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Vol. 27, Issue 8, 916-923, August 1999
Departments of Pharmacokinetics, Atorvastatin (AT) is a second-generation potent inhibitor of
3-hydroxy-3-methylglutaryl-CoA reductase, clinically approved for
lowering plasma cholesterol. Using a mixture of
[D5/D0] AT and/or [14C]AT, the
metabolic fate and excretion of AT were examined in rats and dogs
following single and multiple oral doses. Limited biliary recycling was
examined in one dog after a single dose of AT. AT-derived metabolites
in bile samples were identified by metabolite screening of the
[D5/D0] AT molecular clusters using tandem
mass spectrometry. Bile was a major route of [14C]
drug-derived excretion, accounting for 73 and 33% of the oral dose in
the rat and dog, respectively. The remaining radioactivity was
recovered in the feces; only trace amounts were excreted in urine.
Radioactive components identified in rat and dog bile were the
para- and ortho-hydroxy metabolites, a
glucuronide conjugate of ortho-hydroxy AT, and unchanged
AT. Two minor radioactive components were identified as
-oxidation
products of AT with one confirmed as a
-oxidized AT derivative. The
reappearance of AT and major metabolites in bile from a dog
administered a sample of its previously excreted bile indicated biliary
recycling is an important component in AT metabolism. Multiple dose
administration in rats did not alter biliary metabolic profiles. Rat
and dog plasma profiles after multiple dose administration were similar
and showed no additional metabolites not found in bile. Examination of
rat and dog bile and plasma indicates that AT primarily undergoes
oxidative metabolism.
Copyright © 1999 by The American Society for Pharmacology and Experimental Therapeutics
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