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The influence of age on the distribution of morphine and morphine-3-glucuronide across the blood-brain barrier in sheep

Bengtsson, J. ; Ederoth, Per LU ; Ley, David LU ; Hansson, Stefan LU orcid ; Amer-Wåhlin, Isis LU ; Hellström-Westas, Lena LU ; Marsal, Karel LU ; Nordström, Carl-Henrik LU and Hammarlund-Udenaes, M. (2009) In British Journal of Pharmacology 157(6). p.96-1085
Abstract

BACKGROUND AND PURPOSE: The effect of age on the distribution of morphine and morphine-3-glucuronide (M3G) across the blood-brain barrier (BBB) was studied in a sheep model utilizing intracerebral microdialysis. The effect of neonatal asphyxia on brain drug distribution was also studied.

EXPERIMENTAL APPROACH: Microdialysis probes were inserted into the cortex, striatum and blood of 11 lambs (127 gestation days) and six ewes. Morphine, 1 mg x kg(-1), was intravenously administered as a 10 min constant infusion. Microdialysis and blood samples were collected for up to 360 min and analysed using liquid chromatography-tandem mass spectrometry. The half-life, clearance, volume of distribution, unbound drug brain : blood distribution... (More)

BACKGROUND AND PURPOSE: The effect of age on the distribution of morphine and morphine-3-glucuronide (M3G) across the blood-brain barrier (BBB) was studied in a sheep model utilizing intracerebral microdialysis. The effect of neonatal asphyxia on brain drug distribution was also studied.

EXPERIMENTAL APPROACH: Microdialysis probes were inserted into the cortex, striatum and blood of 11 lambs (127 gestation days) and six ewes. Morphine, 1 mg x kg(-1), was intravenously administered as a 10 min constant infusion. Microdialysis and blood samples were collected for up to 360 min and analysed using liquid chromatography-tandem mass spectrometry. The half-life, clearance, volume of distribution, unbound drug brain : blood distribution ratio (K(p,uu)) and unbound drug volume of distribution in brain (V(u,brain)) were estimated.

KEY RESULTS: Morphine K(p,uu) was 1.19 and 1.89 for the sheep and premature lambs, respectively, indicating that active influx into the brain decreases with age. Induced asphyxia did not affect transport of morphine or M3G across the BBB. Morphine V(u,brain) measurements were higher in sheep than in premature lambs. The M3G K(p,uu) values were 0.27 and 0.17 in sheep and premature lambs, indicating a net efflux from the brain in both groups.

CONCLUSIONS AND IMPLICATIONS: The morphine K(p,uu) was above unity, indicating active transport into the brain; influx was significantly higher in premature lambs than in adult sheep. These results in sheep differ from those in humans, rats, mice and pigs where a net efflux of morphine from the brain is observed.

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author
; ; ; ; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
blood-brain, active influx, active efflux, microdialysis, morphine, barrier
in
British Journal of Pharmacology
volume
157
issue
6
pages
12 pages
publisher
Wiley
external identifiers
  • wos:000268260800023
  • scopus:70350302380
  • pmid:19438510
ISSN
1476-5381
DOI
10.1111/j.1476-5381.2009.00242.x
language
English
LU publication?
yes
id
5523311c-eb19-46f7-9986-8bee1fa8b6e1 (old id 1461798)
date added to LUP
2016-04-01 13:34:22
date last changed
2021-09-08 02:30:47
@article{5523311c-eb19-46f7-9986-8bee1fa8b6e1,
  abstract     = {<p>BACKGROUND AND PURPOSE: The effect of age on the distribution of morphine and morphine-3-glucuronide (M3G) across the blood-brain barrier (BBB) was studied in a sheep model utilizing intracerebral microdialysis. The effect of neonatal asphyxia on brain drug distribution was also studied.</p><p>EXPERIMENTAL APPROACH: Microdialysis probes were inserted into the cortex, striatum and blood of 11 lambs (127 gestation days) and six ewes. Morphine, 1 mg x kg(-1), was intravenously administered as a 10 min constant infusion. Microdialysis and blood samples were collected for up to 360 min and analysed using liquid chromatography-tandem mass spectrometry. The half-life, clearance, volume of distribution, unbound drug brain : blood distribution ratio (K(p,uu)) and unbound drug volume of distribution in brain (V(u,brain)) were estimated.</p><p>KEY RESULTS: Morphine K(p,uu) was 1.19 and 1.89 for the sheep and premature lambs, respectively, indicating that active influx into the brain decreases with age. Induced asphyxia did not affect transport of morphine or M3G across the BBB. Morphine V(u,brain) measurements were higher in sheep than in premature lambs. The M3G K(p,uu) values were 0.27 and 0.17 in sheep and premature lambs, indicating a net efflux from the brain in both groups.</p><p>CONCLUSIONS AND IMPLICATIONS: The morphine K(p,uu) was above unity, indicating active transport into the brain; influx was significantly higher in premature lambs than in adult sheep. These results in sheep differ from those in humans, rats, mice and pigs where a net efflux of morphine from the brain is observed.</p>},
  author       = {Bengtsson, J. and Ederoth, Per and Ley, David and Hansson, Stefan and Amer-Wåhlin, Isis and Hellström-Westas, Lena and Marsal, Karel and Nordström, Carl-Henrik and Hammarlund-Udenaes, M.},
  issn         = {1476-5381},
  language     = {eng},
  number       = {6},
  pages        = {96--1085},
  publisher    = {Wiley},
  series       = {British Journal of Pharmacology},
  title        = {The influence of age on the distribution of morphine and morphine-3-glucuronide across the blood-brain barrier in sheep},
  url          = {http://dx.doi.org/10.1111/j.1476-5381.2009.00242.x},
  doi          = {10.1111/j.1476-5381.2009.00242.x},
  volume       = {157},
  year         = {2009},
}