Abstract
Background: As an anti-inflammatory prodrug, loxoprofen is metabolized into transloprofenol
to treat diseases related to pain and inflammation. Although loxoprofen has fewer adverse
effects than other NSAIDs, the safety of its usage during pregnancy remains unclear and
needs to be considered. Fortunately, the toxicokinetics and tissue distribution study of transloxoprofen-
alcohol in pregnant rats can resolve the problem.
Objective: The purpose of this study is to establish a simple, sensitive, and effective LC-MS/MS
analysis method for determining the concentration of trans-loxoprofen alcohol in plasma and tissues.
Methods: The analytic samples were precipitated by methanol in one step and separated using a
reverse-phase Poroshell 120 EC-C18 column (4.6 mm×50 mm; 2.7 μm). And the mobile gradient
phase at a flow rate of 0.6 mL/min was composed of acetonitrile and 0.1% formic acid in water.
The quantitative detection was achieved by multiple-reaction monitoring mode with a positive
electrospray ionization source, transitional ion pairs of m/z 265.9>184.8 for trans-loxoprofenalcohol,
and 268.8>187.9 for rac-trans-loxoprofen-D3 alcohol (Internal standard).
Results: A good linearity of calibration curves for plasma and tissues was observed in the concentration
range from 5.0 to 5000 ng/mL, and the lower limit of quantification was detected at 5.0
ng/mL. The intra-day and inter-day precision in plasma and tissues were within 8.94% and 7.26%,
respectively. The mean extraction recovery and matrix effects in plasma and tissues were in the
range of 89.08~109.27% and 89.00~106.80%, respectively. Precision of stability in plasma and
tissues was within 8.91% and 7.08%, respectively.
Conclusion: Complying with the requirements of bioanalytical guidelines by validation, this
method was successfully adopted to the toxicokinetics and tissue distribution study after intravenously
administrated trans-loxoprofen-alcohol into pregnant SD rats.
Keywords:
Trans-loxoprofen-alcohol, plasma and tissues, protein precipitation, toxicokinetics, LC-MS/MS, validation.
Graphical Abstract
[1]
Nicholas, Moore.; Charles, P.ollack Paul, Butkerait Adverse drug reactions and drug-drug interactions with over-the-counter NSAIDs. Ther. Clin. Risk Manag., 2015, 11, 1061-1075.
[2]
Asami, T.; Yamanouchi, N.; Asami, A.; Tanaka, H.; Nogami, N. The effectiveness of patches containing loxoprofen sodium hydrate (lx-p) in the conservative therapy of muscular back pain—Clinical results using the japanese orthopaedic association back pain evaluation questionnaire (joabpeq). JJCRS, 2013, 4, 22-29.
[4]
Koo, T.S.; Kim, D.H.; Ahn, S.H.; Kim, K.P.; Kim, I.W.; Seo, S.Y.; Suh, Y.G.; Kim, D.D.; Shim, C.K.; Chung, S.J. Comparison
of pharmacokinetics of loxoprofen and its active metabolites after
Application to a Toxicokinetics and Tissue Distribution Study Current Pharmaceutical Analysis, 2022, Vol. 18, No. 1 121
an intravenous, intramuscular, and oral administration of loxoprofen
in rats: Evidence for extrahepatic metabolism., 2005, 94(10), 2187-2197.
[10]
Ballarín, M.; Sala, J.; Artigas, R. Review of the clinical efficacy of dexketoprofen trometamol injectable. Dolor, 2003, 18(3), 133-148.
[11]
Siu, S.S.; Yeung, J.H.; Lao, K.T. A study on placental transfer of diclofenac in first trimester of human pregnancy. Hum. Reprod., 2000, 15(11), 2423-2425.
[14]
Bombardier, C.; Laine, L.; Reicin, A.; Shapiro, D. Burgos-Vargas, Ruben Comparison of upper gastrointestinal toxicity of rofecoxib and naproxen in patients with rheumatoid arthritis. N. Engl. J. Med., 2000.
[16]
Sawamura, R.; Kazui, M.; Kurihara, A.; Izumi, T. Absorption, distribution, metabolism and excretion of loxoprofen after dermal application of loxoprofen gel to rats. Xenobiotica, 2014, 44(11), 1026-1038.
[17]
Food and Drug Administration. Guidance for Industry: Bioanalytical Method Validation, US Department of Health and Human Services, Food and Drug Administration, Center for Drug Evaluation and Research (CDER), Center for Veterinary Medicine; CVM: Rockville, MD, 2018.
[18]
Detection of toxicity to reproduction for medicinal products and
toxicity to male fertility S5 (R2). Harmonised Tripartite Guideline.,, 2005.
[22]
Kanazawa, H.; Tsubayashi, A.; Nagata, Y.; Matsushima, Y.; Mori, C.; Kizu, J.; Higaki, M. Stereospecific Analysis of Loxoprofen in Plasma by Chiral Column Liquid Chromatography with a Circular Dichroism-Based Detector. J. Chromatogr. A, 2002, 948(1-2), 303-308.