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Vol. 27, Issue 9, 1074-1077, September 1999
Division of Pharmaceutical Sciences, University of Kentucky,
College of Pharmacy, Lexington, Kentucky
The acute-phase response is known to produce alterations in hepatic
cytochrome P-450 (CYP) expression. Lipopolysaccharide (LPS), a
well known inducer of acute-phase response decreases hepatic CYP2E1 in
vitro activity in rats. This study was designed to determine if LPS
administration produced alterations in the pharmacokinetics of
chlorzoxazone (CZN), a marker for CYP2E1 expression. Sprague-Dawley
rats were administered a single i.p. injection of LPS (5 mg/kg) or
saline control approximately 24 h before a single i.v. bolus dose
of CZN (15 mg/kg). Serial blood samples were collected over a 120-min
period to quantitate CZN plasma concentrations and protein binding. In
addition, livers were removed and processed for evaluating in vitro
CYP2E1 protein concentrations and activity. Systemic clearance
decreased by 35% in LPS-treated rats, whereas half-life and
steady-state volume of distribution increased by 167 and 66%,
respectively. The plasma free-fraction of CZN increased 2-fold after
LPS treatment. The CZN intrinsic clearance decreased in LPS rats by
71% compared with control values. The CYP2E1 liver microsomal activity
decreased between 55 and 75% along with a 41% decrease in CYP2E1
protein concentration. The CZN intrinsic clearance was
significantly correlated with both the CZN and
p-nitrophenol liver microsomal activity
(r = 0.97 and r = 0.91, respectively). This study demonstrated that LPS administration produced
expected reductions in the in vivo intrinsic clearance of CZN, and
these changes were highly correlated with in vitro activity studies. In
addition, LPS produced significant increases in the steady-state volume
of distribution of CZN secondary to reductions in its plasma protein binding.
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