiturates (amobarbital and phenobarbital), N-glucosylation is an additional important metabolic trans-... 

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