The metabolism of clomethiazole in gerbils and the neuroprotective and sedative activity of the metabolites

Br J Pharmacol. 2000 Jan;129(1):95-100. doi: 10.1038/sj.bjp.0703042.

Abstract

A single dose of clomethiazole (600 micromol kg(-1) i.p.) has previously been shown to be neuroprotective in the gerbil model of global ischaemia. In gerbils, clomethiazole (600 micromol kg(-1)) injection produced a rapid appearance (peak within 5 min) of drug in plasma and brain and similar clearance (plasma t(1/2): 40 min) from both tissues. The peak brain concentration (226+/-56 nmol g(-1)) was 40% higher than plasma. One major metabolite, 5-(1-hydroxyethyl-2-chloro)-4-methylthiazole (NLA-715) and two minor metabolites 5-(1-hydroxyethyl)-4-methylthiazole (NLA-272) and 5-acetyl-4-methylthiazole (NLA-511) were detected in plasma and brain. Evidence suggested that clomethiazole is metabolized directly to both NLA-715 and NLA-272. Injection of NLA-715, NLA-272 or NLA-511 (each at 600 micromol kg(-1)) produced brain concentrations respectively 2.2, 38 and 92 times greater than seen after clomethiazole (600 micromol kg(-1)). Clomethiazole (600 micromol kg(-1)) injected 60 min after a 5 min bilateral carotid artery occlusion in gerbils attenuated the ischaemia-induced degeneration of the hippocampus by approximately 70%. The metabolites were not neuroprotective at this dose. In mice, clomethiazole (600 micromol kg(-1)) produced peak plasma and brain concentrations approximately 100% higher than in gerbils, drug concentrations in several brain regions were similar but 35% higher than plasma. Clomethiazole (ED(50): 180 micromol kg(-1)) and NLA-715 (ED(50): 240 micromol kg(-1)) inhibited spontaneous locomotor activity. The other metabolites were not sedative (ED(50) >600 micromol kg(-1)). These data suggest that the neuroprotective action of clomethiazole results from an action of the parent compound and that NLA-715 contributes to the sedative activity of the drug. British Journal of Pharmacology (2000) 129, 95 - 100

MeSH terms

  • Animals
  • Brain / drug effects
  • Brain / metabolism
  • Brain Ischemia / drug therapy
  • Brain Ischemia / pathology
  • Chlormethiazole / analogs & derivatives
  • Chlormethiazole / blood
  • Chlormethiazole / metabolism
  • Chlormethiazole / pharmacokinetics*
  • Chlormethiazole / pharmacology*
  • Gerbillinae
  • Hypnotics and Sedatives / pharmacology*
  • Male
  • Motor Activity / drug effects
  • Nerve Degeneration / pathology
  • Nerve Degeneration / prevention & control
  • Neuroprotective Agents / pharmacology*
  • Thiazoles / blood
  • Thiazoles / metabolism

Substances

  • Hypnotics and Sedatives
  • NLA 715
  • Neuroprotective Agents
  • Thiazoles
  • Chlormethiazole
  • 5-acetyl-4-methylthiazole
  • 5-(1-hydroxyethyl)-4-methylthiazole