代谢
无机、冻干的三氧化二砷在溶液中立即被水解为砒酸——这似乎是三氧化二砷的药理活性物种。进一步的代谢涉及砒酸的氧化生成砒酸,以及砒酸通过肝脏中的甲基转移酶进行氧化甲基化,生成一甲基砷酸(MMA)和二甲基砷酸(DMA)。MMA和DMA都有相对较长的半衰期,并且在多次给药后可以累积,其累积程度取决于所讨论的给药方案。
Inorganic, lyophilized arsenic trioxide, when placed in solution, is immediately hydrolyzed to arsenous acid - this appears to be the pharmacologically active species of arsenic trioxide. Further metabolism involves the oxidation of arsenous acid to arsenic acid, and an oxidative methylation of arsenous acid to monomethylarsonic acid (MMA) and dimethylarsinic acid (DMA) by methyltransferases in the liver. Both MMA and DMA have relatively long half-lives and can accumulate following multiple doses, the extent of which depends upon the dosing regimen in question.
来源:DrugBank