NIH, National Cancer Institute, Division of Cancer Treatment and Diagnosis (DCTD) NIH - National Institutes of Health National Cancer Institute DCTD - Division of Cancer Treatment and Diagnosis

Plasma protein binding of basic drugs. I. Selective displacement from alpha 1-acid glycoprotein by tris(2-butoxyethyl) phosphate.

Author(s): Borgå O, Piafsky KM, Nilsen OG

Publication: Clin Pharmacol Ther, 1977, Vol. 22, Page 539-44

PubMed ID: 913020 PubMed Review Paper? No

Purpose of Paper

The purpose of this paper was to determine the effect of the plasticizer tris(2-butoxyethyl) phosphate (TBEP) present in Vacutainer tubes on the free concentration of therapeutic drugs in plasma specimens.

Conclusion of Paper

A TBEP concentration dependent increase in free aprenolol and imipramine occurred in plasma specimens collected in Vacutainer instead of glass tubes. Binding of alpha 2-acid glycoprotein, but not albumin or lipoprotein, to aprenolol and imipramine was strongly inhibited by TBEP.

Studies

  1. Study Purpose

    The purpose of this study was to determine the effects of collection container, and TBEP concentration on free aprenolol and imipramine in plasma specimens and protein fractions. Some plasma specimens were frozen before analysis.

    Summary of Findings:

    Free aprenolol and imipramine were increased in plasma specimens collected in Vacutainer instead of glass tubes (p<0.002). The percent changes in aprenolol and imipramine binding correlated with TBEP concentration (r=0.86, p<0.001 and r=0.66, p<0.01, respectively). The concentration of TBEP in plasma collected in Vacutainers was variable between individuals, but tended to correlate with alpha 2-acid glycoprotein concentrations (r=0.56, p<0.05). Alpha 2-acid glycoprotein in isolated plasma fractions had a high binding affinity for aprenolol and imipramine which was inhibited by TBEP. In contrast, aprenolol and imipramine binding to albumin was only slightly affected by TBEP and binding to lipoprotein was not affected at all.

    Biospecimens
    Preservative Types
    • None (Fresh)
    • Frozen
    Diagnoses:
    • Normal
    • Not specified
    Platform:
    AnalyteTechnology Platform
    Small molecule GC- flame ionization
    Small molecule Radioassay
    Small molecule Equilibrium dialysis
    Pre-analytical Factors:
    ClassificationPre-analytical FactorValue(s)
    Biospecimen Acquisition Type of collection container/solution Vacutainer tube
    Glass tube
    Biospecimen Preservation Type of fixation/preservation Frozen
    None (fresh)

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