The excretion of leukotriene E4 into urine following inhalation of leukotriene D4 by human individuals
Jan VerhagenElisabeth H. BelGerarda M. KijnePeter SterkPieter L.B. BruynzeelGerrit A. VeldinkJohannes F.G. Vliegenthart
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Leukotriene E4
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Universitat, D-8000Munchen70,WestGermany 1 Leukotriene elimination viabile andurine isan important mechanism ofinactivation forthese potent lipid mediators. We investigated whether theelimination ofcysteinyl leukotrienes isa targetfortheaction ofleukotriene receptor antagonists. 2 Experiments were performed inmaleratsunderdeepthiopentone anaesthesia. Thebile ductandthe urinary bladder werecannulated. Tritium labelled leukotrienes andleukotriene receptor antagonists were given viacentral venous catheters. Elimination ofleukotrienes produced invivowas studied following stimulation ofendogenous leukotriene biosynthesis byoperative trauma.3H-leukotriene metabolites were identified byh.p.l.c. analysis. Leukotrienes produced invivo weremeasured bycombined useofh.p.l.c. and RIA. 3 Undercontrol conditions, 49+ 12%oftheinjected 3H-leukotriene radioactivity was recovered inbile and1 + 0.8%inurine within 90min.Operative traumaresulted ininitial hepatobiliary secretion of 887+ 206pmolkg- h- oftheendogenous leukotriene metabolite N-acetyl leukotriene E4(LTE4NAc). 4 FPL 55712strongly inhibited hepatobiliary elimination of3H-leukotriene radioactivity ina dosedependent manner after i.v. injection of[3H]-LTC4, [3H]-LTD4 or [3H]-LTE4, respectively. Biliary [3H]-LTD4 was reduced mosteffectively. Theleukotriene antagonist potently prevented biliary elimination ofLTE4NAcproduced invivo. Bileflowandelimination frombloodintobile of[3H]-ouabain werealso impaired byFPL55712, buttoalesser extent. 5 LY 163443reduced biliary [3H]-LTD4 after i.v. administration of[3H]-LTD4. However, thetotal elimination of3H-leukotriene metabolites intobile was notsignificantly inhibited bythedrug. 6 MK-571reduced thebiliary concentration oftracerafter administration of3H-leukotrienes most potently withrespect to[3H]-LTD4. Incontrast, thetotal recoveryof3H-leukotrienes inbile tended to increase. Thisisexplained byadrug-induced increase inbile flow. 7 Urinary elimination of3H-leukotrienes, quantitatively less important intherat, was notsignificantly influenced bytheleukotriene receptor antagonists. Recovery of3H-leukotriene radioactivity inliver and kidneys was quantitatively insignificant. 8 Fromour data, we conclude thatleukotriene receptor antagonists havethepotential toaffect leukotriene elimination bya mechanism notnecessarily related toreceptor blockade. Inhibition ofelimination bythereceptor antagonists may prolong thebiological half life ofleukotrienes. Thiseffect may counteract theantagonistic properties ofthese drugs.
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