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1 Division of Endocrinology and Metabolism, Department of Medicine III, University of Vienna, A-1097 Vienna, Austria; and 2 Institute of Systems Science and Biomedical Engineering (LADSEB-Consiglio Nazionale delle Ricerche), 35127 Padua, Italy
The aim of the study was to determine the
apparent volume of distribution
(VTOT), total body
clearance (CL), fractional clearance, and mean residence time (MRT) of
the
-cell hormone amylin. We therefore performed an intravenous
injection of 50 µg of human synthetic amylin (amlintide) in nine
healthy male subjects during suppression of endogenous amylin release
by intravenous somatostatin (0.06 µg · kg
1 · min
1). The plasma levels
of amylin concentrations over time were analyzed using
three-exponential curves. VTOT was
173 ± 16 ml/kg and was not different from that of insulin
reported in the literature (157 ml/kg). MRT was 27.7 ± 2.1 min and
thus two times the reported value for insulin (14.1 min) and C-peptide
(16.4 min). CL and fractional CL were 6.2 ± 0.2 ml · kg
1 · min
1
and 0.038 ± 0.003 min
1,
respectively. Fractional CL is therefore definitely lower than that
reported for insulin (0.12-0.2
min
1) but is, however, in
the range of that of C-peptide (0.05 min
1). In conclusion,
clearance of amylin is similar to that reported for C-peptide and much
slower than insulin, indicating that the commonly used molar
insulin-to-amylin ratio does not reflect the correct relationship of
the two peptides.
pharmakokinetics; noncompartmental analysis; compartmental analysis; mathematical modeling
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