Subscribe to RSS
DOI: 10.1055/s-0034-1374599
Pharmacokinetics and Pharmacodynamics of two Vitamin K1 Formulations in Rats
Publication History
received 24 February 2014
accepted 29 March 2014
Publication Date:
24 April 2014 (online)
Abstract
Purpose:
Severe allergic reactions associated with the commercially available formulation of vitamin K1 injection (VKI) could be a result of polysorbate that was added to solubilize vitamin K1 (VK1). Hence, we sought to develop vitamin K1 lipid emulsion (VKLE) devoid of polysorbate, in order to reduce the clinical risk of severe allergic reactions. This study aims to evaluate the pharmacokinetics and pharmacodynamics of VKLE in comparison to VKI in rats.
Methods:
Plasma concentration-time profiles of VK1 were investigated in rats after dosing VKLE or VKI at the range of 1–4 mg/kg. Tissue distribution of VKLE and VKI were investigated in rats at the dose of 2 mg/kg. The pharmacodynamics of VKLE and VKI were also studied by comparing their effects on coagulation factors (II/VII/IX/X) and prothrombin time in hypoprothrombinemic rats.
Results:
VKI demonstrated over-proportional increase in AUC at the dosage range of 1.0–4.0 mg/kg, whereas VKLE demonstrated a linear kinetics trend in general. Compared to VKI, VKLE could selectively deliver VK1 to the liver, spleen and heart. VKLE and VKI produced comparable maximal responses, in terms of coagulation factors and prothrombin time.
Conclusions:
VKLE and VKI demonstrated different pharmacokinetics but comparable pharmacodynamics in rats.
-
References
- 1 Stafford D. The vitamin K cycle. Journal of Thrombosis and Haemostasis 2005; 3: 1873-1878
- 2 Sutcliffe FA, MacNicoll AD, Gibson GG. Aspects of anticoagulant action: a review of the pharmacology, metabolism and toxicology of warfarin and congeners. Drug Metabolism and Drug Interactions 1987; 5: 225-272
- 3 Crowther MA, Donovan D, Harrison L et al. Low-dose oral vitamin K reliably reverses over-anticoagulation due to warfarin. Thrombosis and haemostasis 1998; 79: 1116-1118
- 4 Nomoto H, Hatta K, Usui C et al. Vitamin K deficiency due to prolongation of antibiotic treatment and decrease in food intake in a catatonia patient. Psychosomatics 2011; 52: 486-487
- 5 Yılmaz S, Tavil B, Sarı S et al. Vitamin k deficiency because of ceftriaxone usage and prolonged diarrhoea. Journal of Paediatrics and Child Health 2011; 47: 314-315
- 6 Visuthranukul C, Chongsrisawat V, Vejchapipat P et al. Bleeding tendency in an adolescent with chronic small bowel obstruction. Asia Pacific Journal of Clinical Nutrition 2012; 21: 642
- 7 Mager DR, McGee PL, Furuya KN et al. Prevalence of vitamin K deficiency in children with mild to moderate chronic liver disease. Journal of pediatric gastroenterology and nutrition 2006; 42: 71-76
- 8 Coors EA, Seybold H, Merk HF et al. Polysorbate 80 in medical products and nonimmunologic anaphylactoid reactions. Annals of Allergy, Asthma & Immunology 2005; 95: 593-599
- 9 Qiu S, Liu Z, Hou L et al. Complement activation associated with polysorbate 80 in beagle dogs. International immunopharmacology 2012; 15: 144-149
- 10 Ueda K, Ishida M, Inoue T et al. Effect of injection volume on the pharmacokinetics of oil particles and incorporated menatetrenone after intravenous injection as O/W lipid emulsions in rats. Journal of drug targeting 2001; 9: 353-360
- 11 Sakaeda T, Hirano K. O/W lipid emulsions for parenteral drug delivery. III. Lipophilicity necessary for incorporation in oil particles even after intravenous injection. Journal of drug targeting 1998; 6: 119-127
- 12 Bollam S, Kandadi P, Apte SS et al. Development of Indinavir Submicron Lipid Emulsions Loaded with Lipoamino Acids – In Vivo Pharmacokinetics and Brain-Specific Delivery. AAPS PharmSciTech 2011; 12: 422-430
- 13 Song YK, Liu D, Maruyama KZ et al. Antibody mediated lung targeting of long-circulating emulsions. PDA Journal of Pharmaceutical Science and Technology 1996; 50: 372-377
- 14 Zheng J, Tang Y, Sun M et al. Characterization, pharmacokinetics, tissue distribution and antitumor activity of honokiol submicron lipid emulsions in tumor-burdened mice. Die Pharmazie – An International Journal of Pharmaceutical Sciences 2013; 68: 41-46
- 15 Sakaeda T, Hirano K. O/W lipid emulsions for parenteral drug delivery. II. Effect of composition on pharmacokinetics of incorporated drug. Journal of Drug Targeting 1995; 3: 221-230
- 16 Hippalgaonkar K, Majumdar S, Kansara V. Injectable Lipid Emulsions – Advancements, Opportunities and Challenges. AAPS PharmSciTech 2010; 11: 1526-1540
- 17 Shi S, Chen H, Lin X et al. Pharmacokinetics, tissue distribution and safety of cinnarizine delivered in lipid emulsion. International journal of pharmaceutics 2010; 383: 264-270
- 18 Sakaeda T, Kakushi H, Shike T et al. O/W lipid emulsions for parenteral drug delivery. IV. Changes in the pharmacokinetics and pharmacodynamics of a highly lipophilic drug, menatetrenone. Journal of drug targeting 1998; 6: 183-189
- 19 Olson RE. The function and metabolism of vitamin K. Annual review of nutrition 1984; 4: 281-337
- 20 Kurata M, Iidaka T, Yamasaki N et al. Battery of tests for profiling abnormalities of vitamin K-dependent coagulation factors in drug-toxicity studies in rats. Experimental animals 2005; 54: 189-192
- 21 Diness V, Lund-Hansen T, Hedner U. Effect of recombinant human FVIIA on warfarin-induced bleeding in rats. Thrombosis research 1990; 59: 921-929
- 22 Tan B. Guidelines on the Care and Use of Animals for Scientific Purposes. Naional Advisory Committee for Laboratory Animal Research. 2004
- 23 Boxenbaum H. Interspecies scaling, allometry, physiological time, and the ground plan of pharmacokinetics. Journal of pharmacokinetics and biopharmaceutics 1982; 10: 201-227
- 24 Suhara Y, Kamao M, Tsugawa N et al. Method for the determination of vitamin K homologues in human plasma using high-performance liquid chromatography-tandem mass spectrometry. Analytical chemistry 2005; 77: 757-763
- 25 Song Q, Wen A, Ding L et al. HPLC-APCI-MS for the determination of vitamin K1 in human plasma: Method and clinical application. Journal of Chromatography B 2008; 875: 541-545
- 26 Shearer MJ, Fu X, Booth SL. Vitamin K nutrition, metabolism, and requirements: current concepts and future research. Advances in Nutrition: An International Review Journal 2012; 3: 182-195
- 27 Shearer MJ, Newman P. Metabolism and cell biology of vitamin K. Thromb Haemost 2008; 100: 530-547
- 28 Müller RH, Schmidt S, Buttle I et al. SolEmuls® – novel technology for the formulation of iv emulsions with poorly soluble drugs. International journal of pharmaceutics 2004; 269: 2004; 269: 293-302
- 29 Jang JH, Kim CK, Choi HG et al. Preparation and evaluation of 2-(allylthio) pyrazine-loaded lipid emulsion with enhanced stability and liver targeting. Drug development and industrial pharmacy 2009; 35: 363-368
- 30 Hood JL, Eby CS. Evaluation of a prolonged prothrombin time. Clinical chemistry 2008; 54: 765-768
- 31 Hamberg AK, Dahl ML, Barban M et al. A PK-PD model for predicting the impact of age, CYP2C9, and VKORC1 genotype on individualization of warfarin therapy. Clinical Pharmacology & Therapeutics 2007; 81: 529-538
- 32 Cushman M, Booth SL, Possidente CJ et al. The association of vitamin K status with warfarin sensitivity at the onset of treatment. British journal of haematology 2001; 112: 572-577