Pharmacodynamics of insulin following intravenous and enteral administrations of porcine-zinc insulin to rats.

Abstract:

:Previous work from this laboratory showed site-dependent variations in the apparent permeability of insulin as measured using the everted rat gut sac technique, with the greatest permeability in the distal jejunum and the lowest in the duodenum (5). To quantify better the rate and extent of insulin absorption from the small intestine, closed-loop in situ experiments were performed in nondiabetic rats. Results correlated with the everted gut sac technique in that the absolute bioavailability determined in situ was higher for insulin solution administered to the more distal region of the intestine (0.133%) than that absorbed from an earlier portion of the intestine (0.059%). While the difference in regional bioavailabilities was not significant (P = 0.08), the blood glucose response showed highly significant differences (P = 0.0015), with severe and prolonged hypoglycemia resulting from insulin delivered to the distal jejunum/proximal ileum. Insulin administered iv followed a two-compartment pharmacokinetic model. Whole-body elimination rate constants were similar for both iv and enteral insulin. Although therapeutic quantities of insulin were absorbed from the distal small intestine, absorption enhancers would be necessary to decrease the dose of insulin required.

journal_name

Pharm Res

journal_title

Pharmaceutical research

authors

Schilling RJ,Mitra AK

doi

10.1023/a:1015894125611

subject

Has Abstract

pub_date

1992-08-01 00:00:00

pages

1003-9

issue

8

eissn

0724-8741

issn

1573-904X

journal_volume

9

pub_type

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