N. Rodopoulos et al., ELIMINATION OF THEOBROMINE METABOLITES IN HEALTHY-ADULTS, Scandinavian journal of clinical & laboratory investigation, 56(4), 1996, pp. 373-383
The metabolism of theobromine (TB) (500 mg per os) was determined by m
easuring plasma and saliva concentrations of TB and its metabolites 0-
24 h after the load, and urinary excretion 0-48 h after the load. TB a
nd its six metabolites were separated and quantified by combining high
performance liquid chromatography and capillary electrophoresis. The
urine analyses showed that unchanged TB accounted for 21+/-4% (mean+/-
SD) of total excretion, the remainder being 7-methylxanthine (7-X, 36/-5%), 3-methylxanthine (3-X, 21+/-4%), 6-amino-5 [N-methylformylamino
]-1-methyluracil (6-AMMU, 11+/-4%), 7-methyluric acid (7-U, 10+/-2%),
3,7-dimethyluric acid (3,7-U, 1.3+/-0.6% and 3-methyluric acid (3-U, 0
.5+/-0.4%). In addition to TB, 7-X and 3-X were consistently found in
plasma and saliva; 6-AMMU and 7-U were found in plasma and saliva at c
oncentrations less than or equal to 2 mu mol l(-1) and 0.2 mu mol l(-1
), respectively. TB concentrations in plasma and saliva were similar,
whereas the saliva concentrations for 7-X and 3-X were found to be 63
+/- 17% of the plasma concentrations for 7-X and 74 +/- 13% for 3-X, r
espectively. The high urinary-to-plasma concentration ratio of 7-U (20
0-300) suggests high excretion of 7-U by the kidneys. Excretion of 7-X
, 3-X and 6-AMMU was also high (urinary-to-plasma concentration ratio
45-150), whereas the excretion of TB was significantly lower than its
metabolites (urinary-to-plasma concentration ratio 4-6). N3-demethylat
ion of TB accounted for 58+/-7% of the urinary metabolites, N7-demethy
lation for 27+/-6%, C8-oxidation of 7-X for 22+/-4%, C8-oxidation of 3
-X for 2+/-2% and formation of 6-AMMU for 13+/-4%. The ratio of N3- to
N7-demethylation of TB remained constant during the load, but the lar
ge interindividual variation observed in ratio makes it unsuitable as
a function test for evaluation of liver disease.