title: Effects of protein binding on the isomerization of ceftibuten.
abstract: Isomerization of ceftibuten to trans-ceftibuten, a less active isomer of ceftibuten, was observed in human serum in vitro. Investigation of the isomerization mechanism in the serum clarified that albumin accelerated the isomerization. The isomerization rate constant correlated significantly with the percent of binding to albumin, suggesting the binding of ceftibuten to albumin might be the driving force for the isomerization under in vitro conditions. This isomerization was also observed in clinical studies in humans. Results of physiological model analysis indicate that the isomerization catalyzed by albumin contributes significantly to the overall isomerization in the human body following oral administration.
authors.affiliation: Institute of Medical Science, St. Marianna University School of Medicine, Kawasaki, Japan.
authors.forename: J
authors.initials: J
authors.lastname: Shimada
authors.forename: S
authors.initials: S
authors.lastname: Hori
authors.forename: T
authors.initials: T
authors.lastname: Oguma
authors.forename: T
authors.initials: T
authors.lastname: Yoshikawa
authors.forename: S
authors.initials: S
authors.lastname: Yamamoto
authors.forename: T
authors.initials: T
authors.lastname: Nishikawa
authors.forename: H
authors.initials: H
authors.lastname: Yamada
mesh_terms: D000077722:Ceftibuten; D002511:Cephalosporins / Q000097:blood / Q000737:chemistry*; D002851:Chromatography, High Pressure Liquid; D006801:Humans; D007700:Kinetics; D008954:Models, Biological; D011485:Protein Binding; D012709:Serum Albumin / Q000378:metabolism; D013056:Spectrophotometry, Ultraviolet; D013237:Stereoisomerism; D014462:Ultrafiltration
chemical_list: D002511:Cephalosporins; D012709:Serum Albumin; D000077722:Ceftibuten