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Vol. 28, Issue 11, 1379-1384, November 2000
Laboratoire de Pharmacologie et Toxicologie, Centre Hospitalier
Universitaire, Angers, France (P.A., O.H., A.C., A.L.B.); and
Departements d'Oncologie Médicale et de Pharmacologie Clinique,
Centre Paul-Papin, Centre Regional de Lutte contre le Cancer, Angers,
France (F.L., M.B.-C., E.G.)
This article deals with the fate of oxaliplatin 1 and 3 h
after its i.v. administration (130 mg/m2) to three
patients. Its binding to plasma proteins and penetration into red blood
cells were monitored by chromatography on-line with inductively
coupled plasma mass spectrometry. Oxaliplatin biotransformations in
plasma ultrafiltrate (PUF) and in urine were studied by chromatography
coupled to inductively coupled plasma mass spectrometry or to
electrospray ionization mass spectrometry. In plasma, four platinum
(Pt) compounds were found. The peaks at 200 and 160 kDa corresponding
to
-globulins contained 40% of the Pt bound; the peak at 60 kDa
corresponding to albumin contained 40% of the Pt found. The
peak <2 kDa could correspond to oxaliplatin, to its degradation
products, or to adducts between Pt compounds and low-molecular-weight
species such as glutathione, L-methionine, and
L-cysteine. In PUF and urine, oxaliplatin itself, its
degradation products, Pt(dach)Cl2,
[Pt(dach)(OH2)Cl]+, and species that have the
same retention times as Pt(dach)(methionine) and
[Pt(dach)]2(glutathione) were found. One hour after
infusion, oxaliplatin in PUF and urine represented 12 and 50% of the
total Pt, respectively. Three hours after infusion, oxaliplatin,
undetectable in PUF, represented 10% of total Pt in urine. Inside red
blood cells, two Pt compounds were found. The Pt peak at 60 kDa
corresponding to hemoglobin and the peak <2 kDa corresponding to
low-molecular species contained, respectively, 60% and 40% of Pt
found. This study demonstrates that in the first hours after its
infusion, oxaliplatin, in addition to other Pt compounds, is present in plasma and urine and that Pt is bound to albumin,
-globulins, and hemoglobin.
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