目的 建立高效液相色谱法测定血浆中替考拉宁(TEIC)总浓度(Ct)和游离浓度(Cf)的方法。方法 游离浓度血浆样本经超滤离心管处理后进行HPLC分析。采用C18色谱柱,以乙腈-0.01 mol·L-1磷酸二氢钠(25∶75,磷酸调pH值至3.3)为流动相,检测波长240 nm,柱温35 ℃,流速1.0 mL·min-1,考察该方法的专属性、标准曲线、定量下限、精密度、回收率和稳定性。结果 游离浓度在0.5~50 μg·mL-1内线性关系良好(y=12 801x-2 574.1,r2=0.999 8),定量下限为0.5 μg·mL-1,方法回收率为94.63%~103.72%,批内、批间RSD均<4.00%;总质量浓度在1.562 5~100 μg·mL-1内线性关系良好(y=10 576x+9 950.1,r2=0.999 8),定量下限为1.562 5 μg·mL-1,方法回收率为94.55%~99.59%,批内、批间RSD均<4.00%。在室温放置10 h、冻融循环3次和4 ℃冷藏72 h稳定性良好。结论 本方法简便、准确、灵敏,适用于临床替考拉宁血药总浓度和游离浓度的检测及药动学的研究。
Abstract
OBJECTIVE To establish an HPLC method for the determination of total(Ct) and free(Cf) concentrations of teicoplanin (TEIC) in plasma. METHODS For determing the free concentration, the plasma samples were prepared by ultrafiltration. A C18 column was used, with acetonitrile -0.01 mol·L-1 sodium dihydrogen phosphate (25∶75, pH adjusted to 3.3 by phosphoric acid) as the mobile phase, the detection wavelength was set at 240 nm, the column temperature was maintained at 35 ℃, and the flow rate was 1.0 mL·min-1. The specificity,linearity, the lower limit of quantitation, precession,recovery and stability of the developed method were validated. RESULTS The free concentration was linear with in 0.5-50 μg·mL-1, the lower limit of quantification was 0.5 μg·mL-1, and the method recovery rate was 94.63%-103.72%. The intra-day and inter-day precision(RSD) were all less than 4.00%; the linearity was good with in the total concentration of 1.562 5-100 μg·mL-1, the lower limit of quantification was 1.562 5 μg·mL-1, the method recovery rate was 94.55%-99.59%. The intra-day and inter-day precision(RSD) were all less than 4.00%. The TEIC was all stability at the conditions of maintaining at room temperature for 10 h,after freeze-thaw cycle and keeping at 4 ℃ for 72 h. CONCLUSION The method is simple, accurate, and sensitive, and is suitable for the clinical determination of total and free concentrations of teicoplanin and the study of pharmacokinetics.
关键词
高效液相色谱法 /
替考拉宁 /
血药浓度 /
游离浓度
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Key words
HPLC /
teicoplanin /
plasma concentration /
free concentration
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中图分类号:
R917
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参考文献
[1] SVETITSKY S, LEIBOVICI L, PAUL M. Comparative efficacy and safety of vancomycin versus teicoplanin: systematic review and Meta-analysis. Antimicrob Agents Chemother, 2009,53(10):4069-4079.
[2] CAVALCANTI A B, GONCALVES A R, ALMEIDA C S, et al. Teicoplanin versus vancomycin for proven or suspected infection. Cochrane Database Syst Rev, 2010, 16(6):CD007022.
[3] HUNG Y P, LEE N Y, CHANG C M, et al. Tolerability of teicoplanin in 117 hospitalized adults with previous vancomycin-induced fever, rash, or neutropenia: a retrospective chart review. Clin Ther, 2009, 31(9):1977-1986.
[4] DU Guan hua translate. Principles of Pharmacology: The Pathophysiologic Basic of Durg Therapy(药理学原理:药物治疗学的病理生理基础). Beijing:People's Medical Publishing House Co., Ltd,2009:32.
[5] ZHANG R G, ZHANG R X, ZHANG Y. Determination of teicoplanin in human plasma and related factors analysis. Chin Pharm J(中国药学杂志),2019,54(8):654-658.
[6] SUN Y, ZHOU P,YANG J M, et al. Establishment of HPLC method for determination of plasma drug concentration of teicoplanin. Chin J Clin Pharm (中国临床药学杂志), 2015,24(3):173-177.
[7] AI Y S, XU C H, CHEN Z X, et al. Determination of teicoplanin in serum by HPLC. Chin Hosp Pharm J(中国医院药学杂志), 2005,25(3):254-256.
[8] DONG W C, GUO J L,JIANG Y, et al. Centrifugal ultrafiltration-HPLC for the analysis of free concentrations of vancomycin and norvancomyc in human plasma. Chin J CIin Pharmacol(中国临床药理学杂志), 2016,32(10):920-923.
[9] ROBERTS J A, STOVE V, DE WAELE J J, et al. Variability in protein binding of teicoplanin and achievement of therapeutic drug monitoring targets in critically ill patients: lessons from the DALI study. Int J Antimicrob Agents, 2014, 43(5):423-430.
DONG W C, GUO J L,JIANG Y, et al. Determination the free concentrations of valproic acid in human plasma by HPLC. Chin J CIin Pharmacol(中国临床药理学杂志), 2017,33(3):251-254.
KRATZER A, LIEBCHEN U, SCHLEIBINGER M, et al. Determination of free vancomycin, ceftriaxone, cefazolin and ertapenem in plasma by ultrafiltration: impact of experimental conditions. J Chromatogr B Analyt Technol Biomed Life Sci, 2014, 961:97-102.
WANG C, WILLIAMS N S. A mass balance approach for calculation of recovery and binding enables the use of ultrafiltration as a rapid method for measurement of plasma protein binding for even highly lipophilic compounds. J Pharm Biomed Anal, 2013, 75(5):112-117.
HANADA K, KOBAYASHI A, OKAMORI Y, et al. Improved quantitative determination of total and unbound concentrations of six teicoplanin components in human plasma by high performance liquid chromatography. Biol Pharm Bull, 2005, 8(10):2023-2025.
TASCINI C, FLCMMINI S, LEONILDI A, et al. Comparison of teicoplanin and vancomycin in vitro activity on clinical isolates of Staphylococcus aureus. J Chemother, 2012, 24(4):187-190.
Expert Consensus Group for Clinical Use of Teicoplanin. Expert consensus on clinically used doses of teicoplanin . Chin J Tuberc Respir Dis(中华结核和呼吸杂志), 2016, 39(7):500-508.
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脚注
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基金
龙岩市科技计划立项资助(2017LY66)
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