Table 1

Pharmacokinetics of breath 14CO2 after injection of [14C]N-methyl erythromycin

GenotypeCERmaxKbreathAUC0–240CYP3A
%ID/min 1/min %ID/min pmol/mg
Treatment
 Control (n = 9)(+ /+)0.47  ± 0.050.0128  ± 0.00122.7  ± 0.731.9  ± 8.6
 Dexamethasone (n = 3)(+ /+)0.69  ± 0.080.0118  ± 0.00240.0  ± 1.1268.6  ± 30.5
 PCN (n = 3)(+ /+)0.81  ± 0.090.0126  ± 0.00234.3  ± 1.2200.2  ± 37.9
 DEX + TAO (n = 3)(+ /+)0.23  ± 0.090.0124  ± 0.00214.4  ± 1.2312.3  ± 14.7
4-h ERMBT
Mdr1 (n = 4)(+ /+)0.47  ± 0.050.0128  ± 0.00122.2  ± 0.929.8  ± 3.1
Mdr1a (n = 3)(− /−)0.51  ± 0.090.0137  ± 0.00234.2  ± 2.624.3  ± 5.7
Mdr1a/1b (n = 3)(− /−)1.00  ± 0.090.0123  ± 0.00242.3  ± 1.228.9  ± 6.6
30-min ERMBT
Mdr1 (n = 4)(+/+)0.58  ± 0.159.67  ± 1.61-a 27.1  ± 1.7
Mdr1a (n = 3)(− /−)0.95  ± 0.1315.4  ± 1.41-a 22.0  ± 9.5

Mice were injected with trace amounts of [14C]N-methyl erythromycin, and the rate of elimination of 14CO2 in the breath was calculated at 20-min intervals over 4 h or, for the 30-min ERMBT, at 5-min intervals over 30 min, and pharmacokinetic parameters determined in the indicated number of mice. Note: Statistical difference of breath14CO2 AUC0–240 in various mice after i.v. [14C]N-methyl erythromycin assessed by two-way and one-way ANOVA were as follows: 14CO2 AUC0–240in mdr1a/1b(+/+) control mice was significantly different from results in mice treated with DEX, PCN, or DEX + TAO wasP = .0001. The 14CO2 AUC0–240in mdr1a/1b(+/+) was significantly different from that in either mdr1a(−/−) or mdr1a/1b(−/−) mice (P = .0001). The 14CO2 AUC0–30in mdr1a/1b(+/+) was significantly different from that inmdr1a(−/−) mice (P = .0329).

    • ID, injected dose.

    • 1-a  AUC0–30.