Ks. Pang et al., DEMONSTRATION OF RAPID ENTRY AND A CELLULAR-BINDING SPACE FOR SALICYLAMIDE IN PERFUSED-RAT-LIVER - A MULTIPLE INDICATOR DILUTION STUDY, The Journal of pharmacology and experimental therapeutics, 270(1), 1994, pp. 285-295
The kinetics of influx, efflux and removal of salicylamide under stead
y-state conditions (input concentration, 9-870 mu M) were studied with
the single pass erythrocyte-perfused rat liver in the absence of albu
min (12 ml min(-1)). A substantial distribution of salicylamide into r
ed blood cells (red cell/plasma ratio, 3.5) was observed. During stead
y state, a bolus dose containing multiple indicators {Cr-51-labeled re
d cells (vascular space marker), [H-3] sucrose (interstitial space mar
ker), D2O (cellular space marker) and added [C-14]salicylamide tracer}
was injected into the portal vein. The steady-state hepatic salicylam
ide extraction ratio decreased from 0.99 to 0.4 over the concentration
range used. The extraction ratio for bulk salicylamide was similar to
1 minus the integral of the fractional outflow recovery of unchanged
tracer [C-14]salicylamide (or [1-F] where F is the availability). Mode
ling of the indicator dilution outflow data revealed an extremely rapi
d (flow-limited) influx and efflux for salicylamide that was independe
nt of the partitioning of salicylamide into red blood cells. The decre
ase in extraction ratio was due solely to saturation of the metabolic
processes, shown previously to be sulfation, glucuronidation and hydro
xylation. The sequestration rate constant, representing the pooled con
stant for all of the metabolic pathways, decreased from 0.45 to 0.035
sec(-1) with increase in concentration. From the spectrum of its chang
e with concentration, calculated values for a corresponding apparent V
-max and K-m were 17.5 nmol sec(-1) ml(-1) cellular water and 27 mu M,
respectively. The cellular distribution space for salicylamide was ex
ceedingly large, 20 times the size of the cellular water space, at tra
ce levels, and fell to a constant level (5 times the cellular water sp
ace) with increasing concentration. The phenomenon, first observed for
n-propanol (Goresky et al., Am, J. Physiol. 244: G215-G244, 1983a), i
s explained by a nonsaturable (partition coefficient, 3.8-5) and a sat
urable binding (binding site concentration, 352-98 mu M) component in
the tissue. The binding effects inverted the order of elution of the p
arent and metabolite profiles; the outflow emergence of metabolites be
gan earlier than that of the parent compound, salicylamide.