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Urinary excretion of methylated purines in man and in the rat after the administration of theophylline
Authors:A H Van Gennip  J Grift  E J Van Bree-Blom
Institution:Children''s Hospital, Het Emma Kinderziekenhuis, Spinozastraat 51, Amsterdam The Netherlands;University Children''s Hospital, Het Wilhelmina Kinderziekenhuis, Nieuwe Gracht 137, Utrecht The Netherlands
Abstract:Chromatographic characteristics of urinary metabolites of theophylline were studied by two-dimensional thin-layer chromatography, high-performance liquid chromatography and gas chromatography—mass spectrometry. Quantitative data for the urinary metabolites of theophylline in asthmatic children are given. It was shown that 1,3-dimethyluric acid is the predominant excretory product. In addition, smaller amounts of 1-methyluric acid, 3-methylxanthine and unchanged theophylline were found.Excretory patterns after theophylline ingestion before and during the administration of allopurinol in asthma patients and in rats suggest the existence of three metabolic pathways of theophylline. The administration of this drug to a patient with xanthine oxidase deficiency resulted in the excretion of 1-methyluric acid in addition to 1,3-dimethyluric acid, 3-methylxanthine, 1-methylxanthine and unchanged theophylline. It was concluded that in man the oxidation of theophylline is not catalysed by xanthine oxidase.
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