Default Factors for Interspecies Differences in the Major Routes of Xenobiotic Elimination

For the risk to human health posed by chemicals that show threshold toxicity there is an increasing need to move away from using the default approaches, which inherently incorporate uncertainty, towards more biologically defensible risk assessments. However, most chemical databases do not contain data of sufficient quantity or quality that can be used to replace either the interspecies or interindividual aspects of toxicokinetic and toxicodynamic uncertainty. The purpose of the current analysis was to evaluate the use of alternative, species-specific, pathway-related, “categorical” default values to replace the current interspecies toxicokinetic default uncertainty factor of 4.0. The extent of the difference in the internal dose of a compound, for each test species, could then be related to the specific route of metabolism in humans. This refinement would allow for different categories of defaults to be used, providing that the metabolic fate of a toxicant was known in humans. Interspecies differences in metabolism, excretion, and bioavailability have been compared for probe substrates for four different human xenobiotic-metabolizing enzymes: CYP1A2 (caffeine, paraxanthine, theobromine, and theophylline), CYP3A4 (lidocaine), UDP-glucuronyltransferase (AZT), and esterases (aspirin). The results of this analysis showed that there are significant differences between humans and the four test species in the metabolic fate of the probe compounds, the enzymes involved, the route of excretion and oral bioavailability — all of which are factors that can influence the extent of the difference between humans and a test species in the internal dose of a toxicant. The wide variability between both compounds and the individual species suggests that the categorical approach for species differences may be of limited use in refining the current default approach. However, future work to incorporate a wider database of compounds that are metabolized extensively by any pathway in humans to provide more information on the extent to which the different test species are not covered by the default of 4.0. Ultimately this work supports the necessity to remove the uncertainty from the risk assessment process by the generation and use of compound-specific data.

[1]  J. P. Shea,et al.  Influence of long‐term infusions on lidocaine kinetics , 1982, Clinical pharmacology and therapy.

[2]  Martin Vann De Berg,et al.  Toxicokinetics , 2000, Food additives and contaminants.

[3]  J. Wilcke,et al.  Pharmacokinetics of lidocaine and its active metabolites in dogs. , 1983, Journal of veterinary pharmacology and therapeutics.

[4]  M. Chow,et al.  The pharmacokinetic and pharmacodynamic interaction between propafenone and lidocaine , 1993, Clinical pharmacology and therapeutics.

[5]  F. Gaspari,et al.  Pharmacokinetic study of a new oral buffered acetylsalicylic acid (ASA) formulation in comparison with plain ASA in healthy volunteers. , 1991, International journal of clinical pharmacology research.

[6]  J. Caldwell,et al.  Effect of interferon synthesis upon the metabolism of [carboxyl-14C]-aspirin in the mouse. , 1987, Biochemical pharmacology.

[7]  J. Kolars,et al.  CYP3A gene expression in human gut epithelium. , 1994, Pharmacogenetics.

[8]  A. Renwick Data-derived safety factors for the evaluation of food additives and environmental contaminants. , 1993, Food additives and contaminants.

[9]  S. Shibasaki,et al.  Effects of cimetidine on lidocaine distribution in rats. , 1988, Journal of pharmacobio-dynamics.

[10]  D W Nebert,et al.  The P450 superfamily: update on new sequences, gene mapping, and recommended nomenclature. , 1991, DNA and cell biology.

[11]  J. Dorne,et al.  Uncertainty factors for chemical risk assessment: interspecies differences in glucuronidation. , 2001, Food and chemical toxicology : an international journal published for the British Industrial Biological Research Association.

[12]  M. Alvinerie,et al.  Pharmacokinetics of methylprednisolone succinate, methylprednisolone, and lidocaine in the normal dog and during hemorrhagic shock. , 1987, Journal of pharmaceutical sciences.

[13]  W. D. Mason,et al.  Kinetics of aspirin, salicylic acid, and salicyluric acid following oral administration of aspirin as a tablet and two buffered solutions. , 1981, Journal of pharmaceutical sciences.

[14]  S. Imaoka,et al.  Effect of phenobarbital on the pharmacokinetics of lidocaine, monoethylglycinexylidide and 3-hydroxylidocaine in the rat: correlation with P450 isoform levels. , 1997, Drug metabolism and disposition: the biological fate of chemicals.

[15]  K Walton,et al.  Pathway-Related Factors: The Potential for Human Data to Improve the Scientific Basis of Risk Assessment , 2001 .

[16]  P. Pandhi,et al.  Determination of the optimal analgesia-potentiating dose of caffeine and a study of its effect on the pharmacokinetics of aspirin in mice. , 1991, Methods and findings in experimental and clinical pharmacology.

[17]  J. Miners,et al.  Lidocaine disposition—Sex differences and effects of cimetidine , 1984, Clinical pharmacology and therapeutics.

[18]  F. Guengerich Mammalian cytochromes P-450 , 1987 .

[19]  R. Smith,et al.  The excretory function of bile : the elimination of drugs and toxic substances in bile , 1973 .

[20]  G Vettorazzi,et al.  Advances in the safety evaluation of food additives. A conceptual and historical overview of the Acceptable Daily Intake (ADI) and Acceptable Daily Intake 'not specified'. , 1987, Food additives and contaminants.

[21]  F. Lu,et al.  Acceptable daily intake: inception, evolution, and application. , 1988, Regulatory toxicology and pharmacology : RTP.

[22]  M. Green,et al.  UDP-glucuronosyltransferases in the metabolic disposition of xenobiotics. , 1989, Drug metabolism reviews.

[23]  L. Favari,et al.  Aspirin disposition in rats acutely intoxicated with CCl4 , 1987, Journal of applied toxicology : JAT.

[24]  A. Melander,et al.  Bioavailability of acetylsalicylic acid and salicylic acid from rapid-and slow-release formulations, and in combination with dipyridamol , 2004, European Journal of Clinical Pharmacology.

[25]  T. Shimada,et al.  Lidocaine metabolism by human cytochrome P-450s purified from hepatic microsomes: comparison of those with rat hepatic cytochrome P-450s. , 1990, The Journal of pharmacology and experimental therapeutics.

[26]  W. Ritschel,et al.  First-pass elimination of lidocaine in the rabbit after peroral and rectal route of administration. , 1985, Biopharmaceutics & drug disposition.

[27]  Y. Masubuchi,et al.  Participation of the CYP2D subfamily in lidocaine 3-hydroxylation and formation of a reactive metabolite covalently bound to liver microsomal protein in rats. , 1993, Biochemical pharmacology.

[28]  K. Iwamoto,et al.  Gastrointestinal and hepatic first‐pass metabolism of aspirin in rats , 1982, The Journal of pharmacy and pharmacology.

[29]  E. B. Truitt,et al.  Evaluation of Acetylsalicylic Acid Esterase in Aspirin Metabolism: Interspecies Comparison , 1965 .

[30]  K Walton,et al.  Uncertainty factors for chemical risk assessment. human variability in the pharmacokinetics of CYP1A2 probe substrates. , 2001, Food and chemical toxicology : an international journal published for the British Industrial Biological Research Association.

[31]  F. Williams Clinical Significance of Esterases in Man , 1985, Clinical pharmacokinetics.

[32]  D. Greenblatt,et al.  Dose‐Independent Pharmacokinetics of Intravenous Lidocaine in Humans , 1983, Journal of clinical pharmacology.

[33]  B D Beck,et al.  Does the animal-to-human uncertainty factor incorporate interspecies differences in surface area? , 1992, Regulatory toxicology and pharmacology : RTP.

[34]  P. R. Reid,et al.  Lidocaine kinetics predicted by indocyanine green clearance. , 1978, The New England journal of medicine.

[35]  A G Renwick,et al.  Human variability and noncancer risk assessment--an analysis of the default uncertainty factor. , 1998, Regulatory toxicology and pharmacology : RTP.

[36]  M. Rowland,et al.  Absorption kinetics of aspirin in man following oral administration of an aqueous solution. , 1972, Journal of pharmaceutical sciences.

[37]  J M Collins,et al.  Extrapolation of animal toxicity to humans: interspecies comparisons in drug development. , 1990, Regulatory toxicology and pharmacology : RTP.

[38]  D. Breimer,et al.  Rectal bioavailability of lidocaine in rats: absence of significant first-pass elimination. , 1980, Journal of pharmaceutical sciences.

[39]  H. Pieniaszek,et al.  Variability in the Pharmacokinetics and Pharmacodynamics of Low Dose Aspirin in Healthy Male Volunteers , 1995, Journal of clinical pharmacology.

[40]  R. Boyes,et al.  The tissue distribution, metabolism and excretion of lidocaine in rats, guinea pigs, dogs and man. , 1972, The Journal of pharmacology and experimental therapeutics.

[41]  Ipcs,et al.  Assessing human health risks of chemicals; derivation of guidance values for health based exposure limits , 1994 .

[42]  M. Gray,et al.  Effects of intravenous infusion of lidocaine on its pharmacokinetics in conscious instrumented dogs. , 1997, Journal of pharmaceutical sciences.

[43]  R. H. Pullen,et al.  Pharmacokinetic interactions between arbaprostil and aspirin in humans. , 1989, Biopharmaceutics & drug disposition.

[44]  M L Dourson,et al.  Regulatory history and experimental support of uncertainty (safety) factors. , 1983, Regulatory toxicology and pharmacology : RTP.

[45]  P. Bennett,et al.  Lignocaine kinetics in the rat , 1984, The Journal of pharmacy and pharmacology.

[46]  K Walton,et al.  Uncertainty factors for chemical risk assessment: interspecies differences in the in vivo pharmacokinetics and metabolism of human CYP1A2 substrates. , 2001, Food and chemical toxicology : an international journal published for the British Industrial Biological Research Association.

[47]  Y. Funae,et al.  Metabolism of lidocaine by rat pulmonary cytochrome P450. , 1994, Biochemical pharmacology.

[48]  P. Neuvonen,et al.  Effect of erythromycin and itraconazole on the pharmacokinetics of intravenous lignocaine , 1998, European Journal of Clinical Pharmacology.

[49]  H. Mattie,et al.  Rectal bioavailability of lidocaine in man: Partial avoidance of “first‐pass” metabolism , 1979, Clinical pharmacology and therapeutics.

[50]  B. Duce,et al.  Oral absorption and disposition kinetics of lidocaine hydrochloride in dogs. , 1970, The Journal of pharmacology and experimental therapeutics.

[51]  O. G. Fitzhugh,et al.  100-Fold margin of safety , 1954 .

[52]  P. du Souich,et al.  First-pass metabolism of lidocaine in the anesthetized rabbit. Contribution of the small intestine. , 1996, Drug Metabolism And Disposition.

[53]  P. Ho,et al.  The effects of age and sex on the disposition of acetylsalicylic acid and its metabolites. , 1985, British journal of clinical pharmacology.

[54]  A G Renwick,et al.  Safety factors and establishment of acceptable daily intakes. , 1991, Food additives and contaminants.

[55]  P. Mitenko,et al.  Salicylate metabolism: Effects of age and sex in adults , 1986, Clinical pharmacology and therapeutics.

[56]  R. Spector,et al.  Racial Background and Lidocaine Pharmacokinetics , 1982, Journal of clinical pharmacology.

[57]  P. Neuvonen,et al.  Effect of erythromycin and itraconazole on the pharmacokinetics of oral lignocaine. , 1999, Pharmacology & toxicology.

[58]  A. Thithapandha Effect of caffeine on the bioavailability and pharmacokinetics of aspirin. , 1989, Journal of the Medical Association of Thailand = Chotmaihet thangphaet.