Simultaneous toxicokinetic studies of aristolochic acid I and II and aristolactam I and II using a newly-developed microdialysis liquid chromatography-tandem mass spectrometry

Food Chem Toxicol. 2023 Jul:177:113856. doi: 10.1016/j.fct.2023.113856. Epub 2023 May 29.

Abstract

Aristolochic acids (AAs) are naturally occurring genotoxic carcinogens linked to Balkan endemic nephropathy and aristolochic acid nephropathy. Aristolochic acid I and II (AA-I and AA-II) are the most abundant AAs, and AA-I has been reported to be more genotoxic and nephrotoxic than AA-II. This study aimed to explore metabolic differences underlying the differential toxicity. We developed a novel microdialysis sampling coupled with solid-phase extraction liquid chromatography-tandem mass spectrometry (MD-SPE-LC-MS/MS) to simultaneously study the toxicokinetics (TK) of AA-I and AA-II and their corresponding aristolactams (AL-I and AL-II) in the blood of Sprague Dawley rats co-treated with AA-1 and AA-II. Near real-time monitoring of these analytes in the blood of treated rats revealed that AA-I was absorbed, distributed, and eliminated more rapidly than AA-II. Moreover, the metabolism efficiency of AA-I to AL-I was higher compared to AA-II to AL-II. Only 0.58% of AA-I and 0.084% of AA-II was reduced to AL-I and AL-II, respectively. The findings are consistent with previous studies and support the contention that differences in the in vivo metabolism of AA-I and AA-II may be critical factors for their differential toxicities.

Keywords: Aristolactam; Aristolochic acid; Balkan endemic nephropathy; In vivo microdialysis; Liquid chromatography-tandem mass spectrometry; Toxicokinetics.

MeSH terms

  • Animals
  • Aristolochic Acids* / chemistry
  • Aristolochic Acids* / toxicity
  • Balkan Nephropathy*
  • Chromatography, Liquid / methods
  • Kidney Diseases*
  • Microdialysis
  • Rats
  • Rats, Sprague-Dawley
  • Tandem Mass Spectrometry / methods
  • Toxicokinetics

Substances

  • aristolochic acid I
  • aristolactam I
  • Aristolochic Acids