INTRODUCTION
Accelerator mass spectrometry (AMS) is a technology with an extremely high isotope detection sensitivity. Compared with conventional detection methods, it has the advantages of a short measurement time, small sample amount, and high measurement sensitivity (Bennett et al. Reference Bennett, Beukens and Clover1997; Nelson et al. Reference Nelson, Korteling and Stott1977). As the most sensitive method for measuring 14C, the method is widely used in archaeology, environmental science, geology, oceanography, biomedicine, and other fields (Nielsen, Reference Nielsen1952; Lubritto et al. Reference Lubritto, Rogalla and Rubino2004; Marzaioli et al. Reference Marzaioli and Lubritto2005; Mary et al. Reference Mary2011; Salehpour et al. Reference Salehpour, Hakansson and Possnert2015; Cheng et al. Reference Cheng, Burr and Zhou2019). Since the U.S. Food and Drug Administration (FDA) has used the pharmacokinetic data of radioisotope-labeled drugs as an essential basis for the safety evaluation of new drugs and formulated corresponding regulations (FDA, 2010), similar regulations have also been formulated around the world for the early development and the later application of drugs. Therefore, radioactive tracer technology has been used in more than 80% of drugs to investigate absorption, distribution, metabolism, and excretion (Lappin and Garner, Reference Lappin and Garner2005).
The main detection methods used in isotope tracing technology include liquid scintillation (LSC) (L’Annunziata and Kessler, Reference L’Annunziata and Kessler1998), autoradiography (ARG) (Partridge et al. Reference Partridge, D’Souza and Lenz2008), and positron emission computerized tomography (PET) (Li et al. Reference Li and Conti2010). The miniaturization of PET and the development of QWBA technology have made the localization of radiolabeled drugs in organisms easier and more intuitive (Li et al. Reference Li, Xie and Zhang2008; Weiss et al. Reference Weiss, Wirz and Schweitzer2007; D’souza et al. Reference D’Souza, Partridge and Roberts2007). However, due to the limitation of measurement sensitivity, conventional detection techniques cannot measure ultratrace doses of drugs or track radiolabeled drugs for a long time (Lappin and Garner, Reference Lappin and Garner2003). On the other hand, the high sensitivity and extremely low detection limit of AMS technology allows the administration of subpharmacological doses of radiolabeled drugs to animals or humans at radiologically unremarkable levels to obtain preliminary information on drug absorption, distribution, metabolism, and excretion and has been increasingly valued by the pharmaceutical industry (Sandhu, Reference Sandhu2004). To date, most studies on the metabolism and treatment of exogenous organisms in AMS have focused on the combination of carcinogens with DNA and proteins (Turteltaub et al. Reference Turteltaub, Felton and Gledhill1990, Reference Turteltaub, Mauthe and Dingley1997), and there are fewer studies in the pharmaceutical field under the conditions of ultratrace dose administration and subpharmacological doses (Kaye et al. Reference Kaye, Garner and Mauthe1997; Young et al. Reference Young, Ellis and Ayrton2008).
In our study, AMS technology was used to measure the absorption and distribution of 14C urea in rats treated with ultratrace doses, verify the feasibility of AMS technology in ultratrace dose drug research and long-term drug tracking at the technical level, and assess the pharmacokinetic characteristics of the drug, which provides a reference for the use of AMS technology in the evaluation of ultratrace-dosing drug research and research on human subjects.
MATERIALS AND METHODS
Chemicals
14C urea capsules (SFDA #H20000020) were obtained from Shenzhen Zhonghe Headway Biotechnology Co., Ltd., China, CuO powder (GB/T674-2003, purity: ≥99.0%) was obtained from Sinopharm Chemical Reagent Co., Ltd., Fe powder (#209309, 325 mesh, 97%) was obtained from Sigma–Aldrich USA, and Zn powder (#324930, <150 µm, 99.995%) was obtained from Sigma–Aldrich USA.
Dosage
14C urea was dissolved in distilled water at a dose of 4.302 × 10–7 mg/mL. The oral dose administered to rats was 2.044 × 10–6 mg/kg bdw (body weight), and the radioactive dose was 2.058 × 10–3 μCi/kg bdw, six orders of magnitude lower than the conventional dose (Nomura et al. Reference Nomura and Matsumoto2006; Park et al. Reference Park, Dae and Han2012).
Animals
Twenty-four male Sprague–Dawley rats (SPF, Guilin Medical College, Guilin, China) weighing 243–370 g were used.
Animal Experiment
Rats were kept in individual metabolism cages in a room with a temperature of 21°C–25°C and humidity of 50–60% with a daily light/dark schedule of 12/12 hr, with free access to water throughout acclimatization. Food was removed for 12 rh before experiments and for an additional 12 hr after administration of 14C urea. Intragastric administration was performed at doses of 2.044 ×10–6 mg/kg bdw (2.058 ×10–3 μCi/kg bdw) with a stomach tube. The sampling time was 0.25 hr, 0.5 hr, 1 hr, 4 hr, 8 hr, 24 hr, and 72 hr, and 3 rats were dissected and sampled at each sampling time (the method of sacrifice was spinal dislocation) for collection of biological samples such as plasma, heart, liver, spleen, lung, kidney, stomach, brain, bladder, fat, muscle, and gonads. A blank control group (3 rats, no drug) was used for comparison. All experiments were conducted in accordance with the ethical guidelines of the Ministry of Health of China.
Sample Preparation for AMS Measurement
The collected biological samples were packed into 3–20 mL glass vials and placed in a vacuum lyophilizer for a 48 hr drying process at –70°C, after which the samples were ground and stored at –20°C. The carbon content of plasma and various blank tissue samples was measured by an elemental analyzer (manufacturer: Elementar, model: UNICUBE). The biological sample containing 1 mg of carbon was mixed with CuO powder (pretreatment at 900°C for 3 hr) at a ratio of 1:40 in the combustion tube in the vacuum sample preparation device for evacuation, as shown in Figure 1 (Shen et al. Reference Shen, Tang and Wang2022a, Reference Shen, Shi and Tang2022b). The combustion tube was sealed with a flame after the vacuum was lower than 5×10–4 mbar and placed in a muffle furnace at 900°C for 3 hr to fully react with the sample and generate CO2. Then, the combustion tube was crushed in a crushing device of the vacuum line. The CO2 gas first passed through the alcohol liquid nitrogen cold traps at –90°C to thoroughly remove the water vapor and then entered the liquid nitrogen cold trap at –196°C, where it was frozen. Any noncondensable gases, such as SO2, N2, and O2, were pumped away. The purified CO2 was heated, transferred to a reduction tube using a liquid nitrogen cold trap, and finally sealed with a torch. The reduction tube was preloaded with 15–25 mg Zn powder and 2.5–3.0 mg Fe powder and pretreated at 400°C for 3 hr. The reduction tube was then subjected to reduction treatment in the graphite reduction furnace at 650°C for 8 hr so that the CO2 reacted with Zn to produce graphite on the surface of Fe (Jull et al. Reference Jull, Donahue and Hatheway1986; Slota et al. Reference Slota, Jull and Linick1987), as shown in Figure S1. Finally, the graphite and Fe powder were pressed into the AMS cathodes for measurement.
Figure 1 A glass vacuum line for graphite preparation.
Measurement of Radioactivity
The GXNU-AMS instrument (Shen et al. Reference Shen, Tang and Wang2022a, Reference Shen, Shi and Tang2022b) was mainly composed of a cesium negative ion sputtering source, preacceleration line, injection magnet, main acceleration line, gas stripper, analysis magnet, electrostatic analyzer, and detector, as shown in Figure S2. The processed blank samples, experimental samples, and standard samples (OX-II, IAEA-C8, IAEA-C1) were installed in the cathode wheel of the ion source, as shown in Figure S3. The negative ion beam C− was extracted from the ion source and then entered a double-focusing dipole injection magnet through a preacceleration tube for mass selection. An alternating high-frequency potential (Trek 10/10B-HS) was applied to the vacuum box in the injection magnet for the high-speed alternating injection of C isotopes 12C–, 13C–, and 14C–, which were focused by an electric quadrupole triplet lens and then accelerated into the gas stripper through a 150-kV accelerating tube. He in the gas stripper stripped and converted the negatively charged ions into neutral or positive charge states, while the negative molecular ions (12CH2 –, 13CH–, etc.) were dissociated into their component atoms, which entered the analysis magnet at the high energy end for ion momentum/charge selection, then via the electrostatic analyzer for ion energy/charge selection to eliminate various scattered particles. Finally, the pure 14C+ entered the end detector for counting. In addition, 12C and 13C beam values were recorded in Faraday cups at the low and high energy sides for isotope fractionation correction and 14C/12C abundance calculation of the samples. The measured values of the biological samples were calibrated with the standard samples, and then the drug concentration was analyzed by Equation (1).
$${\rm C} = {R_{{{_{}^{14}C} \over {_{}^{12}C}}}} \times P/\;B$$
where C is the 14C urea concentration in plasma and tissues, R is the abundance ratio of 14C/12C, P is the content of carbon in the plasma or tissue, and B is the content of carbon in urea.
RESULTS AND DISCUSSION
Carbon Recovery from the Biological Sample
Similar to the methods described by Walker et al. (Reference Walker and Xu2019) and Orsovszki et al. (Reference Orsovszki and Rinyu2015), a temperature gradient was applied to the graphite reduction process. The Fe and Zn catalysts were held at high reaction temperatures (∼600°C), whereas the tops of the Zn tube reactors were held at ambient temperatures (20–25°C). The gaseous Zn and ZnO generated during the reaction process were sequentially condensed on the cooler part (between 450°C and room temperature) of the reduction tube, as shown in Figure S4, to avoid condensation on the surface of Fe powder affecting the sample purity and improve the graphite synthesis efficiency. The average graphite recovery rate treated by this method was approximately 90% with a small fluctuation (Figure 2), which proves the stability and reliability of our vacuum 14C preparation device.
Figure 2 Graphite recovery of biological samples.
Carbon Content of Plasma and Tissues
The biocarbon contents of the vacuum-dried plasma and tissue samples were measured with the CHNS mode of the elemental analyzer (Elemental UNICUBE), similar to the method described by Lappin and Garner (Reference Lappin and Garner2005), which was used to calculate the drug concentration of 14C urea. The measurement results are shown in Table 1.
Table 1 Biological C, H, N, and S content in dried plasma and tissues.
14C Urea Concentrations in Plasma
The relationship between the radiopharmaceutical concentration in plasma and time following oral administration of 14C urea is shown in Figure 3. The metabolic data were pharmacokinetically processed using Phoenix Winnonlin 8.1 (Certara, USA) software (Schütz, Reference Schütz2012), as shown in Table 2. The rapid peak time of 14C urea absorption was only 0.25 hr, with a peak concentration of 1.323×10−3 ng/mL, an average retention time of 23.49 hr, a steady-state distribution volume of 3.403 mL/kg, and a clearance rate of 79.95 mL/h/kg.
Figure 3 Radiopharmaceutical concentrations in plasma of rats after oral administration of 14C urea.
Table 2 Pharmacokinetic parameters of 14C-urea determined by accelerator mass spectrometry after oral administration in fasted rats.
14C Urea Distribution in Tissues
The measurement data of the radiopharmaceutical concentration in different tissues of rats at 0.25 hr, 0.5 hr, 1 hr, 4 hr, 8 hr, 24 hr, and 72 hr after oral administration of 14C urea are shown in Table 3, Figure 4, and Figure S5. As shown in the data, the presence of 14C urea was detected in all 11 tissues and plasma, with the radiopharmaceutical concentration peaking at 0.25 hr in plasma and liver, at 0.5 hr in heart, spleen, lung, kidney, stomach, bladder, fat, and muscle, and at 4 hr in brain and testis.
Table 3 14C-urea concentrations in tissues after oral administration in fasted rats.
a The unit is only for plasma.
Figure 4 14C-urea concentrations in tissues of rats after oral administration of 14C urea.
The radiopharmaceutical concentrations in the heart, liver, spleen, lung, kidney, stomach, bladder, fat, muscle, and testis were higher than that in plasma, and the peak value of concentration in each organ concentration was 4.987×10−3 ng/g, 4.551×10−3 ng/g, 6.060×10−3 ng/g, 4.263×10−3 ng/g, 3.159×10−2 ng/g, 1.296×10−2 ng/g, 3.324×10−3 ng/g, 2.456×10−2 ng/g, 5.612×10−3 ng/g, 3.665×10−3 ng/g, and 9.418×10−3 ng/g, respectively, which is similar to the distribution of urea in rats at conventional doses (Nomura et al. Reference Nomura and Matsumoto2006; Park et al. Reference Park, Dae and Han2012). The order of the radiopharmaceutical concentration in each tissue was kidney > bladder > stomach > testis > spleen > fat > heart > liver > lung > muscle > brain.
The radiopharmaceutical concentrations in the stomach, kidney, and bladder were much higher than those in other tissues, suggesting that urinary excretion is a major excretion route for 14C urea, which is similar to the metabolic trend of urea at conventional doses (Nomura et al. Reference Nomura and Matsumoto2006; Park et al. Reference Park, Dae and Han2012; Dickerson et al. Reference Dickerson, Lee and Keshava2018; Rapoport et al. Reference Rapoport, Fitzhugh and Pettigrew1982; Juhr et al. Reference Juhr and Franke1987, Reference Juhr and Franke1990). Drug concentrations in the brain, fat, and muscle were low, indicating that 14C urea did not easily enter highly lipidic tissues. The radiopharmaceutical concentration in the plasma decreased continuously from 0.25 hr to 72 hr, the radiopharmaceutical concentrations in all tissues were at a low level 24 hr after administration, and most of the drug and metabolites had been eliminated from the body. The measured radiopharmaceutical concentrations in plasma and tissue dropped to background levels at 72 hr, and no specific tissue accumulation of urea was detected.
CONCLUSIONS
Ultratrace dose pharmacokinetic studies can provide pharmacokinetic parameters and distribution data beyond conventional doses, which play an essential role in the drug development process and help to select the most suitable drug for further clinical evaluation. In this study, we investigated the absorption and distribution of 14C urea at an oral ultratrace dose in various tissues of rats using AMS technique and obtained the first data on urea metabolism in the organism after an ultratrace dose.
The experimental results showed that after oral administration of 2.044×10–6 mg/kg (2.058×10–3 μCi/kg) 14C urea, the presence of 14C urea was detected in all tissues. The radiopharmaceutical concentration reached a peak at 0.25 hr in plasma (1.323×10–3 ng/mL) and at 0.5 hr in stomach and most tissues, which indicated that the oral absorption rate of urea is very fast. The radiopharmaceutical concentration in the kidney and bladder was high, and the peak concentration was much higher than in other tissues, which indicated that 14C urea at ultratrace doses is mainly excreted through the kidney-bladder and at a very rapid clearance rate of 79.95 mL/h/kg, which is consistent with the way by which conventional doses of urea are mainly excreted (Marshall et al. Reference Marshall and Surveyor1988). The low radiopharmaceutical concentration in the brain, fat, and muscle may be related to the plasma-brain barrier and the water solubility of urea, which is similar to the distribution of urea in rats and humans (Nomura et al. Reference Nomura and Matsumoto2006; Park et al. Reference Park, Dae and Han2012; Dickerson et al. Reference Dickerson, Lee and Keshava2018; Rapoport et al. Reference Rapoport, Fitzhugh and Pettigrew1982; Juhr et al. Reference Juhr and Franke1987, Reference Juhr and Franke1990). This distribution study of an ultratrace dose of 14C urea in rats has successfully demonstrated that AMS technology can be applied in the field of pharmacokinetics and radiopharmaceutical distribution research for ultratrace doses, which is difficult to achieve with traditional methods. The 14C-AMS technology developed in this work is expected to be a potential analytical method for the long-term evaluation of pharmacokinetics and radiopharmaceutical distribution research and provide crucial scientific guidance for pharmacokinetics in human subjects.
ACKNOWLEDGMENTS
This work was supported by the Central Government Guidance Funds for Local Scientific and Technological Development, China (No. Guike ZY22096024), the Guangxi Natural Science Foundation of China (No. 2017GXNSFFA198016), and the National Natural Science Foundation of China (Nos. 11775057, 11765004, and 12164006).
SUPPLEMENTARY MATERIAL
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