Brain and plasma riluzole pharmacokinetics

Purpose. Amyotrophic lateral sclerosis is a fatal neurodegenerative disease characterized by the loss of motorneurons. The only drug approved is riluzole. Minocycline is an antibiotic with numerous neuroprotective properties. riluzole and minocycline were given to an animal model of ALS and had bene...

وصف كامل

محفوظ في:
التفاصيل البيبلوغرافية
المؤلف الرئيسي: Milane, Aline (author)
مؤلفون آخرون: Tortolano, Lionel (author), Fernadez, Christine (author), Bensimon, Gilbert (author), Meininger, Vincent (author), Farinotti, Robert (author)
التنسيق: article
منشور في: 2016
الوصول للمادة أونلاين:http://hdl.handle.net/10725/4496
http://dx.doi.org/10.18433/J36C78
http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php
http://ejournals.library.ualberta.ca/index.php/JPPS/article/viewArticle/4596
الوسوم: إضافة وسم
لا توجد وسوم, كن أول من يضع وسما على هذه التسجيلة!
_version_ 1864513463677616128
author Milane, Aline
author2 Tortolano, Lionel
Fernadez, Christine
Bensimon, Gilbert
Meininger, Vincent
Farinotti, Robert
author2_role author
author
author
author
author
author_facet Milane, Aline
Tortolano, Lionel
Fernadez, Christine
Bensimon, Gilbert
Meininger, Vincent
Farinotti, Robert
author_role author
dc.creator.none.fl_str_mv Milane, Aline
Tortolano, Lionel
Fernadez, Christine
Bensimon, Gilbert
Meininger, Vincent
Farinotti, Robert
dc.date.none.fl_str_mv 2016-10-04T09:31:23Z
2016-10-04T09:31:23Z
2016-10-04
dc.identifier.none.fl_str_mv 1482-1826
http://hdl.handle.net/10725/4496
http://dx.doi.org/10.18433/J36C78
Milane, A., Tortolano, L., Fernandez, C., Bensimon, G., Meininger, V., & Farinotti, R. (2009). Brain and plasma riluzole pharmacokinetics: effect of minocycline combination. Journal of Pharmacy & Pharmaceutical Sciences, 12(2), 209-217.
http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php
http://ejournals.library.ualberta.ca/index.php/JPPS/article/viewArticle/4596
dc.language.none.fl_str_mv en
dc.relation.none.fl_str_mv Journal of Pharmacy and Pharmaceutical Sciences
dc.rights.*.fl_str_mv info:eu-repo/semantics/openAccess
dc.title.none.fl_str_mv Brain and plasma riluzole pharmacokinetics
effect of minocyline combination
dc.type.none.fl_str_mv Article
info:eu-repo/semantics/publishedVersion
info:eu-repo/semantics/article
description Purpose. Amyotrophic lateral sclerosis is a fatal neurodegenerative disease characterized by the loss of motorneurons. The only drug approved is riluzole. Minocycline is an antibiotic with numerous neuroprotective properties. riluzole and minocycline were given to an animal model of ALS and had beneficial effect on the disease. The combination was then tested in humans in phase II and phase III studies with less beneficial effects and a faster decline of the disease in the group treated with minocycline. In a previous study, we showed that riluzole is transported out of the brain by the P-glycoprotein at the bloodbrain barrier level. In this work, we tested the hypothesis of a drug-drug interaction between riluzole and minocycline. Methods. We studied in CF1 mice, the plasma and brain pharmacokinetics of riluzole combined or not with minocycline. Results. Our results showed that riluzole pharmacokinetics are not linear with dose, but that brain AUC0-t increase proportionally with plasma AUC0-t. At the dose of 10 mg/kg, the brain AUC0-t /plasma AUC0-t ratio was 4.6 in mdr1a (-/-) mice and 2.4 in mdr1a (+/+) mice. The combination of minocycline (170 mg/kg) and riluzole (10 mg/kg) induced a 2 fold increase in the brain AUC0-t of riluzole and induced a neuromuscular toxicity in mice. This effect of minocycline was not found at low concentration (10 mg/kg of minocycline). Conclusions. If our results are confirmed in humans, riluzole brain concentrations could be predicted by plasma concentrations. Furthermore, the combination of high doses of minocycline with riluzole could induce neurological toxicity that lead to deceiving results in ALS clinical studies. Hence, a dose-range of minocycline combined with riluzole should be tested in further clinical studies.
eu_rights_str_mv openAccess
format article
id LAURepo_f7bff3d9bdbee6b69eb886e6167dfd9a
identifier_str_mv 1482-1826
Milane, A., Tortolano, L., Fernandez, C., Bensimon, G., Meininger, V., & Farinotti, R. (2009). Brain and plasma riluzole pharmacokinetics: effect of minocycline combination. Journal of Pharmacy & Pharmaceutical Sciences, 12(2), 209-217.
language_invalid_str_mv en
network_acronym_str LAURepo
network_name_str Lebanese American University repository
oai_identifier_str oai:laur.lau.edu.lb:10725/4496
publishDate 2016
repository.mail.fl_str_mv
repository.name.fl_str_mv
repository_id_str
spelling Brain and plasma riluzole pharmacokineticseffect of minocyline combinationMilane, AlineTortolano, LionelFernadez, ChristineBensimon, GilbertMeininger, VincentFarinotti, RobertPurpose. Amyotrophic lateral sclerosis is a fatal neurodegenerative disease characterized by the loss of motorneurons. The only drug approved is riluzole. Minocycline is an antibiotic with numerous neuroprotective properties. riluzole and minocycline were given to an animal model of ALS and had beneficial effect on the disease. The combination was then tested in humans in phase II and phase III studies with less beneficial effects and a faster decline of the disease in the group treated with minocycline. In a previous study, we showed that riluzole is transported out of the brain by the P-glycoprotein at the bloodbrain barrier level. In this work, we tested the hypothesis of a drug-drug interaction between riluzole and minocycline. Methods. We studied in CF1 mice, the plasma and brain pharmacokinetics of riluzole combined or not with minocycline. Results. Our results showed that riluzole pharmacokinetics are not linear with dose, but that brain AUC0-t increase proportionally with plasma AUC0-t. At the dose of 10 mg/kg, the brain AUC0-t /plasma AUC0-t ratio was 4.6 in mdr1a (-/-) mice and 2.4 in mdr1a (+/+) mice. The combination of minocycline (170 mg/kg) and riluzole (10 mg/kg) induced a 2 fold increase in the brain AUC0-t of riluzole and induced a neuromuscular toxicity in mice. This effect of minocycline was not found at low concentration (10 mg/kg of minocycline). Conclusions. If our results are confirmed in humans, riluzole brain concentrations could be predicted by plasma concentrations. Furthermore, the combination of high doses of minocycline with riluzole could induce neurological toxicity that lead to deceiving results in ALS clinical studies. Hence, a dose-range of minocycline combined with riluzole should be tested in further clinical studies.PublishedN/A2016-10-04T09:31:23Z2016-10-04T09:31:23Z2016-10-04Articleinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article1482-1826http://hdl.handle.net/10725/4496http://dx.doi.org/10.18433/J36C78Milane, A., Tortolano, L., Fernandez, C., Bensimon, G., Meininger, V., & Farinotti, R. (2009). Brain and plasma riluzole pharmacokinetics: effect of minocycline combination. Journal of Pharmacy & Pharmaceutical Sciences, 12(2), 209-217.http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.phphttp://ejournals.library.ualberta.ca/index.php/JPPS/article/viewArticle/4596enJournal of Pharmacy and Pharmaceutical Sciencesinfo:eu-repo/semantics/openAccessoai:laur.lau.edu.lb:10725/44962021-03-19T10:00:50Z
spellingShingle Brain and plasma riluzole pharmacokinetics
Milane, Aline
status_str publishedVersion
title Brain and plasma riluzole pharmacokinetics
title_full Brain and plasma riluzole pharmacokinetics
title_fullStr Brain and plasma riluzole pharmacokinetics
title_full_unstemmed Brain and plasma riluzole pharmacokinetics
title_short Brain and plasma riluzole pharmacokinetics
title_sort Brain and plasma riluzole pharmacokinetics
url http://hdl.handle.net/10725/4496
http://dx.doi.org/10.18433/J36C78
http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php
http://ejournals.library.ualberta.ca/index.php/JPPS/article/viewArticle/4596