Effects of Glucose on the Pharmacokinetics of Intravenous Chlorzoxazone in Rats with Acute Renal Failure Induced by Uranyl Nitrate

The effects of glucose on CYP2E1 expression in rats with acute renal failure induced by uranyl nitrate (U-ARF) have been reported. CYP2E1 was significantly induced (2.3-fold) in rats with U-ARF compared with that in control rats. In contrast, CYP2E1 expression was significantly decreased in rats with U-ARF supplied with glucose (dissolved in tap water to make 10%, w/v) in their drinking water for 5days (U-ARFG) compared with that in rats with U-ARF. However, CYP2E1 in rats with U-ARFG was significantly greater than that in control rats. Chlorzoxazone (CZX) primarily undergoes hydroxylation, catalyzed mainly by CYP2E1, to form 6-hydroxychlorzoxazone (OH-CZX) rats. Hence, it could be expected that in rats with U-ARFG, formation of OH-CZX could significantly decrease and increase compared with those in rats with U-ARF and control rats, respectively. This expectation is proven by the following results of a study of intravenous administration of CZX at a dose 20mg/kg to control rats and rats with U-ARF and U-ARFG. First, the total area under the plasma concentration–time curve from time zero to 8h (AUC0–8h) of OH-CZX in rats with U-ARFG (8730 μg·min/mL) was significantly greater than that in control rats (414 μg·min/mL) and significantly smaller than that in rats with U-ARF (11500 μg·min/mL). Second, the AUC0–8h, OH-CZX/AUCCZX ratio in rats with U-ARFG (10.0) was significantly greater than that in control rats (0.252) and significantly smaller than that in rats with U-ARF (17.5). Finally, the in vitro intrinsic OH-CZX formation clearance (CLint) in rats with U-ARFG (27.9mL/min/mg protein) was significantly slower than that in rats with U-ARF (36.7mL/min/mg protein) and significantly faster than that in control rats (17.7mL/min/mg protein). © 2003 Wiley-Liss, Inc. and the American Pharmacists Association