Limited fetal metabolism of rosiglitazone: Elimination via the maternal compartment in the pregnant ewe

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Bazargan, Maryam
Foster, David JR
Muhlhausler, Beverly S
Morrison, Janna L
McMillen, ICaroline
Davey, Andrew K
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2016
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Abstract

Despite the fact that fetal drug exposure is common, the disposition of drugs in the fetus is poorly understood. This study aimed to investigate fetal placental and non-placental disposition of rosiglitazone in the pregnant ewe. Steady state was reached after day 5 of fetal infusion, and were ∼1.8 fold higher than maternal concentrations (P < 0.001). The AUC for fetal rosiglitazone concentration throughout the infusion was inversely correlated with placental and fetal weight. Metabolic activity of the fetal liver microsomes were ∼25 fold lower than maternal microsomes (P < 0.001). The findings suggest that trans‐placental transfer is the major route through which rosiglitazone is cleared from the fetal compartment, while non‐placental hepatic elimination makes only a minor contribution. This supports a limited capacity of the fetus for eliminating this class of drugs, and highlights the potential for drug toxicity when administering pharmacotherapy to the mother/fetus in human pregnancy.

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Reproductive Toxicology

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61

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Pharmacology and pharmaceutical sciences

Pharmacology and pharmaceutical sciences not elsewhere classified

Health services and systems

Public health

Paediatrics

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