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Department of Immunology, National Research Institute of Mother and
Child (W.T., H.S.-G.);
Department of Animal Physiology, University
of Lund (S.G.P., P.D.P.L., B.R.W., B.W.K.);
Preclinical R & D,
Department of Pharmacology, Astra Draco (S.E., M.D.);
Department of
Pharmacology, The Children's Memorial Health Institute (J.P.)
The delivery and pharmacokinetics of cyclosporine A (CyA) given
locally to the airways or iv was evaluated in young and adult rats.
After intratracheal (i.t.) instillation of saline suspended CyA to
adult rats, the CyA plasma levels peaked at 30 min with a
bioavailability of 78.1 ± 6.9%. After the i.t. instillation of
CyA with micelles forming surfactant, Cremophor EL, in adult and young
rats, the plasma levels peaked at 5 min with a bioavailability of
77.5 ± 7.2% and 66.3 ± 4.5%, respectively. The
bioavailability of aerosolized CyA was 80.1 ± 4.1% in adults.
Thus, CyA is absorbed by the lungs into the systemic circulation of the
rat in high amounts, independent of age and type of delivery system.
Long-term treatment with i.t. instillations did not affect body weight
gain in young and adult rats, and no histopathological changes were found in the lungs. It is important to emphasize that CyA plasma clearance in young rats was lower and elimination half-life longer than
in adults. The slow elimination of CyA in young rats indicated profound
pharmacokinetic age differences for this species.