Purpose. The purposes of this study were to characterize the kinetics of be
clomethasone dipropionate (BDP) and its 17-monopropionate ester (17-BMP) in
human lung 1000g supernatant (HLu) at 37 degrees C, and to analyze the int
erindividual variability in the metabolism of BDP in HLu.
Methods. The concentrations of BDP and its metabolites were determined by H
PLC with UV detection at 242 nm. Kinetics of BDP and 17-BMP decomposition w
ere characterized by least-squares fitting of rate equations.
Results. The active metabolite 17-BMP was rapidly formed following the incu
bation of BDP in HLu. Kinetics of BDP and 17-BMP in HLu were nonlinear owin
g to product inhibition and enzyme saturation. A model taking into account
the product inhibition provides a kinetic basis for understanding the in vi
vo behavior of BDP and its metabolites in human lung. There was approximate
ly a 3.5-fold difference in the initial half-life of BDP in HLu observed in
seven subjects.
Conclusions. An effective activation of BDP was demonstrated in HLu through
the rapid formation of 17-BMP. Kinetics of BDP and 17-BMP in HLu were well
characterized by the nonlinear kinetic model. Interindividual difference i
n the initial half-life of BDP was due mainly to esterase metabolizing acti
vity rather than binding affinity.