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Drug Metabolism and Disposition Fast Forward
First published on February 28, 2006; DOI: 10.1124/dmd.105.007419


0090-9556/06/3406-939-942$20.00
DMD 34:939-942, 2006

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CONTRARY TO ADULT, NEONATAL RATS SHOW PRONOUNCED BRAIN UPTAKE OF CORTICOSTEROIDS

Vikram Arya, Vincent G. Demarco, Manish Issar1, and Günther Hochhaus

Department of Pharmaceutics, College of Pharmacy, University of Florida, Gainesville, Florida (V.A., M.I., G.H.); and Department of Child Health, School of Medicine, University of Missouri, Columbia, Missouri (V.G.D.)

Neurotoxic adverse effects after systemic corticosteroid administration are elevated in preterm infants. To test whether this might be related to an immature blood-brain barrier (BBB) that permits corticosteroids to enter the brain and induce neurotoxic effects, this study assessed the differences in brain permeability of triamcinolone acetonide after intratracheal administration to neonatal (10- to 11-day-old) and adult rats. Triamcinolone acetonide (or the phosphate prodrug in the case of neonatal rats) was administered intratracheally to neonatal rats at doses of 2.5, 25, or 50 µg/kg and to adult rats at 100 µg/kg. An ex vivo receptor binding assay was used to monitor the cumulative brain and liver glucocorticoid receptor occupancies over 6 h. Brain and liver receptor occupancies in neonates were similar for the 25 and 50 µg/kg triamcinolone acetonide phosphate (brain/liver receptor occupancy ratio, 1.10 ± 0.14 and 0.87 ± 0.13, respectively), whereas some reduction in the brain permeability was seen at the lower dose. After intratracheal administration of 100 µg/kg triamcinolone acetonide to adult rats, receptor occupancies in the brain were significantly lower (brain/liver ratio, 0.21 ± 0.14; p < 0.001). The study demonstrated that glucocorticoids enter the brain of neonatal rats because of an immature BBB. The results of this study support the hypothesis that neurotoxic adverse effects in preterm infants after systemic corticosteroid administration might be related to an immature BBB.


Address correspondence to: Dr. Guenther Hochhaus, P.O. Box 100494, Department of Pharmaceutics, College of Pharmacy, JHMHC, University of Florida, Gainesville, FL 32610. E-mail: hochhaus{at}ufl.edu







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