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Antimicrobial Agents and Chemotherapy, June 1998, p. 1417-1423, Vol. 42, No. 6
Divisions of
Infectious
Diseases1 and
Clinical
Pharmacology,
Received 29 May 1997/Returned for modification 11 December
1997/Accepted 19 March 1998
We have used a recently described animal model to characterize the
ocular pharmacokinetics of sparfloxacin in vitreous humor of uninfected
albino rabbits following systemic administration and direct
intraocular injection. The relationships of lipophilicity, protein binding, and molecular weight to the penetration and
elimination of sparfloxacin were compared to those of
ciprofloxacin, fleroxacin, and ofloxacin. To determine whether
elimination was active, elimination rates following direct injection
with and without probenecid or heat-killed bacteria were compared.
Sparfloxacin concentrations were measured in the serum and vitreous
humor by a biological assay. Protein binding and lipophilicity were
determined, respectively, by ultrafiltration and oil-water
partitioning. Pharmacokinetic parameters were characterized with
RSTRIP, an iterative, nonlinear, weighted,
least-squares-regression program. The relationship between each
independent variable and mean quinolone concentration or elimination
rate in the vitreous humor was determined by multiple linear
regression. The mean concentration of sparfloxacin in the vitreous
humor was 59.4% ± 12.2% of that in serum. Penetration of
sparfloxacin, ciprofloxacin, fleroxacin, and ofloxacin into, and
elimination from, the vitreous humor correlated with lipophilicity (r2 > 0.999). The linear-regression
equation describing this relationship was not improved by including the
inverse of the square root of the molecular weight and/or the degree of
protein binding. Elimination rates for each quinolone were
decreased by the intraocular administration of probenecid. Heat-killed
Staphylococcus epidermidis decreased the rate of
elimination of fleroxacin. Penetration of sparfloxacin into the
noninflamed vitreous humor was greater than that of any quinolone
previously examined. There was an excellent correlation between lipophilicity and vitreous entry or elimination for
sparfloxacin as well as ciprofloxacin, fleroxacin, and ofloxacin. There
are two modes of quinolone translocation into and out of the vitreous humor: diffusion into the eye and both diffusion and carrier-mediated elimination out of the vitreous humor.
0066-4804/98/$04.00+0
Copyright © 1998, American Society for Microbiology. All rights reserved.
Pharmacokinetics of Sparfloxacin in the Serum and Vitreous Humor
of Rabbits: Physicochemical Properties That Regulate
Penetration of Quinolone Antimicrobials
*
Corresponding author. Mailing address: Department of
Medicine, Albany Medical College, 47 New Scotland Ave., Albany, NY
12208. Phone: (518) 262-5343. Fax: (518) 262-6727. E-mail:
michael_miller{at}ccgateway.amc.edu.
Antimicrobial Agents and Chemotherapy, June 1998, p. 1417-1423, Vol. 42, No. 6
0066-4804/98/$04.00+0
Copyright © 1998, American Society for Microbiology. All rights reserved.
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