Renal Elimination of the Hypoxic Cell Radiosensitizer Misonidazole in Wistar Rats: Influence of Some Drugs on Its Excretion
Overview
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The hypoxic cell radiosensitizing drug, misonidazole (Miso) (Ro 07-0582) and its demethylated metabolite were administered to Wistar rats at different dose levels to examine their renal elimination. The data were consistent with a model in which Miso is eliminated mainly after biotransformation into desmethylmisonidazole (Demiso) which is eliminated according to its renal clearance. The study of Miso renal elimination process shows a tubular reabsorption. So we analyzed the interaction of various drugs on urinary 24 hours elimination of this radiosensitizer. Following results were observed: Furosemide and acetazolamide do not change the rate of renal elimination of the drug; Soludactone increases the elimination level of unmetabolized Miso (p less than 0.01); Under probenecid treatment, the elimination of Miso and its O-demethylated derivative are increased; On the other hand, after a pretreatment with phenobarbital, the urinary level of desmethylmisonidazole is strongly increased (p less than 0.001).
Christian N, Bol A, De Bast M, Labar D, Lee J, Mahy P Eur J Nucl Med Mol Imaging. 2007; 34(9):1348-54.
PMID: 17334763 DOI: 10.1007/s00259-007-0376-7.