PMID- 38500383 OWN - NLM STAT- Publisher LR - 20240319 IS - 1472-8206 (Electronic) IS - 0767-3981 (Linking) DP - 2024 Mar 18 TI - Dosing-time, feeding, and sex-dependent variations of everolimus pharmacokinetics in mice. LID - 10.1111/fcp.13003 [doi] AB - BACKGROUND: Everolimus is an oral mammalian target of rapamycin (mTOR) inhibitor used as an immunosuppressant and anticancer. Its pharmacokinetics is highly variable, it has a narrow therapeutic window and shows chronotoxicity with the best time at ZT13 and worst time at ZT1 (ZT; Zeitgeber time, time after light onset) in the preclinical setting. OBJECTIVES: In the present study, we aimed to investigate whether the pharmacokinetics of everolimus vary according to dosing time and whether sex and feeding status interfere with the chronopharmacokinetics. METHOD: A single dosage of 5 mg/kg everolimus was administered orally to C57BL/6J male and female mice, in fed or fasted states at ZT1-rest and ZT13-activity times and blood and tissue samples were collected at 0.5, 1, 2, 4, 12, and 24 h following drug administration. Ileum, liver, plasma, and thymus concentrations of everolimus were determined. RESULTS: Females had a greater ileum AUC(0-24h) than males when fed (P = 0.043). Everolimus AUC(0-24h) in the liver was substantially greater at ZT1 than at ZT13 in a fasted state (P = 0.001). Plasma C(max) , AUC(0-24h) , and AUC(total) were not statistically significant between the groups (P = 0.098). In one of the target organs of everolimus, the thymus, males had considerably higher amounts at ZT1 than females (P = 0.029). CONCLUSION: Our findings imply that the pharmacokinetics of everolimus in mice may differ according to dosing time, sex, and feeding. Greater tissue distribution of everolimus at ZT1 may be associated with the worst tolerated time of everolimus. Our research suggests that oral chronomodulated everolimus therapy may be more effective and safer for cancer patients. CI - (c) 2024 Societe Francaise de Pharmacologie et de Therapeutique. Published by John Wiley & Sons Ltd. FAU - Ozturk Civelek, Dilek AU - Ozturk Civelek D AUID- ORCID: 0000-0003-2485-891X AD - Department of Pharmacology, Faculty of Pharmacy, Bezmialem Vakif University, Istanbul, Turkey. AD - Department of Pharmacology, Faculty of Pharmacy, Istanbul University, Istanbul, Turkey. FAU - Ozturk Seyhan, Narin AU - Ozturk Seyhan N AD - Department of Pharmacology, Faculty of Pharmacy, Istanbul University, Istanbul, Turkey. FAU - Akyel, Yasemin Kubra AU - Akyel YK AD - Department of Medical Pharmacology, School of Medicine, Istanbul Medipol University, Istanbul, Turkey. FAU - Gazioglu, Isil AU - Gazioglu I AD - Department of Analytical Chemistry, Faculty of Pharmacy, Bezmialem Vakif University, Istanbul, Turkey. AD - Applied Analytical Chemistry, Faculty of Chemistry, University of Duisburg-Essen, Essen, Germany. FAU - Pala Kara, Zeliha AU - Pala Kara Z AD - Department of Pharmacology, Faculty of Pharmacy, Istanbul University, Istanbul, Turkey. FAU - Orman, Mehmet N AU - Orman MN AD - Department of Biostatistics and Medical Informatics, Faculty of Medicine, Ege University, Bornova, Izmir, Turkey. FAU - Okyar, Alper AU - Okyar A AD - Department of Pharmacology, Faculty of Pharmacy, Istanbul University, Istanbul, Turkey. LA - eng GR - YOP-24831/Research Fund of Istanbul University/ GR - 216S475/Scientific and Technological Research Council of Turkey-TUBITAK/ PT - Journal Article DEP - 20240318 PL - England TA - Fundam Clin Pharmacol JT - Fundamental & clinical pharmacology JID - 8710411 SB - IM OTO - NOTNLM OT - chronomodulated chemotherapy OT - chronopharmacokinetics OT - everolimus OT - fed/fasted OT - sex difference EDAT- 2024/03/19 06:43 MHDA- 2024/03/19 06:43 CRDT- 2024/03/19 02:53 PHST- 2024/01/01 00:00 [revised] PHST- 2023/05/11 00:00 [received] PHST- 2024/02/19 00:00 [accepted] PHST- 2024/03/19 06:43 [medline] PHST- 2024/03/19 06:43 [pubmed] PHST- 2024/03/19 02:53 [entrez] AID - 10.1111/fcp.13003 [doi] PST - aheadofprint SO - Fundam Clin Pharmacol. 2024 Mar 18. doi: 10.1111/fcp.13003.