PMID- 38294142 OWN - NLM STAT- MEDLINE DCOM- 20240201 LR - 20240212 IS - 2052-1707 (Electronic) IS - 2052-1707 (Linking) VI - 12 IP - 1 DP - 2024 Feb TI - 2-Deoxyglucose and hydroxychloroquine HPLC-MS-MS analytical methods and pharmacokinetic interactions after oral co-administration in male rats. PG - e1173 LID - 10.1002/prp2.1173 [doi] LID - e1173 AB - Our previous work has shown a synergistic tumoricidal efficacy of combining the hexokinase (HK) inhibitor 2-deoxyglucose (2-DG) and the autophagy inhibitor chloroquine (CQ) through intraperitoneal injections on HK2-addicted prostate cancers in animal models. The pharmacokinetic (PK) behaviors of these oral drugs after simultaneous oral administration have not been reported. We developed high-performance liquid chromatography-tandem mass spectrometry (HPLC-MS-MS) analytical methods for 2-DG and the clinically favored drug hydroxychloroquine (HCQ) for sera samples. Using a jugular vein-cannulated male rat model with serial blood collection before and after a single gavage dose of each drug alone or in combination, we examined their PK metrics for drug-drug interactions. The data demonstrated a rapid and complete separation of 2-DG from common monosaccharides by HPLC-MS-MS multi-reaction monitoring. Application of the HPLC-MS-MS 2-DG and HCQ methods to sera samples of nine rats showed a peak time (T(max) ) for 2-DG of 0.5 h after 2-DG alone or with HCQ and identical post-peak half-life of approximately 1 h. With a seemingly bi-modal time course for HCQ, the T(max) for HCQ alone (1.2 h) was faster than that for the combination (2 h; p = .017). After combination dosing, the peak concentration (C(max) ) and area under the curve (AUC(0-4h) ) of 2-DG were decreased by 53.8% (p = .0004) and 53.7% (p = .0001), whereas AUC(0-8h) for HCQ was decreased by 30.8% (p = .0279) from the respective single dosing. Without changing the mean residence time (MRT(0-infinity) ) of each drug, the combination affected the apparent volume of distribution (V(d) ) and clearance (CL) of 2-DG, and CL for HCQ without affecting its V(d) . We observed significant negative PK interactions, probably at the intestinal absorption level, between 2-DG and HCQ taken simultaneously by mouth. Future optimization efforts are warranted for their combination regimen for clinical translation. CI - (c) 2024 The Authors. Pharmacology Research & Perspectives published by British Pharmacological Society and American Society for Pharmacology and Experimental Therapeutics and John Wiley & Sons Ltd. FAU - Sun, Dongxiao AU - Sun D AUID- ORCID: 0000-0003-4902-4292 AD - Department of Pharmacology, Pennsylvania State University College of Medicine, Hershey, Pennsylvania, USA. AD - Pennsylvania State University College of Medicine Mass Spectrometry Core Facility, Hershey, Pennsylvania, USA. FAU - Kim, Sangyub AU - Kim S AUID- ORCID: 0000-0002-0190-8593 AD - Department of Pharmacology, Pennsylvania State University College of Medicine, Hershey, Pennsylvania, USA. FAU - Karelia, Deepkamal AU - Karelia D AUID- ORCID: 0000-0002-3747-394X AD - Department of Pharmacology, Pennsylvania State University College of Medicine, Hershey, Pennsylvania, USA. FAU - Deng, Yibin AU - Deng Y AUID- ORCID: 0000-0001-5711-3565 AD - Department of Urology, University of Minnesota College of Medicine, Minneapolis, Minnesota, USA. FAU - Jiang, Cheng AU - Jiang C AUID- ORCID: 0000-0002-8735-1254 AD - Department of Pharmacology, Pennsylvania State University College of Medicine, Hershey, Pennsylvania, USA. FAU - Lu, Junxuan AU - Lu J AUID- ORCID: 0000-0002-2354-7186 AD - Department of Pharmacology, Pennsylvania State University College of Medicine, Hershey, Pennsylvania, USA. AD - Penn State Cancer Institute, Hershey, Pennsylvania, USA. LA - eng GR - R21 CA218774/CA/NCI NIH HHS/United States PT - Journal Article PL - United States TA - Pharmacol Res Perspect JT - Pharmacology research & perspectives JID - 101626369 RN - 4QWG6N8QKH (Hydroxychloroquine) RN - 9G2MP84A8W (Deoxyglucose) SB - IM UOF - Res Sq. 2023 Mar 14;:. PMID: 36993275 MH - Male MH - Rats MH - Animals MH - *Hydroxychloroquine/pharmacokinetics MH - Chromatography, High Pressure Liquid MH - *Liquid Chromatography-Mass Spectrometry MH - Administration, Oral MH - Deoxyglucose PMC - PMC10829054 OTO - NOTNLM OT - 2-deoxyglucose OT - drug-drug interaction OT - hydroxychloroquine OT - oral drug-drug PK interference COIS- The authors have no conflicts of interest to declare. EDAT- 2024/01/31 12:44 MHDA- 2024/02/01 06:43 PMCR- 2024/01/31 CRDT- 2024/01/31 08:08 PHST- 2023/12/21 00:00 [revised] PHST- 2023/09/28 00:00 [received] PHST- 2024/01/11 00:00 [accepted] PHST- 2024/02/01 06:43 [medline] PHST- 2024/01/31 12:44 [pubmed] PHST- 2024/01/31 08:08 [entrez] PHST- 2024/01/31 00:00 [pmc-release] AID - PRP21173 [pii] AID - 10.1002/prp2.1173 [doi] PST - ppublish SO - Pharmacol Res Perspect. 2024 Feb;12(1):e1173. doi: 10.1002/prp2.1173.